MWTP-284 FINAL REPORT— DOMESTIC PETS AS BIOSAMPLERS OF MINING-RELATED CONTAMINANTS MINE WASTE TECHNOLOGY PROGRAM ACTIVITY IV, PROJECT 37 Prepared by: Montana Tech of The University of Montana 1300 W. Park Street Butte, Montana 59701 and MSE Technology Applications, Inc. P.O. Box 4078 Butte, Montana 59702 IAG ID. No. DW89939550-01-0 Prepared for: U.S. Environmental Protection Agency National Risk Management Research Laboratory Cincinnati, Ohio 45268 IAG No. DW899398987-01-0 and U.S. Department of Energy Environmental Management Consolidated Business Center Cincinnati, Ohio 45202 Contract No. DE-AC09-96EW96405 October 2006 REVIEWS AND APPROVALS (MWTP-258): Prepared by: Project Engineer Reviewed by: Chief Scientist Approved by: Program Manager October 2006 MINE WASTE TECHNOLOGY PROGRAM FINAL REPORT DOMESTIC PETS AS BIOSAMPLERS OF MINING-RELATED CONTAMINANTS By: Holly G. Peterson, Ph.D. and Stacie Barry, M.S. Department of Environmental Engineering Montana Tech of The University of Montana Butte, Montana 59701 and MSE Technology Applications, Inc. Mike Mansfield Advanced Technology Center Butte, Montana 59702 Under Contract No. DE-ACC09-96EW96405 Through EPA IAG NO: DW8993987-01-0 George Huffman Sustainable Technology Division National Risk Management Research Laboratory Cincinnati, Ohio 45268 This study was conducted in cooperation with U.S. Department of Energy Environmental Management Consolidated Business Center Cincinnati, Ohio 45202 National Risk Management Research Laboratory Office of Research and Development U.S. Environmental Protection Agency Cincinnati, Ohio 45268 Notice The U.S. Environmental Protection Agency through its Office of Research and Development funded the research described here under IAG DW899395500-01-0 through the U.S. Department of Energy (DOE) Contract DE-AC09-96EW96405. It has been subjected to the Agency’s peer and administrative review and has been cleared for publication as an EPA document. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement or recommendation. The views and opinions of authors expressed herein do not necessarily state or reflect those of the EPA or DOE, or any agency thereof. ii Foreword The U.S. Environmental Protection Agency is charged by Congress with protecting the Nation’s land, air, and water resources. Under a mandate of national environmental laws, the Agency strives to formulate and implement actions leading to a compatible balance between human activities and the ability of natural systems to support and nurture life. To meet this mandate, EPA’s research program is providing data and technical support for solving environmental problems today and building a science knowledge base necessary to manage our ecological resources wisely, understand how pollutants affect our health, and prevent or reduce environmental risks in the future. The National Risk Management Research Laboratory is the Agency’s center for investigation of technological and management approaches for preventing and reducing risks from pollution that threatens human health and the environment. The focus of the Laboratory’s research program is on methods and their cost effectiveness for prevention and control of pollution to air, land, water, and subsurface resources; protection of water quality in public water systems; remediation of contaminated sites, sediments, and ground water; prevention and control of indoor air pollution; and restoration of ecosystems. The NRMRL collaborates with both public and private-sector partners to foster technologies that reduce the cost of compliance and to anticipate emerging problems. NRMRL’s research provides solutions to environmental problems by developing and promoting technologies that protect and improve the environment; advancing scientific and engineering information to support regulatory and policy decisions; and providing the technical support and information transfer to ensure implementation of environmental regulations and strategies at the national, state, and community levels. This publication has been produced as part of the Laboratory’s strategic long-term research plan. It is published and made available by EPA’s Office of Research and Development to assist the user community and to link researchers with their clients. Sally Gutierrez, Director National Risk Management Research Laboratory iii Abstract This document summarizes a research project designed to develop a new way of investigating residential exposure to environmental contaminants. Specific objectives were as follows: 1) to develop and test a simple, inexpensive, biomonitoring system to characterize existing chronic exposure to mining-related contaminants in the Butte area; and 2) to use the biomonitoring method to try to document efficacy of localized remediation efforts. Domestic pets were chosen as the sentinel species, and the protocol involved collection of hair samples with subsequent analysis using inductively coupled plasma – mass spectrometry (ICP-MS). The method was tested during the summer of 2005 in a field campaign involving more than 200 dogs, and concentration data in hair specimens were examined for 32 elements, including mining-related elements such as arsenic and lead. In this investigation, 72.6 percent of the samples contained arsenic concentrations greater than a reference value of 0.02 mg %, and 41.6 percent of the lead concentrations were higher than 0.2 mg %. Thirty dogs were identified as pets of concern (POCs) based on pet hazard indices greater than or equal to 1.0, and 26 of the POCs resided inside the Butte Priority Soils Operable Unit (BPSOU), a boundary established by the Environmental Protection Agency to represent the bulk of the residential contamination in Butte. The following eight elements were defined as elements of concern (EOCs) for the campaign based on element hazard indices greater than or equal to 1.0: aluminum, arsenic, boron, lead, lithium, manganese, molybdenum, and selenium. In addition, of the eight elements of concern, the nonparametric Kolmogorov-Smirnov test showed that pets residing inside the BPSOU exhibited significantly higher levels of aluminum, arsenic, lead, lithium, and manganese than Butte pets living outside the BPSOU. Effectiveness of yard or attic remediation was evaluated by repeat sampling of four dogs over a period of five months at houses undergoing remediation. Manganese and arsenic concentrations in the hair of one dog, for example, decreased 95 and 71 percent, respectively, during a three-month period following cleanup of contaminated dust in the dog’s home. While results of the research project were site-specific, the approach developed for this site may be of interest and directly transferable to other facilities across the United States. In particular, our method may become a simple, screening-level tool for studying residential exposure to environmental contaminants and for documenting effectiveness and sustainability of cleanup actions. iv Table of Contents Notice ......................................................................................................................................................... ii Foreword.....................................................................................................................................................iii Abstract....................................................................................................................................................... iv Table of Contents ........................................................................................................................................ v List of Tables .............................................................................................................................................. vi List of Figures............................................................................................................................................. vi Acronyms and Abbreviations .................................................................................................................viii Units ........................................................................................................................................................ ix Acknowledgments ....................................................................................................................................... x Executive Summary ................................................................................................................................... xi 1. INTRODUCTION ......................................................................................................................... 2 2. OBJECTIVES ................................................................................................................................ 3 3. METHODS ..................................................................................................................................... 5 4. RESULTS ....................................................................................................................................... 9 4.1 Mining History of Butte and Anaconda .............................................................................. 9 4.2 Environmental Impact........................................................................................................ 10 4.3 Cancer Statistics for Silver Bow County........................................................................... 10 4.4 Sentinel Species for Studying Exposure ............................................................................ 11 4.5 Hair Analysis for Studying Chronic Exposure................................................................. 12 4.6 General Information about the Field Campaign.............................................................. 12 4.7 General Statistics of the Dataset ........................................................................................ 12 4.8 Risk Analysis........................................................................................................................ 13 4.9 Identification of Pets of Concern ....................................................................................... 14 4.10 Identification of Elements of Concern............................................................................... 14 4.11 Probability Distribution Analysis ...................................................................................... 14 4.12 Spatial Distribution Analysis.............................................................................................. 15 4.13 Remediation Investigation.................................................................................................. 15 5. DISCUSSION ............................................................................................................................... 53 6. SUMMARY AND RECOMMENDATIONS............................................................................. 54 7. QUALITY ASSURANCE/QUALITY CONTROL (QA/QC).................................................. 57 7.1 Deviations from the Quality Assurance Project Plan ...................................................... 57 7.2 Laboratory and Field QA ................................................................................................... 57 7.3 General Recordkeeping and Reporting............................................................................. 58 8. REFERENCES............................................................................................................................. 63 APPENDIX A ............................................................................................................................................ 66 v List of Tables Table 2- 1. Project Schedule and Milestones. .............................................................................................. 4 Table 3- 1. Questionnaire Used in the 2005 Campaign ............................................................................... 7 Table 3- 2. Example Laboratory Report from Trace Elements, Inc............................................................. 8 Table 4- 1. Cancer Rates from National Cancer Institute for 1997-2001 .................................................. 17 Table 4- 2. Summary of Information for Pets in the 2005 Hair Sampling Campaign ............................... 18 Table 4- 3. Concentration Statistics of Elements in the 2005 Hair Samples ............................................. 19 Table 4- 4. Arsenic Concentration Statistics for Groups ........................................................................... 20 Table 4- 5. Pet Hazard Index (HIj) Data for Pets 1-100.............................................................................. 21 Table 4- 6. Pet Hazard Index (HIj) Data for Pets 101-200.......................................................................... 22 Table 4- 7. Element Hazard Index (HIi) Data for the 2005 Campaign ....................................................... 23 Table 4- 8. Results from the Remediation Campaign ................................................................................ 24 Table 7- 1. Quality Analysis Checklist from Laboratory Summary Reports............................................. 59 Table 7- 2. Quality Control Checklist for Replicate and Split Samples .................................................... 60 Table A- 1. Summary of Laboratory QA/QC Checks for Critical Measurements of Metals in Hair ........ 71 List of Figures Figure 4- 1. Historical mining activity in the Butte area (including the boundary of the Butte Priority Soils Operable Unit). ................................................................................................................................... 25 Figure 4- 2. Map of arsenic concentrations in the soil from the BPSOU database.................................... 26 Figure 4- 3. Map of cadmium concentrations in the soil from the BPSOU database. ............................... 27 Figure 4- 4. Map of copper concentrations in the soil from the BPSOU database. ................................... 28 Figure 4- 5. Map of lead concentrations in the soil from the BPSOU database. ....................................... 29 Figure 4- 6. Map of zinc concentrations in the soil from the BPSOU database ........................................ 30 Figure 4- 7. Residence locations of Butte pets sampled during the 2005 Campaign.................................. 31 Figure 4- 8. Residence locations of Anaconda pets sampled during the 2005 Campaign, in addition to pets living in Opportunity, Sheep Gulch, and Warm Springs............................................................. 32 Figure 4- 9. Percent of samples in the 2005 campaign where the concentration exceeded the reference level for each element. ........................................................................................................................ 33 Figure 4- 10. Ratio of the maximum concentration in the 2005 campaign to the reference concentration for each element.................................................................................................................................. 34 Figure 4- 11. Hazard quotient (HQ) graph for Dog 184. Green shading indicates a HQ value less than 1.0, and red shading corresponds to a HQ value of 1.0 or above........................................................ 35 Figure 4- 12. Hazard quotient (HQ) graph for Dog 195. Green shading indicates a HQ value less than 1.0, and red shading corresponds to a HQ value of 1.0 or above........................................................ 36 Figure 4- 13. Hazard index (HIj) graph for Pets 1-100. While green shading indicates a HIj value less than 1.0, red shading corresponds to a HI value of 1.0 or above. Pets with a HIj value greater than or equal to 1.0 are defined as pets of concern (POCs). ........................................................................... 37 Figure 4- 14. Hazard index (HIj) graph for Pets 101-200. While green shading indicates a HIj value less than 1.0, red shading corresponds to a HI value of 1.0 or above. Pets with a HIj value greater than or vi equal to 1.0 are defined as pets of concern (POCs). .......................................................................... 38 Figure 4- 15. Hazard index (HIi) graph for all elements in the 2005 campaign. While green shading indicates a HIi value less than 1.0, red shading corresponds to a HIi value of 1.0 or above. Elements with HIi values greater than or equal to 1.0 are defined as elements of concern (EOCs). .................. 39 Figure 4- 16. Cumulative fraction plot for KS Test 7: phosphorous HQs in Butte dogs residing inside the BPSOU (N = 94) and phosphorous HQs in Butte dogs residing outside the BPSOU (N= 84). The solid line represents the dogs residing inside the BPSOU and the dashed line represents the dogs outside the BPSOU. ............................................................................................................................ 40 Figure 4- 17. Cumulative fraction plot for KS Test 9: manganese HQs in Butte dogs residing inside the BPSOU (N = 94) and manganese HQs in Butte dogs residing outside the BPSOU (N= 84). The solid line represents the dogs inside the BPSOU and the dashed line represents the dogs outside the BPSOU................................................................................................................................................ 41 Figure 4- 18. The Kolmogorov-Smirnov statistic D for the comparison of cumulative distributions inside versus outside the BPSOU. The statistic D represents the maximum (vertical) distance between the distributions......................................................................................................................................... 42 Figure 4- 19. The Kolmogorov-Smirnov p-value for the comparison of cumulative distributions inside versus outside the BPSOU. If the p-value is small (approaching 0.000), the null hypothesis may be rejected; if the p-value is large (approaching 1.000), there is likely no difference between the distributions......................................................................................................................................... 43 Figure 4- 20. Residence locations of pets sampled in the vicinity of Butte with color-coding to indicate hazard quotients in the hair samples above and below 1.0. ................................................................ 44 Figure 4- 21. Residence locations of pets sampled in the vicinity of Anaconda with color-coding to indicate hazard quotients in the hair samples above and below 1.0.................................................... 45 Figure 4- 22. Residence locations of the pets of concern (POCs) in the Butte area. A POC was defined as a pet with a hazard index of 1.0 or higher when all elements were considered. ................................. 46 Figure 4- 23. Hazard index values of the pets of concern (POCs) and associated hotspots in the Butte area...................................................................................................................................................... 47 Figure 4- 24. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation control dog, Luna. ........................................................................................................... 48 Figure 4- 25. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Trip.......................................................................................................................... 49 Figure 4- 26. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Sweetie.................................................................................................................... 50 Figure 4- 27. Time series of concentrations of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Max. ........................................................................................................................ 51 Figure 4- 28. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Teddy. ..................................................................................................................... 52 Figure 7- 1. Concentration comparison of replicate samples..................................................................... 61 Figure 7- 2. Concentration comparison of inter-laboratory split samples.................................................. 62 vii Acronyms and Abbreviations BPSOU C DOE EOC EPA GPS GIS H0 H1 HIi HIj HQ HQij IAG ICP-MS IDL IRIS ISO MSE MWTP NIST NPL OU POC QA QC QAPP RfC RPD RI Sc SDI SHS SSL TEI USEPA Butte Priority Soils Operable Unit Average Concentration U.S. Department of Energy Element of Concern Environmental Protection Agency Global Positioning System Geographic Information System Null Hypothesis Alternative Hypothesis Pet Hazard Index Element Hazard Index Hazard Quotient Hazard Quotient of Element i for Pet j Interagency Agreement Inductively Coupled Plasma-Mass Spectrometry Instrument Detection Limit Integrated Risk Information System International Organization for Standardization MSE Technology Applications Mine Waste Technology Program National Institute of Standards and Technology National Priorities List Operable Unit Pet of Concern Quality Assurance Quality Control Quality Assurance Project Plan Reference Concentration Relative Percent Difference Remedial Investigation Standard Deviation of Concentration Standard Deviation Index Split Hair Specimen Soil Screening Level Trace Elements, Incorporated U.S. Environmental Protection Agency viii Units lb mg mg/kg mg % ppm hr % yr Pound Milligram Milligram/Kilogram Milligram Percent Parts per Million Hour Percent Year ix Acknowledgments This document was prepared by MSE Technology Applications, Inc. (MSE) for the U.S. Environmental Protection Agency’s (EPA) Mine Waste Technology Program (MWTP) and the U.S. Department of Energy’s (DOE) Cincinnati Operations Office. Ms. Diana Bless is EPA’s MWTP Program Manager, while Mr. Gene Ashby is DOE’s Technical Program Officer. Ms. Helen Joyce is MSE’s MWTP Program Manager. Mr. Mark Peterson is Montana Tech’s MWTP Program Director, and Tina Donovan is Montana Tech’s MWTP Quality Assurance Officer. x Executive Summary Nearly a century of mining and smelting activities in the Butte/Anaconda area of Montana resulted in widespread contamination throughout southwest Montana. Some of the contamination has been investigated and remediated as a direct result of the National Priorities List (NPL) designations of sites in the area. Little is known, however, about the long-term health impact for residential populations exposed on a daily basis to residual contaminants in the local soil, air, and water. The purpose of this research was to develop a new way of investigating residential exposure to environmental pollutants, and the following two objectives were identified for this project: 1) to develop and test a simple, inexpensive, biomonitoring system to characterize existing chronic exposure to mining-related contaminants in the Butte area; and 2) to use the biomonitoring method to try to document efficacy of localized remediation efforts. Domestic dogs were chosen as sentinel species, and the protocol involved collection of hair samples with subsequent analysis using inductively-coupled plasma/mass spectrometry (ICP-MS) to assess chronic exposure of environmental contaminants. The innovative approach developed for this site may be useful as a powerful screening tool for identifying contaminants in any residential environment that may require investigation and/or remediation. During the course of a field campaign in summer of 2005, hair samples were collected from more than 200 dogs and analyzed for 32 elements with inductively coupled plasma – mass spectrometry (ICP-MS). Arsenic concentrations in the samples ranged from 0.006 to 0.272 milligrams percent (mg %) with 72.6 percent of the samples exhibiting arsenic concentrations higher than a reference concentration of 0.02 mg %. In addition, 36 dogs were identified as pets of concern (POCs) based on pet hazard indices greater than or equal to 1.0, and 26 of the 36 POCs resided inside the envelope of the Butte Priority Soils Operable Unit (BPSOU). Two locations, the 500 block of Mercury Street and the 100 block of East Daly, were considered the hotspots of the dataset (i.e., residential neighborhoods with the highest exposures). The following elements were defined as elements of concern (EOCs) for the campaign based on element hazard indices of 1.0 or greater: aluminum, arsenic, boron, lead, lithium, manganese, molybdenum, and selenium. Of the eight elements of concern, the Kolmogorov-Smirnov test showed that pets residing within the BPSOU exhibited significantly higher levels of aluminum, arsenic, lead, lithium, and manganese than Butte pets living outside of the BPSOU. In addition, effectiveness of remediation was evaluated via sampling four dogs over the course of several months at houses undergoing remediation of yards and house dust. Manganese and arsenic concentrations in the hair of one dog, for example, were shown to decrease 95 and 71 percent, respectively, during a three-month period following cleanup of contaminated dust inside the dog’s home. The new biomonitoring technique was designed as a screening-level tool for studying incidental exposure to environmental contaminants. Pets are companion animals, however, and results may have implications for human health risk assessment. xi 1. INTRODUCTION Nearly a century of mining and smelting activities in the Butte/Anaconda area of Montana resulted in widespread contamination throughout southwest Montana. Specific pollutants of concern include arsenic, cadmium, copper, lead, and zinc. Some of the contamination has been investigated and remediated as a direct result of the National Priorities List (NPL) designations of sites in the area. Little is known, however, about the long-term health impact for residential populations exposed on a daily basis to residual contaminants in the local soil, air, house dust, and water. Human health risk assessments are routinely conducted on or near Superfund sites to estimate potential risks to exposed (and potentially-exposed) human populations, and ecological risk assessments are conducted to estimate environmental impacts to wildlife, vegetation, fish, and ecosystems. Both types of risk assessments utilize on-site measurements of contaminants in the soil, sediments, water, and air, while applying conservative assumptions about intake rates and resulting effects. Few data, however, are currently available for characterizing “actual” exposures and for documenting efficacy of remediation. This project proposed to develop and test a novel type of environmental health research to improve our understanding of actual, long-term exposure to widespread contamination in residential areas. The biomonitoring system utilized domestic dogs as sentinel species with hair sampling and subsequent analysis using inductively-coupled plasma/mass spectrometry (ICP-MS). Elements in a hair sample reflect chronic exposure periods of 1-10 months and longer. While the levels of contact with contaminated soil and water are probably much higher for pets than for humans, domestic dogs represented exciting opportunities for conservatively assessing chronic health risks. Detailed results of our study are site-specific. The innovative approach, however, developed for this site may be directly transferable to every rural or urban area in the United States, and elsewhere, that is affected by widespread contamination problems. While the field campaign described here was the first of its kind, the project is cultivating into a new research program at Montana Tech focused on understanding dose-response mechanisms related to animal and human exposure. The remainder of this document consists of additional information about the research project. Section 2 describes project objectives. Experimental and analysis methods are explained in Section 3, while Section 4 contains a summary of results. Section 5 is a discussion, and Section 6 includes a summary and recommendations. Quality assurance/quality control (QA/QC) is addressed in Section 7, and Section 8 concludes with a list of references. Appendix A contains a detailed description of the QA/QC policy for the laboratory used in sample analysis. 2 2. OBJECTIVES The overall goal of our research was to improve our understanding of chronic exposure to contaminants in the environment, and the following two objectives were identified for this project: Objective 1. To develop and test a simple, inexpensive, biomonitoring system to characterize existing chronic exposure to mining-related contaminants for dogs residing in Butte, Montana; and Objective 2. To use the biomonitoring method to try to document efficacy of localized remediation efforts. Regarding Objective 1, our novel protocol involved collection of hair samples with subsequent analysis using ICP-MS as an easy, non-invasive way to obtain biological data regarding toxin/contaminant environmental exposure. The method was tested in the summer of 2005 by sampling more than 200 pets, including a variety of breeds, ages, and residence locations. For Objective 2, hair samples were collected over the course of several months from dogs living at houses with attics or yards undergoing remediation. In addition to the two objectives, the following four questions were posed prior to the research campaign: 1. Are levels of toxic elements in Butte dogs higher than reference levels? 2. Are the levels of toxic elements for dogs living inside the envelope of the Butte Priority Soils Operable Unit (BPSOU) higher than elsewhere in the community? 3. Are there “hotspots”, or neighborhoods in Butte where domestic dog exposures are highest? 4. If yards or homes are remediated, how long will it take to reduce the body burden of contaminants in the biosamplers? Table 2-1 identifies 10 specific tasks that were identified in the Quality Assurance Project Plan (QAPP) and that were performed throughout the project to meet our objectives and to answer the four questions. The dog sampling efforts were divided into two phases: 1) a “hotspots” campaign where dogs were sampled throughout the community to identify neighborhoods with highest exposure data; and 2) a “remediation” campaign where hair samples from dogs were collected over time to observe exposure effects before and after remediation of yards and house dust. The remediation campaign took longer than anticipated because of coordinating remediation activities with sampling schedules, but the rest of the tasks were completed on time throughout a one-year period. In addition, detailed results from the project were analyzed and summarized in a Master of Science thesis by Stacie Barry (Barry 2006) during the spring of 2006. 3 Task Table 2- 1. Project Schedule and Milestones. Month 1 2 3 4 5 6 7 1. Developing the QAPP. 2. Researching literature regarding health effects (in humans and animals) of arsenic and other mine-waste-related contaminants. 3. Researching the literature regarding other studies using hair samples for biosampling purposes. 4. Identifying a group of animals to be sampled for the “hotspots” campaign, and for the “remediation” campaign. 5. Collecting and analyzing hair samples for the “hotspots” campaign. 6. Collecting and analyzing hair samples for the “remediation” campaign. 7. Mapping and interpreting biosampling data for arsenic. 8. Mapping and interpreting biosampling data for other mining-related contaminants. 9. Preparing Interim Reports 10. Preparing Final Report Red shading = proposed schedule Red and white shading = actual schedule 4 8 9 10 11 12 3. METHODS The primary sampling campaign for this project occurred during June through September of 2005. Over the course of four months, more than 200 hair specimens were collected. These samples represented a variety of dog ages, breeds, and socio-economic areas. At the time of sampling, dog owners were asked a series of standard questions. The questionnaire is shown in Table 3-1. The survey elicited basic information, such as pet breed, sex, age, and weight, as well as specific information regarding the health of the pet and persons residing with the pet. Pet owners were also asked if pets were given water from the residential water supply, what type of food the pets were fed, and if the homes had recently been remediated as a part of Superfund cleanup. In addition, location coordinates of the residence were measured using a Global Positioning System (GPS), and sample locations were then mapped with the Geographic Information System (GIS). Specimens were collected from the dogs by cutting approximately 150 mg of hair between the shoulder and neck. To avoid cross contamination of samples, the stainless steel scissors were wiped between samples. Immediately following collection, each hair sample was cataloged and placed in an envelope specifically provided by the testing laboratory, Trace Elements, Incorporated (4501 Sunbelt Drive, Addison, TX 75001). Specimens were sent to Trace Elements within a few days of collection. Trace Elements, Incorporated (TEI) is a licensed and certified clinical laboratory. They specialize in hair analysis and are regularly inspected by the Clinical Laboratory Division of the U.S. Department of Health and Human Services. For our samples, laboratory personnel used a state-of-the-art Sciex Elan 6100 for the inductively coupled plasma-mass spectrometry measurements. Extensive quality assurance and quality control checks were factored into all analytical procedures, and replicate samples were submitted with each batch of specimens as an external check. In addition, four samples were sent to an independent laboratory, Doctor’s Data, Incorporated (3755 Illinois Avenue, St. Charles, IL 60174). Table 3-2 is an example laboratory report from Trace Elements. The reports included concentrations for 32 elements, broken into sub-groupings of toxic, nutritional, and supplemental elements. Element concentrations were reported in units of milligram percent (milligrams of the element per 100 grams of hair), with one milligram percent (mg %) being equal to ten parts per million (ppm). The report also included a reference concentration (RfC) or reference range for each element. Reference concentrations and ranges represent levels of the element seen in healthy dogs, based on a major study of all common breeds (TEI 2005). Toxic elements, such as arsenic, are examined with respect to a specific reference concentration, while nutritional elements, such as calcium, are compared to reference ranges. This range, comprised of a lower reference limit and an upper reference limit, represents the zone of element concentrations seen in a healthy dog. The RfC for arsenic, for example, is 0.02 mg %, but the acceptable RfC range for calcium is 41-129 mg %. Concentrations above these RfCs are not necessarily toxic, but the values can be considered “guidelines for comparison with reported test values” (TEI 2005). Because no established protocol was available for performing a risk assessment on results from hair sample analyses, we developed a simple method in a companion project (Madden 2006, Peterson and Madden 2006) employing hazard quotients and hazard indices similar to those commonly used in the field of risk analysis (USEPA 2004, USEPA 1989). In particular, relative risk was defined via the following term: 5 HQij = C ij RfC i where HQij was the hazard quotient of element i for pet j; Cij was the concentration of element i in the hair sample of pet j; and RfCi was the reference concentration for element i. The RfC for each element was the healthy reference level from research regarding healthy populations of dogs (TEI 2000). In addition, a pet hazard index (HIj’) was calculated for each pet by summing the hazard quotients across the elements: i= N HI j = ∑ HQij ' i =1 where N is the number of elements. Likewise, an element hazard index (HIi’) was calculated for each element by summing the hazard quotients across the pets: ' HI i = j =M ∑ HQ ij j =1 where M was the total number of pets. To arrive at indices that were not dependent on the number of elements in the lab reports, nor dependent on the number of pets in the study, we normalized hazard values by the number of elements and pets as follows: i=N HI j = ∑ HQ ij i =1 N and j =M HI i = ∑ HQ ij j =1 M where the target value was 1.0 for both HIj and HIi. Pets with HIj values greater than or equal to 1.0 were defined as pets of concern (POCs), and elements with HIi values greater than or equal to 1.0 were defined as elements of concern (EOCs). 6 Table 3- 1. Questionnaire Used in the 2005 Campaign Domestic Pets as Environmental Biosamplers MWTP Campaign Summer 2005 Field Data Pet/Sample Number: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Pet species: Dog Cat Other:____________ Pet gender: Male Female Pet’s name: ______________________ Pet’s breed: _____________________ Pet’s age: __________ Length of time the pet lived at his/her home: ____________ Pet’s approximate weight: ___________ Pet’s owner: ______________________ Pet’s home address: ______________________ Pet’s phone number: ______________ or e-mail address: __________________ Brief description of pet’s yard (approximate size, fenced, grass-covered, exposed soil, etc.): Approximate time per day the pet spends indoors? ____ hours Approximate time per day the pet spends in the yard? ____ hours Approximate time per day the pet spends outside the yard? ____ hours Regarding #15, where does the pet normally go? What brand of pet food is the pet normally fed? ________________ Is the pet food canned or dry? Canned Dry Does the pet drink water from the residential water supply? Yes No Does (or did) the pet have health problems? Yes No If yes, what and when? Does (or did) anyone in your family have health problems? Yes No If yes, what and when? Has your home or yard been recently remodeled or remediated as part of the Superfund cleanup? Yes No If yes, which and when? Do you want us to keep any of the data regarding your pet “confidential” for any reason? Yes No 24. Anything else? Field investigator(s): ________________________________________________________________ Signature of investigator taking notes: ________________________ Date and time of sample collection: ___________________ Make and model number of GPS unit: _____________________________________ GPS location of dog’s residence: _________________________________________ Make and model number of digital camera:_______________________________________ Photo number(s) of sampled dog in camera’s memory:________________________ Laboratory for Analysis: Trace Elements, Inc.; 4501 Sunbelt Drive; Addison, TX 75001 Date Sample Was Mailed to Laboratory for Analysis: ______________ 7 If so, what? Table 3- 2. Example Laboratory Report from Trace Elements, Inc. 8 4. RESULTS 4.1 Mining History of Butte and Anaconda Butte mining activity began in the 1870s, with the discovery of gold, silver, and copper deposits. By 1890, copper production approached 113 million concentrated pounds per year, and Butte soon became the largest North American copper producer (MacMillian 2000). Many mining enterprises employed a process known as heap roasting in the initial stages of smelting. In this process, sulfide ores were slowly burned for two to three weeks in large, layered woodpiles, often as large as a city block, to remove the sulfur from the ore. The smoke released from this process inundated the Butte area with metal-bearing smoke, which was often thick enough to immerse the town in darkness (MacMillian 2000). In addition to the deposition of metals from smoke, the mines, mills, smelters, and concentrators created metal-bearing tailings and waste piles that were discharged to Silver Bow Creek or left in mine yards and residential areas (USEPA 2005). At the turn of the century, the Amalgamated Copper Company built the Washoe Smelter near Anaconda to process Butte’s ores. Smoke from the smelter blanketed the Deer Lodge Valley and Butte area. Within one year of smelter start-up, several hundred horses and cows in the Deer Lodge Valley died. A postmortem examination of one horse showed arsenic levels of 13 ppm. Hay used to feed the horse was also tested and determined to contain 13 ppm arsenic (MacMillan 2000). During the century of large-scale mining operations, approximately 500 underground mines operated on the Butte hill, also know as Uptown Butte and Walkerville (USEPA 2005). These mines, along with several mills, smelters, and concentrators, created millions of cubic yards of mine waste, which was left in the area. This waste includes mill tailings, slag, waste rock, and dust from aerial deposition. This waste is often in residential areas and is mobilized during storm events (USEPA 2005). The largest physical reminder of the scale of Butte mining activities is the Berkeley Pit. This is the site of a former open-pit copper mine that operated from 1955 to 1982. The 675-acre, 1.2x1010 cubic-foot pit was dewatered during mining operations but, after mine closure, the dewatering operations ceased and groundwater connected to underground mine workings flooded the pit (USEPA 2005). This groundwater is connected to bedrock and alluvial aquifers and is known to affect the groundwater flow within the alluvial aquifer (USEPA 2005). Portions of Silver Bow Creek are now referred to as the Metro Storm Drain. This drain is a man-made water conveyance used to transport storm water, mine water, and sewage. Historically, the drain was used by the Anaconda Company to convey wastewater from the Berkeley Pit. Silver Bow Creek currently begins at the confluence of the Metro Storm Drain and Blacktail Creek and becomes the headwaters of the Clark Fork River (USEPA 2005). Mining activity continued in the Butte and Anaconda area throughout the 20th century, particularly during World War II, but curtailed at the close of the 20th century, following the Washoe Smelter closure in 1980 and the end of Anaconda Copper Mining Company operations in 1982 (USEPA 2005). Currently, Montana Resources Incorporated runs a large-scale operation adjacent to the old Anaconda workings. Figure 4-1 details historic and current mining activity in the Butte area and includes the outline of the Butte Priority Soils Operable Unit (BPSOU). 9 The EPA designated the Silver Bow Creek area as a Superfund site in September of 1983. The significance of the Butte area as a continued source of contamination to the creek caused the EPA to enlarge the site in 1987, when it became the Silver Bow Creek/Butte Area NPL site (USEPA 2005). This site consists of several operable units, including: Butte Priority Soils, West Side Soils, Active Mining Area, Streamside Tailings, Rocker Timber Framing and Treating Plant, and Warm Springs Ponds (USEPA 2005). Contaminants of concern at the site include: arsenic, cadmium, copper, iron, lead, manganese, mercury, sulfate, zinc, and others (USEPA 2005). 4.2 Environmental Impact As part of the Superfund activities in the region, many soil, sediment, and water samples have been collected in the Butte and Anaconda area during the past two decades. In particular, the database submitted as part of the remedial investigation (RI) report for the BPSOU contained concentrations of arsenic, cadmium, copper, lead, and zinc measured in approximately 2,700 soil samples collected in the Butte area. In Figures 4-2 through 4-6, we mapped spatial distributions of arsenic, cadmium, copper, lead, and zinc concentrations, respectively. Concentrations as high as 11,900 ppm arsenic; 56,100 ppm cadmium; 1,380,000 ppm copper; 67,100 lead; and 3,150,000 zinc were observed. Overall, areas of maximum environmental impact coincide with the historical mining, milling, and smelting activities (Figure 4-1), but some of the samples collected outside of the BPSOU also had elevated levels of arsenic, copper, lead, and zinc. Concentrations observed in the Butte Priority Soils database indicated obvious impacts of mining and smelting activities. For example, the average and maximum arsenic concentrations from 2,739 soil samples were 214 ppm and 11,900 ppm, respectively. Reference or background concentrations of arsenic can be highly variable, but a reasonable value in soil is 7 ppm (WA 1994). According to the EPA’s Integrated Risk Information System (IRIS), arsenic is believed to cause noncancer effects such as hyperpigmentation, keratosis, and possible vascular complications from oral exposures. It is also believed to cause skin cancer from oral exposures and lung cancer from inhalation exposures (USEPA 2006a). Using EPA’s Soil Screening Guidance (USEPA 2006b), the risk-based soil screening levels (SSLs) for arsenic are: 1) 23.5 ppm to protect against noncarcinogenic health effects, 2) 3.82 ppm to protect against cancer effects, and 3) 0.426 ppm to protect against cancer effects when adjusted for age to account for increased exposure as a child. Based on this, the average soil sample for arsenic in the Butte database was 9 times higher than the SSL for noncancer effects and 500 times higher than the SSL for age-adjusted cancer effects. The maximum arsenic concentration was 500 times higher than the SSL for noncancer effects and 27,900 times higher than the SSL for age-adjusted cancer effects. 4.3 Cancer Statistics for Silver Bow County Butte is located in Silver Bow County, the only county in Montana that was assigned a “priority 1” index by the National Cancer Institute in 2004 (U.S. National Cancer Institutes of Health 2004). Priority 1 indicates an area where the annual death rate from cancer is above the U.S. rate, and an area that also exhibits a rising trend of deaths from cancer (Table 4-1). The annual death rate from cancer for Silver Bow County between the years of 1997 and 2001 was 238.6/100,000 people compared to rates for Montana and the U.S. of 195.0/ and 199.8/100,000 people, respectively. In addition, trends showed that 10 the annual rate of cancer death was rising in Silver Bow County but declining in the rest of Montana and the rest of the nation. In addition to data from the National Cancer Institute, a request from the Montana Department of Public Health and Human Services (MDPHHS) in 2001 prompted the Agency of Toxic Substances and Disease Registry (ATSDR) to conduct a health consultation, and the report was released in December of 2003 (Dearwent and Gonzalez 2002). Cancer incidences in Silver Bow County for the years 1979 to 1999 were compared to data from the entire state of Montana, and to the United States as a whole. Six types of cancer (urinary bladder, kidney, liver, lung, prostate, and skin) were chosen as those most often linked to arsenic exposure. Based on the average standardized incidence ratios (SIRs), Silver Bow County had higher cancer rates than the rest of Montana, and higher rates than the rest of the U.S., in at least one age group for nearly all six types of cancer. The only exception was for prostate cancer, where Silver Bow County had less than the national rate, but even in that case, the incidence of prostate cancer for Silver Bow County was dramatically higher than the rest of Montana. Cancer data described above were averaged over the whole county. A variety of mining and smelting operations over the years, however, resulted in levels of soil contamination with extreme spatial variations throughout the area. Spatial variations in residential exposure and health effects throughout Silver Bow County are likely. To date, however, incidence of cancer, or incidence of other health problems, has not been investigated on neighborhood scales with the purpose of relating environmental exposure to health effects. 4.4 Sentinel Species for Studying Exposure According to O’Brien et al. (1993), “Sentinels are organisms in which changes in known characteristics can be measured to assess the extent of environmental contamination and its implications for human health and to provide early warning of those implications.” Over the years, many animals have been used as sentinel species to advance the field of toxicology (O’Brien et al. 1993). Heyder and Takenaka (1996) noted that small mammals have been used as primary sentinel species in most laboratory studies, but they also concluded that dogs (Canis familiaris) were preferred for evaluating pulmonary responses to air pollutants in controlled laboratory settings. Calderon-Garciduenas et al. (2001a, 2001b) expanded on this idea and examined dogs residing in Mexico to study effects of air pollution on respiratory, cardiac, and brain pathology. Thomas et al. (1976) and Berny et al. (1995) found correlations between blood lead levels in dogs and children residing in the same households, and Hayes et al. (1981) related incidence of bladder cancer in dogs to bladder cancer in humans. House cats (Felis domesicus) were also found to exhibit similar responses as humans to methyl mercury poisoning (O’Brien et al. 1993), and the study of Berny et al. (1995) resulted in no significant difference in blood lead levels between house cats and humans. Compared to other species, dogs and cats live parallel to humans and are exposed to the same toxins in soils, water, and house dust in a residential setting. In addition, dogs and cats are known to develop clinical signs more rapidly than humans after exposure, thus providing an “early warning” of threat to human health for reasons such as shorter life spans and decreased latency (O’Brien et al. 1993). Prior to our work, however, no one addressed exposures to mining-related contaminants or incidence of disease among domestic pets living in the Butte area. 11 4.5 Hair Analysis for Studying Chronic Exposure The body has physiological mechanisms that remove contaminants after exposure such as excretion through the hair, which immobilizes the toxin in the keratin. Hair analysis, according to Lauwerys and Hoet (2001), is a good indicator of long-term absorption of inorganic arsenic, and concentrations in the hair shaft represents exposure periods of 1-10 months and longer (United States Department of Public Health and Human Services 2000). Controversial views exist about how much of the hair analysis might be contamination externally adsorbed to the hair shaft (Siedel et al. 2001), but the method is considered a good “screening” level indicator of chronic exposure to environmental toxicants (Hinwood et al. 2003), and the Agency for Toxic Substances and Disease Registry (ATSDR) has used the method with human subjects in recent health consultations elsewhere (Orloff and Mistry 2001). We found no data in the literature, however, for levels of contaminants in hair samples from human or pet populations living on Superfund sites. In summary, many residents of Butte live inside a contaminated zone known as the Butte Priority Soils Operable Unit. Although cancer statistics for Silver Bow County are elevated when compared to rest of Montana and the rest of the U.S., residential exposure and health problems have not been investigated on neighborhood scales. Our research introduced a new type of screening tool using domestic pets as sentinel species with hair sampling and analysis to study incidental, chronic contact with contaminants in the environment. 4.6 General Information about the Field Campaign The primary campaign for this project consisted of the sampling of approximately 200 dogs during summer of 2005. Background data from the questionnaires were included in the Master of Science thesis (Barry 2006), but general information is summarized in Table 4-2. In particular, 180 of the sampled pets were dogs residing in the vicinity of Butte, 15 were dogs from Anaconda and Opportunity, and two lived in Deer Lodge and Whitehall. Of the dogs residing in Butte, 94 lived within the envelope of the BPSOU, and 84 lived outside the BPSOU. Average age and weight of the pet were 5.3 years and 45.6 lbs, respectively. In addition, five dogs were sampled repeatedly over time for the remediation campaign. Figures 4-7 and 4-8 are maps showing residence locations for the pets living in the Butte and Anaconda areas. 4.7 General Statistics of the Dataset The Master of Science thesis (Barry 2006) contains the complete dataset from the laboratory reports, but Table 4-3 summarizes concentration statistics for each element, including the reference concentration (RfC), range of concentrations observed, average, median, standard deviation, and percent of observations that exceeded the RfC. Arsenic and lead concentrations, for example, were above the RfCs in 72.6 and 41.6 percent of the samples, respectively. Levels of boron, selenium, manganese, and molybdenum were above reference in 43.1-79.7 percent of the specimens. At the other end of the spectrum, levels of mercury, tungsten, and platinum never exceeded the reference concentrations. Figures 4-9 and 4-10 provide graphic representations of the percent of samples with concentrations above the RfCs and the ratio of the maximum concentration to the RfC for each element. Elements with the highest percentages were manganese, selenium, boron, molybdenum, arsenic, lead, and aluminum (Figure 12 4-9). Also, zinc, manganese, arsenic, lithium, lead, cadmium, and tin had the highest maximum concentration-to-RfC ratios (Figure 4-10). Because arsenic is a known human carcinogen, concentration statistics for arsenic were developed for subgroups of the sample population. These subgroups included pets residing in Butte, pets residing in Anaconda and Opportunity, pets residing in Deer Lodge or Whitehall, male pets, female pets, pets residing within the BPSOU, and pets residing outside of the BPSOU. Both Butte and Anaconda showed a high percentage of samples with arsenic concentrations above the reference concentration, at 71.7 percent and 93.3 percent, respectively (Table 4-4). Of the 94 specimens collected within the BPSOU, 78.5 percent of the samples contained arsenic levels above the RfC. Of the 84 Butte samples collected outside the BPSOU, 64.3 percent were above the arsenic reference concentration. Average and median concentrations were the lowest for the Deer Lodge and Whitehall dogs, and highest for the Anaconda and Opportunity pets. Sex of the pet did not appear to affect results. 4.8 Risk Analysis As described previously, Madden (2006) developed a simple method of risk analysis for biosampling data by employing the concepts of hazard quotients and hazard indices (Peterson and Madden 2006). This method of analyzing risk was applied to the data from the 2005 campaign. Hazard quotient charts for all 197 hair samples are located in the Master of Science thesis (Barry 2006), but Figures 4-11 and 4-12 contain the charts for Dogs 184 and 195. Dog 184 (Mandy) was a 13 year-old pomeranian who resided in the downtown area of Butte, outside the BPSOU. Mandy’s hazard index was 0.36, the smallest hazard index of the 2005 campaign. As shown in Figure 4-11, the hazard quotients were less than 1.0 for all of the 32 elements. In addition, three other dogs (Dogs 183, 185, and 186) were tested at the same house, and they also had low hazard indices (0.49, 0.38, and 0.8, respectively). Dog 195 (Crockett) exhibited the largest hazard index of the campaign, a value of 3.57. Crocket was a 16 year-old husky who resided on Mercury Street in Butte, inside the BPSOU, near the site of the former Stephens Mine (Sanborn Map Company 1894). As shown in Figure 4-12, the hazard quotients for Crockett were greater than or equal to 1.0 for 69 percent of the elements, and the highest HQ is a value of 26.9 for manganese. The three additional dogs (Dogs 192, 193, and 194) living at this house also revealed elevated hazard indices (1.87, 1.12, and 1.91, respectively). Tables 4-5 and 4-6 summarize the pet hazard index data for all 197 dogs. Hazard indices were not calculated for Dogs 127, 134, and 150. Dogs 127 and 134 were pets with very short hair, and the samples were too small for the laboratory to analyze, and the number 150 was inadvertently omitted from the campaign. In addition, Dog 126 exhibited a large concentration of lithium (12.778 mg %), which equated to an HQ value of 1600, so the hazard index listed in the table for Dog 126 does not include lithium. 13 4.9 Identification of Pets of Concern While Dogs 184 and 195 represent the two extremes, Figures 4-13 and 4-14 illustrate the HIj data for all pets sampled in the 2005 campaign. Thirty-six pets were identified as pets of concern based on pet hazard indices of 1.0 or greater. Of the 30 POCs in Butte, 26 resided inside the BPSOU and four of the Butte pets resided outside the BPSOU boundary. While there were no pets of concern in the Anaconda samples, there were two in Sheep Gulch, two near the Butte reservoir, one in Rocker, and one in Opportunity. 4.10 Identification of Elements of Concern Table 4-7 contains the element hazard index data for the 2005 campaign. As shown in Figure 4-15, the following eight elements were identified as elements of concern, based on element hazard indices of 1.0 or greater: aluminum, arsenic, boron, lead, lithium, manganese, molybdenum, and selenium. Of these elements, arsenic and manganese had the largest hazard indices with values of 2.24. 4.11 Probability Distribution Analysis Because our data distributions were not Gaussian, the commonly-used Student’s t-test was not appropriate for analyzing our results; therefore, the Kolmogorov-Smirnov (KS) test was used to examine whether levels of toxic elements of dogs residing inside the envelope of the Butte Priority Soils Operable Unit were different from pets living elsewhere in the community. The KS test is a “goodness of fit” test designed to determine if two datasets belong to the same population. The KS test is non-parametric and does not assume a specific distribution of data, and the null hypothesis is that there is “no difference” between the probability distributions of the datasets. Two statistics are considered: 1) a D-value, representing the maximum difference between the cumulative distributions; and 2) a p-value, used to reject or accept the null hypothesis. In particular, the null hypothesis is rejected if the p-value is small, approaching 0.000, and accepted if the p-value is large, approaching 1.000 (Kirkman 2006). Figures 4-16 and 4-17 show cumulative fraction plots for phosphorous and manganese, respectively. In Figure 4-16, distributions of phosphorous HQs were nearly identical for pets residing inside and outside of the BPSOU, and the D and p-values for this test were 0.046 and 1.000, respectively. In Figure 4-17, however, the distribution for manganese was distinctly higher for pets residing inside the BPSOU compared to those living outside the BPSOU, and the D and p-values were 0.314 and 0.000, respectively. Therefore, KS tests for these two elements indicate that there was no significant difference in phosphorous levels for pets residing inside and outside of the BPSOU, but the levels of manganese were significantly higher in pets residing inside the BPSOU. The Master of Science thesis contains the cumulative fraction plots for all 32 elements in addition to the tabulated statistics from the KS testing (Barry 2006). Four elements (beryllium, mercury, platinum, and tungsten) exhibited discrete rather than continuous distributions and were omitted from the KS analysis, but Figures 4-18 and 4-19 depict the D and p-values for the remaining 29 elements. The highest D statistics (approximately 0.3) and the lowest p-values (0.000) corresponded to manganese and lead, and in both cases, concentration distributions for pets living inside the BPSOU were significantly higher than for pets living outside the BPSOU. At the other extreme, copper, zinc, phosphorous, and strontium had the 14 lowest D statistics (approximately 0.05) and highest p-values (0.998-1.000), suggesting no difference inside and outside the BPSOU. Of the eight elements defined as elements of concern, the KS statistics showed that manganese and lead exhibit the most dramatic difference between inside and outside the BPSOU, while selenium and molybdenum showed the least difference. Overall, aluminum, arsenic, lead, lithium, and manganese levels tended to be more elevated in pets living inside the BPSOU, especially at the higher concentrations. On the other hand, differences in boron, molybdenum, and selenium distributions were less evident. 4.12 Spatial Distribution Analysis While the KS method was useful in statistically analyzing probability distributions of the hazard quotient data, maps were developed to investigate spatial distributions. The Master of Science thesis contains the maps of residence locations for pets with HQ values greater than 1.0 for the eight EOCs (Barry 2006), and Figures 4-20 and 4-21 depict results for the arsenic data in the Butte and Anaconda areas, respectively. As reported, 78.5 percent of the pets residing within the BPSOU exhibited concentrations above the RfC for arsenic and 64.3 percent of Butte pets living outside of the BPSOU exceeded the reference, as did 93.3 percent of the pets in Anaconda and Opportunity. In Figure 4-20, the existence of some pets residing within the BPSOU with low arsenic levels may reflect a positive outcome of remediation that has taken place throughout the past two decades. On the other hand, elevated arsenic concentrations in the hair of pets living both inside and outside of the BPSOU boundary may suggest the need for ongoing investigation and/or remedial actions. Similar results were seen for the pets of concern. According to this study, there was a 27.7 percent probability that the pet HIj exceeded 1.0 for pets living within the BPSOU, compared to a 4.8 percent chance for Butte pets residing outside the BPSOU. Figure 4-22 shows that most of the POCs were located within the central portion of the BPSOU. To identify “hotspots,” or neighborhoods with highest exposure rates, the hazard index for each POC was mapped. Based on the 2005 data, two locations (the 500 block of Mercury and the 100 block of East Daly) were shown to have higher hazard indices than other areas in Butte. The hazard index values and locations of these hotspots are shown in Figure 4-23. Those two neighborhoods should be investigated to: 1) determine the source(s) of the pets’ exposures, and 2) remediate. Although exposure to environmental contaminants should be more extreme for pets than for humans, human residents at those locations may also be at risk. 4.13 Remediation Investigation To investigate the efficacy of remediation, hair samples from five dogs were collected over time. Luna, the control dog, resided at a home where no remediation occurred. Trip lived at a house where the attic dust was removed as part of the local Superfund activities. Sweetie, Max, and Teddy lived at residences undergoing cleanup of contamination in the yard soil. Because remediation of the houses occurred at different times, the campaign was conducted over the course of eight months, from June of 2005 through February of 2006. The Master of Science thesis contains detailed results from the remediation study for all five dogs (Barry 2006). 15 After employing the K-S test, five elements were determined to have significant differences for pets residing inside and outside of the BPSOU (aluminum, arsenic, lead, lithium, and manganese). Table 4-8 summarizes the hazard quotients of these elements for each sampling round. Figures 4-24 through 4-28 depict the time series of hazard quotient data for these elements over the course of the remediation campaign. As shown in Figure 4-24, hazard quotients for all five elements were less than 1.0 for the control dog, Luna. Lead and lithium did not vary at all throughout the eight-month period, while the hazard quotients for aluminum, arsenic, and manganese varied slightly, possibly attributed to changes in outdoor/indoor activities during winter months. Data for Trip exhibited dramatic decreases in hazard quotients of the five elements during the four-month period following the remediation of the house dust, and a leveling off to HQ values less than 1.0 during the last three months (Figure 4-25). Manganese and arsenic exhibited the largest decreases at 95 percent and 71 percent, respectively, compared to the initial concentrations measured before the remediation. Similar results were seen for Sweetie in Figure 4-26. Hazard quotients for aluminum, arsenic, and lithium decreased as much as 96 percent during the first three months after yard remediation. Lead and manganese did not show any trends, and the hazard quotients increased in two of the samples. While the increases in lead concentration resulted in hazard quotients less than or equal to 1.0, the HQ values for manganese were greater than 1.0 in all but two of the samples. Trends in the data for Max were less remarkable because his exposures were minimal prior to the remediation of his yard. Hazard quotients for all five elements were less than 1.0 in the first four samples and a HQ value greater than 1.0 in the last sample (Figure 4-27). The arsenic level in the last sample represented an increase compared to the first round of sampling, which caused the HQ to elevate above 1.0. Finally, in Figure 4-28, most of the hazard quotients for Teddy were less than 1.0 for all of the elements except arsenic. In this case, arsenic levels actually increased over the sampling period, and the last sample represented a 100 percent increase in arsenic compared to the initial sample. These results indicated the likelihood that Teddy’s primary exposure to arsenic was a source other than the yard. In addition, Teddy was the only remediation dog residing in a house with exposure to cigarette smoke. Overall, results from the remediation campaign suggest that our biomonitoring method is capable of documenting efficacy of cleanup actions. In particular, removal of contaminated house dust resulted in measurable decreases of elements in the hair over a three-month period. Remediation of yards also resulted in lower contaminant levels in the hair samples, but improvement was less evident when the preremediation concentration levels were not elevated and when other sources may have impacted exposure (i.e., smoking). 16 Table 4- 1. Cancer Rates from National Cancer Institute for 1997-2001 RISING ANNUAL HIGHER AREA ANNUAL DEATH OR PERCENT OR RATE FROM FALLING CHANGE IN LOWER CANCER PER TREND DEATH RATE THAN 100,000 PEOPLE NATIONAL FROM CANCER (95 % CI) (95 % CI) RATE Silver Bow County 238.6 (218.3, 260.6) Higher +3.2 (0.4, 6.1) Rising Montana 195.0 (191.0, 199.0) Lower -0.6 (-1.0,-0.2) Declining United States 199.8 (199.6, 200.0) - -1.1 (-1.2, -1.0) Declining Reference: U.S. National Cancer Institutes of Health 2004 17 Table 4- 2. Summary of Information for Pets in the 2005 Hair Sampling Campaign DESCRIPTION NUMBER Total number of samples in the primary campaign 200 Total pets with complete lab reports 197 Pets sampled that resided in or around Butte 180 Pets sampled that resided in Anaconda or Opportunity 15 Pets sampled that resided in Deer Lodge or Whitehall 2 Range of ages of pets (years) 0.25-17 Average age of pets (years) 5.3 Range of weight of pets (lbs) 3.5-160 Average weight of pets (lbs) 45.6 Number of male pets 116 Number of female pets 81 Butte pets residing within the BPSOU 94 Butte pets residing outside of the BPSOU 84 Total samples for the remediation investigation 24 Total sample splits (replicates) for Quality Control (QC) 9 Total laboratory splits for Quality Control (QC) 4 18 Table 4- 3. Concentration Statistics of Elements in the 2005 Hair Samples AVERAGE & MEDIAN (MG %) Calcium (Ca) 129 22-386 107 & 78 Magnesium (Mg) 27 1.4-57.4 16.9 & 12.1 Sodium (Na) 205 4-461 96 & 77 Potassium (K) 62 1-165 22 & 14 Copper (Cu) 1.7 0.8-4.7 1.5 & 1.4 Zinc (Zn) 20 11-312 19.5 & 18 Phosphorus (P) 35 5-62 25 & 25 Iron (Fe) 9.9 0.9-40.9 5.3 & 3.6 Manganese (Mn) 0.33 0.031-8.892 0.740 & 0.325 Chromium (Cr) 0.12 0.009-0.24 0.074 & 0.07 Selenium (Se) 0.16 0.05-1.53 0.21 & 0.20 Boron (B) 0.59 0.09-6.83 1.27 & 1.15 Cobalt (Co) 0.026 0.001-0.047 0.005 & 0.003 Molybdenum (Mo) 0.022 0.003-0.152 0.023 & 0.020 Sulfur (S) 4885 2859-5107 4030 & 4065 Uranium (U) 0.02 0.0005-0.0244 0.002 & 0.001 Arsenic (As) 0.02 0.006-0.272 0.045 & 0.032 Beryllium (Be) 0.002 0.0001-0.002 0.001 & 0.001 Mercury (Hg) 0.04 0.01-0.03 0.01 & 0.01 Cadmium (Cd) 0.02 0.001-0.25 0.016 & 0.007 Lead (Pb) 0.2 0.02-3.6 0.28 & 0.10 Aluminum (Al) 3.2 0.3-32 3.7 & 2.3 Germanium (Ge) 0.04 0.003-0.07 0.007 & 0.007 Barium (Ba) 0.4 0.02-1.81 0.27 & 0.16 Lithium (Li) 0.008 0.001-12.778 0.008 & 0.005 0.001-0.215* 0.073 & 0.005* Nickel (Ni) 0.25 0.01-2.27 0.09 & 0.05 Platinum (Pt) 0.02 0.001-0.001 0.001 & 0.001 Vanadium (V) 0.06 0.002-0.111 0.019 & 0.015 Strontium (Sr) 0.54 0.001-1.37 0.23 & 0.16 Tin (Sn) 0.04 0.01-0.54 0.02 & 0.01 Tungsten (W) 0.04 0.001-0.023 0.002 & 0.001 Zirconium (Zr) 0.06 0.01-0.41 0.05 & 0.03 * Statistics without the lithium concentration for Dog #126 ELEMENT RFC (MG %) RANGE (MG %) 19 STANDARD DEVIATION (MG %) 72 12.2 80 22 0.6 21.1 7 5.8 1.249 0.028 0.12 0.88 0.006 0.018 384 0.003 0.045 0.000 0.003 0.030 0.42 4.9 0.005 0.31 0.910 0.008* 0.18 0.000 0.015 0.24 0.05 0.002 0.05 ≥ RFC (%) 32.0 22.8 8.1 5.1 25.9 21.3 8.1 10.7 48.7 7.1 69.0 79.7 2.5 43.1 1.0 1.5 72.6 2.0 0.0 21.8 41.6 34.0 0.5 16.8 28.9 4.6 0.0 2.5 16.2 8.1 0.0 28.4 Table 4- 4. Arsenic Concentration Statistics for Groups STANDARD DEVIATION (MG %) 0.042 0.062 ≥ RFC (%) 0.006-0.272 0.017-0.217 AVERAGE & MEDIAN (MG %) 0.043 & 0.030 0.077 & 0.048 2 0.012-0.015 0.0135 & 0.0135 0.002 0.0 116 81 94 0.006-0.272 0.007-0.270 0.006 – 0.272 0.044 & 0.032 0.046 & 0.034 0.049 & 0.032 0.045 0.044 0.051 72.1 72.8 78.7 84 0.008 – 0.210 0.038 & 0.030 0.035 64.3 GROUP N RANGE (MG %) Pets residing in Butte Pets residing in Anaconda and Opportunity Pets residing in Deer Lodge and Whitehall Male pets Female pets Pets residing within the BPSOU Pets residing outside of the BPSOU 180 15 20 71.7 93.3 Table 4- 5. Pet Hazard Index (HIj) Data for Pets 1-100 PET NUMBER 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 PET NAME HIj PET NUMBER Maxine Kaliah Sinkers Mirage Blue Berry Cookie Maddy Thelma Rosco Bones Cody Rudy Willie Thumper Hombre Poco Ruger Luna Dorito Noah Yogi Misty Fritz Hershey Chocko Kyo Casey Dino Baby Alena Duffy Kasey Blackie Tobie Justice Bailey Nellie Sophia Abby Aussie Benson Sanuf Trip Patches Tucker Max Beaut Poco Lucy Butch 0.77 0.74 0.57 0.64 0.66 0.49 0.93 0.50 0.40 0.37 0.63 0.40 0.77 1.69 0.61 0.61 0.76 0.52 0.64 0.61 0.51 0.40 0.78 0.46 0.43 0.69 0.70 0.74 0.48 1.61 0.38 0.53 1.38 0.92 0.44 0.36 0.55 0.75 0.63 0.91 0.56 0.42 1.03 0.83 0.97 1.01 1.01 1.23 0.78 0.49 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 21 PET NAME HIj Murphy Kissy Kerby Bear Lady Timber Angus Zoe Kosmos Niko York Sammie Bosley Maisy Mae Ole Tsara Penny Koots Moe Ari Dewey Bart Boomer Griz Angus Rowe Tucker Tanner Magnum Miss Piggy Bear Buddy Penny Griz Panda Allie Ali Shasta Sadie Rosco Clover Arrow Jinxy Curious KOA Resee Cobuk Emilio Yukon Naiki 0.93 0.54 0.84 0.80 0.42 1.13 1.02 0.70 0.53 0.62 0.49 0.53 0.48 0.72 0.53 0.60 0.84 0.59 0.73 0.53 0.51 0.40 0.44 1.23 0.53 0.85 0.40 0.53 0.67 0.70 0.51 0.69 0.56 0.76 0.69 0.59 0.48 0.60 0.55 0.67 0.56 0.54 1.27 0.57 1.26 0.44 1.63 0.54 1.35 1.83 Table 4- 6. Pet Hazard Index (HIj) Data for Pets 101-200 PET NUMBER 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 PET NAME Rick Billie Tosh Collette Nellie Duke Pepper Bud Hunter Akita Chance Shelby Gracie Bozo Boo Tawney Pork Chop Boone Gus Andy Bebe Rosco Hosser Jackson Bear Einstein Suzie Nikita Max Shaq Shilo Catie Breezy Angel Pebbles Missy Shasta Shylo Tessa Brandi Bear Shylo Sidney Mop Head Duke Momma Dog Little Girl HIj 0.93 0.57 0.70 0.62 0.67 1.01 0.58 0.59 0.97 0.82 0.56 0.91 1.17 1.33 2.56 0.53 0.61 0.43 0.52 0.54 1.16 0.99 0.60 0.59 0.47 1.42* NA 0.60 0.90 0.39 0.63 0.70 0.62 NA 0.37 0.59 0.68 0.61 0.58 0.84 0.76 0.70 0.61 0.65 0.59 0.67 0.70 2.31 2.76 NA PET NUMBER 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 * = Hazard Index without Lithium 22 PET NAME Tiger Bear Kyra Max Dodger Casey Curley Harley Kelsey Griz Deeka Benson Katy Max Maggie Whyley Bear Harley II Pete Sweetie Mana Angus Morgan Oscar Ike Lily Shelton Chewie Little Boy Jenna Maggie Onyx Camy Mandy Dante Toby Joe Annie Bob Ireland Norman Buddy Cody Flint Striper Crockett Rudy Ramone Mattie Phil Teddy HIj 0.99 1.81 1.02 0.40 1.60 0.57 1.35 0.69 0.51 0.71 0.65 0.41 1.36 0.44 0.66 0.77 0.62 1.10 0.87 0.93 0.71 1.28 0.40 0.53 0.52 0.41 2.11 0.48 0.49 0.49 0.50 0.53 0.49 0.36 0.38 0.80 1.36 0.75 0.61 0.52 0.68 1.87 1.12 1.91 3.57 0.45 0.46 0.66 0.42 0.37 Table 4- 7. Element Hazard Index (HIi) Data for the 2005 Campaign ELEMENT HIi ELEMENT HIi ELEMENT ELEMENT HIi Calcium 0.83 Manganese 2.24 Arsenic 2.24 Lithium* Magnesium 0.62 Chromium 0.61 Beryllium 0.51 Nickel Sodium 0.47 Selenium 1.29 Mercury 0.27 Platinum Potassium 0.36 Boron 2.16 Cadmium 0.80 Vanadium Copper 0.89 Cobalt 0.19 Lead 1.38 Strontium Zinc 0.98 Molybdenum 1.03 Aluminum 1.15 Tin Phosphorus 0.72 Sulfur 0.83 Germanium 0.18 Tungsten Iron 0.54 Uranium 0.19 Barium 0.67 Zirconium * not including lithium concentration from Dog 126. 23 HIi 1.04 0.34 0.05 0.32 0.64 0.51 0.04 0.76 DOG Luna (control) Trip Sweetie Max Teddy Table 4- 8. Results from the Remediation Campaign DATES OF HAZARD QUOTIENT FROM THE HAIR SAMPLES SAMPLING ALUMINUM ARSENIC LEAD MANGANESE LITHIUM 6-16-2005 0.25 0.75 0.50 0.30 0.13 10-15-2005 0.22 0.65 0.50 0.35 0.13 12-12-2005 0.22 0.65 0.50 0.35 0.13 1-15-2006 0.16 0.55 0.50 0.20 0.13 2-15-2006 0.25 0.70 0.50 0.22 0.13 6-22-2005 0.72 2.90 2.00 5.06 0.75 9-28-2005 0.75 1.80 0.50 0.81 0.50 12-12-2005 0.19 0.95 0.50 0.29 0.50 1-15-2006 0.19 0.85 0.50 0.29 0.38 2-15-2006 0.22 0.90 0.50 0.25 0.13 9-14-2005 4.91 6.65 0.50 1.27 3.25 10-15-2005 0.91 2.55 1.00 0.71 0.50 12-12-2005 0.44 1.55 0.50 2.36 0.25 1-15-2006 0.31 0.90 0.50 0.89 0.13 2-15-2006 0.50 1.85 0.50 1.46 0.25 8-10-2005 0.19 0.45 0.50 0.27 0.25 10-15-2005 0.13 0.50 0.50 0.15 0.25 12-12-2005 0.16 0.60 0.50 0.18 0.13 1-15-2006 0.09 0.30 0.50 0.12 0.13 2-15-2006 0.16 1.50 0.50 0.16 0.13 9-14-2005 0.31 1.70 0.50 0.24 0.25 10-15-2005 0.19 1.75 0.50 0.35 0.25 12-12-2005 0.34 2.35 0.50 0.35 0.13 1-15-2006 0.13 1.05 0.50 0.20 0.13 2-15-2006 0.56 3.40 1.50 0.55 0.25 24 Figure 4- 1. Historical mining activity in the Butte area (including the boundary of the Butte Priority Soils Operable Unit). 25 Figure 4- 2. Map of arsenic concentrations in the soil from the BPSOU database. 26 Figure 4- 3. Map of cadmium concentrations in the soil from the BPSOU database. 27 Figure 4- 4. Map of copper concentrations in the soil from the BPSOU database. 28 Figure 4- 5. Map of lead concentrations in the soil from the BPSOU database. 29 Figure 4- 6. Map of zinc concentrations in the soil from the BPSOU database 30 Figure 4- 7. Residence locations of Butte pets sampled during the 2005 Campaign. 31 Figure 4- 8. Residence locations of Anaconda pets sampled during the 2005 Campaign, in addition to pets living in Opportunity, Sheep Gulch, and Warm Springs. 32 100 GREATER THAN RfC (%) 80 60 40 20 Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As Be Hg Cd Pb Al Ge Ba Li Ni Pt V Sr Sn W Zr 0 ELEMENT Figure 4- 9. Percent of samples in the 2005 campaign where the concentration exceeded the reference level for each element. 33 MAXIMUM CONCENTRATION-TO- RFC RATIO 50 40 30 20 10 Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As Be Hg Cd Pb Al Ge Ba Li Ni Pt V Sr Sn W Zr 0 ELEMENT Figure 4- 10. Ratio of the maximum concentration in the 2005 campaign to the reference concentration for each element. 34 DOG 184 - MANDY 6 HAZARD QUOTIENT 5 4 3 2 1 Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As Be Hg Cd Pb Al Ge Ba Li Ni Pt V Sr Sn W Zr 0 ELEMENT Figure 4- 11. Hazard quotient (HQ) graph for Dog 184. Green shading indicates a HQ value less than 1.0, and red shading corresponds to a HQ value of 1.0 or above. 35 DOG 195 - CROCKETT 36 HAZARD QUOTIENT 30 24 18 12 6 Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As Be Hg Cd Pb Al Ge Ba Li Ni Pt V Sr Sn W Zr 0 ELEMENT Figure 4- 12. Hazard quotient (HQ) graph for Dog 195. Green shading indicates a HQ value less than 1.0, and red shading corresponds to a HQ value of 1.0 or above. 36 PETS OF CONCERN (POC) - 2005 CAMPAIGN 5 4 3.5 3 1 Pet 93 Pet 95 Pet 97 Pet 99 Pet 100 Pet 74 Pet 56 Pet 57 48 Pet 43 1.5 Pet 46 Pet 47 Pet Pet 30 2 Pet 33 2.5 Pet 14 NORMALIZED HAZARD INDEX 4.5 0.5 97 93 89 85 81 77 73 69 65 61 57 53 49 45 41 37 33 29 25 21 17 9 13 5 1 0 Pet Number Figure 4- 13. Hazard index (HIj) graph for Pets 1-100. While green shading indicates a HIj value less than 1.0, red shading corresponds to a HI value of 1.0 or above. Pets with a HIj value greater than or equal to 1.0 are defined as pets of concern (POCs). 37 PETS OF CONCERN (POC) - 2005 CAMPAIGN 5 Pet 195 4 Pet 193 Pet 187 Pet 192 Pet 194 Pet 177 Pet 172 Pet 168 Pet 163 Pet 153 1 Pet 121 1.5 Pet 113 Pet 114 2 Pet 126 2.5 Pet 152 3 Pet 155 Pet 157 Pet 115 Pet 148 Pet 149 3.5 Pet 106 NORMALIZED HAZARD INDEX 4.5 0.5 197 193 189 185 181 177 173 169 165 161 157 153 149 145 141 137 133 129 125 121 117 113 109 105 101 0 Pet Number Figure 4- 14. Hazard index (HIj) graph for Pets 101-200. While green shading indicates a HIj value less than 1.0, red shading corresponds to a HI value of 1.0 or above. Pets with a HIj value greater than or equal to 1.0 are defined as pets of concern (POCs). 38 ELEMENTS OF CONCERN (EOC) - 2005 CAMPAIGN As B Al Li Mo 1.5 Pb 2 Se NORMALIZED HAZARD INDEX 2.5 Mn 3 1 0.5 Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As Be Hg Cd Pb Al Ge Ba Li Ni Pt V Sr Sn W Zr 0 ELEMENT Figure 4- 15. Hazard index (HIi) graph for all elements in the 2005 campaign. While green shading indicates a HIi value less than 1.0, red shading corresponds to a HIi value of 1.0 or above. Elements with HIi values greater than or equal to 1.0 are defined as elements of concern (EOCs). 39 Figure 4- 16. Cumulative fraction plot for KS Test 7: phosphorous HQs in Butte dogs residing inside the BPSOU (N = 94) and phosphorous HQs in Butte dogs residing outside the BPSOU (N= 84). The solid line represents the dogs residing inside the BPSOU and the dashed line represents the dogs outside the BPSOU. 40 Figure 4- 17. Cumulative fraction plot for KS Test 9: manganese HQs in Butte dogs residing inside the BPSOU (N = 94) and manganese HQs in Butte dogs residing outside the BPSOU (N= 84). The solid line represents the dogs inside the BPSOU and the dashed line represents the dogs outside the BPSOU. 41 1 KS STATISTIC D 0.8 0.6 0.4 0.2 V Sr Sn W Zr Cd Pb Al Ge Ba Li Ni Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As 0 ELEMENT Figure 4- 18. The Kolmogorov-Smirnov statistic D for the comparison of cumulative distributions inside versus outside the BPSOU. The statistic D represents the maximum (vertical) distance between the distributions. 42 1 KS P-VALUE 0.8 0.6 0.4 0.2 V Sr Sn W Zr Cd Pb Al Ge Ba Li Ni Ca Mg Na K Cu Zn P Fe Mn Cr Se B Co Mo S U As 0 ELEMENT Figure 4- 19. The Kolmogorov-Smirnov p-value for the comparison of cumulative distributions inside versus outside the BPSOU. If the p-value is small (approaching 0.000), the null hypothesis may be rejected; if the p-value is large (approaching 1.000), there is likely no difference between the distributions. 43 Figure 4- 20. Residence locations of pets sampled in the vicinity of Butte with color-coding to indicate hazard quotients in the hair samples above and below 1.0. 44 Figure 4- 21. Residence locations of pets sampled in the vicinity of Anaconda with color-coding to indicate hazard quotients in the hair samples above and below 1.0. 45 Figure 4- 22. Residence locations of the pets of concern (POCs) in the Butte area. A POC was defined as a pet with a hazard index of 1.0 or higher when all elements were considered. 46 Figure 4- 23. Hazard index values of the pets of concern (POCs) and associated hotspots in the Butte area. 47 REMEDIATION CONTROL DOG: LUNA 8 HAZARD QUOTIENT 7 6 5 4 3 2 1 0 5/3/2005 6/17/2005 8/1/2005 9/15/2005 10/30/2005 12/14/2005 1/28/2006 3/14/2006 SAMPLING DATE Al As Pb Mn Li Figure 4- 24. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation control dog, Luna. 48 REMEDIATION DOG: TRIP 8 HAZARD QUOTIENT 7 6 5 4 3 2 1 0 5/3/2005 6/17/2005 8/1/2005 9/15/2005 10/30/2005 12/14/2005 1/28/2006 SAMPLING DATE Al As Pb Mn Li Figure 4- 25. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Trip. 49 REMEDIATION DOG: SWEETIE 8 HAZARD QUOTIENT 7 6 5 4 3 2 1 0 5/3/2005 6/17/2005 8/1/2005 9/15/2005 10/30/2005 12/14/2005 1/28/2006 3/14/2006 SAMPLING DATE Al As Pb Mn Li Figure 4- 26. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Sweetie. 50 REMEDIATION DOG: MAX 8 HAZARD QUOTIENT 7 6 5 4 3 2 1 0 5/3/2005 6/17/2005 8/1/2005 9/15/2005 10/30/2005 12/14/2005 1/28/2006 3/14/2006 SAMPLING DATE Al As Pb Mn Li Figure 4- 27. Time series of concentrations of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Max. 51 REMEDIATION DOG: TEDDY 8 HAZARD QUOTIENT 7 6 5 4 3 2 1 0 5/3/2005 6/17/2005 8/1/2005 9/15/2005 10/30/2005 12/14/2005 1/28/2006 3/14/2006 SAMPLING DATE Al As Pb Mn Li Figure 4- 28. Time series of hazard quotients of aluminum, arsenic, lead, manganese, and lithium for the remediation dog, Teddy. 52 5. DISCUSSION As with all biological or ecological indices, our data contained variability in accumulation of the elements of concern. In this report, we focused on introducing the method, presenting results from our field campaign, and devising a way to examine the data. Sources of variability (such as breed type, sex, age of the pet, etc.) were not discussed here, but will be addressed in a future publication regarding a larger dataset. In terms of limitations, exposure to environmental toxins is likely extreme for pets, compared to exposure for humans, because of self-grooming habits and because pets have more direct contact with soil, house dust, and mud puddles; thus, we should not assume that the method can be directly extrapolated to humans. Furthermore, our method of assigning hazard quotients and hazard indices is based on concentrations relative to reference concentrations. This is a simple, initial step toward evaluating incidental exposure to environmental contaminants, but relative toxicity of individual elements is not incorporated. Refinement of the method could include relative toxicity factors derived from data employed in the field of human health risk assessment. Overall, our new biomonitoring technique was designed as a screening-level tool to identify contaminants that may be of concern in a community. For a residential area like Butte, the method may be useful for discovering homes or neighborhoods that may be in need of further investigation and/or remediation. Justification of the project involved the use of dogs and cats as sentinels to protect the health of adults and children residing in a contaminated area, but protection of health and well-being of the local pets is also important. 53 6. SUMMARY AND RECOMMENDATIONS As a review, the overall goal of our research was to improve our understanding of chronic exposure to contaminants in the environment. The following two objectives were identified for this project: Objective 1. To develop and test a simple, inexpensive, biomonitoring system to characterize existing chronic exposure to mining-related contaminants for dogs residing in Butte, Montana; and Objective 2. To use the biomonitoring method to try to document efficacy of localized remediation efforts. Regarding Objective 1, our new protocol involved collection of hair samples with subsequent analysis using inductively coupled plasma – mass spectrometry (ICP-MS) as an easy, non-invasive way to obtain biological data regarding toxin/contaminant environmental exposure. The method was tested in the summer of 2005 by sampling more than 200 pets, including a variety of breeds, ages, and residence locations. For Objective 2, hair samples were collected over the course of several months from dogs living at houses with attics or yards undergoing remediation. In addition to the two objectives, the following four questions were posed prior to the research campaign: 1) Are levels of toxic elements in Butte dogs higher than reference levels? 2) Are the levels of toxic elements for dogs living inside the envelope of the Butte Priority Soils Operable Unit (BPSOU) higher than elsewhere in the community? 3) Are there “hotspots”, or neighborhoods in Butte where domestic dog exposures are highest? 4) If yards or homes are remediated, how long will it take to reduce the body burden of contaminants in the biosamplers? Concentrations from the hair samples were compared with reference levels, and concentration statistics were developed for each of 32 elements. Concentrations of arsenic, for example, were above the reference concentration of 0.02 mg % in 72.6 percent of the samples, while boron, lead, manganese, molybdenum, and selenium were above reference concentration in 41.6-79.7 percent of the samples, respectively. Based on a method of risk analysis using hazard quotients and hazard indices, 36 of 200 pets were identified as pets of concern, and the following eight elements were identified as elements of concern: aluminum, arsenic, boron, lead, lithium, manganese, molybdenum, and selenium. To determine if the levels of toxic elements in dogs living inside the envelope of the BPSOU were higher than elsewhere in the community, concentration data were examined from 178 dogs with roughly half of the dogs residing inside the BPSOU and half outside. Probability distributions of these two data sets were compared using the non-parametric Kolmogorov-Smirnov test. Among the eight elements defined as elements of concern, pets residing within the BPSOU exhibited significantly higher levels of aluminum, 54 arsenic, lead, lithium, and manganese than Butte pets living outside of the BPSOU. Differences in boron, molybdenum, and selenium were less dramatic. Regarding neighborhoods or areas in Butte with highest exposures, a series of maps were developed showing residence location of pets with hazard quotients and hazard indices greater than 1.0. Of the 36 pets of concern, 30 resided in Butte with 26 living inside the BPSOU boundary and four living outside the BPSOU. Most of the pets of concern were located within the central portion of the BPSOU, and two locations, the 500 block of Mercury and the 100 block of East Daly, were considered hotspots. Finally, to assess the efficacy of remediation, hair samples were collected over the course of several months from dogs living at houses with attics or yards undergoing remediation. Luna, the control dog, exhibited low variability in hazard quotients. Of the remediation dogs, Trip exhibited the largest reduction in hazard quotients. Trip resided at a house where attic dust was removed, and he experienced a reduction of 95 percent manganese and 71 percent arsenic during the course of the study. Of the other remediation dogs, all of whom resided at a house with a remediated yard, Sweetie had the largest decrease in aluminum, arsenic, and lithium concentrations. Max experienced reductions aluminum, lead, lithium, and manganese, but had a spike in arsenic in the final sample. Teddy’s results revealed an increase in arsenic over the course of the study, but Teddy was the only remediation dog residing in a house with exposure to cigarette smoke. This project was the first step in developing the new biomonitoring technique into a screening-level tool for studying incidental exposure to environmental contaminants. Although the use of animals as sentinel species is not a new idea, this project is the first of its kind to draw on domestic pets as biosamplers with subsequent hair sampling and analysis to study chronic exposure of environmental contaminants in a residential Superfund area. Although results from our campaign were site specific, the method developed and tested here has potential for applications elsewhere. Pets are companion animals and results from our research may have implications for human health risk assessment. Regarding follow-up projects, there are several studies that could aid in a better understanding of the long-term health impacts associated with living within the Butte/Anaconda Superfund area. An expansion of the biosampling project to gain a broader sample size and coverage would further identify areas with elevated exposure rates. It would also enable researchers to determine change in community exposure rates over time. These data could be compared with metals-related disease rates (in pets and in humans) to determine the impact of the exposure. Hair sampling of human residents of the Superfund area would also prove invaluable in a public health assessment and could aid in the understanding of other metals-contaminated Superfund sites. Based on this investigation, it would be worthwhile to perform environmental sampling of the ground, water, and air at residences, particularly at houses corresponding to the pets identified as pets of concern. To further investigate these houses, hair, blood, and urine samples of human residents would help document chronic and acute exposure to environmental contamination. In addition to an investigation of the houses with pets of concern, an investigation of houses with pets exhibiting arsenic levels higher than the reference concentration of 0.02 mg % would be beneficial. A detailed study of cancer rates in these houses would also help characterize the carcinogenicity of the arsenic in the Butte and Anaconda areas. Finally, a large-scale epidemiological study is also necessary to understand long-term health impacts of residents of Butte and Anaconda. In this study, an investigation of cancer, neurological, respiratory, cardiovascular, and developmental diseases should be performed. If death certificates are used, care 55 should be taken to search for cancer as a secondary cause of death. Early death certificates should also be checked for diseases, such as tuberculosis, which may also be the result of exposure to metalscontaminated dust. This epidemiological study should be correlated with environmental samples, past mining activity, and current hazardous waste sites within the Superfund area. The Butte and Anaconda areas are important because people reside within the Superfund boundaries, and this should be seen as an excellent opportunity for the scientific community to better understand health impacts of contamination at Superfund sites. 56 7. 7.1 QUALITY ASSURANCE/QUALITY CONTROL (QA/QC) Deviations from the Quality Assurance Project Plan The QAPP was followed closely throughout the project. The following three deviations, however, were necessary: 1. The QAPP indicated that we would utilize t-tests for examining differences between population means. Concentration distributions within our dataset were not Gaussian, so the t-test was not an appropriate method of hypothesis testing. Instead, the Kolmogorov-Smirnov (KS) test was used. This test is a “goodness of fit” test designed to determine if two datasets belong to the same population. The KS test is non-parametric and does not assume a specific distribution of data, and the null hypothesis is that there is “no difference” between the probability distributions of the datasets. 2. The QAPP specified that we would use AutoCAD or Surfer programs to map the biosampling results. The GIS program was used in place of the AutoCad or Surfor programs because this program had the capability of integrating environmental data from the Butte Superfund Site. While the GPS locations were taken, as specified in the QAPP, the sampling addresses were instead mapped with the GIS. 3. The QAPP proposed a five-month period for conducting the remediation campaign with analysis using time series graphs, mean concentrations, and standard deviations. While the campaign schedule was followed as closely as possible, coordinating with remediation activities and pet owners caused some of the sampling periods to last longer than 5-months. In addition, time series graphs were used to illustrate the results, but percent change was used in place of mean and standard deviation statistics. With only five data points collected over time, average and standard deviation statistics were not appropriate measures of efficacy of remediation. Overall project outcome was not compromised by any of these deviations. In fact, in all cases, project quality was improved as a result of these minor changes. 7.2 Laboratory and Field QA Appendix A contains a description of QA/QC policy and procedure for Trace Elements, Incorporated. In addition, we requested quality analysis summary reports corresponding to each batch of samples analyzed for our project. Table 7-1 is a checklist of the information provided in those reports. As proposed in the QAPP, replicate samples were submitted to Trace Elements, Incorporated with every batch of samples, and four split samples were sent to an independent laboratory (Doctor’s Data Incorporated, DDI). Figures 7-1 and 7-2 show the comparison of concentrations of the 32 elements from the replicate and split samples, respectively. As itemized in Table 7-2, average relative percent difference (RPD) for the replicate samples ranged from -24.2 % (for Dog 100) to 15.2 % (for Dog 160). All replicates met the criteria of RPD ≤ 20 %, except for Dog 100. The original hair sample from Dog 100 was much larger than the rest, so it is possible that the replicate and split samples were not identical. Likewise, average RPD for inter-laboratory splits ranged 57 from -21.6 % (Dog 40) to 21.1 % (Dog 100), and all four samples met the criteria of RPD ≤ 35 %. Unlike a water sample, for example, hair samples are not perfectly homogeneous, so some variation in concentration for replicates and splits is expected. To reduce this uncertainty in future campaigns, we will mix the hair more thoroughly before dividing into replicate and split samples. 7.3 General Recordkeeping and Reporting As set forth in the QAPP, all sampling and analysis activities were documented in a logbook maintained by Stacie Barry. The logbook was bound, and pages were numbered. Each page with an entry was initialed and dated by Stacie and by Dr. Holly Peterson. All corrections in the logbook consisted of a single line out deletion followed by the author’s initials and date. Unused portions of a page were lined out. The logbook included a written record of all appropriate data and observations. The QAPP was followed throughout the project, so no major deviations from the initial plan were noted. In addition to the logbook, a questionnaire for each pet was completed during sampling. The questionnaires were photocopied and bound in 3-ring notebooks. The notebook with the originals was stored in Dr. Peterson’s office, and Stacie Barry maintained one complete copy. A third copy was given to the Montana Tech MWTP office. Regarding laboratory reports from Trace Elements, the originals were photocopied upon receipt and stored in a 3-ring binder in Dr. Peterson’s office. Stacie maintained a copy and the Montana Tech MWTP office received a third copy of the binder. In addition, all data from the lab reports were entered into a spreadsheet and checked by at least one other person. The spreadsheet file was copied to more than one computer and submitted on CD with the final report. Monthly reports were submitted to document progress, and meetings were held with the Montana Tech QA Manager on a regular basis. At the conclusion of the project, this final report was prepared by the graduate student and the principal investigator. The final report included a summary of the original project objectives, and these objectives were met. Project details and results of this work were summarized by Stacie Barry in a Master of Science thesis during the spring of 2006 and presented in an oral defense at Montana Tech on June 27, 2006. After the final report is accepted, the information will be condensed and submitted for publication in the Intermountain Journal of Sciences. A copy of the manuscript will be submitted for review and approval by the MWTP Program prior to the time of submission to the journal, and reprints will be provided following publication. 58 Table 7- 1. Quality Analysis Checklist from Laboratory Summary Reports DATE OF QUALITY ANALYSIS LABORATORY SUMMARY REPORT 07/19/2005 08/23/2005 11/07/2005 1/05/2006 03/03/2006 Standard 1 Concentrations Concentrations Concentrations Concentrations Concentrations ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD Standard 2 Concentrations Concentrations Concentrations Concentrations Concentrations ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD Standard 3 Concentrations Concentrations Concentrations Concentrations Concentrations ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD Low Concentrations Concentrations Concentrations Concentrations Concentrations Check ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD High Concentrations Concentrations Concentrations Concentrations Concentrations Check ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD China Hair Concentrations Concentrations Concentrations Concentrations Concentrations ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD Hair Pool Concentrations Concentrations Concentrations Concentrations Concentrations ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD ± 2 SD: Quality control limits of ± 2 standard deviations 59 Table 7- 2. Quality Control Checklist for Replicate and Split Samples SAMPLE TEI DOES REPLICATE RPD TEI/DDI DOES SPLIT RPD REPLICATE MEET CRITERIA OF SPLIT MEET CRITERIA OF RPD (%) ≤ 20% ? RPD (%) ≤ 35% ? Dog 20 -10.3 Yes Dog 40 2.0 Yes -21.6 Yes Dog 60 1.4 Yes Dog 80 -6.5 Yes Dog 100 -24.2 No 21.1 Yes Dog 120 1.4 Yes Dog 140 13.8 Yes -14.5 Yes Dog 160 15.2 Yes -12.4 Yes Dog 180 -5.8 Yes 60 10000 TRACE ELEMENTS SPLIT SAMPLE 2 (mg %) 1:1 1000 100 DOG 20 - NOAH DOG 40 - AUSSIE DOG 60 - NIKO DOG 80 - MISS PIGGY DOG 100 - NAIKI DOG 120 - ANDY DOG 140 - SHYLO DOG 160 - GRIZ DOG 180 - JENNA 10 1 0.1 0.01 0.001 0.0001 0.0001 0.001 0.01 0.1 1 10 100 1000 TRACE ELEMENTS SPLIT SAMPLE 1 (mg %) Figure 7- 1. Concentration comparison of replicate samples. 61 10000 10000 DOCTOR'S DATA SPLIT SAMPLE (mg %) 1:1 1000 100 10 DOG 40 - AUSSIE DOG 100 - NAIKI DOG 140 - SHYLO DOG 160 - GRIZ 1 0.1 0.01 0.001 0.0001 0.0001 0.001 0.01 0.1 1 10 100 1000 10000 TRACE ELEMENTS SPLIT SAMPLE (mg %) Figure 7- 2. Concentration comparison of inter-laboratory split samples. 62 8. REFERENCES Barry, S. 2006. Domestic Pets as Biosamplers of Mining-Related Contaminants. M.S. Thesis. Montana Tech, Butte, MT. 279 pp. Berny, P.J., L.M. Cote, and W.B. Buck. 1995. Can household pets be used as reliable monitors of lead exposure to humans? The Science of the Total Environment. 172:163-73. Calderon-Garciduenas, L., T.M. Gambing, H. Acuna, R. Garcia, N. Osnaya, S. Monroy, A. VillarrealCalderon, J. Carson, H.S. Koren, and R.B. Devlin. 2001a. Canines and sentinel species for assessing chronic exposures to air pollutants: Part 1. Cardiac Pathology. Toxicological Sciences. 61:356-367. Calderon-Garciduenas, L., A. Mora-Tiscarena, L.A. Fordham, C.J. Chung, R. Garcia, J. Hernandez, H. Acuna, T.M. Gambing, A. Villarreal-Calderon, J. Carson, H.S. Koren, and R.B. Devlin. 2001b. Canines and sentinel species for assessing chronic exposures to air pollutants: Part 1. Respiratory Pathology. Toxicological Sciences. 61:342-355. Dearwent, S. and A. Gonzalez. 2002. Health consultation: Silver Bow Creek/Butte Area, Butte Silver Bow and Deer Lodge counties, Montana. Agency of Toxic Substances and Disease Registry. Atlanta, GA. Hayes, H.M., Hoover, R., and R.E. Tarone. 1981. Bladder cancer in pet dogs: a sentinel for environmental cancer? American Journal of Epidemiology. 144(2): 229-233. Heyder, J. and S. Takenaka. 1996. Long-term canine exposure studies with ambient air pollutants. European Respiratory Journal. 9: 571-584. Hinwood, A.L., Sim, M.R., Jolley, D., de Klerk, N., Bastone, E. B., Gerostamoulos, J., and O.H. Drummer. 2003. Hair and toenail arsenic concentrations of residents living in areas with high environmental arsenic concentrations. Environmental Health Perspectives. 111: 187-194. Integrated Risk Information System (IRIS). 2005. Arsenic, inorganic (CASRN 7440-38-2). U.S. Environmental Protection Agency. Office of Research and Development. National Center for Environmental Assessment. Washington, D.C. (www.epa.gov/iris/index.html) Kirkman, T. 2006. Kolmogorov-Smirnov Test. (http://www.physics.csbsju.edu/stats/KS-test.html). Lauwerys, R. and P. Hoet. 2001. Industrial chemical exposure: guidelines for biological monitoring. CRC Press, Boca Raton, FL. Madden, M. 2006. Development of a biomonitoring technique using domestic pets as sentinel species in a mining-impacted community. M.S. Thesis. Montana Tech, Butte, MT. 141 pp. Macmillan, D. 2000. Smoke wars: anaconda copper, Montana air pollution, and the courts, 1890-1924. Montana Historical Society Press, Helena, MT. 63 O’Brien, D.J., Kaneene, J.B., and R.H. Poppengda. 1993. The use of mammals as sentinal species for human exposure to toxic contaminant in the environment. Environmental Health Perspectives. 99, 351-368. Orloff, K.G. and K. Mistry. 2001. Health consultation: exposure investigation – Spring Valley chemical munitions, Washington, DC. Agency of Toxic Substances and Disease Registry. Atlanta, GA. Peterson, H.G. and M.A. Madden. 2006. Development of a new biomonitoring technique using domestic pets as sentinel species. Intermountain Journal of Sciences. In press. Sanborn Map Company. 1894. Butte city 1894. Sanborn Map and Publishing Company, New York, NY, 1894. Siedel, S., Kreutzer R., Smith D., McNeel S., and D. Gliss. 2001. Assessment of commercial laboratories performing hair mineral analysis. Journal of the American Medical Association. 253: 67-72. Thomas, C.W., Rising, J.L., and J.K. Moore. 1976. Blood lead concentrations of children and dogs from 83 Illinois families. Journal of the American Veterinary Medical Association 169(11), 12371240. Trace Element Incorporated (TEI) 2000. Tissue mineral analysis manual and references, balancing body chemistry. Trace Elements, Inc. Box 514, Addison, Texas 75001. Trace Element Incorporated (TEI) 2005. Reference ranges and HTMA materials and methods. Trace Elements, Inc. Box 514, Addison, Texas 75001. U.S. Department of Public Health and Human Services. 2000. Toxicological profile for arsenic. Agency for Toxic Substances and Disease Registry. Atlanta, GA. U. S. Environmental Protection Agency (USEPA). 1989. Risk assessment guidance for superfund: volume I. Human health evaluation manual (Part A). EPA/540/1-89/002. Office of Emergency and Remedial Response. Washington, DC. U. S. Environmental Protection Agency (USEPA). 2004. Air toxics risk assessment reference library: volume 2. Facility-specific assessment. EPA-453-K-04-001B. Office of Air Quality Planning and Standards. Research Triangle Park, NC. U. S. Environmental Protection Agency (USEPA). 2005. Superfund program cleanup proposal, Butte priority soils operable unit of the Silver Bow Creek/ Butte Area Superfund Site. 56 pp. U. S. Environmental Protection Agency (USEPA). 2006a. Integrated Risk Information System (IRIS): arsenic, inorganic (CASRN 7440-38-2). U.S. Environmental Protection Agency. Office of Research and Development. National Center for Environmental Assessment. Washington, D.C. (www.epa.gov/iris/index.html) 64 U. S. Environmental Protection Agency (USEPA). 2006b. Soil screening guidance calculator. EPA Office of Superfund and Oak Ridge National Laboratory. Oak Ridge, TN. (http://risk.lsd.ornl.gov/calc_start.shtml) U.S. National Cancer Institutes of Health. 2004. State cancer profiles. Bethesda, MD. (http://statecancerprofiles.cancer.gov) Washington State (WA). 1994. Natural background soil metals concentrations in Washington state. Publication #94-115. Toxics Cleanup Bureau. Seattle, WA. 65 APPENDIX A 66 The following detailed description of QA/QC was extracted, with written consent from Trace Elements Incorporated, at the laboratory’s web site: www.traceelements.com. Trace Elements uses state-of-the-art ICP-Mass Spectrometry (Sciex Elan 6100 and 9000) methodology for all trace element determinations. These systems are capable of easily handling a high volume of specimens in applications such as HTMA where limits of detection requirements are in the part-per-million (ppm) and low part-per-billion (ppb) range. TEI uses the most advanced high-volume and uniform temperature-controlled microwave digestion (CEM Mars 5 Plus) technique. Microwave digestion is the method of choice for speed, reduced contamination, complete digestions, and retention of analytes to insure precise results. Trace Elements laboratory is equipped with a trace element class clean room utilizing HEPA filtration systems. The clean room ensures that air quality and temperatures are isolated in order to protect equipment and processed specimens from potential contamination. High sensitivity balances used by the laboratory for calibration/QC check standards and specimen weighing are calibrated with weight sets traceable to NIST. All stock standards used for daily calibration and Quality Control are prepared by a leading ISO 9001 certified laboratory. In addition, all standard material is sourced from NIST standard reference material. Further, the laboratory uses 16 megohm double-deionized water and acidleached, triple-rinsed glassware and plasticware. All glassware when used is Class A. Trace Elements conducts daily, weekly and monthly QA/QC studies to confirm and validate all aspects of test methodology, including precision, accuracy and verifiable detection limits. Further, the laboratory is continuously evaluating the different aspects of daily laboratory performance, such as: reagents, QC reference materials, split specimen analysis, spiked samples, calibration-verification studies and routine daily monitoring of patient data trends, before, during and after each daily analytical run. Additional audits involve personnel training, laboratory reporting, safety issues, customer service, etc. Laboratory management has also recently developed an extremely comprehensive and thorough state-of-the art automated quality control (AQC) software to assist the chief technologist and laboratory director in validating all QC test results and individual specimen test results prior to release for eventual report processing. Trace Elements successfully participates in an on-going proficiency testing program with Le Centre de Toxicologie du Quebec, which offers urine, blood and hair tissue elemental testing involving clinical laboratories that utilize high resolution instrumentation in North America and Europe. Also participating in various other interlaboratory test comparison studies, Trace Elements is committed to providing the clinician with timely, precise and reliable test data. Quality Control Following is a brief description of the quality control materials and solutions that Trace Elements utilizes in each daily analytical run. This sequential format does not represent other daily and routine QC procedures that are performed by technologists in the laboratory prior to each analysis. Calibration Blank Calibration Standard 1 67 Calibration Standard 2 Calibration Standard 3 Initial Calibration Check Standard--Low Level (ICCS) Initial Calibration Check Standard--High Level (ICCS) Laboratory Reagent Blank (LRB) Pooled Hair Check Solution (PHCS) Split Hair Specimen (SHS) Pooled Hair Check Material (PHCM) Certified Reference Material--Hair (CRM-H) Patient Specimen 1 Patient Specimen 2 Patient Specimen 3 Patient Specimen 4 Patient Specimen 5 Patient Specimen 6 Patient Specimen 7 Patient Specimen 8 Patient Specimen 9 Patient Specimen 10 Patient Specimen 11 Patient Specimen 12 Continuing Calibration Check Standard (CCCS) Continuing Calibration Blank (CCB) Patient Specimen 13 Patient Specimen 14 Patient Specimen 15 Patient Specimen 16 Patient Specimen 17 Patient Specimen 18 Patient Specimen 19 Patient Specimen 20 Patient Specimen 21 Patient Specimen 22 Patient Specimen 23 Patient Specimen 24 End Calibration Check Standard--Low Level (ECCS) End Calibration Check Standard--High Level (ECCS) Initial Calibration Check Standard -- Low Level (ICCS) Initial Calibration Check Standard -- High Level (ICCS) Solutions (two levels) prepared in the same manner as the calibration standards and used to verify the calibration curve before analysis of patient specimens and QC samples begin. Laboratory Reagent Blank (LRB) Used to evaluate all potential contaminants/interferences in the reagents, laboratory environment and apparatus within the test method. 68 Pooled Hair Check Solution (PHCS) Homogenous solution of pooled hair that has been pre-digested using standard method digestion. Used to indicate day-to-day and within-run precision associated with instrument calibration. Split Hair Specimen (SHS) Second analysis of a random patient specimen taken from the previous day's run. Using a submitted patient sample to indicate day-to-day laboratory precision associated with the entire test method; sample preparation, digestion and instrument analysis. Pooled Hair Check Material (PHCM) Homogenous pooled hair that is exposed to the same laboratory environment, reagents and apparatus as the patient specimens throughout the entire test method. Used to indicate day-to-day laboratory precision associated with sample preparation, digestion and calibration. Certified Reference Material --Hair (CRM-H) Certified Hair Reference Material, obtained from National Institute for Environmental Studies, Japan. Used to indicate day-to-day accuracy and precision of the test method; including reagents, sample prep, digestion and analysis. Continuing Calibration Check Standard (CCCS) Solution prepared in the same manner as the calibration standards and analyzed in the middle of each subset of patient specimens. Used to verify the previously established calibration curve and confirms the accurate analyte quantitation for all patient specimens occurring after the initial calibration check standards. Continuing Calibration Blank (CCB) A solution prepared in the same manner as the calibration blank then analyzed after the CCCS to show any contamination or carryover. End Calibration Check Standard -- Low Level (ICCS) End Calibration Check Standard -- High Level (ECCS) Solutions (two levels) prepared in the same manner as the calibration standards and analyzed at the end of each subset of patient specimens. Used to verify the previously established calibration curve and confirms the accurate analyte quantitation for all patient specimens occurring after the continuing calibration check standards (CCCS). Test results for all of the above Quality Control materials/solutions and patient specimens are analyzed in detail by the AQC lab software and then reviewed by the Chief Chemist and Laboratory Director for compliance to strict quality control limits. Failure to meet the QC criteria requires that the analysis is repeated until all QC data is within acceptable limits. No data is released from the laboratory until such time.” In compliance with CLIA ’88 federal regulations, the SHS analysis is a primary tool to assess and assure accuracy and precision of the lab’s methods and instrumentation. After calibrations are performed, and before any patient specimens are analyzed, a sample is randomly chosen out of the most recently analyzed set of samples, reanalyzed, and a Standard Deviation Index (SDI) score is calculated. The SDI score is: 69 SDI = Repeat Analysis Result – Original Analysis Result Standard Deviation of Element’s Normal or 2SD Range An “acceptable” SDI score is ± 3.0, so when any SDI score is out of the acceptable range, the Clinical Lab Supervisor reviews all pre-analytical, analytical, and post analytical data, and corrective actions are taken. The calibration series and SHS are then repeated, and no patient specimens are analyzed until an acceptable SDI score is achieved. Table A-1 provides a summary of the laboratory QA/QC checks for critical measurements. 70 Table A- 1. Summary of Laboratory QA/QC Checks for Critical Measurements of Metals in Hair QA/QC Check Calibration Blank Calibration Standard 1 Calibration Standard 2 Calibration Standard 3 Initial Calibration Check-Low Level (ICCS) Initial Calibration Check-High Level (ICCS) Laboratory Reagent Blank (LRB) Poole Hair Check Solution (PHCS) Split Hair Specimen (SHS) Pooled Hair Check Material (PHCM) Reference Material (CRMH) Continuing Calibration Verification (CCV) Continuing Calibration Blank (CCB) End Calibration Check – Low Level (ECCS) End Calibration Check – High Level (ECCS) Frequency At beginning of run At beginning of run Criteria ≤ 2 times the IDL NA Action Clean apparatus, check reagents for contamination NA At beginning of run NA NA At beginning of run NA NA Following initial standardization ± 15% Terminate analysis, correct problem, recalibrate Following initial standardization ± 15% Terminate analysis, correct problem, recalibrate Following second ICCS ≤ 2 times the IDL Clean apparatus, check reagents for contamination, restandarize Following LRB ≤ 20% RPD Terminate analysis, correct problem, recalibrate Following PHCS ≤ 20% RPD Terminate analysis, correct problem, recalibrate Following SHS ≤ 20% RPD Terminate analysis, correct problem, recalibrate Following PHCM 75% to 125% recovery Terminate analysis, correct problem, recalibrate Every 12 samples ± 15% Terminate analysis, correct problem, recalibrate and rerun affected batch Every 12 samples ≤ 2 times the IDL Clean apparatus, check reagents for contamination, restandarize and rerun affected batch At end of batch ± 15% Terminate analysis, correct problem, recalibrate and rerun affected batch At end of batch ± 15% Terminate analysis, correct problem, recalibrate and rerun affected batch 71
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