ATSDR Activities in District of Columbia
ATSDR in Partnership With the District of Columbia
The Agency for Toxic Substances and Disease Registry (ATSDR) is the lead public health agency responsible for implementing the health-related provisions of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). ATSDR is an Atlanta-based federal agency with more than 400 employees and a budget for 2004 of approximately $73 million. ATSDR assesses the presence and nature of health hazards at specific Superfund sites, helps to prevent or reduce further exposure and illnesses resulting from those hazards, and expands the knowledge base about the health effects of exposure to hazardous substances.
ATSDR works closely with state agencies to carry out its mission to serve the
public by using the best science, taking responsive public health actions, and
providing trusted health information to prevent harmful exposures and disease
related to toxic substances. Through cooperative agreements and grants, ATSDR
provides funding and technical assistance to states and other partners to identify
and evaluate environmental health threats to communities. These resources enable
state and local health departments and other grantees to further investigate environmental
health concerns and to educate communities. In fiscal years 1997-2004,
ATSDR awarded $10,000 in direct funds and services to the District of
Columbia for comprehensive support of its environmental health unit. In addition
to direct funds and services, ATSDR provides technical and administrative guidance
for state-conducted site activities.
ATSDR Site-Specific Activities
Public Health Assessment-Related Activities
One of ATSDR's important mandates is to conduct public health assessments
of all National Priorities List (NPL) sites and of other sites where a significant
threat to public health might exist. A public health assessment is a written,
comprehensive evaluation of available data and information about the release of
hazardous substances into the environment in a specific geographic area. Such
releases are assessed for past, current, or future impact on public health. ATSDR,
in collaboration with public health and environmental officials from the District
of Columbia, has conducted two public health assessments in the District.
Washington Navy Yard—The Washington Navy Yard is an
active military facility on approximately 60 acres along the Anacostia River
in southeastern Washington, DC. The facility has supported shipbuilding,
ordnance research and production, and administrative duties for 200 years. Past
activities have contaminated groundwater underlying the property and contributed
to contamination in fish from the Anacostia River. Primary contaminants
of concern at the site are metals, polychlorinated biphenyls, and dioxins.
ATSDR reviewed and evaluated groundwater data, surface water and sediment quality data, and on-site soil data. ATSDR concluded that groundwater, surface water, and sediment at the site do not pose public health hazards. However, past exposure to on-site surface soil at homes on Admiral's Row had the potential to cause adverse health effects in children. ATSDR also concluded that consumption of locally caught fish near the facility could pose a public health hazard. The Navy will continue to create and enforce land-use controls to ensure the public is not exposed to any contaminated areas unfit for residential use.
River Terrace Community—The River Terrace community is located
near a power plant in Northeast Washington, DC. In August 2001, the District
of Columbia Department of Health (DC DOH) petitioned ATSDR to investigate
whether the nearby power plant poses a public health risk to the community.
Residents expressed concern about the occurrence of asthma, chronic bronchitis,
shortness of breath, hacking coughs, lung disease, and cancer in their community.
Community members believe these health ailments are related to exposure to air
pollutants from nearby facilities.
ATSDR evaluated air contaminant data gathered from the U.S. Environmental Protection Agency (EPA) Aerometric Information Retrieval System, a computer-based repository for information about U.S. air pollution. Ambient air monitoring data are available for criteria pollutants (carbon monoxide, ozone, particulate matter, sulfate, and sulfur dioxide) from two air monitoring stations in and near River Terrace. Although the levels of some air pollutants have been elevated at River Terrace, those levels are similar to levels in any urban area, including the general District of Columbia metropolitan area.
ATSDR evaluated maximum contaminant levels detected in River Terrace air and available data on levels known to cause adverse health effects in animals and humans. The agency concluded that exposure to the air would not be expected to harm healthy River Terrace residents. However, the maximum levels of ozone, sulfate, and particulate matter may aggravate preexisting respiratory diseases such as asthma, emphysema, and chronic bronchitis.
In a public health assessment released for public comment in March 2004, ATSDR
classified the site as an indeterminate public health hazard because insufficient
data exist to evaluate potentially increased rates of respiratory effects or
cancer. In July 2004, ATSDR hosted two public information sessions to update
the community and share health-related information from partnering organizations
such as DC DOH, the Mid-Atlantic Center for Children's Health and the Environment
(MACCHE), and the Metropolitan Council of Governments/Clean Air
Partners.
ATSDR's recommendations included continuing to sample criteria pollutants in ambient air in River Terrace, sampling additional pollutants in ambient air, and collecting health outcome data on respiratory ailments and cancer in River Terrace. EPA has proposed plans to conduct air sampling as part of its investigation into the nearby power plant, and ATSDR will evaluate data from this sampling. ATSDR also recommended promoting community awareness about air pollution in River Terrace; the agency will work in cooperation with other stakeholders to do so.
A health consultation is a written or oral response from ATSDR to a specific
request for information about health risks related to a specific site, chemical
release, or hazardous material. A health consultation is a more limited response
than a public health assessment. In the District of Columbia, 18 health
consultations have been conducted at nine sites, including the following recent
examples.
Spring Valley (
American University)—During
World War I, the U.S. Army conducted chemical warfare research on and near
American
University. Chemical weapons were periodically detonated in the area for
research and training purposes. Those materials have since degraded and are
no longer found in soil; however, some arsenic contamination remains. Chemical
agents and unexploded ordnance were also buried in the area, which is now known
as the
Spring Valley neighborhood.
The contaminants of concern at this site are arsenic, mustard gas, and other chemical warfare agents. The pathways of concern are soil ingestion, dust inhalation, and vegetable gardening. ATSDR provided consultation on a number of concerns about hazardous substances and potential human health effects that might be associated with exposure to those substances. The U.S. Army Corps of Engineers, which is responsible for clean-up activities at this site, is conducting soil sampling.
Because of concerns about potential soil contamination, the Army collected soil
samples from the playground of the
American University Child Development
Center. ATSDR reviewed the results of the arsenic analysis and found arsenic
at levels that could be of concern if children purposely swallowed as much as
a handful of dirt. The Army has since collected additional samples and the results
indicated elevated levels of arsenic in the soil. The center moved to another
facility until the affected playground soil was removed and replaced.
In December 2003, ATSDR released a health consultation that reviewed indoor air and soil-gas sampling data to determine whether exposure to chemical substances detected in indoor air posed an immediate or long-term health hazard to residents of a home at 4625 Rockwood Parkway. The house was occupied at the time of sampling but unoccupied when ATSDR received the data. The building occupants lived in the house for less than 1 year. The property remains vacant with the potential for the university to lease it to another tenant.
ATSDR concluded that low levels of volatile and semivolatile substances in indoor air at the home pose no apparent public health hazard to adult or child occupants. ATSDR recommended conducting further confirmatory sampling at the property, the first phase focusing on deep and shallow soil gas. If results indicate, further indoor air sampling should be conducted.
An ATSDR Web page summarizing the agency's activities at the Spring Valley/American University site is available at
www.atsdr.cdc.gov/sites/springvalley.
Chillum Gasoline/Perchloroethylene (
PCE)—The Chillum site is near
Chillum, Maryland, on the border of Maryland and the
District of Columbia.
The sources of contamination are in Maryland and the affected community is in
the
Lamond-Riggs Park community in the District of Columbia. Groundwater
plumes of gasoline and PCE have been detected beneath the homes in this area.
The gasoline plume came from a service station at the intersection of Riggs
Road and Eastern Avenue in Chillum. EPA is investigating the source of the PCE
plume.
Since 1989, gasoline has leaked or has been released into the ground from the service station. Several federal and state government agencies have conducted investigation, remediation, and assessment activities at the site since 1990. The primary route of human exposure at the site is inhalation of indoor air potentially contaminated through vapor intrusion. Vapor intrusion occurs when vapors move up through the soil and into nearby buildings.
For a health consultation released in January 2004, ATSDR reviewed active soil-gas data collected in 2002 and initial indoor air data collected in April 2003. The soil-gas data showed that PCE and gasoline constituents-benzene, toluene, xylene, ethylbenzene, and methyl tertiary butyl ether (MTBE)-were present. Five residences have PCE soil vapor concentrations at levels high enough to be a low theoretical increased risk for cancer. Soil-vapor concentrations of benzene and MTBE were below levels associated with any appreciable risk for adverse health effects from subsurface vapor intrusion into residences. In the initial indoor air samples, six volatile organic compounds were detected at very low levels. Additional indoor air sampling is needed to better characterize the exposure and extent of vapor intrusion.
ATSDR classified this site as an indeterminate public health hazard because of limited indoor air data and a lack of environmental data for potentially affected locations, such as the church in the area.
ATSDR is preparing a second health consultation to review additional indoor air data collected by EPA on the basis of ATSDR's recommendations in the first health consultation for this site.
Kenilworth Park Landfill—ATSDR is early in the process of developing
a health consultation for the
Kenilworth Park landfill.
An exposure investigation collects information about specific human exposures
through biologic sampling, personal monitoring, related environmental assessment,
and exposure-dose reconstruction. Following is an example of an exposure investigation
conducted in the District of Columbia.
Spring Valley (American University)—In February
2001, ATSDR conducted an exposure investigation for children and staff in a
day-care center on the American University campus. ATSDR tested hair from 33
children and staff for arsenic. Results indicated that hair arsenic levels were
within normal levels.
In March 2002, ATSDR conducted an exposure investigation for Spring Valley residents whose properties had high levels of arsenic in soil. Arsenic levels in residents' hair and urine were in the range of the general population; these levels are not expected to cause any health problems.
In June 2003, ATSDR conducted a third exposure investigation using urine screening only. This exposure investigation included individuals who participated in the first phase of the exposure investigation; who were living on, or adjacent to, property that was being remediated; or who had a single elevated level of arsenic in their yard. This exposure investigation assessed whether current exposure to arsenic is occurring when residents are engaged in activities that would expose them to the soil (gardening, lawn care, and recreational use of their properties). Overall, urine arsenic testing showed no significant arsenic exposure in the population. Three individuals had slight elevations in their urine inorganic arsenic levels, but these levels are not expected to cause health problems.
ATSDR recommended that individuals with mild elevations of inorganic arsenic should have follow-up urinalysis for arsenic. ATSDR recommended that all tested individuals discuss their results with their personal health care providers.
Health Education and Community Activities
As part of its ongoing outreach activities in affected communities, ATSDR proactively
involves communities in identifying their health concerns and developing actions
to address those concerns. Educational activities at the Spring Valley
site have focused on local residents' concerns associated with exposure to arsenic.
A site-specific Web page (www.atsdr.cdc.gov/sites/springvalley)
has been developed to provide local residents with an in-depth repository of information.
A brochure titled "Safe Gardening, Safe Play, Safe Home" addressing residents'
concerns about their homes and neighborhoods has been distributed to residents
on the ATSDR mailing list.
In September 2002, the First Annual Conference on Children's Health and the Environment
was held at George Washington University. The George Washington University
Medical Center (GWUMC), Children's National Medical Center,
and MACCHE jointly sponsored the conference. Participants learned how to
recognize the clinical impact of environmental toxicants on children's health,
describe a variety of approaches to management and interventions regarding environmental
health problems in children, identify resources available to investigate and manage
environmental health problems in children, and recognize the impact of particular
settings and environments on children's health. The second conference is planned
for September 2004.
Association of Occupational and Environmental Clinics
The Association of Occupational and Environmental Clinics (AOEC), with national
headquarters in the District of Columbia, is a network of 65 clinics and
approximately 300 individual health professionals. AOEC plays a key role in assisting
local health care providers and community members respond effectively to health
concerns associated with hazardous waste sites and unplanned releases of hazardous
materials. Through a national cooperative agreement, AOEC and ATSDR work together
to conduct site-specific health promotion and medical education activities.
Pediatric Environmental Health Specialty Units (PEHSUs)
Since 1998, ATSDR has provided funds to AOEC to support a project establishing
PEHSUs as a national resource for pediatricians, other health care providers,
federal staff, and the public. The PEHSUs develop materials and present training
to health professionals and public health officials on environmental health issues
and their impact on children's health. MACCHE provides services throughout EPA's
Region 3. Established in October 2000, MACCHE's key focus is medical education
and training, telephone consultation, and clinical specialty referral for children
who may have been exposed to environmental hazards. MACCHE is a project of GWUMC
and the Children's National Medical Center, and includes collaboration
between the GWUMC Division of Occupational Medicine and Toxicology and
the Department of Pediatrics. In addition, MACCHE has assembled a team
that includes the Howard University College of Nursing and faculty from
the University of Maryland School of Medicine and the Medical College
of Pennsylvania.
In winter 2003-2004, MACCHE played a key role in providing information to residents
and health care providers about potential lead contamination in the District's
drinking water. MACCHE fielded calls from concerned citizens, attended community
meetings, and met with DC DOH to help provide information to the approximately
23,000 residents whose homes received water through lead pipes. A timely fact
sheet targeted to residents addressed safe water lead levels, identified groups
at risk, and made recommendations about blood lead testing and possible behavioral
changes to minimize risk. In additional, MACCHE's co-director twice delivered
testimony before the DC City Council about lead poisoning.
August 2004
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This page updated by Thomas Walker September 8, 2004