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Lead Human Exposure and Health Risk Assessments for Selected ...

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there are many blood Pb studies reported in the literature, they are largely composed of<br />

populations experiencing exposures from all pathways that are higher than current exposures.<br />

No datasets were identified <strong>for</strong> specific subpopulations with exposures corresponding to current<br />

exposures that would be appropriate <strong>for</strong> per<strong>for</strong>mance evaluation here. In the case of the general<br />

urban case study, while it is not location-specific, we have not identified any contemporary<br />

datasets <strong>for</strong> urban locations with ambient air Pb levels matching those modeled in the current<br />

scenario that are not heavily influenced by Pb-paint. For the primary Pb smelter case study<br />

location, the most generally available blood Pb monitoring study was completed in 2001 <strong>and</strong><br />

2002, <strong>and</strong> given the changes in exposures since that time <strong>and</strong> the use of a future (current NAAQS<br />

attainment) scenario these older blood Pb surveys do not correspond to the exposures modeled<br />

<strong>for</strong> this case study. In the case of the secondary Pb smelter, the blood Pb data available <strong>for</strong> the<br />

county containing the secondary Pb smelter does not indicate residence location h<strong>and</strong>icapping<br />

ef<strong>for</strong>ts to consider blood Pb levels <strong>for</strong> children in the secondary Pb smelter case study location.<br />

While blood Pb datasets were not identified <strong>for</strong> populations representative of those<br />

modeled <strong>for</strong> the three case studies, we have compared the modeled blood Pb levels against<br />

general national-scale blood Pb levels (<strong>for</strong> a child age group matching that modeled <strong>for</strong> the case<br />

studies). While each of the case studies involves a population that is different than the national<br />

population (reflecting the nature of the exposure scenario being considered), the background<br />

exposures <strong>for</strong> the case studies <strong>and</strong> the national population are similar. Accordingly, the<br />

relationship between the modeled blood Pb levels <strong>for</strong> each study area <strong>and</strong> the national<br />

distribution are evaluated. For this evaluation, we have used measured values interpolated from<br />

the NHANES IV dataset. Specifically, we have interpolated a series of percentile estimates <strong>for</strong> 7<br />

yr olds based on summary data presented <strong>for</strong> NHANES IV (CDC, 2005). The process of<br />

interpolating these values involved the following steps: (a) use summary statistics (GM <strong>and</strong><br />

associated confidence intervals) <strong>for</strong> 1-5 yr olds <strong>and</strong> 6-19 yr olds (<strong>for</strong> years 1999-2002) to<br />

establish log-normal distributions <strong>for</strong> each age range, (b) identify population percentiles of<br />

interest (e.g., median, 90 th , 95 th , 99.5 th percentiles) <strong>for</strong> each age group using these log-normal<br />

distributions, <strong>and</strong> (c) interpolate a series of percentiles <strong>for</strong> a 7yr age cohort using the percentiles<br />

<strong>for</strong> the two age ranges (the 1-5 yr old <strong>and</strong> 6-19 yr old). This interpolation procedure resulted in<br />

the population percentile estimates <strong>for</strong> a 7 yr old cohort (<strong>for</strong> the years 1999-2002) presented in<br />

Table 3-25.<br />

July 2007 3-51 Draft – Do Not Quote or Cite

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