beyond science and decisions
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Beyond Science and Decisions. TCEQ Workshop I Austin, Texas March 16-18, 2010 Bob Benson EPA Region 8 March 17, 2010. Bob Benson’s House. Science and Decisions: Advancing Risk Assessment Chapter 5 Toward a Unified Approach to Dose-Response Assessment. - PowerPoint PPT PresentationTRANSCRIPT
Beyond Science and Beyond Science and DecisionsDecisions
TCEQ Workshop ITCEQ Workshop I
Austin, TexasAustin, Texas
March 16-18, 2010March 16-18, 2010
Bob BensonBob Benson
EPA Region 8EPA Region 8
March 17, 2010March 17, 2010
Science and Decisions:Science and Decisions:Advancing Risk AssessmentAdvancing Risk Assessment
Chapter 5Chapter 5Toward a Unified Approach to Toward a Unified Approach to Dose-Response AssessmentDose-Response Assessment
A Perspective from an EPA A Perspective from an EPA Regional ScientistRegional Scientist
Disclaimer: The views in this presentation do Disclaimer: The views in this presentation do not reflect the views and policies of the US EPAnot reflect the views and policies of the US EPA
Problems Identified by NAS PanelProblems Identified by NAS PanelCancer Assessments:Cancer Assessments:
• Inter-human variability in risk either not addressed (animal studies) or incompletely addressed (epidemiological studies)
• Uncertainty in risk not characterized
• Low dose, non-linear assessments (RfD approach) do not present a risk measure (risk below RfD = 0)
Problems Identified by NAS PanelProblems Identified by NAS PanelNon-Cancer Assessments:Non-Cancer Assessments:
• Possibility for low dose linearity not addressed
• No risk measure presented. Risk below RfD = 0. HI, RfD, MOE of limited utility for risk-benefit analyses.
• Uncertainty not distinguished from variability
Characteristics of the NAS Characteristics of the NAS Recommended Dose-Response Recommended Dose-Response
FrameworkFramework
• Use spectrum of evidence from human, animal, mechanistic, and other relevant studies (in absence of chemical specific information use defaults based on evidence from other chemicals)
• Adopt risk-specific Reference Dose• Use distributions rather than point
values for uncertainty factors
Risk Specific Reference DoseRisk Specific Reference Dose
• Dose that corresponds to a particular risk specified to be de minimus (for example, 1 in 100,000) at a defined confidence level (for example, 95%) for the endpoint of concern. It can be derived by applying human variability and other adjustment factors (for example, for interspecies differences) represented by distributions rather than default uncertainty factors.
Using a risk standard of 1 in Using a risk standard of 1 in 100,00 is too low to be practical 100,00 is too low to be practical
for hazardous waste sites in EPA for hazardous waste sites in EPA RegionsRegions
What does a 1 in 100,000 What does a 1 in 100,000 probability of a 10% increase probability of a 10% increase
in liver weight mean?in liver weight mean?
What is the cost (willingness What is the cost (willingness to pay) to correct the to pay) to correct the
condition?condition?
Characteristics of the NAS Characteristics of the NAS Recommended Dose-Response Recommended Dose-Response
FrameworkFramework
• Quantitative consideration of human variability
• Quantitative consideration of uncertainty
• Evaluate background exposure and background disease process to select modeling approach (linear or non-linear)
Consideration of Background ExposureConsideration of Background Exposure
Hiking
Drinking water
Soil
Diet
0.2%
2.7%2%
95%
Contributions of Exposure Pathways from Cadmium for Crested Butte Residents who also recreate at Standard Mine
Summary of Cancer Risk from Arsenic to an Adult Summary of Cancer Risk from Arsenic to an Adult Fisherman Compared to Risk to a ResidentFisherman Compared to Risk to a Resident
Receptor Soil* Air Water Diet**
Adult Fisherman 3E-07 -- 1E-07 1E-05
Adult Resident 1E-06 4E-06 1E-05 4E-04
-- = incomplete pathway*Risks from exposure to sediment have been summarized in the "soil" category for the fisherman.**Risks from exposure to diet have been summarized for fish tissue for the fisherman.
0.0E+00
1.0E-04
2.0E-04
3.0E-04
4.0E-04
5.0E-04
Adult Fisherman Adult Resident
Ris
k V
alu
e
Water
Air
Soil
Diet
Characteristics of the NAS Characteristics of the NAS Recommended Dose-Response Recommended Dose-Response
FrameworkFramework
• Extrapolate from human POD to low dose where response = 1 in 100,000
• Default extrapolation using linear model in most cases (slope = 1)
Current Uncertainty Factors Current Uncertainty Factors used to derive a RfDused to derive a RfD
• Subchronic to chronic
• Data base deficiency
• Animal to human extrapolation
• Inter-human variability
Source of distributions to Source of distributions to replace uncertainty factorsreplace uncertainty factors
• Distributions from an analysis of uncertainty factors from a random sampling of IRIS files
• Distributions from an analysis of data from pharmaceuticals
Is it an advance to replace point Is it an advance to replace point values for uncertainty factors values for uncertainty factors with a distribution that is not with a distribution that is not derived from the chemical of derived from the chemical of
concern?concern?
Alternative Source of distributions Alternative Source of distributions to replace uncertainty factorsto replace uncertainty factors
• Distributions in internal dose (PK) in lab animals and humans with the chemical of interest
• Distributions in PD in lab animal and humans (Tox Testing in 21st Century)
A Proposal for Cost-A Proposal for Cost-Benefit AnalysesBenefit Analyses
Many EPA statutes require cost-benefit Many EPA statutes require cost-benefit analyzes in the rule making.analyzes in the rule making.
BMDBMD1010 = 3.62 = 3.62
BMDLBMDL1010 = 2.78 = 2.78
RfD = BMDLRfD = BMDL1010/10x10 = 0.03/10x10 = 0.03
Response at RfD = 0 to 1 in 1,000 (95% UCL)Response at RfD = 0 to 1 in 1,000 (95% UCL)
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0 100 200 300 400 500 600 700 800
Fra
ctio
n A
ffe
cte
d
dose
Multistage Model with 0.95 Confidence Level
19:56 02/23 2010
BMDBMDL
MultistageBMD Lower Bound
BMDBMD1010 = 80.3 = 80.3
BMDLBMDL1010 = 65.8 = 65.8
RfD = BMDLRfD = BMDL1010/10x10 = 0.7/10x10 = 0.7
Response at RfD = 0 to 1 in 1,000 (95% UCL)Response at RfD = 0 to 1 in 1,000 (95% UCL)
0
0.1
0.2
0.3
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0.5
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0 5 10 15 20 25 30 35 40
Fra
ctio
n A
ffe
cte
d
dose
Log-Logistic Model with 0.95 Confidence Level
20:28 02/16 2010
BMDL BMD
Log-LogisticBMD Lower Bound
Toxicologists: A threshold exists!Toxicologists: A threshold exists!
There must be an exposure below There must be an exposure below which no biologically significant which no biologically significant
response occursresponse occurs
Statisticians: A threshold can’t be Statisticians: A threshold can’t be verified!verified!
A response follows a linear relationship. A response follows a linear relationship. Any exposure greater than 0 will cause some Any exposure greater than 0 will cause some response. The slope isn’t always equal to 1.response. The slope isn’t always equal to 1.