Agenda What is BCCC? Health Data Possible Environmental Health Hazards Next Steps Lunch

Agenda What is BCCC? Health Data Possible Environmental Health Hazards Next Steps Lunch

Age-adjusted Cancer Rate Indiana State Dept Health (Jan 2012).Blackford County Cancer Inquiry Final Report

Age-adjusted Cancer Rate BlackfordIndianaUS All Bladder Colon Thyroid *Rates are per 100,000 persons per year Indiana Cancer Registry (2014). Unpublished data

Numbers of Cancers in Blackford County ActualExpected All Bladder 7255 Colon Thyroid 3019 Indiana Cancer Registry (2014). Unpublished data

Cancer Risk Factors Bladder Cancer – Smoking – Aromatic amines (dye chemicals) – Workplace chemical exposures Rubber, Leather, textiles, chemical, and printing industries Hairdressers, truck drivers, painters – Chronic bladder infection or irritation – Chemotherapy or radiation – Pioglitazone (diabetes medicine Actos) – Dietary supplement aristolochic acid – Arsenic in drinking water – Low fluid consumption American Cancer Society.

Cancer Risk Factors Colon Cancer – Family history – Diabetes – Obesity – Smoking – Fatty diet – Alcohol consumption Thyroid Cancer – Radiation exposure – Female – Rare familial conditions American Cancer Society.

Cancer Risk Factors Smoking Diet Exercise Genetics Exposure to carcinogens

Robert Wood Johnson Foundation (2015)

Good News The Blackford County smoking rate dropped – 2002 – % – % Indiana State Dept Health (Jan 2012).Blackford County Cancer Inquiry Final Report Robert Wood Johnson Foundation (2015)

Amyotrophic Lateral Sclerosis Also known as ‘ALS’ or Lou Gehrig’s Disease Rate in U.S. is 2/100,000 Blackford County may have 5/100,000 – Per citizen survey

Amyotrophic Lateral Sclerosis Risk factors – Genetic mutations – Head trauma – Military service – Smoking – BMAA from blue-green algae – Heavy metals (Arsenic, Lead, Mercury)

Questions?

Agenda What is BCCC? Health Data Possible Environmental Health Hazards Next Steps Lunch

Groundwater

Leaking Underground Storage Tank

Leaching

Chemicals of Concern Carcinogens arsenic chromium benzene benzo(a)pyrene Neurotoxins lead mercury methylene chloride tetrachloroethene toluene trichloroethene xylene tetrachloroethylene petroleum hydrocarbons Endocrine Disruptors atrazine bis (2-ethylhexyl)phthalate di-n-butylphthalate polychlorinated biphenyls (PCBs) Toxic to metabolism cyanide nitrate/nitrite naphthalene Other copper nickel silver zinc

Well Testing Project Indiana State Department of Health Laboratories Blackford County Health Department 14 well owners – Near old oil/gas wells – Near dump sites – Near neither

Well Testing

Well Test Report Example

Well Test Results None of the tests exceeded US standards for safe drinking water All the wells tested meet US standards for safe water

One minor caveat Arsenic – US Maximum Contaminant Level 10 ug/L – 3 wells had arsenic at 7 – 8 ug/L

Soil at the Old Glass Factory Sites

Heavy metals in Glass Manufacturing Arsenic Lead

EPA Standard Exposures Exposure pathDaily intake Ingestion of water2 Liters Ingestion of dust (child)200 mg Ingestion of dust (adult)100 mg Inhalation (total)20 m 3 Modified from Penningroth (2010). Toxic Chemical Risk. Pg 139

Soil Testing Project 15 samples per site 2 foot cores

Soil sampling and testing generously donated by

Soil Sample with Glass Fragments

Soil Sample with Brick Fragments

Testing Soil for Arsenic and Lead by XRF

Soil Testing: Preliminary Results XRF is a rapid screening method Confirmatory tests are pending

National Window and Bent Glass in Montpelier 1900

Montpelier 2015

Soil Samples Montpelier

Montpelier Preliminary Results-1

Montpelier Preliminary Results-2

American Window Glass in Hartford City 1909

Hartford City Soil Samples

Hartford City Preliminary Results-1

Hartford City Preliminary Results-2

Agenda What is BCCC? Health Data Possible Environmental Health Hazards Next Steps Lunch

Next Steps Research – Groundwater – Heavy metals – Possibly BMAA, radon Seeking Solutions Education

Questions?

Agenda What is BCCC? Health Data Possible Environmental Health Hazards Next Steps Lunch