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

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

5. Age-adjusted Cancer Rate 1999-2008 Indiana State Dept Health (Jan 2012).Blackford County Cancer Inquiry Final Report

6. Age-adjusted Cancer Rate 1998-2012 BlackfordIndianaUS All 514.7484.5460.4 Bladder 28.121.220.5 Colon 59.852.0543.7 Thyroid 14.99.112.9 *Rates are per 100,000 persons per year Indiana Cancer Registry (2014). Unpublished data

7. Numbers of Cancers in Blackford County 1998-2012 ActualExpected All 12891214 Bladder 7255 Colon 153133 Thyroid 3019 Indiana Cancer Registry (2014). Unpublished data

8. 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. www.cancer.org

9. 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. www.cancer.org

10. Cancer Risk Factors Smoking Diet Exercise Genetics Exposure to carcinogens

11. Robert Wood Johnson Foundation (2015) www.countyhealthrankings.org/

12. Good News The Blackford County smoking rate dropped – 2002 – 2008 33.8% – 2014 29% Indiana State Dept Health (Jan 2012).Blackford County Cancer Inquiry Final Report Robert Wood Johnson Foundation (2015) www.countyhealthrankings.org/

13. 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

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

15. Questions?

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

17. Groundwater

19. Leaking Underground Storage Tank

20. Leaching

24. 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

25. 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

27. Well Testing

28. Well Test Report Example

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

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

32. Soil at the Old Glass Factory Sites

33. Heavy metals in Glass Manufacturing Arsenic Lead

34. 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

35. Soil Testing Project 15 samples per site 2 foot cores

36. Soil sampling and testing generously donated by

38. Soil Sample with Glass Fragments

39. Soil Sample with Brick Fragments

40. Testing Soil for Arsenic and Lead by XRF

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

42. National Window and Bent Glass in Montpelier 1900

43. Montpelier 2015

44. Soil Samples Montpelier

45. Montpelier Preliminary Results-1

46. Montpelier Preliminary Results-2

47. American Window Glass in Hartford City 1909

48. Hartford City Soil Samples

49. Hartford City Preliminary Results-1

50. Hartford City Preliminary Results-2

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

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

53. Questions?

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