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PUBLIC HEALTH ASSESSMENT

ANDREWS AIR FORCE BASE
CAMP SPRINGS, PRINCE GEORGE'S COUNTY, MARYLAND


COMMUNITY HEALTH CONCERNS

ATSDR identified the following community health concerns through meetings with concerned community members; contact with Andrews AFB, PGCHD, and EPA; and review of site documents.


ATSDR CHILD HEALTH INITIATIVE

ATSDR recognizes that infants and children may be more sensitive to environmental exposure than adults in communities faced with contamination of their water, soil, air, or food. This sensitivity is a result of the following factors: 1) children are more prone to be exposed to certain media (e.g., soil or surface water) because they play outdoors; 2) children are shorter than adults, which means that they can breathe dust, soil, and vapors close to the ground; and 3) children are smaller, therefore childhood exposure results in higher doses of chemical exposure per body weight. Children can sustain permanent damage if these factors lead to toxic exposure during critical growth stages. ATSDR is committed to evaluating their special interests at sites such as Andrews AFB as part of its Child Health Initiative.

In the past, children could have been exposed to harmful levels of lead in the soil surrounding two lead-paint containing water towers that were sandblasted in 1990/1991. An elevated blood lead level was documented for one child living near water tower No. 3589. Other children living or playing in the area may have had similar exposures. Currently, children playing near water tower No. 4614 may be exposed to elevated levels of lead in the soil. Sampling was recently conducted to define the nature and extent of the level of lead. The results are not yet available for review, however, preliminary evaluations from the Air Force's sampling suggest that the extent is limited. Once results are available, ATSDR will evaluate the effect of this exposure on children's health.

Andrews AFB established a childhood blood lead surveillance program in 1993 as required in the Department of Air Force Lead Screening Policy from HQ, April 2, 1993. The Public Health Flight reports statistics on blood lead screening to the Epidemiology Division at Armstrong Laboratories, Brooks AFB, TX. In 1996, Armstrong Laboratories analyzed the blood lead data and determined that Andrews AFB could move from universal screening to risk-based screening based on the statistically low percentage of elevated blood lead tests (IERA/RSRH 1999). All children attending the Pediatrics and Family Practice clinics are screened at their well-baby and annual check-ups via a questionnaire administered to the parents. The parents are also educated on lead exposures by their health care providers. Children whose activities, behaviors, or residence indicate a potential for lead exposure have their blood drawn to screen for elevated blood lead levels. Since 1994, 4,895 children have been screened. The Public Health flight investigates any blood lead levels elevated above 9 mg/dl to identify potential hazards/exposures. Since 1994, 99.37% of all tests were negative (98% is required to transition from universal to risk-based screening).

ATSDR did not identify any other pathways at Andrews AFB that could result in harmful exposures to children. ATSDR based this conclusion of the following factors:


CONCLUSIONS

ATSDR has drawn the following conclusions from current environmental data and information on the Andrews AFB site:


PUBLIC HEALTH ACTION PLAN

The Public Health Action Plan for Andrews AFB contains a description of actions taken and those to be taken by ATSDR, the Air Force, and PGCHD at and in the vicinity of the site after the completion of this public health assessment. The purpose of the Public Health Action Plan is to ensure that this public health assessment not only identifies public health hazards, but also provides a plan of action designed to mitigate and prevent adverse human health effects resulting from exposure to hazardous substances in the environment. The public health actions that are completed, being implemented, planned, or recommended are as follows:

Actions Completed:

Actions Ongoing:

Actions Planned:

Recommendations for Further Action:


REFERENCES

Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological profile for Trichloroethylene. Atlanta: US Department of Health and Human Services. September 1997

ATSDR. Toxicological profile for Lead. Atlanta: US Department of Health and Human Services. July 1999.

ATSDR. 2001. Public Health Assessment for Brandywine Defense Reutilization and Marketing Office. May 1, 2001.

Ahern, Col Daniel B, 89th AW/CC. 1992. Decision Document: Site FT-03, Fire Training Area 2, Andrews Air Force Base (AFB). September 25, 1992.

Andrews AFB, 89th AW/CC. 1991. Data sheet concerning contamination at 290 Winston Road. Andrews AFB, MD. 1991.

Andrews AFB, Installation Restoration Program (IRP). 1993. Assessment of Impacts of Landfills LF-06 and LF-07 on Piscataway Creek and Surrounding Area. December 1993.

Andrews AFB, 89 CES/CEVR. 1996. Decision Document for No Action at Sites LF-06 and LF-07, Andrews AFB. April 1996.

Andrews AFB.1997. Management Action Plan. July 1997.

Andrews AFB. 1999a. Draft Community Relations Plan. December 1999.

Andrews AFB, IRP. 1999b. Status Report: Supplemental Remedial Investigation, IRP Site ST-14. December 1999.

Andrews AFB. 2001a. Review Comments to ATSDR's Initial Release Draft Public Health Assessment for Andrews Air Force Base (December 2000). January 31, 2001.

Andrews AFB. 2001b. Excel data tables for the April surface soil sampling surrounding water tower Nos. 3589 and 4614. May 22, 2001.

Dames & Moore, Inc. 1992. Hazardous Waste Remedial Actions Program (HAZWRAP). Groundwater Contamination Survey, Andrews AFB. Bethesda, MD. April 1992.

Dames & Moore, Inc. 1994a. HAZWRAP. Technical Memorandum of Findings: Site ST-08 Investigation, Andrews AFB. Bethesda, MD. November 1994.

Dames & Moore, Inc. 1994b. HAZWRAP. Technical Memorandum of Findings: Site ST-14 Investigation, Andrews AFB. Bethesda, MD. November 1994.

EA Engineering, Science, and Technology, Inc (EA Engineering). 1993. U.S. Air Force. Human Health Risk Assessment, Andrews AFB, Family Housing Unit UST Leak. Loveton, MD. January 20, 1993.

EA Engineering. 1995a. Andrews AFB, CES/CEVR. Piscataway Creek Remedial Investigation Phase II Report, Volumes 1 and 2. Sparks, MD. April 1995.

EA Engineering. 1995b. Final Environmental Assessment for the Construction of an Eighteen-Hole Golf Course at Andrews AFB, Maryland. Sparks, MD. August 1995.

EA Engineering. 1995c. Letter to Mr. Terry Edwards from John Gurley concerning additional investigative work in support of the proposed golf course. Hunt Valley, MD. September 13, 1995.

EA Engineering. 1996. Army Corp of Engineers. Remedial Investigation Report, Leroy's Lane Landfill, Andrews AFB. Volumes 1 and 2. Sparks, MD. April 1996.

EA Engineering. 1996. Army Corp of Engineers. First-Quarter Field Sampling at Leroy's Lane Landfill (LF-05), Andrews AFB. Sparks, MD. February 1999.

Engineering-Science. 1985. U.S. Air Force AFESC/DEV. Phase I - Records Search. Andrews AFB, MD. June 1985.

Environmental Protection Agency (EPA). 1997. Exposure Factors Handbook. August 1997. Available at URL: http://www.epa.gov/ncea/exposfac.htm Exiting ATSDR Website.

EPA. 1999. Subsurface Vapor Intrusion into Buildings: User's Guide for the Johnson and Ettinger (1991) Model and Models. January 14, 1999. Available at URL: http://www.epa.gov/superfund/programs/risk/airmodel/johnson_ettinger.htm Exiting ATSDR Website.

Gannett Fleming, Inc./Dynamac Corporation. 1997. U.S. Environmental Protection Agency, Region III. Data Acquisition Summary Report: Andrews AFB. December 30, 1997.

Government of District of Columbia (DC), Department of Human Services. 1991a. Blood Lead Levels. March 1991.

Government of DC, Department of Human Services. 1991b. Blood Lead Levels. May 1991.

IERA/RSRH. 1999. Letter to 89 MDG/CC from Major Steven R. Hinten concerning pediatric blood lead screening program testing status. Brooks AFB, TX. May 11, 1999.

IT Corporation. 1996a. Tennessee Center for Research and Development. Phase II Site Investigation Report, 2132 Richmond Drive Site 18 (ST-18), Andrews AFB, MD. Knoxville, TN. July 1996.

IT Corporation. 1996b. Tennessee Center for Research and Development. Phase II Site Investigation Report, Buildings 1950/1951, Site SS-21, Andrews AFB, MD. Knoxville, TN. July 1996.

IT Corporation. 1997. Air Force Center for Environmental Excellence. Interim Remedial Action/Treatability Study Report: ST-08, Military Gas Station. Knoxville, TN. March 1997.

IT Corporation. 1998. Letter to Mr. Ruiz-Vazquez from Everett Wessner concerning analytical data for the groundwater sampling at off-site locations at Andrews AFB. Knoxville, TN. January 21, 1998.

IT Corporation. 2000a. Air Force Center for Environmental Excellence. Quarterly System Evaluation Report (January through June 2000), Long-Term Monitoring/Operation and Maintenance Program at Multiple Sites at Andrews Air Force Base, Maryland. Knoxville, TN. November 2000.

IT Corporation. 2000b. Air Force Center for Environmental Excellence. Final Comprehensive Environmental Investigation at Site ST-14, Andrews Air Force Base, Maryland. Knoxville, TN. December 2000.

Maryland Department of the Environment (MDE). 1984. Field Investigation Report by Rich Maurer. Annapolis, MD. May 24, 1984.

MDE. 2000. Notice of Compliance from John Smiechowski to Col. Hawkins concerning SS-12. Baltimore, MD. June 15, 2000.

MITRE. 1993. Review of Investigations at Site LF-05, Andrews AFB, Camp Springs, MD. 1993.

PEER Consultants, P.C. 1997. Environmental Analytical Data: Informal Technical Information Report for the POL Storage Yard, Site SS-13, Andrews AFB, MD.

Penniman & Browne, Inc. 1990. Report of Analysis for lead levels in paint chips. Baltimore, MD. April 28, 1990.

Prince George's County Health Department (PGCHD). 1992a. Letter to Main File from Anne Williams concerning a survey of civilian drinking water supplies adjacent to Andrews AFB bulk fuel storage facility. August 19, 1992.

PGCHD. 1992b. Letter to Mr. Jim Rowell from Melanie Christodoulou concerning sampling at 6600 Foxley Road. Lanham-Seabrook, MD. August 27, 1992.

PGCHD. 1997. Letter to Ms. Margolis from Donald Nork concerning the Feasibility Study Report for LF-05. Landover, MD. May 2, 1997.

PGCHD. 2000. Certificate of Analysis - Volatiles concerning contamination from a groundwater seep on Foxley Road. Baltimore, MD. August 14, 2000.

PGCHD. 2001. Comments to ATSDR's Draft Public Health Assessment for Andrews AFB. February 28, 2001.

PGCHD. 2001. Comments to ATSDR's Public Comment Public Health Assessment for Andrews AFB. August 20, 2001.

State of Maryland, Department of Health and Mental Hygiene. 1990. Metals Analysis Report Forms concerning contamination at water towers No. 3589. Baltimore, MD. December 1990.

State of Maryland, Department of Health and Mental Hygiene. 1991a. Metals Analysis Report Forms concerning contamination at water towers No. 4614. Baltimore, MD. February 1991.

State of Maryland, Department of Health and Mental Hygiene. 1991b. Dust Examination for Lead. Baltimore, MD. May 1991.

State of Maryland, Department of Health and Mental Hygiene. 2000. Metals Analysis Report Forms concerning sampling at 6600 Foxley Road. Baltimore, MD. August 30, 2000.

Tetra Tech, Inc. 1994. IRP RCRA Facility Investigation/Corrective Measures Study Work Plan for Site SS-13, POL Storage Yard, Andrews AFB, MD. San Bernardino, CA. March 1994.

Tetra Tech, Inc. 1995. Decision Document: Site SS-13, The Petroleum, Oil, and Lubricant Storage Yard, Andrews AFB. San Bernardino, CA. September 29, 1995.

Tetra Tech, Inc. 1996. Headquarters Air Mobility Command. Preliminary Assessment and Site Investigation Report: AOCs 23-25, 27-29, and IRP Sites FT-02, FT-03, SS-12, and WP-16. Falls Church, VA. July 1996.

United States Air Force (USAF). 1984. Letter to Charles Wheeler from Colonel Charles Ridgway concerning Notice of Violation C-84-758. Andrews AFB, DC. June 28, 1984.

USAF. 1998. Summary of Current and Planned Environmental Activities at IRP Sites: SS-13 (POL Yard) and SS-22 (Hangar 13). Presented to the Andrews AFB Technical Review Committee on July 23, 1998.

United States (U.S.) Department of the Interior, U.S. Geological Survey, Water Resources Division. 1989. United States Air Force. Installation Restoration Program Remedial Investigation/Feasibility Study (RI/FS), Stage 1. Richmond, VA. April 1989.

U.S. Food and Drug Administration (FDA). 1997. Preventing Iron Poisoning in Children. FDA Backgrounder. January 15, 1997. Available from URL: http://vm.cfsan.fda.gov/~dms.

Walter Reed AMC, MD. 1990. Blood Lead Levels. October 1990.


PREPARERS OF REPORT

Jeff Kellam
Environmental Health Scientist
Federal Facilities Assessment Branch
Division of Health Assessment and Consultation

LCDR Danielle DeVoney, Ph.D.
Environmental Health Scientist
Federal Facilities Assessment Branch
Division of Health Assessment and Consultation

Gary Campbell, Ph.D.
Environmental Health Scientist, Section Chief
Federal Facilities Assessment Branch
Division of Health Assessment and Consultation

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