Skip directly to: content | left navigation | search

PUBLIC HEALTH ASSESSMENT

U.S. MARINE CORPS CAMP LEJEUNE
ONSLOW COUNTY, NORTH CAROLINA


COMMUNITY HEALTH CONCERNS EVALUATION

Several health concerns were raised by citizens living at or around MCB Camp Lejeune during one-on-one meetings with ATSDR staff or during meetings with MCB personnel.

1. Is the New River contaminated? Are fish from the river contaminated?

New River fish and shellfish tissue caught at several locations along the river contained low levels of chemical contaminants that currently present no apparent public health hazard. Low levels of pesticides, metals including mercury, PAHs, PCBs, and VOCs have been detected in river sediments or surface water at several locations that would not pose a health hazard to people who recreate on the river. Creeks and tributaries that flow into the New River typically contain higher concentrations of these contaminants. MCB Camp Lejeune has sampled areas along the New River that are near identified contaminated Installation Restoration Program sites. Results of each site's sampling appear in the specific report for each site. New River data has not been compiled in one document. ATSDR has evaluated all available chemical contaminant data for each site and presented our health evaluation in this public health assessment.

Although chemical contaminant data has been collected on the lower portion of the New River at MCB Camp Lejeune contaminated sites, ATSDR is still concerned that no group or agency routinely evaluates New River fish and shellfish for chemical contaminants. Multiple sources of chemical contaminants exit at MCB Camp Lejeune, and it is unknown whether contaminant levels are increasing or decreasing. Shellfish and fish can bioaccumulate and bioconcentrate contaminants present in the New River. Barely detectable levels of contaminants in water or sediment could present a public health hazard to people ingesting fish or shellfish. Certain contaminants build up in the food chain, accumulating in larger and larger amounts as small invertebrates are eaten by small fish, which in turn are eaten by large fish.

ATSDR will continue to discuss possible future sampling options with the NCDEHNR and other federal and local entities to ensure the protection of public health regarding ingestion of New River fish and shellfish.

ATSDR does not evaluate biological contamination that may come from sewage treatment or septic outfalls or discharge points. NCDEHNR Division of Water Quality evaluates biological contamination and issues permits for discharges and shellfish harvesting based on bacterial contaminant levels.

2. A family who used to live on base at the time during which contaminated water was unknowing being used at Tarawa Terrace is concerned that adverse health effects could be or have been caused by swimming in the pool supplied by that water in addition to drinking the contaminated water.

ATSDR reviewed the information available on the outdoor pool in question. Since the pool was located outside and filled no more frequently than once per month during the summer months, evaporation of the volatile organic compounds would have been rapid due to the warm temperature outside and turbulence of the water in the filling process. Additionally, because the pool was outdoors, the vapors were allowed to dissipate quickly into the air and not be trapped in the breathing zone of the swimmers. Therefore, swimming in the outdoor pool supplied with the contaminated water would not have increased the likelihood of any adverse health effects among any of the people exposed.

3. One family reports that their children, who attended the day-care center at Site 2 (1966-1982), suffer from allergies. Could their current allergies be caused by their exposure to pesticides in the past?

ATSDR researched the available scientific literature to determine if there is any correlation between pesticide exposure and general allergies. No link between pesticide exposure and general allergies was identified.

Exposure to the pesticides found at Site 2, DDT and chlordane, could possibly cause a subsequent allergic response to additional exposures to DDT or chlordane, but would not cause general allergies to other substances such as cats, dusts, or grasses. DDT and chlordane have not been used in the United States since the 1970s. If the child is no longer being exposed to DDT and chlordane, then the child would not be expected to currently have allergic responses. Moreover, one would not likely see a sustained reaction over the past 12 years since the time the day-care center was closed.

4. Does groundwater contamination on base pose a threat to the safety of county and community water wells?

No, not at this time. The closest off-base drinking water wells are one-half mile from the base boundary. We have not found that groundwater contamination on-base has moved off-base. In addition, public water wells are routinely tested to ensure safe drinking water.

ATSDR does recommend that MCB Camp Lejeune continue to test for groundwater contamination on base. If monitoring shows that the contaminated groundwater is moving toward on- or off-base drinking water supplies, measures should be taken to ensure that people do not come in contact with the contaminants. If the contaminated groundwater is moving toward areas where the groundwater use is unknown, we recommend that a thorough well survey be conducted of those areas. However, we do not think it is likely that off-base wells will become contaminated. The typical groundwater flow direction is toward the regional waterways (creeks, the New River, and the Atlantic Ocean) and away from off-base wells.

MCB Camp Lejeune is cleaning up the groundwater near the Hadnot Point Industrial Area by pumping the water and treating it. Treating the water while it is inside the base should also reduce the possibility of groundwater contamination migrating off-base.

5. In 1991, the following concern was raised. Would rashes and illnesses reported by workers while installing a fence around the Rifle Range Chemical Dump (Site 69) be attributable to exposure to hazardous chemicals?

ATSDR cannot make a health determination about these cases because more specific information would be needed since there are so many causes of rashes (contact dermititis) and non-descriptive illnesses. However, because these employees were installing a fence, they probably had contact with surface and subsurface soil. Soil sampling has been conducted at this site. Subsurface contaminant concentrations of PCBs or other chemicals may be at levels that could have caused skin irritation. However, no long-term adverse health effects are likely to result from worker exposures that occurred while building a fence because that type of exposure would be for only a short period of time. Nonetheless, all workers should take precautions to wear personal protective clothing while working with contaminated media, as required by the Occupational Safety and Health Administration (OSHA).

6. Are children attending an elementary school near the Rifle Range Chemical Dump (Site 69) being exposed to contaminants in the environment that will result in adverse health effects?

It is unlikely that soil contaminants from Site 69 are migrating at this time because the wastes are buried. Also, the site is fenced. The school is located far enough away (2 miles) that dust from clean-up operations would not present a public health problem. However, ATSDR recommends that MCB Camp Lejeune use appropriate measures (e.g., dust control procedures and air monitoring) during any site cleanup.

7. Officer wives were concerned about the number of miscarriages in their neighborhood and whether or not contaminants present in their housing area could be a contributing factor.

ATSDR contacted the base hospital and state regarding the number of miscarriages in the officer housing area. The number of miscarriages identified in the housing area do not appear to be unusual for the age, educational level, and number of people as compared with the number for the state. Furthermore, no contaminants have been detected in the housing area. ATSDR put the officer wives in contact with the base hospital obstetrician to discuss their concerns.

8. Officers' wives were concerned about small vials of white powder that their children found along the banks of the New River and brought home.

The base environmental group send the vials to the laboratory to have the white powder analyzed. Results show the white powder to be calcium hypochlorite typically used to kill bacteria in drinking water. Although these glass vials are not currently in use and no one who was contacted had knowledge of the history or use of the vials, base personnel speculate that because the vials are so small that they may have been part of a personal survival kit used by marine trainees to treat (sterilize) water in the field.

9. Could illnesses reported by two workers on Storage Lots 201 and 203 (Site 6) be related to exposure?

We would need to have additional information before we could answer this question. In particular, we would need to know what types of illnesses these workers were reporting, the setting in which the illnesses occurred; the workers' occupations, ages, and sexes; and their clinical symptoms. Further, we would have to know the substances to which they were exposed. Without all this information, ATSDR cannot determine if any health problems that developed in the workers are attributable to exposures.

10. What will be done with contaminated soils and water found on base when they are removed from the base?

Remedial investigations are still under way for some of the sites on the base. These investigations must be complete before a decision is made on what will be done with contaminated soils and materials. Federal and state agencies will consider alternative clean-up plans and will ask the public for its opinion on them.




PREPARERS OF REPORT



REFERENCES
  1. Marine Corps Base Camp Lejeune Public Affairs Office. Camp Lejeune MCAS New River Welcome Aboard Manual, 1993.

  2. US Census Bureau. Census Report for Onslow County, MCB Camp Lejeune. Washington: US Bureau of the Census, 1990.

  3. Environmental Science and Engineering, Inc. Site summary report final, Marine Corps Base, Camp Lejeune. September 1990.

  4. Avolis Engineering, PA. Draft document drinking water distribution system inventory and sampling study, Marine Corps Base Camp Lejeune. July 28, 1993.

  5. US Environmental Protection Agency. Drinking water regulations maximum contaminant level goals and national primary drinking water regulations for lead and copper. Federal Register 1991 Jun 7;56:26560.

  6. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Joe McClaren, Installation Restoration Division, MCB Camp Lejeune. July 28, 1997.

  7. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Rick Reigns, Installation Restoration Division, MCB Camp Lejeune. March 26, 1997.

  8. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for conference telephone communication with Neal Paul, director of Installation Restoration Division, Commander McGinnis, Occupational Medical Hospital, et al. MCB Camp Lejeune. January 1994.

  9. Pirkle JL, Brody DJ, Gunter EW, et al. The decline in blood lead levels in the United States. The National Health and Nutrition Examination Surveys (NHANES). JAMA 1994:272(4);284-290.

  10. Brody DJ, Pirkle JL, Kramer RA, et al. Blood lead levels in the US population. Phase I of the Third National Health and Nutrition Examination Survey (NHANES III, 1988 to 1991). JAMA 1994:272(4);277-283.

  11. Marine Corps Base Camp Lejeune. Laboratory results for 102 base employee/residents. January 1994.

  12. Agency for Toxic Substances and Disease Registry. Case studies in environmental medicine: lead toxicity. Atlanta: US Department of Health and Human Services, Public Health Service, 1992.

  13. Ryu JE, et al. Dietary intake of lead and blood lead concentration in early infancy. Am J Dis Child 1983;(137):886-891.

  14. Lacey RF, et al. Lead in water, infant diet, and blood: the Glasgow duplicate diet study. Sci Total Environ 1985;(41).

  15. Maes, et al. The contribution of lead in drinking water to levels of blood lead I: a cross-sectional study. (Unpublished observations.)

  16. Pocock SJ, et al. Effects of tap water lead, water hardness, alcohol, and cigarettes on blood lead concentrations. J Epidemiol Community Health 1983;(37):1-7.

  17. Marcus AH. Relationship between childhood blood lead and lead in water or liquid diet. Report from Battelle Columbus Division to Office of Toxic Substances, USEPA. Contract No. 68-02-4294. Feb. 14, 1989.

  18. Marcus AH. Statistical reanalyses of relationship of blood lead in Edinburgh children to lead in dust and water. Report from Battelle Columbus Division to Office of Toxic Substances, USEPA. Contract No. 68-D8-0115. April 1989.

  19. Marcus AH. Contributions to a risk assessment for lead in drinking water. Report from Battelle Columbus Division to Office of Toxic Substances, USEPA. Contract No. 68-D8-0115. June 15, 1990.

  20. Marcus AH. Uptake of lead from formula and food by infants: reanalysis of the Ryu et al. Data. Report from Battelle Columbus Division to Office of Toxic Substances, USEPA. Contract No. 68-D8-0115. June 15, 1990.

  21. Marcus AH. Variability of household copper levels in two American cities. Draft report from Battelle Columbus Operations to Office of Toxic Substances, USEPA. Contract No. 68-D8-0115. January 29, 1991.

  22. Centers for Disease Control. Preventing lead poisoning in young children. Atlanta: US Department of Health and Human Services, Public Health Service, October 1991.

  23. Agency for Toxic Substances and Disease Registry. Letter to Brigadier General Livingston. February 17, 1994.

  24. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Neal Paul, director of Installation Restoration Division, MCB Camp Lejeune. November 21, 1994.

  25. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Patrick Watters, State of North Carolina Department of Environment, Health, and Natural Resources. December 8, 1994.

  26. Marine Corps Base Camp Lejeune. Letter from Robert L. Warren Assistant Chief of Staff, February 1994.

  27. Granger Laboratories. Analyses of samples 206 and 207 from site coded TT and samples 208 and 209 coded HP. Samples received on July 29, 1982. Letter from Bruce Babson, to Commanding General of MCB Camp Lejeune, dated August 10, 1982.

  28. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for meeting with Stan Miller and Mack Frizelle, Water Department, MCB Camp Lejeune. October 26, 1993.

  29. Environmental Science and Engineering, Inc. Characterization step report for Hadnot Point Industrial Area, May 1988.

  30. Baker Environmental, Inc., Foster Wheeler Enviresponse, Inc, and Weston. Supplemental aquatic survey for Wallace Creek and Bearhead Creek, Operable Unit No. 2 (Sites 6, 9, and 82). September 1994.

  31. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for meeting with Elizabeth Betz, Water Quality Department, MCB Camp Lejeune. October 27, 1993.

  32. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone conversation with EPA Drinking Water Hotline. January 26, 1994.

  33. Weston Inc. Remedial investigation report, ABC One Hour Cleaners, Jacksonville, North Carolina. November 1992.

  34. McKone TE. Human exposure to volatile organic compounds in household tap water: the indoor inhalation pathway. Environ Sci Technol 1987;21:1194-1201.

  35. Biomedical and Environmental Information Analysis, Health and Safety Research Division, Oak Ridge National Laboratory. The installation restoration program toxicology guide, volume 1. 1989.

  36. Ruijten MW, Verberk MM, Salle HJ. Nerve function in workers with long-term exposure to tricholorethene. Brit J Indust Med 1991;48:87-92.

  37. Agency for Toxic Substances and Disease Registry. Toxicological profile for trichloroethylene. Atlanta: US Department of Health and Human Services, Public Health Service, October 1989.

  38. International Agency for Research on Cancer. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Volume 63. Dry cleaning, chlorinated solvents and other industrial chemicals. Lyon, France: 1995;136-204.

  39. Aschengrau A, Ozonoff D, Paul C, Coogan P, et al. Cancer risk and tetrachloroethylene-contaminated drinking water in Massachusetts. Arch Environ Health 1993;48(5):284-292.

  40. Cohn PD, Fagliano JA, Klotz JB. Assessing human health effects from chemical contaminants in drinking water. NJ Med 1994;91(10):719-722.

  41. Fagliano J, Berry M, Bove F, Burke T. Drinking water contamination and the incidence of leukemia: an ecologic study. Am J Public Health 1990;80(10):1209-1212.

  42. Lagakos SW, Wessen BJ, Zelen M. An analysis of contaminated well water and health effects in Woburn, Massachusetts. Journal of the American Statistical Association 1986;81(395):583-596.

  43. Massachusetts Department of Public Health. Woburn childhood leukemia follow-up study. Draft for public comment. 1996:112.

  44. Cutler JJ, Parker GS, Rosen SH, Prenney B, Healey R, Caldwell GG. Childhood leukemia in Woburn, Massachusetts. Public Health Rep 1986;101:201-5.

  45. Bove FJ, Fulcomer MC, Klotz JB, Esmart J, Dufficy EM, Zagraniski RT. Report on Phase IV-A: public drinking water contamination and birthweight, fetal deaths, and birth defects. A cross-sectional study. New Jersey Department of Health, 1992.

  46. Bove FJ, Fulcomer MC, Klotz JB, Esmart J, Dufficy EM, Zagraniski RT. Report on Phase IV-B: Public drinking water contamination and birthweight, fetal deaths, and birth defects. A cross-sectional study. New Jersey Department of Health, 1992.

  47. Shaw G, Shulman J, Frisch JD, Cummins SK, Harris JA. Congenital malformations and birthweight in areas with potential environmental contamination. Arch Environ Health 1992;47:147-154.

  48. Goldman LR, Paigen B. Low birth weight, prematurity, and birth defects in children living near the hazardous waste site, Love Canal. Haz Waste Haz Mater 1985;2(2):209-223.

  49. Vianna NJ, Polan AK. Incidence of low birth weight among Love Canal residents. Science 1984;226:1217-1219.

  50. Khoury MJ, Holtzman NA. On the ability of birth defects monitoring to detect new teratogens. Am J Epidemiol 1987;126:136-143.

  51. New Jersey Department of Health. A report on the health study of residents living near the Lipari Landfill. New Jersey Department of Health, Division of Occupational and Environmental Health, 1989.

  52. Agency for Toxic Substances and Disease Registry, ATSDR Record of Activity for meeting with Naval Regional Medical Center, MCB Camp Lejeune. February 1994.

  53. Agency for Toxic Substances and Disease Registry, ATSDR Record of Activity for meeting with Lyn Brinn, Family Housing, MCB Camp Lejeune. October 27, 1993.

  54. U.S. Geological Survey. Assessment of hydrologic and hydrogeologic data at Camp Lejeune Marine Corps Base, North Carolina. 1989.

  55. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Sue Yow, director of Human Services, MCB Camp Lejeune. June 30, 1993.

  56. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Neal Paul, director of Installation Restoration Division, MCB Camp Lejeune. June 30, 1993.

  57. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication, Nonappropriated Fund Personnel Office, MCB Camp Lejeune. June 30, 1993.

  58. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Neal Paul, director of Installation Restoration Division, MCB Camp Lejeune. April 6, 1994.

  59. Baker Environmental, Inc. Remedial investigation for Site 2, Marine Corps Base Camp Lejeune, (photocopied pages) June 1993.

  60. Klaassen CD, Amdur MO, Doull J, editors. Casarett and Doull's toxicology: the basic science of poisons. 4th edition. New York: Macmillan Publishing Company, 1993.

  61. Morgan DP, Roam CC. Absorption, storage and metabolic conversion of ingested DDT and DDT metabolites in man. Arch Environ Health 1971;22:301-397.

  62. International Agency of Research on Cancer (IARC). IARC monographs on the evaluation of the carcinogenic risk of chemicals to humans. Suppl 4. Geneva: World Health Organization, 1982.

  63. Hayes WJ Jr, Dale WE, Pirkle CI. Evidence of safety of long-term high oral doses of DDT for man. Arch Environ Health 1971;22:119-136.

  64. Klecka GM. Biodegradation. Meely WB, Blau GE, editors. Environmental exposure from chemicals, vol. 1. Boca Raton, Florida: CRC Press, 1985.

  65. Hayes WJ Jr. Pesticides studies in man. Williams and Wilkins: Baltimore, 1982;205-208.

  66. Baker Environmental, Inc. Remedial investigation report, Operable Unit No. 10, Site 35- Camp Geiger Area Fuel Farm, Marine Corps Base Camp Lejeune, North Carolina, May 1995.

  67. Baker Environmental, Inc. Remedial investigation report, Operable Unit No. 6, Site 36- Camp Geiger Area Dump, Marine Corps Base Camp Lejeune, North Carolina, August 1996.

  68. North Carolina Department of Environment Health and Natural Resources. Memorandum from Dr. Luanne K. Williams, Medical Evaluation and Risk Assessment Branch, Occupational and Environmental Epidemiology Section, to Jimmy Overton, Head Environmental Sciences Branch, Water Quality Section. May 15, 1997.

  69. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for telephone communication with Dr. Luanne K. Williams, NCDEHNR. May 15, 1997.

  70. Agency for Toxic Substances and Disease Registry. Case studies in environmental medicine: mercury toxicity. Atlanta: US Department of Health and Human Services, Public Health Service, 1992.

  71. North Carolina Department of Environment Health and Natural Resources. Mercury fact sheet. December 1996.

  72. Agency for Toxic Substances and Disease Registry. Toxicological profile for mercury. Atlanta: US Department of Health and Human Services, Public Health Service, December 1989

  73. Williams LK.. Protocol for fish consumption advisory due to elevated mercury levels in fish, North Carolina Department of Environment Health and Natural Resources, December 1996.

  74. Baker Environmental, Inc. Final proposed remedial action plan Operable Unit No. 8 (Site 16). February 15, 1996.

  75. Baker Environmental, Inc. Final remedial investigation report, Operable Unit No. 11 (Site 80). October 1995.

  76. Baker Environmental, Inc., Remedial Investigation Report, Operable Unit No. 11 (Site 7), June 1995.

  77. US Marine Corps Base Camp Lejeune. Letter from Robert Warren to Diane Jackson, ATSDR. July 22, 1996.

  78. Naval Facilities Engineering Command, Katherine Landman, Comments on ATSDR Draft Final Release, Public Health Assessment of Marine Corps Base Camp Lejeune, June 6, 1997. July 8, 1997.

  79. Baker Environmental, Inc., Foster Wheeler Enviresponse, Inc, and Weston. Remedial investigation report for Sites 6, 9, and 82-Operable Unit 2, Final August 1993.

  80. Baker Environmental, Inc. Remedial investigation report, Operable Unit No. 7 (Site 28), Marine Corps Base, Camp Lejeune, North Carolina. January 1995.

  81. Agency for Toxic Substances and Disease Registry. ATSDR Record of Activity for meeting with Charles Peterson, Fish and Wildlife Division, MCB Camp Lejeune. October 26, 1993.

  82. Baker Environmental, Inc. Remedial investigation report, (Sites 69 and 74), Marine Corps Base, Camp Lejeune, North Carolina. May 1994.

  83. Baker Environmental, Inc. Remedial investigation report, Operable Unit No. 3 (Site 48), Marine Corps Base, Camp Lejeune, North Carolina. June 1993.

  84. Baker Environmental, Inc. Status of installation restoration program activities at Marine Corps Base Camp Lejeune, North Carolina. June 18, 1993.

  85. Halliburton NUS. Site management plan for Marine Corps Base Camp Lejeune, North Carolina, Fiscal Year 1992. Final January 1992.



APPENDICES

The following appendices were not available in electronic format for conversion to HTML at the time of preparation of this document. To obtain a hard copy of the document, please contact:

Agency for Toxic Substances and Disease Registry
Division of Health Assessment and Consultation
Attn: Chief, Program Evaluation, Records, and Information Services Branch,
MS E-56
1600 Clifton Road NE, Atlanta, Georgia 30333



Table of Contents



Agency for Toxic Substances and Disease Registry, 1825 Century Blvd, Atlanta, GA 30345
Contact CDC: 800-232-4636 / TTY: 888-232-6348
 
USA.gov: The U.S. Government's Official Web Portal