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HEALTH CONSULTATION

Health Outcome Data Evaluation

KELLY AIR FORCE BASE
SAN ANTONIO, BEXAR COUNTY, TEXAS
EPA FACILITY ID: TX2571724333

June 1, 2001

Prepared by:

Division of Health Studies
Health Investigations Branch
Agency for Toxic Substances and Disease Registry


NOTE: The evaluation of health outcome data was originally included as Appendix G in theKelly Air Force Base public health assessment document. Due to the volume and nature of theevaluation of health outcome data, it has been formatted into a separate document. The wordingof the health outcome data section has not been changed from the original text except in thoseinstances where public comments were received and changes were incorporated. A list of thepublic comments received, as well as responses to these comments, can be found in the Kelly AirForce Base public health assessment.

For information regarding evaluation of environmental exposure at Kelly Air Force Base, thereader is referred to other ATSDR documents addressing this issue including the public healthassessment, the current air emissions health consultation, the past air emissions healthconsultation, the on-base drinking water health consultation, and the East Kelly public healthassessment. These documents will be place at the local repositories for review or they can be requested by writing to

Chief, Program Evaluation, Records, and Information Services Branch (PERIS)
Division of Health Assessment and Consultation
Agency for Toxic Substances and Disease Registry
ATTN: Kelly Air Force Base
1600 Clifton Road, NE (E56)
Atlanta, Georgia 30333


TABLE OF CONTENTS

I. HEALTH OUTCOME DATA

II. INTERPRETING HEALTH OUTCOME DATA

III. CANCER DATA

IV. GENERAL FACTS ABOUT CANCER

V. BIRTH OUTCOMES

VI. LOW BIRTH WEIGHT

VII. LEAD STATISTICS

VIII. CONCLUSIONS

IX. RECOMMENDATIONS

X. REFERENCES

TABLES

Table 1: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1990-1994
Table 2: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1990-1994
Table 3: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1990-1994
Table 4: Number of Observed and Expected Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1991-1995
Table 5: Number of Observed and Expected Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1991-1995
Table 6: Number of Observed and Expected Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1991-1995
Table 7: Number of Observed and Expected Liver Cancer Cases and Race-Adjusted Standardized Incidence Ratios, San Antonio, Texas, 1990-1994
Table 8: Number of Observed and Expected Liver Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, San Antonio, Texas, 1991-1995
Table 9: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Birth Certificates, San Antonio, Texas, Zip Code 78211, 1991-1995
Table 10: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Birth Certificates, San Antonio, Texas, Zip Code 78228, 1991-1995
Table 11: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Birth Certificates, San Antonio, Texas, Zip Code 78237, 1991-1995
Table 12: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Fetal Death Certificates, San Antonio, Texas, Zip Code 78211, 1990-1995
Table 13: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Fetal Death Certificates, San Antonio, Texas, Zip Code 78228, 1990-1995
Table 14: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Fetal Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Table 15: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78211, 1990-1995
Table 16: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78228, 1990-1995
Table 17: Comparison of Observed Cases to Expected Based on Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Table 18: Comparison of Observed Cases to Expected Adjusted for Selected Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Table 19: Comparison of Observed Cases to Expected Adjusted for Maternal Age for Selected Congenital Anomalies as Listed on Infant Death Certificates, San Antonio, Texas, Zip Code 78237, 1990-1995
Table 20: Comparison of Observed to Expected Cases of Low Birth Weight as Listed on Infant Birth Certificates, Zip Codes 78211, 78228, and 78237, San Antonio, Texas, 1990-1995
Table 21: Blood Lead Levels of Children 0-72 Months of Age in San Antonio, Texas, Zip Code 78211
Table 22: Blood Lead Levels of Children 0-72 Months of Age in San Antonio, Texas, Zip Code 78228
Table 23: Blood Lead Levels of Children 0-72 Months of Age in San Antonio, Texas, Zip Code 78237

APPENDIX A

Table A-1: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1985-1992
Table A-2: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1985-1992
Table A-3: Number of Observed and Expected Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1990-1994
Table A-4: Number of Observed and Expected Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1990-1994

APPENDIX B

Table B-1: Number of Observed and Expected New Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1990-1994
Table B-2: Number of Observed and Expected New Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1990-1994
Table B-3: Number of Observed and Expected New Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1990-1994
Table B-4: Number of Observed and Expected Liver Cancer Cases and Race-Adjusted Standardized Incidence Ratios, San Antonio, Texas, 1990-1994

APPENDIX C

Table C-1: Number of Observed and Expected Liver Cancer Deaths and Race-Adjusted Standardized Mortality Ratios, San Antonio, Texas, 1991-1995

APPENDIX D

Table D-1: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78201, 1990-1994
Table D-2: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78204, 1990-1994
Table D-3: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78205, 1990-1994
Table D-4: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78207, 1990-1994
Table D-5: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78221, 1990-1994
Table D-6: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78224, 1990-1994
Table D-7: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78225, 1990-1994
Table D-8: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78226, 1990-1994
Table D-9: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78227, 1990-1994
Table D-10: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78242, 1990-1994

APPENDIX E

Table E-1: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1990-1996
Table E-2: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1990-1996
Table E-3: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Incidence Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1990-1996
Table E-4: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78211, 1990-1997
Table E-5: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78228, 1990-1997
Table E-6: Number of Observed and Expected Cancer Cases and Race-Adjusted Standardized Mortality Ratios, Selected Sites, San Antonio, Texas, Zip Code 78237, 1990-1997
Table E-7: Distribution of Leukemia Cases in Zip Code Areas 78211, 78228, and 78237 by Cell Type, San Antonio, Texas, 1990-1996
Table E-8: Distribution of Leukemia Deaths in Zip Code Areas 78211, 78228, and 78237 by Cell Type, San Antonio, Texas, 1990-1997

PREPARERS OF REPORT

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