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Dr. Morton Lippmann <br />Final Review Comments - M. Lippmann <br />Ozone Staff Paper -Jan. 2007 Draft <br />General Comments: <br />1) This Jan. 2007 "final" draft reflects the prior recommendations of CASAC, and is <br />substantially improved. <br />2) Even though the Jan. 2007 Staff Paper is considered to be fmal, there are some technical <br />defects in Chapters 2 and 3 that I think may warrant notation in an Errata. I also have <br />some serious concerns about what is riot in Chapter 6 that I feel should have been, and I <br />recommend that they be addressed when the Notice of Intent to establish the next Ozone <br />NAAQS is prepared. These are addressed below as some Specific Comments. <br />Specific Comments on Chapters 2 & 3.: <br />1) p. 2-6, Table 2-2: The entries for 2002, 2003, & 2004 are identical. This cannot be <br />correct. <br />2) p. 3-3, Para. 3, line 6: change "a role for one or a group" to "a specific role for any one, <br />or any group". <br />3) p. 3-22, Para. 1, line 1: insert "cross-sectional" before "study." <br />4) p. 3-22, Para. 1, lines 8-10: change to "116). In a longitudinal analysis of lung function <br />development of 4th, 7th, and 10th grade students over four yeazs, Gauderman et al., (2000) <br />found no association with 03 exposure. Further longitudinal analyses by the same <br />group". <br />5) [I cannot understand why previous requests to get this citation right have been <br />ignored]. <br />6) p. 3-37, Para. 2, lines 7-9: The labeling of the body of evidence on ozone-related <br />mortality as being only "highly suggestive", and needing additional research on <br />underlying mechanisms to become more fully established before it can be used in <br />standard setting, sets the bar faz higher than those used previously for ozone effects and, <br />for that matter, for most, if not all, of the effects associated with other NAAQS <br />pollutants. The only justification that I can see for this reluctance to use the evidence <br />provided in this Staff Paper is that there are so many other effects to rely on that it is not <br />needed in reaching the Staff recommendations in Chapter 6. The problem, at least for me, <br />is that not considering the substantial evidence for short-term mortality attributable to <br />ozone in ambient air sets a bad precedent for future NAAQS reviews. <br />Comments on Chapter 6: <br />1) What is included in this chapter, while prolix and repetitious, provides largely <br />reasonable summations, conclusions and recommendations. However, in my view, Chapter 6 <br />greatly understates the public health impacts of exposures that can be expected to occur at <br />any of the exposure scenarios under the three levels options that were considered for this <br />C-19 <br />