[Federal Register: March 27, 2008 (Volume 73, Number 60)]
[Rules and Regulations]               
[Page 16435-16514]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr27mr08-8]                         


[[Page 16435]]

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Part II





Environmental Protection Agency





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40 CFR Parts 50 and 58



National Ambient Air Quality Standards for Ozone; Final Rule


[[Page 16436]]


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ENVIRONMENTAL PROTECTION AGENCY

40 CFR Parts 50 and 58

[EPA-HQ-OAR-2005-0172; FRL-8544-3]
RIN 2060-AN24

 
National Ambient Air Quality Standards for Ozone

AGENCY: Environmental Protection Agency (EPA).

ACTION: Final rule.

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SUMMARY: Based on its review of the air quality criteria for ozone 
(O3) and related photochemical oxidants and national ambient 
air quality standards (NAAQS) for O3, EPA is making 
revisions to the primary and secondary NAAQS for O3 to 
provide requisite protection of public health and welfare, 
respectively. With regard to the primary standard for O3, 
EPA is revising the level of the 8-hour standard to 0.075 parts per 
million (ppm), expressed to three decimal places. With regard to the 
secondary standard for O3, EPA is revising the current 8-
hour standard by making it identical to the revised primary standard. 
EPA is also making conforming changes to the Air Quality Index (AQI) 
for O3, setting an AQI value of 100 equal to 0.075 ppm, 8-
hour average, and making proportional changes to the AQI values of 50, 
150 and 200.

DATES: This final rule is effective on May 27, 2008.

ADDRESSES: EPA has established a docket for this action under Docket ID 
No. EPA-HQ-OAR-2005-0172. All documents in the docket are listed on the 
www.regulations.gov Web site. Although listed in the index, some 
information is not publicly available, e.g., confidential business 
information or other information whose disclosure is restricted by 
statute. Certain other material, such as copyrighted material, is not 
placed on the Internet and will be publicly available only in hard copy 
form. Publicly available docket materials are available either 
electronically through www.regulations.gov or in hard copy at the Air 
and Radiation Docket and Information Center, EPA/DC, EPA West, Room 
3334, 1301 Constitution Ave., NW., Washington, DC. This Docket Facility 
is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding 
legal holidays. The Docket telephone number is 202-566-1742. The 
telephone number for the Public Reading Room is 202-566-1744.

FOR FURTHER INFORMATION CONTACT: Dr. David J. McKee, Health and 
Environmental Impacts Division, Office of Air Quality Planning and 
Standards, U.S. Environmental Protection Agency, Mail Code C504-06, 
Research Triangle Park, NC 27711; telephone: 919-541-5288; fax: 919-
541-0237; e-mail: mckee.dave@epa.gov.

SUPPLEMENTARY INFORMATION:

Table of Contents

    The following topics are discussed in this preamble:

I. Background
    A. Summary of Revisions to the O3 NAAQS
    B. Legislative Requirements
    C. Review of Air Quality Criteria and Standards for 
O3
    D. Summary of Proposed Revisions to the O3 NAAQS
    E. Organization and Approach to Final Decision on O3 
NAAQS
II. Rationale for Final Decision on the Primary O3 
Standard
    A. Introduction
    1. Overview
    2. Overview of Health Effects
    3. Overview of Human Exposure and Health Risk Assessments
    B. Need for Revision of the Current Primary O3 
Standard
    1. Introduction
    2. Comments on the Need for Revision
    3. Conclusions Regarding the Need for Revision
    C. Conclusions on the Elements of the Primary O3 
Standard
    1. Indicator
    2. Averaging Time
    3. Form
    4. Level
    D. Final Decision on the Primary O3 Standard
III. Communication of Public Health Information
IV. Rationale for Final Decision on the Secondary O3 
Standard
    A. Introduction
    1. Overview
    2. Overview of Vegetation Effects Evidence
    3. Overview of Biologically Relevant Exposure Indices
    4. Overview of Vegetation Exposure and Risk Assessments
    B. Need for Revision of the Current Secondary O3 
Standard
    1. Introduction
    2. Comments on the Need for Revision
    3. Conclusions Regarding the Need for Revision
    C. Conclusions on the Secondary O3 Standard
    1. Staff Paper Evaluation
    2. CASAC Views
    3. Administrator's Proposed Conclusions
    4. Comments on the Secondary Standard Options
    5. Administrator's Final Conclusions
    D. Final Decision on the Secondary O3 Standard
V. Creation of Appendix P--Interpretation of the NAAQS for 
O3
    A. General
    B. Data Completeness
    C. Data Reporting and Handling and Rounding Conventions
VI. Ambient Monitoring Related to Revised O3 Standards
VII. Implementation and Related Control Requirements
    A. Future Implementation Steps
    1. Designations
    2. State Implementation Plans
    3. Trans-boundary Emissions
    4. Monitoring Requirements
    B. Related Control Requirements
VIII. Statutory and Executive Order Reviews
    A. Executive Order 12866: Regulatory Planning and Review
    B. Paperwork Reduction Act
    C. Regulatory Flexibility Act
    D. Unfunded Mandates Reform Act
    E. Executive Order 13132: Federalism
    F. Executive Order 13175: Consultation and Coordination With 
Indian Tribal Governments
    G. Executive Order 13045: Protection of Children From 
Environmental Health & Safety Risks
    H. Executive Order 13211: Actions That Significantly Affect 
Energy Supply, Distribution or Use
    I. National Technology Transfer and Advancement Act
    J. Executive Order 12898: Federal Actions to Address 
Environmental Justice in Minority Populations and Low-Income 
Populations
    K. Congressional Review Act
References

I. Background

A. Summary of Revisions to the O3 NAAQS

    Based on its review of the air quality criteria for O3 
and related photochemical oxidants and national ambient air quality 
standards (NAAQS) for O3, EPA is making revisions to the 
primary and secondary NAAQS for O3 to provide protection of 
public health and welfare, respectively, that is appropriate under 
section 109, and is making corresponding revisions in data handling 
conventions for O3.
    With regard to the primary standard for O3, EPA is 
revising the level of the 8-hour standard to a level of 0.075 parts per 
million (ppm), to provide increased protection for children and other 
``at risk'' populations against an array of O3-related 
adverse health effects that range from decreased lung function and 
increased respiratory symptoms to serious indicators of respiratory 
morbidity including emergency department visits and hospital admissions 
for respiratory causes, and possibly cardiovascular-related morbidity 
as well as total nonaccidental and cardiorespiratory mortality. EPA is 
specifying the level of the primary standard to the nearest thousandth 
ppm.
    With regard to the secondary standard for O3, EPA is 
revising the standard by making it identical to the revised primary 
standard.

[[Page 16437]]

B. Legislative Requirements

    Two sections of the Clean Air Act (CAA) govern the establishment 
and revision of the NAAQS. Section 108 (42 U.S.C. 7408) directs the 
Administrator to identify and list ``air pollutants'' emissions of 
which ``in his judgment, cause or contribute to air pollution which may 
reasonably be anticipated to endanger public health or welfare,'' whose 
``presence * * * in the ambient air results from numerous or diverse 
mobile or stationary sources,'' and for which the Administrator plans 
to issue air quality criteria, and to issue air quality criteria for 
those that are listed. Air quality criteria are to ``accurately reflect 
the latest scientific knowledge useful in indicating the kind and 
extent of identifiable effects on public health or welfare which may be 
expected from the presence of [a] pollutant in ambient air, in varying 
quantities * * *.'' Section 109 (42 U.S.C. 7409) directs the 
Administrator to propose and promulgate ``primary'' and ``secondary'' 
NAAQS for pollutants listed under section 108. Section 109(b)(1) 
defines a primary standard as one ``the attainment and maintenance of 
which in the judgment of the Administrator, based on such criteria and 
allowing an adequate margin of safety, are requisite to protect the 
public health.'' \1\ A secondary standard, as defined in section 
109(b)(2), must ``specify a level of air quality the attainment and 
maintenance of which in the judgment of the Administrator, based on 
such criteria, is requisite to protect the public welfare from any 
known or anticipated adverse effects associated with the presence of 
[the] pollutant in the ambient air.'' \2\
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    \1\ The legislative history of section 109 indicates that a 
primary standard is to be set at ``the maximum permissible ambient 
air level * * * which will protect the health of any [sensitive] 
group of the population,'' and that for this purpose ``reference 
should be made to a representative sample of persons comprising the 
sensitive group rather than to a single person in such a group'' [S. 
Rep. No. 91-1196, 91st Cong., 2d Sess. 10 (1970)].
    \2\ Welfare effects as defined in section 302(h) (42 U.S.C. 
7602(h)) include, but are not limited to, ``effects on soils, water, 
crops, vegetation, manmade materials, animals, wildlife, weather, 
visibility and climate, damage to and deterioration of property, and 
hazards to transportation, as well as effects on economic values and 
on personal comfort and well-being.''
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    The requirement that primary standards provide an adequate margin 
of safety was intended to address uncertainties associated with 
inconclusive scientific and technical information available at the time 
of standard setting. It was also intended to provide a reasonable 
degree of protection against hazards that research has not yet 
identified. Lead Industries Association v. EPA, 647 F.2d 1130, 1154 (DC 
Cir 1980), cert. denied, 449 U.S. 1042 (1980); American Petroleum 
Institute v. Costle, 665 F.2d 1176, 1186 (DC Cir. 1981), cert. denied, 
455 U.S. 1034 (1982). Both kinds of uncertainties are components of the 
risk associated with pollution at levels below those at which human 
health effects can be said to occur with reasonable scientific 
certainty. Thus, in selecting primary standards that provide an 
adequate margin of safety, the Administrator is seeking not only to 
prevent pollution levels that have been demonstrated to be harmful but 
also to prevent lower pollutant levels that may pose an unacceptable 
risk of harm, even if the risk is not precisely identified as to nature 
or degree. The CAA does not require the Administrator to establish a 
primary NAAQS at a zero-risk level or at background concentration 
levels, see Lead Industries Association v. EPA, 647 F.2d at 1156 n. 51, 
but rather at a level that reduces risk sufficiently so as to protect 
public health with an adequate margin of safety.
    The selection of any particular approach to providing an adequate 
margin of safety is a policy choice left specifically to the 
Administrator's judgment. Lead Industries Association v. EPA, 647 F.2d 
at 1161-62. In addressing the requirement for an adequate margin of 
safety, EPA considers such factors as the nature and severity of the 
health effects involved, the size of the population(s) at risk, and the 
kind and degree of the uncertainties that must be addressed.
    In setting standards that are ``requisite'' to protect public 
health and welfare, as provided in section 109(b), EPA's task is to 
establish standards that are neither more nor less stringent than 
necessary for these purposes. Whitman v. America Trucking Associations, 
531 U.S. 457, 473. Further the Supreme Court ruled that ``[t]he text of 
Sec.  109(b), interpreted in its statutory and historical context and 
with appreciation for its importance to the CAA as a whole, 
unambiguously bars cost considerations from the NAAQS-setting process * 
* *'' Id. at 472.\3\
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    \3\ In considering whether the CAA allowed for economic 
considerations to play a role in the promulgation of the NAAQS, the 
Supreme Court rejected arguments that because many more factors than 
air pollution might affect public health, EPA should consider 
compliance costs that produce health losses in setting the NAAQS. 
531 U.S. at 466. Thus, EPA may not take into account possible public 
health impacts from the economic cost of implementation. Id.
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    Section 109(d)(1) of the CAA requires that ``not later than 
December 31, 1980, and at 5-year intervals thereafter, the 
Administrator shall complete a thorough review of the criteria 
published under section 108 and the national ambient air quality 
standards * * * and shall make such revisions in such criteria and 
standards and promulgate such new standards as may be appropriate in 
accordance with section 108 and [109(b)].'' Section 109(d)(2) requires 
that an independent scientific review committee ``shall complete a 
review of the criteria * * * and the national primary and secondary 
ambient air quality standards * * * and shall recommend to the 
Administrator any new * * * standards and revisions of existing 
criteria and standards as may be appropriate under section 108 and 
[section 109(b)].'' This independent review function is performed by 
the Clean Air Scientific Advisory Committee (CASAC) of EPA's Science 
Advisory Board.

C. Review of Air Quality Criteria and Standards for O3

    Ground-level O3 is formed from biogenic and 
anthropogenic precursor emissions. Naturally occurring O3 in 
the troposphere can result from biogenic organic precursors reacting 
with naturally occurring nitrogen oxides (NOX) and by 
stratospheric O3 intrusion into the troposphere. 
Anthropogenic precursors of O3, specifically NOX 
and volatile organic compounds (VOC), originate from a wide variety of 
stationary and mobile sources. Ambient O3 concentrations 
produced by these emissions are directly affected by temperature, solar 
radiation, wind speed and other meteorological factors.
    The last review of the O3 NAAQS was completed on July 
18, 1997, based on the 1996 O3 Air Quality Criteria Document 
(EPA, 1996a) and 1996 O3 Staff Paper (EPA, 1996b). EPA 
revised the primary and secondary O3 standards on the basis 
of the then latest scientific evidence linking exposures to ambient 
O3 to adverse health and welfare effects at levels allowed 
by the 1-hour average standards (62 FR 38856). The O3 
standards were revised by replacing the existing primary 1-hour average 
standard with an 8-hour average O3 standard set at a level 
of 0.08 ppm, which is equivalent to 0.084 ppm using the standard 
rounding conventions. The form of the primary standard was changed to 
the annual fourth-highest daily maximum 8-hour average concentration, 
averaged over 3 years. The secondary O3 standard was changed 
by making it identical in all respects to the revised primary standard.
    EPA initiated this current review in September 2000 with a call for 
information (65 FR 57810) for the development of a revised Air Quality

[[Page 16438]]

Criteria Document for O3 and Other Photochemical Oxidants 
(henceforth the ``Criteria Document''). A project work plan (EPA, 2002) 
for the preparation of the Criteria Document was released in November 
2002 for CASAC O3 Panel \4\ (henceforth, ``CASAC Panel'') 
and public review. EPA held a series of workshops in mid-2003 on 
several draft chapters of the Criteria Document to obtain broad input 
from the relevant scientific communities. These workshops helped to 
inform the preparation of the first draft Criteria Document (EPA, 
2005a), which was released for CASAC Panel and public review on January 
31, 2005; a CASAC Panel meeting was held on May 4-5, 2005 to review the 
first draft Criteria Document. A second draft Criteria Document (EPA, 
2005b) was released for CASAC Panel and public review on August 31, 
2005, and was discussed along with a first draft Staff Paper (EPA, 
2005c) at a CASAC Panel meeting held on December 6-8, 2005. In a 
February 16, 2006 letter to the Administrator, the CASAC Panel offered 
final comments on all chapters of the Criteria Document (Henderson, 
2006a), and the final Criteria Document (EPA, 2006a) was released on 
March 21, 2006. In a June 8, 2006 letter (Henderson, 2006b) to the 
Administrator, the CASAC Panel offered additional advice to the Agency 
concerning chapter 8 of the final Criteria Document (Integrative 
Synthesis) to help inform the second draft Staff Paper.
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    \4\ The CASAC O3 Review Panel includes the seven 
members of the chartered CASAC, supplemented by fifteen subject-
matter experts appointed by the Administrator to provide additional 
scientific expertise relevant to this review of the O3 
NAAQS.
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    A second draft Staff Paper (EPA, 2006b) was released on July 17, 
2006 and reviewed by the CASAC Panel on August 24 and 25, 2006. In an 
October 24, 2006 letter to the Administrator, CASAC Panel provided 
advice and recommendations to the Agency concerning the second draft 
Staff Paper (Henderson, 2006c). A final Staff Paper (EPA, 2007a) was 
released on January 31, 2007. Around the time of the release of the 
final Staff Paper in January 2007, EPA discovered a small error in the 
exposure model that when corrected resulted in slight increases in the 
human exposure estimates. Since the exposure estimates are an input to 
the lung function portion of the health risk assessment, this 
correction also resulted in slight increases in the lung function risk 
estimates as well. The exposure and risk estimates discussed in this 
final rule reflect the corrected estimates, and thus are slightly 
different than the exposure and risk estimates cited in the January 31, 
2007 Staff Paper.\5\ In a March 26, 2007 letter (Henderson, 2007), the 
CASAC Panel offered additional advice to the Administrator with regard 
to recommendations and revisions to the primary and secondary 
O3 NAAQS.
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    \5\ EPA made available corrected versions of the final Staff 
Paper (EPA, 2007b, henceforth, ``Staff Paper'') and the human 
exposure and health risk assessment technical support documents on 
July 31, 2007 on the EPA Web site http://www.epa.gov/ttn/naaqs.
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    The schedule for completion of this review has been governed by a 
consent decree resolving a lawsuit filed in March 2003 by a group of 
plaintiffs representing national environmental and public health 
organizations, alleging that EPA had failed to complete the current 
review within the period provided by statute.\6\ The modified consent 
decree that currently governs this review provides that EPA sign for 
publication notices of proposed and final rulemaking concerning its 
review of the O3 NAAQS no later than June 20, 2007 and March 
12, 2008, respectively. The proposed decision (henceforth ``proposal'') 
was signed on June 20, 2007 and published in the Federal Register on 
July 11, 2007.
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    \6\ American Lung Association v. Whitman (No. 1:03CV00778, 
D.D.C. 2003).
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    A large number of comments were received from various commenters on 
the proposed revisions to the O3 NAAQS. Significant issues 
raised in the public comments are discussed throughout the preamble of 
this final action. A comprehensive summary of all significant comments, 
along with EPA's responses (henceforth ``Response to Comments''), can 
be found in the docket for this rulemaking.
    Various commenters have referred to and discussed a number of new 
scientific studies on the health effects of O3 that had been 
published recently and therefore were not included in the Criteria 
Document (EPA, 2006a, henceforth ``Criteria Document).\7\ EPA has 
provisionally considered any significant ``new'' studies, including 
those submitted during the public comment period. The purpose of this 
effort was to ensure that the Administrator was fully aware of the 
``new'' science before making a final decision on whether to revise the 
current O3 NAAQS. EPA provisionally considered these studies 
to place their results in the context of the findings of the Criteria 
Document.
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    \7\ For ease of reference, these studies will be referred to as 
``new'' studies or ``new'' science, using quotation marks around the 
word new. Referring to studies that were published too recently to 
have been included in the 2004 Criteria Document as ``new'' studies 
is intended to clearly differentiate such studies from those that 
have been published since the last review and are included in the 
2004 Criteria Document (these studies are sometimes referred to as 
new (without quotation marks) or more recent studies, to indicate 
that they were not included in the 1996 Criteria Document and thus 
are newly available in this review.
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    As in prior NAAQS reviews, EPA is basing its decision in this 
review on studies and related information included in the Criteria 
Document and Staff Paper, which have undergone CASAC and public review. 
The studies assessed in the Criteria Document, and the integration of 
the scientific evidence presented in that document, have undergone 
extensive critical review by EPA, CASAC, and the public during the 
development of the Criteria Document. The rigor of that review makes 
these studies, and their integrative assessment, the most reliable 
source of scientific information on which to base decisions on the 
NAAQS, decisions that all parties recognize as of great import. NAAQS 
decisions can have profound impacts on public health and welfare, and 
NAAQS decisions should be based on studies that have been rigorously 
assessed in an integrative manner not only by EPA but also by the 
statutorily mandated independent advisory committee, as well as the 
public review that accompanies this process. As described above, EPA's 
provisional consideration of these studies did not and could not 
provide that kind of in-depth critical review.
    This decision is consistent with EPA's practice in prior NAAQS 
reviews. Since the 1970 amendments, the EPA has taken the view that 
NAAQS decisions are to be based on scientific studies and related 
information that have been assessed as a part of the pertinent air 
quality criteria, and has consistently followed this approach. See 71 
FR 61144, 61148 (October 17, 2006) (final decision on review of PM 
NAAQS) for a detailed discussion of this issue and EPA's past practice.
    As discussed in EPA's 1993 decision not to revise the NAAQS for 
O3 ``new'' studies may sometimes be of such significance 
that it is appropriate to delay a decision on revision of a NAAQS and 
to supplement the pertinent air quality criteria so the studies can be 
taken into account (58 FR at 13013-13014, March 9, 1993). In the 
present case, EPA's provisional consideration of ``new'' studies 
concludes that, taken in context, the ``new'' information and findings 
do not materially change any of the broad scientific conclusions 
regarding the health effects of O3 exposure made in the 
Criteria Document. For this reason, reopening the air quality criteria 
review would not be warranted even if there were time to do so under 
the court order

[[Page 16439]]

governing the schedule for this rulemaking. Accordingly, EPA is basing 
the final decisions in this review on the studies and related 
information included in the O3 air quality criteria that 
have undergone CASAC and public review. EPA will consider the newly 
published studies for purposes of decision making in the next periodic 
review of the O3 NAAQS, which will provide the opportunity 
to fully assess them through a more rigorous review process involving 
EPA, CASAC, and the public. Further discussion of these ``new'' studies 
can be found in the Response to Comments document.
    This action presents the Administrator's final decisions on the 
review of the current primary and secondary O3 standards. 
Throughout this preamble a number of conclusions, findings, and 
determinations made by the Administrator are noted. They identify the 
reasoning that supports this final decision and are intended to be 
final and conclusive.

D. Summary of Proposed Revisions to the O3 NAAQS

    For reasons discussed in the proposal, the Administrator proposed 
to revise the current primary and secondary O3 standards. 
With regard to the primary O3 standard, the Administrator 
proposed to revise the level of the 8-hour O3 standard to a 
level within the range of 0.070 ppm to 0.075 ppm, based on a 3-year 
average of the fourth-highest maximum 8-hour average concentration. 
Related revisions for O3 data handling conventions and for 
the reference method for monitoring O3 were also proposed. 
These revisions were proposed to provide increased protection for 
children and other ``at risk'' populations against an array of 
O3-related adverse health effects that range from decreased 
lung function and increased respiratory symptoms to serious indicators 
of respiratory morbidity, including emergency department visits and 
hospital admissions for respiratory causes, and possibly 
cardiovascular-related morbidity, as well as total nonaccidental and 
cardiorespiratory mortality. EPA also proposed to specify the level of 
the primary standard to the nearest thousandth ppm. EPA solicited 
comment on alternative levels down to 0.060 ppm and up to and including 
retaining the current 8-hour standard of 0.08 ppm (effectively 0.084 
ppm using current data rounding conventions).
    With regard to the secondary standard for O3, EPA 
proposed to revise the current 8-hour standard with one of two options 
to provide increased protection against O3-related adverse 
impacts on vegetation and forested ecosystems. One option was to 
replace the current standard with a cumulative, seasonal standard 
expressed as an index of the annual sum of weighted hourly 
concentrations, cumulated over 12 hours per day (8 am to 8 pm) during 
the consecutive 3-month period within the O3 season with the 
maximum index value, set at a level within the range of 7 to 21 ppm-
hours. The other option was to make the secondary standard identical to 
the proposed primary 8-hour standard. EPA solicited comment on 
specifying a cumulative, seasonal standard in terms of a 3-year average 
of the annual sums of weighted hourly concentrations; on the range of 
alternative 8-hour standard levels for which comment was being 
solicited for the primary standard, including retaining the current 
secondary standard, which is identical to the current primary standard; 
and on an alternative approach to setting a cumulative, seasonal 
secondary standard.

E. Organization and Approach to Final O3 NAAQS Decisions

    This action presents the Administrator's final decisions regarding 
the need to revise the current primary and secondary O3 
standards. Revisions to the primary standard for O3 are 
addressed below in section II, and a discussion on communication of 
public health information regarding revisions to the primary 
O3 standard is presented in section III. The secondary 
O3 standard is addressed below in section IV. Related data 
completeness and data handling and rounding conventions are addressed 
in section V, and federal reference methods for monitoring 
O3 are addressed below in section VI. Future implementation 
steps and related control requirements are discussed in section VII. A 
discussion of statutory and executive order reviews is provided in 
section VIII.
    Today's final decisions are based on a thorough review in the 
Criteria Document of scientific information on known and potential 
human health and welfare effects associated with exposure to 
O3 at levels typically found in the ambient air. These final 
decisions also take into account: (1) Staff assessments in the Staff 
Paper of the most policy-relevant information in the Criteria Document 
as well as quantitative exposure and risk assessments based on that 
information; (2) CASAC Panel advice and recommendations, as reflected 
in its letters to the Administrator, its discussions of drafts of the 
Criteria Document and Staff Paper at public meetings, and separate 
written comments prepared by individual members of the CASAC Panel; (3) 
public comments received during the development of these documents, 
either in connection with CASAC Panel meetings or separately; and (4) 
extensive public comments received on the proposed rulemaking.

II. Rationale for Final Decisions on the Primary O3 Standard

A. Introduction

1. Overview
    This section presents the Administrator's final decisions regarding 
the need to revise the current primary O3 NAAQS, and the 
appropriate revision to the level of the 8-hour standard. As discussed 
more fully below, the rationale for the final decision on appropriate 
revisions to the primary O3 NAAQS includes consideration of: 
(1) Evidence of health effects related to short-term exposures to 
O3; (2) insights gained from quantitative exposure and 
health risk assessments; (3) public and CASAC Panel comments received 
during the development and review of the Criteria Document, Staff 
Paper, exposure and risk assessments and on the proposal notice.
    In developing this rationale, EPA has drawn upon an integrative 
synthesis of the entire body of evidence \8\ relevant to examining 
associations between exposure to ambient O3 and a broad 
range of health endpoints (EPA, 2006a, Chapter 8), focusing on those 
health endpoints for which the Criteria Document concluded that the 
associations are causal or likely to be causal. This body of evidence 
includes hundreds of studies conducted in many countries around the 
world. In its assessment of the evidence judged to be most relevant to 
decisions on elements of the primary O3 standards, EPA has 
placed greater weight on U.S. and Canadian studies, since studies 
conducted in other countries may well reflect different demographic and 
air pollution characteristics.
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    \8\ The word ``evidence'' is used in this notice to refer to 
studies that provide information relevant to an area of inquiry, 
which can include studies that report positive or negative results 
or that provide interpretative information.
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    As discussed below, a significant amount of new research has been 
conducted since the last review, with important new information coming 
from epidemiological, toxicological, controlled human exposure, and 
dosimetric studies. Moreover, the newly available research studies 
evaluated in the Criteria Document have undergone intensive scrutiny 
through multiple layers of peer review, with extended

[[Page 16440]]

opportunities for review and comment by CASAC Panel and the public. As 
with virtually any policy-relevant scientific research, there is 
uncertainty in the characterization of health effects attributable to 
exposure to ambient O3, most generally with regard to 
whether observed health effects and associations are causal or likely 
causal in nature and, if so, the certainty of causal associations at 
various exposure levels. While important uncertainties remain, the 
review of the health effects information has been extensive and 
deliberate. In the judgment of the Administrator, this intensive 
evaluation of the scientific evidence provides an adequate basis for 
regulatory decision making at this time. This review also provides 
important input to EPA's research plan for improving our future 
understanding of the relationships between exposures to ambient 
O3 and health effects.
    The health effects information and quantitative exposure and health 
risk assessment were summarized in sections II.A and II.B of the 
proposal (72 FR at 37824-37862) and are only briefly outlined below in 
sections II.A.2 and II.A.3. Subsequent sections of this preamble 
provide a more complete discussion of the Administrator's rationale, in 
light of key issues raised in public comments, for concluding that the 
current standard is not requisite to protect public health with an 
adequate margin of safety, and it is appropriate to revise the current 
primary O3 standards to provide additional public health 
protection (section II.B), as well as a more complete discussion of the 
Administrator's rationale for retaining or revising the specific 
elements of the primary O3 standards (section II.C), namely 
the indicator (section II.C.1); averaging time (section II.C.2); form 
(section II.C.3); and level (section II.C.4). A summary of the final 
decisions on revisions to the primary O3 standards is 
presented in section II.D.
2. Overview of Health Effects
    This section outlines the information presented in Section II.A of 
the proposal on known or potential effects on public health which may 
be expected from the presence of O3 in ambient air. The 
decision in the last review focused primarily on evidence from short-
term (e.g., 1 to 3 hours) and prolonged ( 6 to 8 hours) controlled-
exposure studies reporting lung function decrements, respiratory 
symptoms, and respiratory inflammation in humans, as well as 
epidemiology studies reporting excess hospital admissions and emergency 
department visits for respiratory causes. The Criteria Document 
prepared for this review emphasizes a large number of epidemiological 
studies published since the last review with these and additional 
health endpoints, including the effects of acute (short-term and 
prolonged) and chronic exposures to O3 on lung function 
decrements and enhanced respiratory symptoms in asthmatic individuals, 
school absences, and premature mortality. It also emphasizes important 
new information from toxicology, dosimetry, and controlled human 
exposure studies. Highlights of the evidence include:
    (1) Two new controlled human-exposure studies are now available 
that examine respiratory effects associated with prolonged 
O3 exposures at levels at and below 0.080 ppm, which was the 
lowest exposure level that had been examined in the last review.
    (2) Numerous recent controlled human-exposure studies have examined 
indicators of O3-induced inflammatory response in both the 
upper respiratory tract (URT) and lower respiratory tract (LRT), while 
other studies have examined changes in host defense capability 
following O3 exposure of healthy young adults and increased 
airway responsiveness to allergens in subjects with allergic asthma and 
allergic rhinitis exposed to O3.
    (3) New evidence from controlled human exposure studies showing 
that asthmatics have greater respiratory-related physiological 
responses than healthy subjects and new evidence from epidemiological 
studies showing associations between O3 exposure and lung 
function and respiratory symptom responses; these findings differ from 
the presumption in the last review that people with asthma had 
generally the same magnitude of respiratory responses to O3 
as those experienced by healthy individuals.
    (4) Animal toxicology studies provide new information regarding 
potential mechanisms of action, increased susceptibility to respiratory 
infection, and biological plausibility of acute effects as well as 
chronic, irreversible respiratory damage observed in animals.
    (5) Numerous epidemiological studies published during the past 
decade offer added evidence of associations between acute ambient 
O3 exposures and lung function decrements and respiratory 
symptoms in physically active healthy subjects and asthmatic subjects, 
as well as new evidence regarding additional health endpoints, 
including relationships between ambient O3 concentrations 
and school absenteeism and between ambient O3 and cardiac-
related physiological endpoints.
    (6) Several additional studies have been published over the last 
decade examining the temporal associations between acute O3 
exposures and both emergency department visits for respiratory diseases 
and respiratory-related hospital admissions.
    (7) A large number of newly available epidemiological studies have 
examined the effects of acute exposure to PM and O3 on 
premature mortality, notably including large multi-city studies that 
provide much more robust information than was available in the last 
review, as well as recent meta-analyses that have evaluated potential 
sources of heterogeneity in O3-mortality associations.
    Section II.A of the proposal provides a detailed summary of key 
information contained in the Criteria Document (chapters 4-8) and in 
the Staff Paper (chapter 3), on the known and potential effects of 
O3 exposure and information on the effects of O3 
exposure in combination with other pollutants that are routinely 
present in the ambient air (72 FR 37824-37851). The information there 
summarizes:
    (1) New information available on potential mechanisms for morbidity 
and mortality effects associated with exposure to O3, 
including potential mechanisms or pathways related to direct effects on 
the respiratory system, systemic effects that are secondary to effects 
in the respiratory system (e.g., cardiovascular effects);
    (2) The nature of effects that have been associated directly with 
exposure to O3 or indirectly with the presence of 
O3 in ambient air, including premature mortality, 
aggravation of respiratory and cardiovascular disease (as indicated by 
increased hospital admissions and emergency department visits), changes 
in lung function and increased respiratory symptoms, as well as new 
evidence for more subtle indicators of cardiovascular health;
    (3) An integrative interpretation of the health effects evidence, 
focusing on the biological plausibility and coherence of the evidence 
and key issues raised in interpreting epidemiological studies, along 
with supporting evidence from experimental (e.g., dosimetric and 
toxicological) studies as well as the limitations of the evidence; and
    (4) Considerations in characterizing the public health impact of 
O3, including the identification of sensitive and vulnerable 
subpopulations that are potentially at risk to such effects, including 
active people, people with pre-existing lung and heart diseases, 
children and older adults, and people with increased responsiveness to 
O3.

[[Page 16441]]

3. Overview of Human Exposure and Health Risk Assessments
    To put judgments about health effects that are adverse for 
individuals into a broader public health context, EPA developed and 
applied models to estimate human exposures and health risks. This 
broader public health context included consideration of the size of 
particular population groups at risk for various effects, the 
likelihood that exposures of concern would occur for individuals in 
such groups under varying air quality scenarios, estimates of the 
number of people likely to experience O3-related effects, 
the variability in estimated exposures and risks, and the kind and 
degree of uncertainties inherent in assessing the exposures and risks 
involved.
    As discussed in more detail in section II.B of the proposal, there 
are a number of important uncertainties that affect the exposure and 
health risk estimates. It is also important to note that there have 
been significant improvements since the last review in both the 
exposure and health risk models. The CASAC Panel expressed the view 
that the exposure analysis represents a state-of-the-art modeling 
approach and that the health risk assessment was ``well done, balanced 
and reasonably communicated'' (Henderson, 2006c).
    In modeling exposures and health risks associated with just meeting 
the current and alternative O3 standards, EPA simulated air 
quality just meeting these standards based on O3 air quality 
patterns in several recent years and on how the shape of the 
O3 air quality distributions has changed over time based on 
historical trends in monitored O3 air quality data. As 
discussed in the proposal notice and in the Staff Paper (section 
4.5.8), recent O3 air quality distributions were 
statistically adjusted to simulate just meeting the current and 
selected alternative standards. Specifically, the exposure and risk 
assessment included estimates for a recent year of air quality and for 
air quality adjusted to simulate just meeting the current and 
alternative standards based on O3 season data from a recent 
three-year period (2002-2004). The O3 season in each area 
included the period of the year for which routine hourly O3 
monitoring data are available. Typically this period spans from March 
or April through September or October, although in some areas it 
includes the entire year. Three years were modeled to reflect the 
substantial year-to-year variability that occurs in O3 
levels and related meteorological conditions, and because the standard 
is specified in terms of a three-year period. The year-to-year 
variability observed in O3 levels is due to a combination of 
different weather patterns and the variation in emissions of 
O3 precursors. Nationally, 2002 was a relatively high year 
with respect to the 4th highest daily maximum 8-hour O3 
levels observed in urban areas across the U.S. (see Staff Paper, Figure 
2-16), with the mean of the distribution of annual 4th highest daily 
maximum 8-hour O3 levels for urban monitors nationwide being 
in the upper third among the years 1990 through 2004. In contrast, on a 
national basis, 2004 was the lowest year on record with respect to the 
mean of the distribution of annual 4th highest daily maximum 8-hour 
O3 levels for this same 15 year period. The 4th highest 
daily maximum 8-hour levels observed in most, but not all of the 12 
urban areas included in the exposure and risk assessment, were 
relatively low in 2004 compared to other recent years. The 4th highest 
daily maximum 8-hour O3 levels observed in 2003 in the 12 
urban areas and nationally generally were between those observed in 
2002 and 2004. As a result of the variability in air quality, the 
exposure and risk estimates associated with just meeting the current or 
any alternative standard also will vary depending on the year chosen 
for the analysis. Thus, exposure and risk estimates based on 2002 air 
quality generally show relatively higher numbers of children affected 
and the estimates based on 2004 air quality generally show relatively 
fewer numbers of children affected.
    These simulations do not reflect any consideration of specific 
control programs or strategies designed to achieve the reductions in 
emissions required to meet the specified standards. Further, these 
simulations do not represent predictions of when, whether, or how areas 
might meet the specified standards.\9\ Instead these simulations 
represent a projection of the kind of air quality levels that would be 
likely to occur in areas just attaining various alternative standards, 
when historical patterns of air quality, reflecting averages over many 
areas, are applied in the urban areas examined.
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    \9\ For informational purposes only, modeling that projects how 
areas might attain alternative standards in a future year as a 
result of Federal, State, local, and Tribal efforts is presented in 
the final Regulatory Impact Analysis being prepared in connection 
with this decision.
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a. Exposure Analyses
    As discussed in section II.B.1 of the proposal, EPA conducted human 
exposure analyses using a simulation model to estimate O3 
exposures for the general population, school age children (ages 5-18), 
and school age children with asthma living in 12 U.S. metropolitan 
areas representing different regions of the country where the current 
8-hour O3 standard is not met. The emphasis on children 
reflected the finding of the last review that children are an important 
at-risk group. Exposure estimates were developed using a probabilistic 
exposure model that is designed to explicitly model the numerous 
sources of variability that affect people's exposures. This exposure 
assessment is more fully described and presented in the Staff Paper and 
in a technical support document, Ozone Population Exposure Analysis for 
Selected Urban Areas (EPA, 2007c; henceforth ``Exposure Analysis 
TSD''). As noted in the proposal, the scope and methodology for this 
exposure assessment were developed over the last few years with 
considerable input from the CASAC Panel and the public.
    As discussed in the proposal notice and in greater detail in the 
Staff Paper (chapter 4) and Exposure Analysis TSD, EPA recognized that 
there are many sources of variability and uncertainty inherent in the 
input to this assessment and that there was uncertainty in the 
resulting O3 exposure estimates. In EPA's judgment, the most 
important uncertainties affecting the exposure estimates are related to 
the modeling of human activity patterns over an O3 season, 
the modeling of variations in ambient concentrations near roadways, and 
the modeling of air exchange rates that affect the amount of 
O3 that penetrates indoors. Another important uncertainty 
that affects the estimation of how many exposures are associated with 
moderate or greater exertion is the characterization of energy 
expenditure for children engaged in various activities. As discussed in 
more detail in the Staff Paper (section 4.3.4.7), the uncertainty in 
energy expenditure values carries over to the uncertainty of the 
modeled breathing rates, which are important since they are used to 
classify exposures occurring at moderate or greater exertion. These are 
the relevant exposures since O3-related effects observed in 
clinical studies only are observed when individuals are engaged in some 
form of exercise. The uncertainties in the exposure model inputs and 
the estimated exposures have been assessed using quantitative 
uncertainty and sensitivity analyses. Details are discussed in the 
Staff Paper (section 4.6) and in a technical memorandum describing the 
exposure modeling uncertainty analysis (Langstaff, 2007).
    The exposure assessment, which provided estimates of the number of 
people exposed to different levels of

[[Page 16442]]

ambient O3 while at elevated exertion \10\, served two 
purposes. First, the entire range of modeled personal exposures to 
ambient O3 was an essential input to the portion of the 
health risk assessment based on exposure-response functions from 
controlled human exposure studies, discussed in the next section. 
Second, estimates of personal exposures to ambient O3 
concentrations at and above specified benchmark levels while at 
elevated exertion provided some perspective on the public health 
impacts of health effects that we cannot currently evaluate in 
quantitative risk assessments but that may occur at current air quality 
levels, and the extent to which such impacts might be reduced by 
meeting the current and alternative standards. In the proposal, we 
referred to exposures at and above these benchmark levels while at 
elevated exertion as ``exposures of concern.''
---------------------------------------------------------------------------

    \10\ As discussed in section II.A of the proposal, O3 
health responses observed in controlled human exposure studies are 
associated with exposures while subjects are engaged in moderate or 
greater exertion on average over the exposure period (hereafter 
referred to as ``elevated exertion'') and, therefore, these are the 
exposures of interest.
---------------------------------------------------------------------------

    Based on the observation from the exposure analyses conducted in 
the prior review that children represented the population subgroup with 
the greatest exposure to ambient O3, EPA chose to model 8-
hour exposures at elevated exertion for all school age children, and 
separately for asthmatic school age children, as well as for the 
general population in the current exposure assessment. While outdoor 
workers and other adults who engage in moderate or greater exertion for 
prolonged periods while outdoors during the day in areas experiencing 
elevated O3 concentrations also are at risk for 
O3-related health effects, EPA did not focus on developing 
quantitative exposure estimates for these population subgroups due to 
the lack of information about the number of individuals who regularly 
work or exercise outdoors. Thus, as presented in the proposal and in 
the Staff Paper the exposure estimates are most useful for making 
relative comparisons of estimated exposures in school age children 
across alternative air quality scenarios. This assessment does not 
provide information on exposures for adult subgroups within the general 
population associated with the air quality scenarios.
    EPA noted in the proposal key observations that were important to 
consider in comparing exposure estimates associated with just meeting 
the current NAAQS and alternative standards considered. These included:
    (1) As shown in Table 6-1 of the Staff Paper, the patterns of 
exposures in terms of percentages of the population exceeding given 
exposure levels were very similar for the general population and for 
asthmatic and all school age (5-18) children, although children were 
about twice as likely as the general population to be exposed at any 
given level.
    (2) As shown in Table 1 in the proposal (72 FR 37855), the number 
and percentage of asthmatic and all school age children aggregated 
across the 12 urban areas estimated to experience 1 or more exposures 
of concern declined from simulations of just meeting the current 
standard to simulations of alternative 8-hour standards by varying 
amounts, depending on the benchmark level, the population subgroup 
considered, and the air quality year chosen.\11\
---------------------------------------------------------------------------

    \11\ While the proposal notice stated in the text that 
``approximately 2 to 4 percent of all and asthmatic children'' were 
estimated to experience exposures of concern at and above the 0.070 
ppm benchmark level for standards in the range of 0.070 to 0.075 ppm 
(72 FR 37879), the correct range is about 1 to 5 perecent consistent 
with the estimates provided in Table 1 of the proposal (72 FR 
37855).
---------------------------------------------------------------------------

    (3) Substantial year-to-year variability in exposure estimates was 
observed over the three-year modeling period.
    (4) There was substantial variability observed across the 12 urban 
areas in the percent of the population subgroups estimated to 
experience exposures at and above specified benchmark levels while at 
elevated exertion.
    (5) Of particular note, there is high inter-individual variability 
in responsiveness such that only a subset of individuals who were 
exposed at and above a given benchmark level while at elevated exertion 
would actually be expected to experience any such potential adverse 
health effects.
    (6) In considering these observations, it was important to take 
into account the variability, uncertainties, and limitations associated 
with this assessment, including the degree of uncertainty associated 
with a number of model inputs and uncertainty in the model itself.
b. Quantitative Health Risk Assessment
    As discussed in section II.B.2 of the proposal, the approach used 
to develop quantitative risk estimates associated with exposures to 
O3 builds upon the risk assessment conducted during the last 
review.\12\ The expanded and updated assessment conducted in this 
review includes estimates of (1) risks of lung function decrements in 
all and asthmatic school age children, respiratory symptoms in 
asthmatic children, respiratory-related hospital admissions, and non-
accidental and cardiorespiratory-related mortality associated with 
recent short-term ambient O3 levels; (2) risk reductions and 
remaining risks associated with just meeting the current 8-hour 
O3 NAAQS; and (3) risk reductions and remaining risks 
associated with just meeting various alternative 8-hour O3 
NAAQS in a number of example urban areas. The health risk assessment 
was discussed in the Staff Paper (chapter 5) and presented more fully 
in a technical support document, Ozone Health Risk Assessment for 
Selected Urban Areas (Abt Associates, 2007a). As noted in the proposal, 
the scope and methodology for this risk assessment was developed over 
several years with considerable input from the CASAC Panel and the 
public.
---------------------------------------------------------------------------

    \12\ The methodology, scope, and results from the risk 
assessment conducted in the last review are described in Chapter 6 
of the 1996 Staff Paper (EPA, 1996) and in several technical reports 
(Whitfield et al., 1996; Whitfield, 1997) and publication (Whitfield 
et al., 1998).
---------------------------------------------------------------------------

    EPA recognized that there were many sources of uncertainty and 
variability inherent in the inputs to these assessments and that there 
was a high degree of uncertainty in the resulting O3 risk 
estimates. Such uncertainties generally relate to a lack of clear 
understanding of a number of important factors, including, for example, 
the shape of exposure-response and concentration-response functions, 
particularly when, as here, effect thresholds can neither be discerned 
nor determined not to exist; issues related to selection of appropriate 
statistical models for the analysis of the epidemiologic data; the role 
of potentially confounding and modifying factors in the concentration-
response relationships; and issues related to simulating how 
O3 air quality distributions will likely change in any given 
area upon attaining a particular standard, since strategies to reduce 
emissions are not yet fully defined. While some of these uncertainties 
were addressed quantitatively in the form of estimated confidence 
ranges around central risk estimates, other uncertainties and the 
variability in key inputs were not reflected in these confidence 
ranges, but rather were partially characterized through separate 
sensitivity analyses or discussed qualitatively.
    Key observations and insights from the O3 risk 
assessment, together with important caveats and limitations, were 
discussed in section II.B of the proposal. In general, estimated risk 
reductions associated with going from current O3 levels to 
just meeting the current and

[[Page 16443]]

alternative 8-hour standards show patterns of increasing estimated risk 
reductions associated with just meeting the lower alternative 8-hour 
standards considered. Furthermore, the estimated percentage reductions 
in risk were strongly influenced by the baseline air quality year used 
in the analysis (see Staff Paper, Figures 6-1 through 6-6)
    Key observations important in comparing estimated health risks 
associated with attainment of the current NAAQS and alternative 
standards included:
    (1) As discussed in the Staff paper (section 5.4.5), EPA has 
greater confidence in relative comparisons in risk estimates between 
alternative standards than in the absolute magnitude of risk estimates 
associated with any particular standard.
    (2) Significant year-to-year variability in O3 
concentrations combined with the use of a 3-year design value to 
determine the amount of air quality adjustment to be applied to each 
year analyzed, results in significant year-to-year variability in the 
annual health risk estimates upon just meeting the current and 
potential alternative standards.
    (3) There is noticeable city-to-city variability in estimated 
O3-related incidence of morbidity and mortality across the 
12 urban areas analyzed for both recent years of air quality and for 
air quality adjusted to simulate just meeting the current and selected 
potential alternative standards. This variability is likely due to 
differences in air quality distributions, differences in estimated 
exposure related to many factors including varying activity patterns 
and air exchange rates, differences in baseline incidence rates, and 
differences in susceptible populations and age distributions across the 
12 urban areas.
    (4) With respect to the uncertainties about estimated policy-
relevant background (PRB) concentrations,\13\ as discussed in the Staff 
Paper (section 5.4.3), alternative assumptions about background levels 
had a variable impact depending on the health effect considered and the 
location and standard analyzed in terms of the absolute magnitude and 
relative changes in the risk estimates. There was relatively little 
impact on either absolute magnitude or relative changes in lung 
function risk estimates due to alternative assumptions about background 
levels.\14\ With respect to O3-related non-accidental 
mortality, while notable differences (i.e., greater than 50 percent) 
were observed in some areas, particularly for more stringent standards, 
the overall pattern of estimated reductions, expressed in terms of 
percentage reduction relative to the current standard, was 
significantly less impacted.
---------------------------------------------------------------------------

    \13\ PRB O3 concentrations used in the O3 
risk assessment were defined in chapter 2 of the Staff Paper (EPA, 
2007, pp. 2-48, 2-54) as the O3 concentrations that would 
be observed in the U.S. in the absence of anthropogenic emissions of 
precursors (e.g., VOC, NOX, and CO) in the U.S., Canada, 
and Mexico. Based on runs of the GEOS-CHEM model (a global 
tropospheric O3 model) applied for the 2001 warm season 
(i.e., April to September), monthly background daily diurnal 
profiles for each of the 12 urban areas for each month of the 
O3 season were simulated using meteorology for the year 
2001. Based on these model runs, the Criteria Document states that 
current estimates of PRB O3 concentrations are generally 
in the range of 0.015 to 0.035 ppm in the afternoon, and they are 
generally lower under conditions conducive to high O3 
episodes. They are highest during spring due to contributions from 
hemispheric pollution and stratospheric intrusions. The Criteria 
Document states that the GEOS-CHEM model applied for the 2001 warm 
season reports PRB O3 concentrations for afternoon 
surface air over the United States that are likely 10 ppbv too high 
in the southeast in summer, and accurate within 5 ppbv in other 
regions and seasons.
    \14\ Sensitivity analyses examining the impact of alternative 
assumptions about PRB were only conducted for lung function 
decrements and non-accidental mortality.
---------------------------------------------------------------------------

    (5) Concerning the part of the risk assessment based on effects 
reported in epidemiological studies, important uncertainties include 
uncertainties (1) surrounding estimates of the O3 
coefficients for concentration-response relationships used in the 
assessment, (2) involving the shape of the concentration-response 
relationship and whether or not a population threshold or non-linear 
relationship exists within the range of concentrations examined in the 
studies, (3) related to the extent to which concentration-response 
relationships derived from studies in a given location and time when 
O3 levels were higher or behavior and /or housing conditions 
were different provide accurate representations of the relationships 
for the same locations with lower air quality distributions and/or 
different behavior and/or housing conditions, and (4) concerning the 
possible role of co-pollutants which also may have varied between the 
time of the studies and the current assessment period. An important 
additional uncertainty for the mortality risk estimates is the extent 
to which the associations reported between O3 and non-
accidental and cardiorespiratory mortality actually reflect causal 
relationships.
    As discussed in the proposal, some of these uncertainties have been 
addressed quantitatively in the form of estimated confidence ranges 
around central risk estimates; others are addressed through separate 
sensitivity analyses (e.g., the influence of alternative estimates for 
policy-relevant background levels) or are characterized qualitatively. 
For both parts of the health risk assessment, statistical uncertainty 
due to sampling error has been characterized and is expressed in terms 
of 95 percent credible intervals. EPA recognizes that these credible 
intervals do not reflect all of the uncertainties noted above.

B. Need for Revision of the Current Primary O3 Standard

1. Introduction
    The initial issue to be addressed in this review of the primary 
O3 standard is whether, in view of the advances in 
scientific knowledge reflected in the Criteria Document and Staff 
Paper, the current standard should be revised. As discussed in section 
II.C of the proposal, in evaluating whether it was appropriate to 
propose to retain or revise the current standard, the Administrator 
built upon the last review and reflected the broader body of evidence 
and information now available. In the proposal, EPA presented 
information, judgments, and conclusions from the last review, which 
revised the level, averaging time, and form of the standard, from the 
Staff Paper's evaluation of the adequacy of the current primary 
standard, including both evidence- and exposure/risk-based 
considerations, as well as from the CASAC Panel's advice and 
recommendations. The Staff Paper evaluation, CASAC Panel's views, and 
the Administrator's proposed conclusions on the adequacy of the current 
primary standard are presented below.
a. Staff Paper Evaluation
    The Staff Paper considered the evidence presented in the Criteria 
Document as a basis for evaluating the adequacy of the current 
O3 standard, recognizing that important uncertainties 
remain. The extensive body of human clinical, toxicological, and 
epidemiological evidence, highlighted above in section II.A.2 and 
discussed in section II.A of the proposal, serves as the basis for 
judgments about O3-related health effects, including 
judgments about causal relationships with a range of respiratory 
morbidity effects, including lung function decrements, increased 
respiratory symptoms, airway inflammation, increased airway 
responsiveness, and respiratory-related hospitalizations and emergency 
department visits in the warm season, and about the evidence being 
highly suggestive that O3 directly or indirectly contributes 
to non-accidental and cardiorespiratory-related mortality.

[[Page 16444]]

    These judgments take into account important uncertainties that 
remain in interpreting this evidence. For example, with regard to the 
utility of time-series epidemiological studies to inform judgments 
about a NAAQS for an individual pollutant, such as O3, 
within a mix of highly correlated pollutants, such as the mix of 
oxidants produced in photochemical reactions in the atmosphere, the 
Staff Paper noted that there are limitations especially at ambient 
O3 concentrations below levels at which O3-
related effects have been observed in controlled human exposure 
studies. The Staff Paper also recognized that the available 
epidemiological evidence neither supports nor refutes the existence of 
thresholds at the population level for effects such as increased 
hospital admissions and premature mortality. There are limitations in 
epidemiological studies that make discerning thresholds in populations 
difficult, including low data density in the lower concentration 
ranges, the possible influence of exposure measurement error, and 
variability in susceptibility to O3-related effects in 
populations.
    While noting these limitations in the interpretation of the 
findings from the epidemiological studies, the Staff Paper concluded 
that if a population threshold level does exist, it would likely be 
well below the level of the current O3 standard and possibly 
within the range of background levels. This conclusion is supported by 
several epidemiological studies that have explored the question of 
potential thresholds either by using a statistical curve-fitting 
approach to evaluate whether linear or non-linear models fit the data 
better using, or by analyzing, sub-sets of the data where days over or 
under a specific cutpoint (e.g., 0.080 ppm or even lower O3 
levels) were excluded and then evaluating the association for 
statistical significance. In addition to consideration of the 
epidemiological studies, findings from controlled human exposure 
studies indicate that prolonged exposures produced statistically 
significant group mean FEV1 decrements and symptoms in 
healthy adult subjects at levels down to at least 0.060 ppm, with a 
small percentage of subjects experiencing notable effects (e.g., >10 
percent FEV1 decrement, pain on deep inspiration). 
Controlled human exposure studies evaluated in the last review also 
found significant responses in indicators of lung inflammation and cell 
injury at 0.080 ppm in healthy adult subjects. The effects in these 
controlled human exposure studies were observed in healthy young adult 
subjects, and it is likely that more serious responses, and responses 
at lower levels, would occur in people with asthma and other 
respiratory diseases. These physiological effects can lead to 
aggravation of asthma and increased susceptibility to respiratory 
infection. The observations provide support for the conclusion in the 
Staff Paper that the associations observed in the epidemiological 
studies, particularly for respiratory-related effects such as increased 
medication use, increased school and work absences, increased visits to 
doctors' offices and emergency departments, and increased hospital 
admissions, extend down to O3 levels well below the current 
standard (i.e., 0.084 ppm) (p. 6-7).
    The newly available information reinforces the judgments in the 
Staff Paper from the last review about the likelihood of causal 
relationships between O3 exposures and respiratory effects 
and broadens the evidence of O3-related associations to 
include additional respiratory-related endpoints, newly identified 
cardiovascular-related health endpoints, and mortality. Newly available 
evidence also led the Staff Paper to conclude that people with asthma 
are likely to experience more serious effects than people who do not 
have asthma. The Staff Paper also concluded that substantial progress 
has been made since the last review in advancing the understanding of 
potential mechanisms by which ambient O3, alone and in 
combination with other pollutants, is causally linked to a range of 
respiratory-related health endpoints, and may be causally linked to a 
range of cardiovascular-related health endpoints. Thus, the Staff Paper 
found strong support in the evidence available since the last review, 
for consideration of an O3 standard that is at least as 
protective as the current standard and finds no support for 
consideration of an O3 standard that is less protective than 
the current standard. This conclusion is consistent with the advice and 
recommendations of the CASAC Panel and with the views expressed by all 
interested parties who provided comments on drafts of the Staff Paper. 
While the CASAC Panel and some commenters on drafts of the Staff Paper 
supported revising the current standard to provide increased public 
health protection and other such commenters supported retaining the 
current standard, no one who provided comments on drafts of the Staff 
Paper supported a standard that would be less protective than the 
current standard.
i. Evidence-Based Considerations
    In looking more specifically at the controlled human exposure and 
epidemiological evidence, the Staff Paper first noted that controlled 
human exposure studies provide the clearest and most compelling 
evidence for an array of human health effects that are directly 
attributable to acute exposures to O3 per se. Evidence from 
such human studies, together with animal toxicological studies, help to 
provide biological plausibility for health effects observed in 
epidemiological studies. In considering the available evidence, the 
Staff Paper focused on studies that examined health effects that have 
been demonstrated to be caused by exposure to O3, or for 
which the Criteria Document judges associations with O3 to 
be causal or likely causal, or for which the evidence is highly 
suggestive that O3 contributes to the reported effects.
    In considering the epidemiological evidence as a basis for reaching 
conclusions about the adequacy of the current standard, the Staff Paper 
focused on studies reporting effects in the warm season, for which the 
effect estimates are more consistently positive and statistically 
significant than those from all-year studies. The Staff Paper 
considered the extent to which such studies provide evidence of 
associations that extend down to ambient O3 concentrations 
below the level of the current standard, which would thereby call into 
question the adequacy of the current standard. In so doing, the Staff 
Paper noted that if a population threshold level does exist for an 
effect observed in such studies, it would likely be at a level well 
below the level of the current standard. The Staff Paper also attempted 
to characterize whether the area in which a study was conducted likely 
would or would not have met the current standard during the time of the 
study, although it recognizes that the confidence that would 
appropriately be placed on the associations observed in any given 
study, or on the extent to which the association would likely extend 
down to relatively low O3 concentrations, is not dependent 
on this distinction. Further, the Staff Paper considered studies that 
examined subsets of data that include only days with ambient 
O3 concentrations below the level of the current 
O3 standard, or below even lower O3 
concentrations, and continue to report statistically significant 
associations. The Staff Paper judged that such studies are directly 
relevant to considering the adequacy of the current standard, 
particularly in light of reported responses to O3 at

[[Page 16445]]

levels below the current standard found in controlled human exposure 
studies.
    The Staff Paper evaluation of such studies is discussed below and 
in section II.C.2.a of the proposal, focusing in turn on studies of (1) 
lung function, respiratory symptoms and other respiratory-related 
physiological effects, (2) respiratory hospital admissions and 
emergency department visits, and (3) mortality.
    (1) Lung function, respiratory symptoms and other respiratory-
related physiological effects. Health effects for which the Criteria 
Document continued to find clear evidence of causal associations with 
short-term O3 exposures include lung function decrements, 
respiratory symptoms, pulmonary inflammation, and increased airway 
responsiveness. In the last review, these O3-induced effects 
were demonstrated with statistical significance down to the lowest 
level tested in controlled human exposure studies at that time (i.e., 
0.080 ppm). Two new studies are notable in that they are the only 
controlled human exposure studies that examined respiratory effects, 
including lung function decrements and respiratory symptoms, in healthy 
adults at lower exposure levels than had previously been examined. 
EPA's reanalysis of the data from the most recent study shows small 
group mean decrements in lung function responses to be statistically 
significant at the 0.060 ppm exposure level, while the author's 
analysis did not yield statistically significant lung function 
responses but did yield some statistically significant respiratory 
symptom responses toward the end of the exposure period. These studies 
report a small percentage of subjects experiencing lung function 
decrements (>= 10 percent) at the 0.060 ppm exposure level. These 
studies provide very limited evidence of O3-related lung 
function decrements and respiratory symptoms at this lower exposure 
level.
    The Staff Paper noted that evidence from controlled human exposures 
studies indicates that people with moderate-to-severe asthma have 
somewhat larger decreases in lung function in response to O3 
relative to healthy individuals. In addition, lung function responses 
in people with asthma appear to be affected by baseline lung function 
(i.e., magnitude of responses increases with increasing disease 
severity). This newer information expands our understanding of the 
physiological basis for increased sensitivity in people with asthma and 
other airway diseases, recognizing that people with asthma present a 
different response profile for cellular, molecular, and biochemical 
responses than people who do not have asthma. New evidence indicates 
that some people with asthma have increased occurrence and duration of 
nonspecific airway responsiveness, which is an increased 
bronchoconstrictive response to airway irritants. Controlled human 
exposure studies also indicate that some people with allergic asthma 
and rhinitis have increased airway responsiveness to allergens 
following O3 exposure. Exposures to O3 
exacerbated lung function decrements in people with pre-existing 
allergic airway disease, with and without asthma. Ozone-induced 
exacerbation of airway responsiveness persists longer and attenuates 
more slowly than O3-induced lung function decrements and 
respiratory symptom responses and can have important clinical 
implications for asthmatics.
    The Staff Paper also concluded that newly available human exposure 
studies suggest that some people with asthma also have increased 
inflammatory responses, relative to non-asthmatic subjects, and that 
this inflammation may take longer to resolve. The new data on airway 
responsiveness, inflammation, and various molecular markers of 
inflammation and bronchoconstriction indicate that people with asthma 
and allergic rhinitis (with or without asthma) comprise susceptible 
groups for O3-induced adverse effects. This body of evidence 
qualitatively informs the Staff Paper's evaluation of the adequacy of 
the current O3 standard in that it indicates that controlled 
human exposure and epidemiological panel studies of lung function 
decrements and respiratory symptoms that evaluate only healthy, non-
asthmatic subjects likely underestimate the effects of O3 
exposure on asthmatics and other susceptible populations.
    The Staff Paper noted that in addition to the experimental evidence 
of lung function decrements, respiratory symptoms, and other 
respiratory effects in healthy and asthmatic populations discussed 
above, epidemiological studies have reported associations of lung 
function decrements and respiratory symptoms in several locations. Two 
large U.S. panel studies which together followed over 1,000 asthmatic 
children on a daily basis (Mortimer et al., 2002, the National 
Cooperative Inner-City Asthma Study, or NCICAS; and Gent et al., 2003), 
as well as several smaller U.S. and international studies, have 
reported robust associations between ambient O3 
concentrations and measures of lung function, daily respiratory 
symptoms (e.g., chest tightness, wheeze, shortness of breath), and 
increased asthma medication use in children with moderate to severe 
asthma. Mortimer et al. (2002) found that of the pollutants measured 
(including O3, NO2, SO2 and 
PM10), O3 was the only one that had a 
statistically significant effect on lung function. (Mortimer et al. 
2002) also found associations between NO2, SO2 
and PM10 and respiratory symptoms that were stronger than 
those between O3 and respiratory symptoms. Gent et al. 
(2003) found that in co-pollutant models, O3 but not PM2.5 
significantly predicted increased risk of respiratory symptoms and 
rescue medication use among children using asthma maintenance 
medication. Overall, the multi-city NCICAS (Mortimer et al., 2002), 
(Gent et al. 2003), and several other single-city studies indicate a 
robust positive association between ambient O3 
concentrations and increased respiratory symptoms and increased 
medication use in asthmatic children.
    In considering the large number of single-city epidemiological 
studies reporting lung function or respiratory symptoms effects in 
healthy or asthmatic populations, the Staff Paper noted that most such 
studies that reported positive and often statistically significant 
associations in the warm season were conducted in areas that likely 
would not have met the current standard. In considering the large 
multi-city NCICAS (Mortimer et al., 2002), the Staff Paper noted that 
the 98th percentile 8-hour daily maximum O3 concentrations 
at the monitor reporting the highest O3 concentrations in 
each of the study areas ranged from 0.084 ppm to > 0.10 ppm. However, 
the authors indicate that less than 5 percent of the days in the eight 
urban areas had 8-hour daily O3 concentrations exceeding 
0.080 ppm. Moreover, the authors observed that when days with 8-hour 
average O3 levels greater than 0.080 ppm were excluded, 
similar effect estimates were seen compared to estimates that included 
all of the days. There are also a few other studies in which the 
relevant air quality statistics provide some indication that lung 
function and respiratory symptom effects may be occurring in areas that 
likely would have met the current standard (EPA, 2007b, p. 6-12).
    (2) Respiratory hospital admissions and emergency department 
visits. At the time of the last review, many time-series studies 
indicated positive associations between ambient O3 and 
increased respiratory hospital admissions and emergency room visits, 
providing strong evidence for a relationship between O3 
exposure and increased exacerbations of

[[Page 16446]]

preexisting lung disease extending below the level of the then current 
1-hour O3 standard (EPA 2007b, section 3.3.1.1.6). Analyses 
of data from studies conducted in the northeastern U.S. indicated that 
O3 air pollution was consistently and strongly associated 
with summertime respiratory hospital admissions.
    Since the last review, new epidemiological studies have evaluated 
the association between short-term exposures to O3 and 
unscheduled hospital admissions for respiratory causes. Large multi-
city studies, as well as many studies from individual cities, have 
reported positive and often statistically significant O3 
associations with total respiratory hospitalizations as well as asthma- 
and chronic obstructive pulmonary disease (COPD)-related 
hospitalizations, especially in studies analyzing the O3 
effect during the summer or warm season. Analyses using multipollutant 
regression models generally indicate that copollutants do not confound 
the association between O3 and respiratory hospitalizations 
and that the O3 effect estimates were robust to PM 
adjustment in all-year and warm-season only data. The Criteria Document 
concluded that the evidence supports a causal relationship between 
acute O3 exposures and increased respiratory-related 
hospitalizations during the warm season.
    In looking specifically at U.S. and Canadian respiratory 
hospitalization studies that reported positive and often statistically 
significant associations (and that either did not use GAM or were 
reanalyzed to address GAM-related problems), the Staff Paper noted that 
many such studies were conducted in areas that likely would not have 
met the current O3 standard, with many providing only all-
year effect estimates, and with some reporting a statistically 
significant association in the warm season. Of the studies that provide 
some indication that O3-related respiratory hospitalizations 
may be occurring in areas that likely would have met the current 
standard, the Staff Paper noted that some are all-year studies, whereas 
others reported statistically significant warm-season associations.
    Emergency department visits for respiratory causes have been the 
focus of a number of new studies that have examined visits related to 
asthma, COPD, bronchitis, pneumonia, and other upper and lower 
respiratory infections, such as influenza, with asthma visits typically 
dominating the daily incidence counts. Among studies with adequate 
controls for seasonal patterns, many reported at least one significant 
positive association involving O3. However, inconsistencies 
were observed which were at least partially attributable to differences 
in model specifications and analysis approach among various studies. In 
general, O3 effect estimates from summer-only analyses 
tended to be positive and larger compared to results from cool season 
or all-year analyses. Almost all of the studies that reported 
statistically significant effect estimates were conducted in areas that 
likely would not have met the current standard. The Criteria Document 
concluded that analyses stratified by season generally supported a 
positive association between O3 concentrations and emergency 
department visits for asthma in the warm season. These studies provide 
evidence of effects in areas that likely would not have met the current 
standard and evidence of associations that likely extend down to 
relatively low ambient O3 concentrations.
    (3) Mortality. The 1996 Criteria Document concluded that an 
association between daily mortality and O3 concentrations 
for areas with high O3 levels (e.g., Los Angeles) was 
suggested. However, due to inconsistencies in the results from the very 
limited number of studies available at that time, there was 
insufficient evidence to determine whether the observed association was 
likely causal, and thus the possibility that O3 exposure may 
be associated with mortality was not relied upon in the 1997 decision 
on the O3 primary standard.
    Since the last review, the body of evidence with regard to 
O3-related health effects has been expanded by animal, 
controlled human exposure, and epidemiological studies and now 
identifies biologically plausible mechanisms by which O3 may 
affect the cardiovascular system. In addition, there is stronger 
information linking O3 to serious morbidity outcomes, such 
as hospitalization, that are associated with increased mortality. Thus, 
there is now a coherent body of evidence that describes a range of 
health outcomes from lung function decrements to hospitalization and 
premature mortality.
    Newly available large multi-city studies and related analyses (Bell 
et al., 2004; Huang et al., 2005; and Schwartz, 2005) designed 
specifically to examine the effect of O3 and other 
pollutants on mortality have provided much more robust and credible 
information. Together these studies have reported significant 
associations between O3 and mortality that were robust to 
adjustment for PM and different adjustment methods for temperature and 
suggest that the effect of O3 on mortality may be immediate 
but may also persist for several days. Further analysis of one of these 
multi-city studies (Bell et al., 2006) examined the shape of the 
concentration-response function for the O3-mortality 
relationship in 98 U.S. urban communities for the period 1987 to 2000 
specifically to evaluate whether a threshold level exists. Results from 
various analytic methods all indicated that any threshold, if it 
exists, would likely occur at very low concentrations, far below the 
level of the current O3 NAAQS and nearing background levels.
    New data are also available from several single-city studies 
conducted worldwide, as well as from several meta-analyses that have 
combined information from multiple studies. Three recent meta-analyses 
evaluated potential sources of heterogeneity in O3-mortality 
associations. All three analyses reported common findings, including 
effect estimates that were statistically significant and larger in warm 
season analyses. Reanalysis of results using default GAM criteria did 
not change the effect estimates, and there was no strong evidence of 
confounding by PM.
    Overall, the Criteria Document (p. 8-78) found that the results 
from U.S. multi-city time-series studies, along with the meta-analyses, 
provide relatively strong evidence for associations between short-term 
O3 exposure and all-cause mortality even after adjustment 
for the influence of season and PM. The results of these analyses of 
studies considered in this review indicate that copollutants generally 
do not appear to substantially confound the association between 
O3 and mortality. In addition, several single-city studies 
observed positive associations of ambient O3 concentrations 
with total nonaccidental and cardiorespiratory mortality.
    Finally, from those studies that included assessment of 
associations with specific causes of death, it appears that effect 
estimates for associations with cardiovascular mortality are larger 
than those for total mortality; effect estimates for respiratory 
mortality are less consistent in size, possibly due to reduced 
statistical power in this subcategory of mortality. For cardiovascular 
mortality, the Criteria Document (p. 7-106) suggested that effect 
estimates are consistently positive and more likely to be larger and 
statistically significant in warm season analyses. The Criteria 
Document (p. 8-78) concluded that these findings are highly suggestive 
that short-term O3 exposure directly or indirectly 
contributes to nonaccidental and cardiorespiratory-related mortality, 
but

[[Page 16447]]

additional research is needed to more fully establish underlying 
mechanisms by which such effects occur.\15\
---------------------------------------------------------------------------

    \15\ In commenting on the Criteria Document, the CASAC Ozone 
Panel raised questions about the implications of these time-series 
results in a policy context, emphasizing that ``* * * while the 
time-series study design is a powerful tool to detect very small 
effects that could not be detected using other designs, it is also a 
blunt tool'' (Henderson, 2006b). They note that ``* * * not only is 
the interpretation of these associations complicated by the fact 
that the day-to-day variation in concentrations of these pollutants 
is, to a varying degree, determined by meteorology, the pollutants 
are often part of a large and highly correlated mix of pollutants, 
only a very few of which are measured'' (Henderson, 2006b). Even 
with these uncertainties, the CASAC Ozone Panel, in its review of 
the Staff Paper, found ``* * * premature total non-accidental and 
cardiorespiratory mortality for inclusion in the quantitative risk 
assessment to be appropriate.'' (Henderson, 2006b)
---------------------------------------------------------------------------

ii. Exposure- and Risk-Based Considerations
    In evaluating the adequacy of the current standard, the Staff Paper 
also considered estimated quantitative exposures and health risks, and 
important uncertainties and limitations in those estimates, which are 
highlighted above in section II.A.3 and discussed in section II.B of 
the proposal. These estimates are derived from an EPA assessment of 
exposures and health risks associated with recent air quality levels 
and with air quality simulated to just meet the current standard to 
help inform judgments about whether or not the current standard 
provides adequate protection of public health.
    The Staff Paper (and the CASAC Panel) recognized that the exposure 
and risk analyses could not provide a full picture of the O3 
exposures and O3-related health risks posed nationally. The 
Staff Paper did not have sufficient information to evaluate all 
relevant at-risk groups (e.g., outdoor workers, children under age 5) 
or all O3-related health outcomes (e.g., increased 
medication use, school absences, and emergency department visits that 
are part of a broader pyramid of effects), and the scope of the Staff 
Paper analyses was generally limited to estimating exposures and risks 
in 12 urban areas across the U.S., and to only five or just one area 
for some health effects included in the risk assessment. Thus, due to 
the limited geographic scope of the exposure and risk assessments, EPA 
recognizes that national-scale public health impacts of ambient 
O3 exposures would be much larger than the quantitative 
exposure and risk estimates associated with recent air quality or air 
quality that just meets the current or alternative standards in the 12 
urban areas analyzed. On the other hand, inter-individual variability 
in responsiveness means that only a subset of individuals in each group 
estimated to experience exposures at and above a given benchmark level 
while at elevated exertion would actually be expected to experience 
such adverse health effects.
    The Staff Paper estimated exposures and risks for the three most 
recent years (2002-2004) for which data were available at the time of 
the analyses. As discussed above in section II.A.3.a, within this 3-
year period, 2002 was a year with relatively higher O3 
levels in most, but not all, areas and simulation of just meeting the 
current standard based on 2002 air quality data provides a generally 
higher-end estimate of exposures and risks, while 2004 was a year with 
relatively lower O3 levels in most, but not all, areas and 
simulation of just meeting the current standard using 2004 air quality 
data provides a generally lower-end estimate of exposures and risks.
    The Staff Paper consideration of such exposure and risk analyses is 
discussed below and in section II.C.2.b of the proposal, focusing on 
both the exposure analyses and the human health risk assessment.
    (1) Exposure analyses. EPA's exposure analysis estimated personal 
exposures to ambient O3 levels at and above specific 
benchmark levels while at elevated exertion to provide some perspective 
on the potential public health impacts of respiratory symptoms and 
respiratory-related physiological effects that cannot currently be 
evaluated in quantitative risk assessments but that may occur at 
current air quality levels, and the extent to which such impacts might 
be reduced by meeting the current and alternative standards. As noted 
above in section II.A.3, the Staff Paper referred to exposures at and 
above these benchmark levels as ``exposures of concern.'' The Staff 
Paper noted that potential public health impacts likely occur across a 
range of O3 exposure levels, such that there is no one 
exposure level that addresses all relevant public health impacts. 
Therefore, with the concurrence of the CASAC Panel, the Staff Paper 
estimated exposures of concern not only at 0.080 ppm O3, a 
level at which there are demonstrated effects, but also at 0.070 and 
0.060 ppm O3. The Staff Paper recognized that there will be 
varying degrees of concern about exposures at each of these levels, 
based in part on the population subgroups experiencing them. Given that 
there is clear evidence of inflammation, increased airway 
responsiveness, and changes in host defenses in healthy people exposed 
to 0.080 ppm O3 and reason to infer that such effects will 
continue at lower exposure levels, but with increasing uncertainty 
about the extent to which such effects occur at lower O3 
concentrations, the Staff Paper focused on exposures at or above 
benchmark levels of 0.070 and 0.060 ppm O3 while at elevated 
exertion for purposes of evaluating the adequacy of the current 
standard.
    Exposure estimates were presented in the Staff Paper and in section 
II.B (Table 1) of the proposal for the number and percent of all school 
age children and asthmatic school age children exposed, and the number 
of person-days (occurrences) of exposures, with daily 8-hour maximum 
exposures at or above several benchmark levels while at intermittent 
moderate or greater exertion. The percent of population exposed at any 
given level is very similar for all and asthmatic school age children. 
Substantial year-to-year variability in exposure estimates is observed, 
ranging to over an order of magnitude at the current standard level, in 
estimates of the number of children and the number of occurrences of 
exposures at both of these benchmark levels while at elevated exertion. 
The Staff Paper stated that it is appropriate to consider not just the 
average estimates across all years, but also to consider public health 
impacts in years with relatively higher O3 levels. The Staff 
Paper also noted that there is substantial city-to-city variability in 
these estimates, and notes that it is appropriate to consider not just 
the aggregate estimates across all cities, but also to consider the 
public health impacts in cities where these estimates are higher than 
the average upon meeting the current standard.
    About 50 percent of asthmatic of all school age children, 
representing nearly 1.3 million asthmatic children and about 8.5 
million school age children in the 12 urban areas examined, are 
estimated to experience exposures at or above the 0.070 ppm benchmark 
level while at elevated exertion (i.e., these individuals are estimated 
to experience 8-hour O3 exposures at or above 0.070 ppm 
while engaged in moderate or greater exertion 1 or more times during 
the O3 season) associated with 2002 O3 air 
quality levels. In contrast, about 17 percent of asthmatic and all 
school age children are estimated to experience exposures at or above 
the 0.070 ppm benchmark level while at elevated exertion associated 
with 2004 O3 air quality levels. Just meeting the current 
standard results in an aggregate estimate of about 20 percent of 
asthmatic or 18 percent of all school age children likely to experience 
exposures at or above the

[[Page 16448]]

0.070 ppm benchmark level while at elevated exertion using the 2002 
simulation. The exposure estimates for this benchmark level range up to 
about 40 percent of asthmatic or all school age children in the single 
city with the highest estimate among the cities analyzed. Just meeting 
the current standard based on the 2004 simulation, results in an 
aggregate estimate of about 1 percent of asthmatic or all school age 
children experiencing exposures exceeding the 0.070 ppm benchmark level 
while at elevated exertion.
    At the benchmark level of 0.060 ppm, about 70 percent of all or 
asthmatic school age children are estimated to experience exposures at 
or above this benchmark level while at elevated exertion for the 
aggregate of the 12 urban areas associated with 2002 O3 
levels. Just meeting the current standard would result in an aggregate 
estimate of about 45 percent of asthmatic or all school age children 
likely to experience exposures at or above the 0.060 ppm benchmark 
level while at elevated exertion using the 2002 simulation. The 
exposure estimates for this benchmark level range up to nearly 70 
percent of all or asthmatic school age children in the single city with 
the highest estimate among the cities analyzed associated with just 
meeting the current standard using the 2002 simulation. The Staff Paper 
indicated an aggregate estimate of about 10 percent of asthmatic or all 
school age children would experience exposures at or above the 0.060 
ppm benchmark level while at elevated exertion associated with just 
meeting the current standard using the 2004 simulation.
    (2) Risk assessment. The health risk assessment estimated risks for 
several important health endpoints, including: (1) Lung function 
decrements (i.e., >= 15 percent and >= 20 percent reductions in 
FEV1) in all school age children for 12 urban areas; (2) 
lung function decrements (i.e., >= 10 percent and >= 20 percent 
reductions in FEV1) in asthmatic school age children for 5 
urban areas (a subset of the 12 urban areas); (3) respiratory symptoms 
(i.e., chest tightness, shortness of breath, wheeze) in moderate to 
severe asthmatic children for the Boston area; (4) respiratory-related 
hospital admissions for 3 urban areas; and (5) nonaccidental and 
cardiorespiratory mortality for 12 urban areas for three recent years 
(2002 to 2004) and for just meeting the current standard using a 2002 
simulation and a 2004 simulation.
    With regard to estimates of moderate lung function decrements, 
meeting the current standard substantially reduces the estimated number 
of school age children experiencing one or more occurrences of 
FEV1 decrements >= 15 percent for the 12 urban areas, going 
from about 1.3 million children (7 percent of children) under 2002 air 
quality to about 610,000 (3 percent of children) based on the 2002 
simulation, and from about 620,000 children (3 percent of children) to 
about 230,000 (1 percent of children) using the 2004 simulation. In 
asthmatic children, the estimated number of children experiencing one 
or more occurrences of FEV1 decrements >= 10 percent for the 
5 urban areas goes from about 250,000 children (16 percent of asthmatic 
children) under 2002 air quality to about 130,000 (8 percent of 
asthmatic children) using the 2002 simulation, and from about 160,000 
(10 percent of asthmatic children) to about 70,000 (4 percent of 
asthmatic children) using the 2004 simulation. Thus, even when the 
current standard is met, about 4 to 8 percent of asthmatic school age 
children are estimated to experience one or more occurrences of 
moderate lung function decrements, resulting in about 1 million 
occurrences (using the 2002 simulation) and nearly 700,000 occurrences 
(using the 2004 simulation) in just 5 urban areas. Moreover, the 
estimated number of occurrences of moderate or greater lung function 
decrements per child is on average approximately 6 to 7 in all children 
and 8 to 10 in asthmatic children in an O3 season, even when 
the current standard is met, depending on the year used to simulate 
meeting the current standard. In the 1997 review of the O3 
standard a general consensus view of the adversity of such moderate 
responses emerged as the frequency of occurrences increases, with the 
judgment that repeated occurrences of moderate responses, even in 
otherwise healthy individuals, may be considered adverse since they may 
well set the stage for more serious illness.
    With regard to estimates of large lung function decrements, the 
Staff Paper noted that FEV1 decrements > 20 percent would 
likely interfere with normal activities in many healthy individuals, 
therefore single occurrences would be considered to be adverse. In 
people with asthma, large lung function responses would likely 
interfere with normal activities for most individuals and would also 
increase the likelihood that these individuals would use additional 
medication or seek medical treatment. Single occurrences would be 
considered to be adverse to asthmatic individuals under the ATS 
definition. They also would be cause for medical concern in some 
individuals. While the current standard reduces the occurrences of 
large lung function decrements in all children and asthmatic children 
from about 60 to 70%, in a year with relatively higher O3 
levels (2002), there are estimated to be about 500,000 occurrences in 
all school children across the entire 12 urban areas, and about 40,000 
occurrences in asthmatic children across just 5 urban areas. As noted 
above, it is clear that even when the current standard is met over a 
three-year period, O3 levels in each year can vary 
considerably, as evidenced by relatively large differences between risk 
estimates based on 2002 to 2004 air quality. The Staff Paper expressed 
the view that it was appropriate to consider this yearly variation in 
O3 levels allowed by the current standard in judging the 
extent to which impacts on members of at-risk groups in a year with 
relatively higher O3 levels remain of concern from a public 
health perspective.
    With regard to other O3-related health effects, the 
estimated risks of respiratory symptom days in moderate to severe 
asthmatic children, respiratory-related hospital admissions, and non-
accidental and cardiorespiratory mortality, respectively, are not 
reduced to as great an extent by meeting the current standard as are 
lung function decrements. For example, just meeting the current 
standard reduces the estimated average incidence of chest tightness in 
moderate to severe asthmatic children living in the Boston urban area 
by 11 to 15%, based on 2002 and 2004 simulations, respectively, 
resulting in an estimated incidence of about 23,000 to 31,000 per 
100,000 children attributable to O3 exposure (Table 6-4). 
Just meeting the current standard is estimated to reduce the incidence 
of respiratory-related hospital admissions in the New York City urban 
area by about 16 to 18%, based on 2002 and 2004 simulations, 
respectively, resulting in an estimated incidence per 100,000 
population of 4.6 to 6.4, respectively. Across the 12 urban areas, the 
estimates of non-accidental mortality incidence per 100,000 relevant 
population range from 0.4 to 2.6 (for 2002) and 0.5 to 1.5 (for 2004). 
Meeting the current standard results in a reduction of the estimated 
incidence per 100,000 population to a range of 0.3 to 2.4 based on the 
2002 simulation and a range of 0.3 to 1.2 based on the 2004 simulation. 
Estimates for cardiorespiratory mortality show similar patterns.
    In considering the estimates of the proportion of population 
affected and the number of occurrences of the health effects that are 
included in the risk assessment, the Staff Paper noted that

[[Page 16449]]

these limited estimates are indicative of a much broader array of 
potential O3-related health endpoints that we consider part 
of a ``pyramid of effects'' that include various indicators of 
morbidity that could not be included in the risk assessment (e.g., 
school absences, increased medication use, emergency department visits) 
and which primarily affect members of at-risk groups. While the Staff 
Paper had sufficient information to estimate and consider the number of 
symptom days in children with moderate to severe asthma, it recognized 
that there are many other effects that may be associated with symptom 
days, such as increased medication use, school and work absences, or 
visits to doctors' offices, for which there was not sufficient 
information to estimate risks but which are important to consider in 
assessing the adequacy of the current standard. The same is true for 
more serious, but less frequent effects. The Staff Paper estimated 
hospital admissions, but there was not sufficient information to 
estimate emergency department visits in a quantitative risk assessment. 
Consideration of such unquantified risks in the Staff Paper reinforced 
the Staff Paper conclusion that consideration should be given to 
revising the standard so as to provide increased public health 
protection, especially for at-risk groups such as people with asthma or 
other lung diseases, as well as children and older adults, particularly 
those active outdoors, and outdoor workers.
iii. Summary of Staff Paper Considerations
    The Staff Paper concluded that the overall body of evidence clearly 
calls into question the adequacy of the current standard in protecting 
at-risk groups against an array of adverse health effects that range 
from decreased lung function and respiratory symptoms to serious 
indicators of respiratory morbidity including emergency department 
visits and hospital admissions for respiratory causes, nonaccidental 
mortality, and possibly cardiovascular effects. These at-risk groups 
notably include asthmatic children and other people with lung disease, 
as well as all children and older adults, especially those active 
outdoors, and outdoor workers.\16\ The available information provides 
strong support for consideration of an O3 standard that 
would provide increased health protection for these at-risk groups. The 
Staff Paper also concluded that risks projected to remain upon meeting 
the current standard are indicative of risks to at-risk groups that can 
be judged to be important from a public health perspective. This 
information reinforced the Staff Paper conclusion that consideration 
should be given to revising the level of the standard so as to provide 
increased public health protection.
---------------------------------------------------------------------------

    \16\ In defining at-risk groups this way we are including both 
groups with greater inherent sensitivity and those more likely to be 
exposed.
---------------------------------------------------------------------------

b. CASAC Views
    The CASAC Panel unanimously concluded in a letter to the 
Administrator that there is ``no scientific justification for 
retaining'' the current primary O3 standard, and the current 
standard ``needs to be substantially reduced to protect human health, 
particularly in sensitive subpopulations'' (Henderson, 2006c, pp. 1-2). 
In its rationale for this conclusion, the CASAC Panel concluded that 
``new evidence supports and builds-upon key, health-related conclusions 
drawn in the 1997 O3 NAAQS review'' (id., p. 3). The Panel 
noted that several new single-city studies and large multi-city studies 
have provided more evidence for adverse health effects at 
concentrations lower than the current standard, and that these 
epidemiological studies are backed-up by evidence from controlled human 
exposure studies. The Panel specifically noted evidence from the recent 
Adams (2006) study that reported statistically significant decrements 
in the lung function of healthy, moderately exercising adults at a 
0.080 ppm exposure level, and importantly, also reported adverse lung 
function effects in some healthy individuals at 0.060 ppm. The CASAC 
Panel concluded that these results indicate that the current standard 
``is not sufficiently health-protective with an adequate margin of 
safety,'' noting that while similar studies in sensitive groups such as 
asthmatics have yet to be conducted, ``people with asthma, and 
particularly children, have been found to be more sensitive and to 
experience larger decrements in lung function in response to 
O3 exposures than would healthy volunteers (Mortimer et al., 
2002)'' (Henderson, 2006c, p. 4).
    The CASAC Panel also highlighted a number of O3-related 
adverse health effects that are associated with exposure to ambient 
O3, below the level of the current standard based on a broad 
range of epidemiological studies (Henderson, 2006c). These adverse 
health effects include increases in school absenteeism, respiratory 
hospital emergency department visits among asthmatics and patients with 
other respiratory diseases, hospitalizations for respiratory illnesses, 
symptoms associated with adverse health effects (including chest 
tightness and medication usage), and premature mortality 
(nonaccidental, cardiorespiratory deaths) reported at exposure levels 
well below the current standard. ``The CASAC considers each of these 
findings to be an important indicator of adverse health effects'' 
(Henderson, 2006c).
    The CASAC Panel expressed the view that more emphasis should be 
placed on the subjects in controlled human exposure studies with FEV1 
decrements greater than 10 percent, which can be clinically 
significant, rather than on the relatively small average decrements. 
The Panel also emphasized significant O3-related 
inflammatory responses and markers of injury to the epithelial lining 
of the lung that are independent of spirometric responses. Further, the 
Panel expressed the view that the Staff Paper did not place enough 
emphasis on serious morbidity (e.g., hospital admissions) and mortality 
observed in epidemiological studies. On the basis of the large amount 
of recent data evaluating adverse health effects at levels at and below 
the current O3 standard, it was the unanimous opinion of the 
CASAC Panel that the current primary O3 standard is not 
adequate to protect human health, that the relevant scientific data do 
not support consideration of retaining the current standard, and that 
the current standard needs to be substantially reduced to be protective 
of human health, particularly in sensitive subpopulations (Henderson, 
2006c, pp. 4-5).
    Further, the CASAC letter noted that ``there is no longer 
significant scientific uncertainty regarding the CASAC's conclusion 
that the current 8-hour primary NAAQS must be lowered'' (Henderson, 
2006c, p. 5). The Panel noted that a ``large body of data clearly 
demonstrates adverse human health effects at the current level'' of the 
standard, such that ``[R]etaining this standard would continue to put 
large numbers of individuals at risk for respiratory effects and/or 
significant impact on quality of life including asthma exacerbations, 
emergency room visits, hospital admissions and mortality'' (Henderson, 
2006c).
c. Administrator's Proposed Conclusions
    At the time of proposal, in considering whether the current primary 
standard should be revised, the Administrator carefully considered the 
conclusions contained in the Criteria Document, the rationale and 
recommendations contained in the Staff Paper, the advice and 
recommendations

[[Page 16450]]

from CASAC, and public comments to date on this issue. In so doing, the 
Administrator noted the following: (1) That evidence of a range of 
respiratory-related morbidity effects seen in the last review has been 
considerably strengthened, both through toxicological and controlled 
human exposure studies as well as through many new panel and 
epidemiological studies; (2) that new evidence from controlled human 
exposure and epidemiological studies identifies people with asthma 
(including children with asthma) as an important susceptible population 
for which estimates of respiratory effects in the general population 
likely underestimate the magnitude or importance of these effects; (3) 
that new evidence about mechanisms of toxicity further contributes to 
the biological plausibility of O3-induced respiratory 
effects and is beginning to suggest mechanisms that may link 
O3 exposure to cardiovascular effects; (4) that there is now 
relatively strong evidence for associations between O3 and 
total nonaccidental and cardiopulmonary mortality, even after 
adjustment for the influence of season and PM; and (5) the limits of 
the available evidence. Relative to the information that was available 
to inform the Agency's 1997 decision to set the current standard, the 
newly available evidence increased the Administrator's confidence that 
respiratory morbidity effects such as lung function decrements and 
respiratory symptoms are causally related to O3 exposures, 
that indicators of respiratory morbidity such as emergency department 
visits and hospital admissions are causally related to O3 
exposures, and that the evidence is highly suggestive that 
O3 exposures during the O3 season contribute to 
premature mortality.
    The Administrator judged that there is important new evidence 
demonstrating that exposures to O3 at levels below the level 
of the current standard are associated with a broad array of adverse 
health effects, especially in at-risk populations that include people 
with asthma or other lung diseases who are likely to experience more 
serious effects from exposure to O3, children and older 
adults with increased susceptibility, as well as those who are likely 
to be vulnerable as a result of spending a lot of time outdoors engaged 
in physical activity, especially active children and outdoor workers. 
Examples of this important new evidence include demonstration of 
O3-induced lung function effects and respiratory symptoms in 
some healthy individuals down to the previously observed exposure level 
of 0.080 ppm, as well as very limited new evidence at exposure levels 
well below the level of the current standard. In addition, there is now 
epidemiological evidence of statistically significant O3-
related associations with lung function and respiratory symptom 
effects, respiratory-related emergency department visits and hospital 
admissions, and increased mortality, in areas that likely would have 
met the current standard. There are also many epidemiological studies 
done in areas that likely would not have met the current standard but 
which nonetheless report statistically significant associations that 
generally extend down to ambient O3 concentrations that are 
below the level of the current standard. Further, there are a few 
studies that have examined subsets of data that include only days with 
ambient O3 concentrations below the level of the current 
standard, or below even much lower O3 concentrations, and 
continue to report statistically significant associations with 
respiratory morbidity outcomes and mortality. The Administrator 
recognized that the evidence from controlled human exposure studies, 
together with animal toxicological studies, provides considerable 
support for the biological plausibility of the respiratory morbidity 
associations observed in the epidemiological studies and for concluding 
that the associations extend below the level of the current standard. 
However, the Administrator recognized that in the body of 
epidemiological evidence, many studies reported positive and 
statistically significant associations, while others reported positive 
results that were not statistically significant, and a few did not 
report any positive O3-related associations. In addition, 
the Administrator judged that evidence of a causal relationship between 
adverse health outcomes and O3 exposures became increasingly 
uncertain at lower levels of exposure.
    Based on the strength of the currently available evidence of 
adverse health effects, and on the extent to which the evidence 
indicates that such effects likely result from exposures to ambient 
O3 concentrations below the level of the current standard, 
the Administrator judged that the current standard does not protect 
public health with an adequate margin of safety and that the standard 
should be revised to provide such protection, especially for at-risk 
groups, against a broad array of adverse health effects.
    In reaching this judgment, the Administrator had also considered 
the results of both the exposure and risk assessments conducted for 
this review, to provide some perspective on the extent to which at-risk 
groups would likely experience ``exposures of concern'' \17\ and on the 
potential magnitude of the risk of experiencing various adverse health 
effects when recent air quality data (from 2002 to 2004) are used to 
simulate meeting the current standard and alternative standards in a 
number of urban areas in the U.S.\18\ In considering the results of the 
health risk assessment, as discussed in the proposal notice (section 
II.C.2), the Administrator noted that there were important 
uncertainties and assumptions inherent in the risk assessment and that 
this assessment was most appropriately used to simulate trends and 
patterns that could be expected, as well as providing informed, but 
still imprecise, estimates of the potential magnitude of risks.
---------------------------------------------------------------------------

    \17\ As discussed in section II.A.3 above, ``exposures of 
concern'' are estimates of personal exposures while at moderate or 
greater exertion to 8-hour average ambient O3 levels at 
and above specific benchmark levels which represent exposure levels 
at which O3-related health effects are known or can with 
varying degrees of certainty be inferred to occur in some 
individuals. Estimates of exposures of concern provide some 
perspective on the public health impacts of health effects that may 
occur in some individuals at recent air quality levels but cannot be 
evaluated in quantitative risk assessments, and the extent to which 
such impacts might be reduced by meeting the current and alternative 
standards.
    \18\ As noted above in section II.A.3, recent O3 air 
quality distributions have been statistically adjusted to simulate 
just meeting the current and selected alternative standards. These 
simulations do not represent predictions of when, whether, or how 
areas might meet the specified standards.
---------------------------------------------------------------------------

    In considering the exposure assessment results at the time of 
proposal, the Administrator considered analyses that define ``exposures 
of concern'' by three benchmark exposure levels: 0.080, 0.070, and 
0.060 ppm. Estimates of exposures in at-risk groups at and above these 
benchmark levels while at elevated exertion, using O3 air 
quality data in 2002 and 2004, provide some indication of the potential 
magnitude of the incidence of health outcomes that cannot currently be 
evaluated in a quantitative risk assessment, such as increased airway 
responsiveness, increased pulmonary inflammation, increased cellular 
permeability, and decreased pulmonary defense mechanisms. These 
respiratory-related physiological effects have been demonstrated to 
occur in healthy people at O3 exposures as low as 0.080 ppm, 
the lowest level tested for these effects. These physiological effects 
provide plausible mechanisms underlying observed associations with 
aggravation of asthma, increased medication use, increased school and 
work absences,

[[Page 16451]]

increased susceptibility to respiratory infection, increased visits to 
doctors' offices and emergency departments, and increased admissions to 
hospitals. In addition, these physiological effects, if repeated over 
time, have the potential to lead to chronic effects such as chronic 
bronchitis or long-term damage to the lungs that can lead to reduced 
quality of life.
    In considering these various benchmark levels for exposures of 
concern at the time of proposal, the Administrator focused primarily on 
estimated exposures at and above the 0.070 ppm benchmark level while at 
elevated exertion as an important surrogate measure for potentially 
more serious health effects in at-risk groups such as people with 
asthma. This judgment was based on the strong evidence of effects in 
healthy people at the 0.080 ppm exposure level and the new evidence 
that people with asthma are likely to experience larger and more 
serious effects than healthy people at the same level of exposure. In 
the Administrator's view at the time of proposal, this evidence did not 
support a focus on exposures at and above the benchmark level of 0.080 
ppm O3, as it would not adequately account for the increased 
risk of harm from exposure for members of at-risk groups, especially 
people with asthma. The Administrator also judged that the evidence of 
demonstrated effects is too limited to support a primary focus on 
exposures down to the lowest benchmark level considered of 0.060 ppm. 
The Administrator particularly noted that although the analysis of 
``exposures of concern'' was conducted to estimate exposures at and 
above three discrete benchmark levels (0.080, 0.070, and 0.060 ppm) 
while at elevated exertion, the concept is appropriately viewed as a 
continuum. In so doing, the Administrator sought to balance concern 
about the potential for health effects and their severity with the 
increasing uncertainty associated with our understanding of the 
likelihood of such effects at lower O3 exposure levels.
    The Administrator observed that based on the aggregate exposure 
estimates for the 2002 simulation (summarized in section II.B.1, Table 
1, of the proposal) for the 12 U.S. urban areas included in the 
exposure analysis, upon just meeting the current standard up to about 
20 percent of asthmatic or all school age children are likely to 
experience one or more exposures at and above the 0.070 ppm benchmark 
level while at elevated exertion; the 2004 simulation yielded an 
estimate of about 1 percent of such children. The Administrator noted 
from this comparison that there is substantial year-to-year 
variability, ranging up to an order of magnitude or more in estimates 
of the number of people and the number of occurrences of exposures at 
and above this benchmark level while at elevated exertion. Moreover, 
within any given year, the exposure assessment indicates that there is 
substantial city-to-city variability in the estimates of the children 
exposed or the number of occurrences of exposure at and above this 
benchmark level while at elevated exertion. For example, city-specific 
estimates of the percent of asthmatic or all school age children likely 
to experience exposures at and above the benchmark level of 0.070 ppm 
while at elevated exertion ranges from about 1 percent up to about 40 
percent across the 12 urban areas upon just meeting the current 
standard based on the 2002 simulation; the 2004 simulation yielded 
estimates that range from about 0 up to about 7 percent. The 
Administrator judged that it was important to recognize the substantial 
year-to-year and city-to-city variability in considering these 
estimates.
    With regard to the results of the risk assessment, the 
Administrator focused on the risks estimated to remain upon just 
meeting the current standard. Based on the aggregate risk estimates 
(summarized in section II.B.2, Table 2, of the proposal), the 
Administrator observed that upon just meeting the current standard 
based on the 2002 simulation, approximately 8 percent of asthmatic 
school age children across 5 urban areas (ranging up to about 11 
percent in the city with the highest estimate among the cities 
analyzed) would still be estimated to experience moderate or greater 
lung function decrements one or more times within an O3 
season. These estimated percentages would be approximately 3 percent of 
all school age children across 12 urban areas (ranging up to over 5 
percent in the city with the highest estimate among the cities 
analyzed). The Administrator recognized that, as with the estimates of 
exposures of concern, there is substantial year-to-year and city-to-
city variability in these risk estimates.
    In addition to the percentage of asthmatic or all children 
estimated to experience one or more occurrences of an effect, the 
Administrator recognized that some individuals are estimated to have 
multiple occurrences. For example, across all the cities in the 
assessment, approximately 6 to 7 occurrences of moderate or greater 
lung function decrements per child are estimated to occur in all 
children and approximately 8 to 10 occurrences are estimated to occur 
in asthmatic children in an O3 season, even upon just 
meeting the current standard. In the last review, a general consensus 
view of the adversity of such responses emerged as the frequency of 
occurrences increases, with the judgment that repeated occurrences of 
moderate responses, even in otherwise healthy individuals, may be 
considered adverse since they may well set the stage for more ser