Text Box: page 5 Text Box: (continued on page 4) Lanxess Air Study (Continued from Page 4) History of cancer among blood relatives: 6/7 reviewed cases has a history of cancer among their relatives. According to the ACS, a family history of breast, colon, prostate, or ovarian cancer is an important risk factor for developing those cancers. Previous cancer diagnosis: 4/7 reviewed cases had a previous cancer diagnosis. History of occupational exposures: 2/7 were exposed to asbestos and 2/7 were exposed to welding fumes on the job; none had worked at Lanxess. History of residence: 7/7 were long time residents of Addyston with an average residence of 41 years (18 – 71 years). So, what do we know now? With just 7 case studies, there is too little information available to draw any conclusions as to the specific cause(s) of the high cancer incidence in Addyston. The follow-up study does not rule in Lanxess, and it does not rule it out. Prominent risk factors among the 7 case studies were family and personal cancer history, advanced age, cigarette smoking, occupational exposure, and long-time residence near Lanxess. Other than residence near Lanxess, risk factors for the remaining 48 cases remain unknown and cannot be generalized from the 7 studied cases. All seven cases studied contracted cancer at an advanced age. Since children inhale greater volumes of air compared to their body size then adults and are also often more susceptible to health effects of toxic chemicals, protracted exposure to dangerously high doses of inhaled carcinogens might be expected to produce an elevated incidence of childhood cancers. There has been no reporting of any elevated incidence of childhood cancers in Addyston. Text Box: The 2007 Lanxess “Insight” newsletter headline, “Lanxess plant not a risk factor in Addyston health study” is misleading. Excess emissions of carcinogenic air pollutants just like exposure to cigarette smoke remain risk factors for cancer even though none of the seven Addyston cancer cases have been directly linked to either of these factors. In a March 2007 news release, Ohio EPA and Hamilton County Department of Environmental Services stated that they “remain concerned about the long-term health impacts related to the company's emissions of 1-3 butadiene and acrylontirile.” What’s up now at Lanxess? The facility has received 7 notices of violation from environmental enforcement authorities and they have reduced butadiene emission levels. Lanxess has also received the following orders from Ohio EPA and Hamilton County DOES: To submit an engineering study identifying every source of acrylontrile and 1,3-butadiene emissions at the plant, To identify potential emissions control measures and their technical feasiblility, their potential for emissions reductions, costs, and the time needed for implementation of the most promising control measures, To continue offsite monitoring of ambient air quality. Once all the information is gathered, futher actions by Lanxess may be required by state authories. According to the Ohio EPA, “Ohio EPA will use the results to determine if future actions are necessary to control emissions from the facility.” Citations 1. Cancer incidence among residents of Addyston Village, Hamilton County, Ohio, 1996-2003. Chronic Disease and Behavioral Epidemiology Section and the Ohio Cancer Incidence Surveillance System. Ohio Department of Health & the Hamilton County General Health District. Final Report. May 25, 2006. 2. Hamilton County General Health District. November 20, 2006. Case-review of lung, bronchus and colorectal cancer among residents of Addyston, Ohio, 1996-2003.