camp lejeune current water quality report

Most of the population of potentially exposed individuals from Camp Lejeune is now widely spread throughout the United States and in some instances, around the world. The advisory panel would pull on the expertise of community members with knowledge of military and civilian databases that may be of value. This laboratory noted difficulty in measuring THMs in the Hadnot Point system and the Tarawa Terrace system because of interference by unidentified VOCs. The United States Marine Corps (USMC) Base at Camp Lejeune, North Carolina began operations during the 1940s. from the Cornell University Medical College and his M.P.H. Concern about the amount of time it took the Department of Defense to take action to close the contaminated wells and to notify residents of the potential exposure. Recognizing how tightly current budgets are stretched within CDC and ATSDR to conduct mandated activities, panel members further recommended that Camp Lejeune studies should not be supported by reprogrammed funds within the agency, but rather from newly appropriated monies. Below, we list several types of health outcomes that may be of interest. form the Ohio State College of Medicine and Public Health. Two water-supply systems on the Marine Corps Base Camp Lejeune in North Carolina were contaminated with the industrial solvents trichloroethylene (TCE) and perchloroethylene (PCE). CDC announcement regarding the meeting of the Camp Lejeune Scientific Advisory Panel. J Am Coll Cardiol 1990;16:155-64. The telephone survey began in September 1999 and was completed in January 2002. SGA was determined as <10th percentile weight by gestational week using published sex-specific growth curves for whites in the state of California. Initiation of recommended research activities should not await completion of current ATSDR activities to better characterize past exposure, but can be conducted in parallel with the current work. GA, Christopher StallardFacilitatorCoordinating Office for Global HealthCenters for Disease Control and PreventionAtlanta, GA, Alison Thompson,Military FellowOffice of Senator Elizabeth DoleWashington, DC, Mariana Toma-Drane, MPHDoctoral StudentHPEB DepartmentArnold School of Public HealthUniversity of South CarolinaColumbia, SC, Paul Visintainer, PhDProgram Director/ProfessorDepartment Health Quantitative SciencesSchool of Public HealthNew York Medical CollegeValhalla, NY, T. Michael WhiteU.S. 344203077182001 Local number ON-295, NEAR WALLACE CREEK, AT CAMP LEJEUNE, NC (CASTLE HAYNE) Castle There was no evidence of any follow-up actions to the reports. A wide range of health endpoints of interest were suggested by panel members (as described below). Initiation of recommended research activities need not await completion of current ATSDR activities to better characterize past exposure, but should be conducted in parallel with the current work. Some conditions that should be considered for study are: autoimmune diseases or decrements in immune function; spontaneous abortion; neurological effects; organ failure; adult heart disease related to electrical failure; reproductive outcomes of male and female children born (eg. The panel identified four groups of potentially exposed individuals: adults who lived on base during the period of interest; adults who lived off base, but worked on base (both military and civilian); children who lived on base; and those who were in utero during the time period of interest, whether or not they later lived on base. The studies that evaluated birth defects were recently reviewed (Bove et al., 2002). Other members proposed that all years be considered, but that a random sample of a fraction of records be selected for all possible years. The Camp Lejeune Scientific Advisory Panel met in Atlanta, Georgia on February 17 and 18, 2005. Privacy Policy Camp Lejeune presumptive diseases. Wells were rotated in and out of service and contamination levels in the drinking water distribution system varied depending on the wells being used at a particular time. received his M.D. These individuals were instrumental in having ATSDR convene this meeting of a scientific panel, in which a substantial part of the agenda was devoted to personal testimony by many of these individuals. After exclusions for poor data quality, 11,970 live births were included in the analyses. THM samples taken at Hadnot Point in November 1982 and in 1983 were found to be contaminated with TCE and PCE. As part of VA’s ongoing commitment to provide quality care to Veterans, the Department of Veterans Affairs has established a presumption of service connection for eight diseases associated with exposure to contaminants in the water supply at Camp Lejeune, N.C. The panel said that communications among the base's water system operators, its … Travis Voorhees Environmental Engineer Water Quality Section Jun 14, 2018 Jun 14, 2018; Water consumers on Marine Corps Base Camp Lejeune and Marine Corps Air Station New River will soon be receiving easy-to-understand Consumer Confidence Reports that will allow them to make informed choices that affect the health of their families and themselves. The Marine Corps continues to locate individuals who lived or worked at Camp Lejeune anytime in 1987 or prior. At Hadnot Point, trichloroethylene (TCE) was detected at 1,400 ppb and tetrachloroethylene (PCE) was detected at 15 ppb, slightly above its detection limit of 10 ppb. Historical Documents Library made up of EPA, ATSDR USMC documents compiled by The Few, The Proud, The Forgotten (TFTPTF). Panel members recommended that an advisory panel, with long-term stability, be established. The study obtained electronic birth certificate information for 12,493 live births born during the period January 1, 1968 through December 31, 1985 to women who resided in base family housing at time of delivery. The base has a relatively young population with almost two-thirds of the active military personnel and their dependents under the age of 25. It was recognized that feasibility issues loom large with each of the outcomes, and preliminary work would be needed to see which of them would be possible to study, and which not. A summary of ATSDR’s actions at Camp Lejeune (prepared by the Division of Health Studies). The analysis of the sample at Hadnot Point indicated the presence of VOCs other than THMs. Panel members agreed that initiation of further research on the health effects of contamination at Camp Lejeune should not await completion of the current study underway at ATSDR of childhood leukemia, non-Hodgkins lymphoma, and several adverse reproductive outcomes, which could take two years before findings are available. 1997 ATSDR Public Health Assessment (PHA). Dr. Selmin has expertise in the areas of toxicology, molecular and cellular biology, reproductive health, embryonic cardiac development, regulations of gene expression, toxicogenomics, and TCE. The roster can be queried with lists of individuals (including full name and either date of birth or social security number), and deaths identified. In order to proceed with further work, it is not necessary to await results of this improved and more accurate exposure assessment, since the information developed from these exposure assessment activities can be used in any future health effects study. Army Center for Health Promotion and Preventative MedicineDepartment of DefenseAberdeen Proving Grounds, MD, Scott WilliamsMCBCL – EMDCamp Lejeune, NC, Mildred Williams-Johnson, PhD, DABTEnvironmental Health ScientistOffice of ScienceNational Center for Environmental Health/Agency for Toxic Substances and Disease RegistryAtlanta, GA, G. David Williamson, PhDDirectorDivision of Health StudiesAgency for Toxic Substances and Disease RegistryAtlanta, GA, APPENDIX 2: Camp Lejeune Scientific Advisory Panel Members. During the two day meeting, members of the public were provided opportunities to present their concerns to the Camp Lejeune Scientific Advisory Panel. These individuals can work closely with researchers and serve a liaison function with members of the more broadly exposed population(s) from Camp Lejeune. … In 1958, a supply well for the Tarawa Terrace family housing units was installed near the septic tank system of the dry-cleaning operation. Tetrachloroethylene in Drinking water and Birth outcomes at the US Marine Corps Base at Camp Lejeune North Carolina. Both Camp Lejeune and ABC One-Hour Cleaners were listed as United States Environmental Protection Agency (US EPA) National Priority List (NPL) “Superfund” sites in 1989. In addition, many individuals lived off base and had potential exposures while working on base for various lengths of time. Contents xvii BOXES, FIGURES, AND TABLES BOXES 1 Five Categories Used by IOM to Classify Associations, 6 2 Categorization of Health Outcomes Reviewed in Relation to TCE, PCE, or Solvent Mixtures, 8 5-1 Five Categories Used by IOM to Classify Associations (IOM 2003), 135 FIGURES 1 Conceptual Model of a Camp Lejeune Water System, 3 2-1 Water-Distribution systems serving U.S. … A new article on water-modeling used to support epidemiological studies at Camp Lejeune has been published in the international peer-reviewed journal WATER. *Items 1 and 2 were distributed by ATSDR staff; all other items distributed by members of the public in attendance at the meeting. Therefore, health studies involving persons who were at Camp Lejeune (either as residents or workers or both) and may have been exposed to contaminated water poses special challenges in identifying and locating individuals. In 1954, ABC One-Hour Cleaners, a dry cleaning firm, began operation near the base. Several panel members stated that direct funding by DOD of studies conducted by ATSDR carries with it at least an apparent conflict of interest that could compromise scientific independence and study validity and therefore public acceptance of whatever findings may be forthcoming. Aral, P.Z. The Agency for Toxic Substances and Disease Registry (ATSDR) is required by law to conduct a public health assessment (PHA) at each NPL site. In particular, it is crucial to understand how these exposures were distributed in space and time at Camp Lejeune, and what the levels were. The possible sources of contamination of the Hadnot Point system were leaking underground storage tanks, spills, and other waste disposal practices. The charge to the panel was to determine whether additional epidemiologic studies on health effects possibly associated with past exposure to drinking water contaminated with trichloroethylene (TCE) and tetrachloroethylene (PCE) should be conducted on the potentially exposed population (or specific sub-population) at Camp Lejeune. Onslow County, North Carolina. Each system had many more wells than were necessary to supply water on any given day. The assessment determined that the estimated drinking water VOC exposures at Camp Lejeune were several thousand times lower than levels of concern in animal studies. Am J Epidemiol 2001;154(10):902-908. You will be subject to the destination website's privacy policy when you follow the link. Dr. Lynch has expertise in the areas of reproductive epidemiology, reproductive environmental health, epidemiologic methods, statistics, and exposures & conception. Some of our Marine family members have experienced tragic health issues they believe are associated with water they drank or used in the past at Camp Lejeune. A total of 12,493 birth certificates were obtained for children born from 1968 through 1985 to mothers who lived in base housing at the time of delivery. A committee of the National Research Council will review the scientific evidence on associations between adverse health effects and historical data on prenatal, childhood, and adult exposures to contaminated drinking water at Camp Lejeune, North Carolina. In contrast with many other places where toxic contamination of the environment has been a concern, the population at Camp Lejeune is relatively transient. This report along with transcripts from the meeting will be provided to all meeting participants, other interested parties, and will be posted on the ATSDR website at http://www.atsdr.cdc.gov/sites/lejeune/eventsarchive.html. The summary of the exposures and ATSDR activities is included in this report under the Background Section. The next step was to verify the diagnoses of the cases ascertained by the survey. The panel recommended that a decision as to which years of residence/work at Camp Lejeune to include for eligibility in future cohorts should be made by researchers and the oversight panel in the future, after completion of ongoing exposure assessment studies and future feasibility studies. Kenneth Cantor, Ph.D. (Panel Chair)National Cancer Institute, National Institutes of Health, J. Wanzer Drane, P.E., Ph.D.University of South Carolina Norman J. Arnold School of Public Health, Courtney Lynch, Ph.D.National Institute of Child Health and Human Development, National Institutes of Health, Richard Maas, Ph.D.University of North Carolina at Asheville, David Ozonoff, M.D., M.P.H.Boston University School of Public Health, Ornella Selmin, Ph.D.University of Arizona, Paul Visintainer, Ph.D.New York Medical College School of Public Health. Atlanta: US Department of Health and Human Services, 1998. A cluster of choanal atresia was associated with drinking water primarily contaminated with TCE in the Woburn Environmental and Birth study (Bove et al., 2002). Among the contaminated wells at Hadnot Point and finished water at one building served by the Hadnot Point system, TCE levels ranged from 5 ppb to 1,600 ppb. An advisory panel, with long-term stability, should be established to oversee health studies of persons with potential exposure to VOCs at Camp Lejeune. 1999 Water Quality Reports. In response to continuing public concern about health effects of exposure to contaminated drinking water at the U.S. Marine Corps Base at Camp Lejeune, North Carolina., the Office of Science, National Center for Environmental Health and the Agency for Toxic Substances and Disease Registry (NCEH/ATSDR) convened a scientific advisory panel to explore opportunities for conducting additional human health studies of people previously exposed to contaminated drinking water at the Camp Lejeune. Community involvement must take place with full recognition of the uniqueness of the community of exposed individuals who had lived at Camp Lejeune. Information from the birth certificate was used to determine birth weight and gestational age. These births were considered exposed to PCE. From the 1950s through the 1980s, people living or working at the U.S. Marine Corps Base Camp Lejeune, North Carolina, were potentially exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals. Work has begun on the modeling of the ground water contamination plumes and the water distribution system. A study of drinking water contaminated with TCE, PCE, and a styrene-acrylamide trimer in Dover Township, NJ found an association with childhood leukemia among females (New Jersey Department of Health and Senior Services, 2003). In November 1984, the base received results of samples taken in July 1984. Dr. Maas is the Director and Professor at the Environmental Studies Department at the University of North Carolina, Asheville. Mothers of 31 births that resided at Hospital Point (served by the Hadnot Point system) for at least one week before birth occurred were considered having “long-term” exposure to TCE. This included a summary of ATSDR’s current understanding of the exposures that occurred at Camp Lejeune, a summary of ATSDR’s activities at the site, and previous reports and articles released by ATSDR on the health impact of the water contamination at Camp Lejeune. The panel was also to provide scientific input on the feasibility and usefulness of conducting these studies. Page from (www.denix.osd.mil/denix/Public/News/Mariens/ECP/mcecp.html) on Marine Corps Environmental Campaign Plan, 1997. For example, for a successful study to be conducted on any of the cohorts noted above, it would be necessary to first identify a large proportion of the members of the cohort, and then to link them with medical or mortality records. Therefore, an estimated total of 16,000 to 17,000 births occurred among women who were pregnant while living at Camp Lejeune during the study period (ATSDR, 2003). Goldberg SJ, Lebowitz MD, Graver EJ, Hicks S. An association of human congenital cardiac malformations and drinking water contaminants. Photos of a residence at Camp Lejeune indicating contamination due to asbestos. Atlanta, Georgia: US Department of Health and Human Services, 2003. Agency for Toxic Substances and Disease Registry. The meeting was open the public. Verification of the NTD, oral cleft, and childhood leukemia cases is ongoing. … The survey demonstrated that an epidemiologic study of this population could have high participation rates. In addition to biostatistics, Dr. Drane holds expertise in the areas of biometric modeling, disease clusters, community trials, GIS (geographic information systems), imputations of multi-prompt sample surveys, and improving biostatistics in developing countries. His areas of expertise include cancer epidemiology, drinking water contaminants, and occupational health. At Tarawa Terrace, PCE was detected at 80 ppb. Photos distributed by Ms. Paula Orellana’s depicting her mother’s medical condition. The likely source of the Tarawa Terrace system wells contamination was the dry cleaning operation. Jerry Ensminger, Mike Partain and their allies have have built archives of thousands of pages of documents demonstrating the length, severity and extent of drinking water contamination at Camp Lejeune. Camp Lejeune Water Contamination Facts and history about the issue at Camp Lejeune, along with lawsuit updates and past media coverage. After a 200+ page report is released by a Federal Government Agency, we got the facts right on the many marines that could be affected by toxic water abroad Camp Lejeune over 40 years. Obtaining Records and Filing Exposure Claims . Samples taken in 1981 also indicated the presence of VOCs other than THMs in the Hadnot Point system. The Camp Lejeune Scientific Advisory Panel met in Atlanta, Georgia on February 17 and 18, 2005. received his Ph.D. and his M.S.P.H. The Hadnot Point system was constructed in the 1940s, the Tarawa Terrace system was constructed in 1954, and the Holcomb Boulevard system was constructed in 1972. It includes details about from where your water comes, what it contains, and how it compares to standards set by regulatory agencies. Case-control study of childhood cancers in Dover Township (Ocean Country), New Jersey. First, the total number of fetal deaths identified through the computerized state database was small (N=83). Agency for Toxic Substances and Disease Registry. Information distributed by Ms. Lita Hyland regarding her daughter’s medical history. Camp Lejeune Rapid Benefits Assessment Were you stationed at Camp Lejeune? About 43,000 are active military personnel and their dependents total about 53,500. Articles pertaining to the Lejeune contamination compiled by The Few, The Proud, The Forgotten (TFTPTF). The STAND Victims Register from www.watersurvivors.com/victims.asp. Am J Epidemiol 2001;154(10):902-908. A few suggestions were made regarding how the media could be used to this end; however, the best routes and methods for systematic notification are best left to the Marine Corp. Community members could be brought in to advise and assist in notification activities. In one well at Hadnot Point, both TCE and benzene were detected. However, staff of the Camp Lejeune Naval Hospital estimated that about one third of mothers receiving prenatal care at the hospital were transferred from Camp Lejeune before delivery. In order to narrow the focus of the epidemiologic study to adverse childhood outcomes that might be related to the drinking water exposures on base, ATSDR reviewed the toxicological and epidemiologic literature. Input on the nomination of scientific experts to serve on the panel was solicited from members of the Camp Lejeune community, interested Congressional staff, and the Division of Health Studies at ATSDR whose staff have worked on health investigations related to drinking water exposures at Camp Lejuene. As a first step in following up the PHA recommendation to conduct an epidemiologic study, ATSDR utilized available databases to evaluate whether associations existed between potential maternal exposure to the drinking water contaminants at the base and preterm birth (<37 weeks gestational age), small for gestational age (SGA), and mean birth weight deficit (ATSDR, 1998; Sonnenfeld et al., 2001). Establishing cohorts with exposure potential from this early in the time period may not be possible and would have to be determined by feasibility work. Parents were asked if the child had had a birth defect or had developed a childhood cancer. from the Harvard School of Public Health. Birth certificates were linked to the base’s family housing records on mother’s address at delivery and, in most cases, father’s name. Cohn P, Klotz J, Bove F, Fagliano J. APPENDIX 3: List of Material Provided to the Panel Prior to the Meeting. And it wasn’t until 1984 … APPENDIX 1: List of Registered Meeting Participants, Bonnie Anderson, BAAssistant DirectorU.S. Base housing for enlisted personnel, officers, and their families are located in 15 different areas on the base. More precise estimates of cost must await completion of pilot and feasibility studies that would guide the direction and scope of future research. This annotated map shows contaminated wells within the Hadnot Point Industrial area on the base, which once included a on-base refueling station. The panel recognizes that the types of studies that are required to investigate health effects of the Camp Lejeune VOC exposures carry with them a substantial cost, possibly ranging to the tens of millions of dollars. Dr. Cantor is a Senior Investigator with the Division of Cancer Epidemiology and Genetics, National Cancer Institute in Bethesda, Maryland. Since exposure ended in late 1984 or early 1985, it was suggested that the end of the time period for eligibility be extended for a few years beyond those dates. ATSDR concluded that both cancer and non-cancer health effects were unlikely in adults exposed to VOC-contaminated drinking water at Camp Lejeune based on worst-case estimates. The Camp Lejeune Scientific Advisory Panel made the following recommendations: In response to continuing public concern about health effects of exposure to contaminated drinking water at the U.S. Marine Corps Base at Camp Lejeune, North Carolina, the Office of Science, National Center for Environmental Health and the Agency for Toxic Substances and Disease Registry (NCEH/ATSDR) convened a scientific advisory panel to explore opportunities for conducting additional human health studies of people previously exposed to contaminated drinking water at Camp Lejeune. Julian C. Smith Hall, Camp Lejeune U.S. Marine Corps. The protocol received approval from the CDC Institutional Review Board and the US Office of Management and Budget in 2004. The meeting agenda is included in Appendix 4. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The Camp Lejeune historic drinking water issue is an important concern for our Marine Corps family. Eligible children were identified in two ways. Drinking water contamination and the incidence of leukemia and non-Hodgkin’s lymphoma. Most of the public testimony centered around a discussion of the health problems, and in some instances premature death, of children who lived at Camp Lejeune. Future studies should be conducted in full partnership with the exposed community. Numerous health problems were reported among children. The sources of the contamination were an off-base dry … Within the act, Camp Lejeune veterans, families, rural veterans, elderly veterans are given healthcare if they were exposed to the contaminated water between 1957 … Percholoroethylene, trichloroethylene, vinyl chloride, benzene, and other petroleum contaminants were in the water that Marines and their families used on a daily basis for bathing, drinking, and cooking. An important objective of the survey was to determine whether an epidemiologic study of these adverse outcomes was feasible. First, a review of the scientific literature was conducted to narrow the focus of potential adverse outcomes to study. Members of the panel from the community would also have knowledge of how to notify persons who lived at Camp Lejeune during the exposure period. Concern about the amount of time it has taken for ATSDR to complete its studies. They were also hundreds of times lower than levels linked to adverse health effects found in workplace studies. Identify cohorts of individuals with potential exposure, including adults who lived on base; adults who resided off base, but worked on base (civilian and military); children who lived on base; and those who may have been exposed while. The Office of Science also sought to include on the panel scientists who had experience working in partnership with communities facing health problems potentially associated with environmental contamination. Many members of the public provided additional material to the panel during the meeting. Regardless of the exact procedure, the general principal was that feasibility work be conducted on a limited subset of the overall eligible population, so that feasibility tasks would be manageable. There was no evidence of any follow-up actions to the reports. Health Survey Movies. Several panel members recommended that all future studies should be conducted with full participation of the community. (Information prepared by ATSDR staff and provided to the panel members prior to the meeting). Several panel members felt strongly that the military has an ethical responsibility to notify all potentially exposed and affected persons from Camp Lejeune, and the nature of the exposure. 2000 Water Quality Reports In order to ensure that members of the public had ample opportunity to provide input to the Camp Lejeune Scientific Advisory Panel’s deliberations, the public was invited to provide a brief written statement (no more than 3 single space pages) identifying their concerns or describing other key issues they wished the panel to consider. The study estimated that the mothers of 6,117 births resided at Tarawa Terrace for at least one week before birth occurred. This work is ongoing and a progress report was issued in July 2003. The survey was necessary because: (1) data from NC cancer and birth defect surveillance systems were not available before 1985, and (2) a number of mothers who were pregnant while residing at Camp Lejeune were transferred off the base prior to delivery and gave birth outside NC. It received four laboratory reports in 1980 and 1981 alerting it to the contaminant and recommending further study. The contamination appears to have begun in the middle 1950s and continued until the middle 1980s, when contaminated supply wells were shut down. Costas K, Knorr RS, Condon SK. Sufficient numbers of cases of NTDs, oral clefts, and childhood leukemias were ascertained to move forward with a study of these adverse outcomes. During the period 1980-1985, a sampling program of the supply wells and water distribution systems at the base found that some of the wells in the Hadnot Point and Tarawa Terrace systems were contaminated with volatile organic compounds (VOCs). Associations between non-Hodgkin’s lymphoma and drinking water contaminated with TCE and with PCE were found in the NJ study, but the finding was not limited to children (Cohn et al., 1994). In constructing rosters of each of the cohorts, researchers would need to rely heavily on members of the community to help identify (and possibly to access) databases and data repositories, such as military rosters, housing data, school records, etc. In April 1982, the base began using a different laboratory for the analyses of drinking water samples. Agency for Toxic Substances and Disease Registry. The study was completed and published as an ATSDR report in August 1998. The panel consisted of 7 scientists with expertise in epidemiology and public health, biostatistics, drinking water contaminants, pesticides, toxicology, reproductive health, and environmental health. F, Shim Y, Zeitz P. drinking water contaminants conducted in full with... 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