Federal
EPA
Hearings
March
8th
2006
Dr.
David
Pepper
 
People
 
Particulates
 
The
Precautionary
Principle
Asthma
in
Fresno
Children
Asthma
in
Fresno
Children
Fresno
Unified
School
District
0
1000
2000
3000
4000
5000
6000
7000
1982­

83
1983­

84
1984­

85
1985­

86
1986­

87
1987­

88
1988­

89
1989­

90
1990­

91
1991­

92
1992­

93
1993­

94
1994­

95
1995­

96
1996­

97
1997­

98
1999
Academic
Year
of
Report
Number
of
Cases
Asthma
f
Asthma
Rx
ADHD
f
ADHD
Rx
Migraine
f
Migraine
Rx
Asthma
in
Elementary
School
Children
prevalence
by
family
income
level
0
5
10
15
20
25
30
35
Alameda
Sacramento
Merced
Fresno
Tulare
Kern
Los
Angeles
Riverside
San
Diego
county
%

asthma
diagnosed
Income
>
$
40,000/
yr
(
above
200%
FPL)

Income
<
$
40,000/
yr
(
below
200%
FPL)

CHIS,
2001
Childhood
Asthma
and
Income
Childhood
Asthma
and
Income
Is
Ozone
the
Real
Culprit?
PM2.5
Average
Concentration
6
7
8
9
10
11
12
1
2
3
4
5
Month
0
1
2
3
4
5
6
7
8
Admissions/

8
Asthma
Admissions/
8
Carbon
Monoxide
x
2
Asthma
at
Fresno,
1999
­
2001
1
8
15
22
29
6
13
20
27
3
10
17
24
31
7
14
21
28
5
12
19
26
2
9
16
23
30
7
14
21
28
4
11
18
25
1
8
15
22
1
8
15
22
29
5
12
19
26
3
10
17
24
31
June
July
August
Sept.
Oct.
Nov.
Dec.
Jan.
Feb.
March
April
M
0
10
20
30
40
50
60
70
80
90
Micrograms/

m3
Fine
(
PM2.5)
Aerosols
at
Fresno,
CA,

2002
EPA
24
hr
standard
EPA
Annual
standard
Combining
Air
Pollution
and
Health
Dr.
Tom
Cahill
UCD
Particle
Scientist
Dr.
David
Pepper
Fresno
Hospital
Admits
for
Asthma
Asthma
Hospitalizations
among
children
0­
14,
1998­
2000
Source:
OSHPD
Asthma
ER
visits
by
children
Kaiser
Permanente
&
Medi­
Cal
Alameda
County,
2001
Asthma
Maintenance
med
fills
for
children
Kaiser
Permanente
&
Medi­
Cal
Alameda
County,
2001
Smoke
Plumes
in
LA
Basin
Why
Clean
Air
???

Thank
you  ..
theairdoctor@
gmail.
com
Federal
EPA
Hearings
March
8th
2006
Recommendations
Dr.
David
Pepper
 
PM
2.5
 
Annual
Limit
of
12
ug
 
Daily
peak
of
25ug
 
Do
NOT
exempt
Ag
or
Mining
 
Coarse
Limit
of
25ug
Edison
Average
Income
(
in
thousands)

School
School
"
Wealth
Wealth"
and
Asthma
Rates
and
Asthma
Rates
EHS
Average
Income
(
in
thousands)
