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Great Lakes Binational Toxics Strategy
Dioxin / Furans


Stakeholders Meeting - September 7, 1999
Workgroup Teleconference Minutes

Workgroup Leaders:
Sandro Leonardelli, EC
Nan Gowda, EPA

Facilitator:
John Menkedick, Battelle


The objectives for the day were briefly reviewed. They included: presentation and review of the (revised) decision tree, and decision on the process the work group will use to prioritize future dioxins/furans reductions actions. The meeting opened with a presentation on Health Care Without Harm by Jackie Hunt Christensen.

Information Presentation and Discussion

Health Care Without Harm

Jackie Hunt Christensen presented a brief overview of Health Care Without Harm (HCWH). Jackie is affiliated with a HCWH member organization, the Institute for Agricultural Trade Policy, which is concerned with preventing dioxin contamination of food products.

  • Health Care Without Harm is a collaborative campaign for environmentally responsible health care. The campaign was initiated in 1996 by 28 organizations with the intent of addressing the environmental impacts of medical waste, particularly medical waste incinerators (MWI).
  • 185 different organizations in the health care industry and other interests now participate in Health Care Without Harm. One of the primary concerns of the group is reducing dioxin (and mercury) emissions from medical waste incineration.
  • HCWH discourages unnecessary incineration of hospital waste materials, especially recyclable materials, with a focus on eliminating the need to burn wastes. In addition, HCWH is also specifically concerned with products made with polyvinyl chloride (PVC) plastic, due to the potential for PVC to release dioxin during its manufacture and incineration, and DEHP leaching from flexible PVC products.
  • Activities HWHC has conducted include:
    • Meeting with hospitals to encourage / discuss means for waste reduction (e.g., materials separation)
    • Encouraging the use of non-PVC alternatives in hospitals (e.g., polyethylene IV bags)
    • Encouraging non-incineration alternatives to waste disposal
    • Encouraging more aggressive measures for MACT standards
  • Jackie emphasized that in general, hospitals have been very receptive to waste reduction efforts promoted by HCWH.

Guy Williams noted that the National Wildlife Federation (NWF) is a member of HCWH and is very supportive of their efforts.

A question was asked regarding HCWH’s perspective on the potential impact of new MACT standards:

In general, HCWH felt the estimates of expected reductions were relatively premature and that they were calculated from baseline data that were not determined with a high degree of confidence in the first place.

A group member made the comment that in Minnesota, with the closing of the smaller MWIs, there has been no conclusive evidence that less waste has been burned overall (i.e., the waste may just be shipped to other states or commercial regional facilities).

A question was asked regarding whether the chlorine content of the waste had a significant effect on the level of dioxin emissions, and if you could really expect dioxin reductions by reducing PVCs:

Jamie Harvie (WLSSD) noted that in their incineration studies, during times of poorly-controlled combustion, the chlorine content of the waste had the potential to have a big impact on dioxin formation. Dwain Winters’ (EPA) presentation at a previous meeting that recognized chlorine content as a factor in poorly controlled combustion, but not so in well-controlled combustion, was also cited.

Jackie responded that for PVCs, dioxin generation potential is part of the whole PVC life-cycle, and thus HCWH felt their use in general should be discouraged. However, with other materials (e.g., paper), they simply encouraged recycling rather than incineration.

A question was asked on what types of non-PVC alternatives exist for medical supplies:

Jackie responded that for IV bags, alternatives included polyethylene and polyolefin blends, however, for blood bags, substitution was not easy at this point. She noted that there is a non- PVC bag distributed in Europe, and that DOW Chemical Company also had alternatives in development that were awaiting FDA approval. Jackie also mentioned options for other materials such as ID bracelets and latex gloves.

Dale Phenecie (CGLI) suggested that contacts in the vinyl industry may be able to supply the group with additional information concerning their data, etc. on dioxin emissions associated with PVCs.

Jamie mentioned that in Minnesota, Dr. Pat Eagan was developing a PVC/mercury program for the health care industry and could be contacted off-line for additional information.

A question was asked if any hospital supply companies were member of HCWH:

Jackie responded no, but HCWH had participated in meetings with hospital suppliers. She noted that a common problem was the length of hospital - supplier contracts. For example, suppliers may have a binding contract with a hospital to supply a certain type (PVC) of IV bag for the next seven years. Within this purchasing system though, HCWH has encouraged hospitals to consider non-PVC alternatives when their next contract renewal comes up.

Decision Tree Presentation

John Menkedick reviewed workgroup progress to date and how the need for the decision tree arose:

  • In April, the group agreed to focus on primary sectors and discuss options at subsequent conferences.
  • Conference calls have focused on MWC and MWI, open burning, cement kilns, diesel engines, utility coal, landfill fires, and PCP treated wood.
  • Several action items have been committed to, but are currently outstanding (e.g., open burning activities).
  • On the last call, CGLI presented a decision tree as a means to target, define and implement actions.
  • Since the last meeting, Sandro Leonardelli (EC), Nan Gowda and Dan Hopkins (EPA), and Dale Phenecie (CGLI) have worked together to refine the tree as a tool for guiding implementation of priority actions.

Dan Hopkins provided some background on the evolution of the decision tree:

  • The decision tree was originally developed by CGLI for use in the BNS octachlorostyrene (OCS) workgroup.
  • The decision tree was refined with the intention of helping the dioxins/furans work group members identify the top [five] priorities for the work group to focus on.
  • The revised decision tree is not intended to limit any workgroup member from seeking any other project or options; it is just meant to respond to the group’s need to prioritize resources and focus on action, and identify the projects that make sense to most people.
  • Dan characterized the decision making process outlined in the tree as being guided by the best use of existing inventories

Dan stepped through the tree with the group.
[see attachment - DRAFT Dioxin Decision Tree]

John Menkedick followed up with some illustrative examples of how the decision tree would actually be applied:

  • For example, ethylene chloride production does not have a reliable emission estimate, BUT there are no facilities in the basin. THEREFORE, this source is a low priority for action.
  • Backyard burning does not have a reliable emission estimate. However, it is likely to be a significant source, AND is thought to be prevalent in the basin. Regulatory controls vary, THEREFORE this source gets directed towards identifying potential reduction projects and initiatives (...which is where the group left off on this source on previous meetings)
  • For medical waste incinerators (MWI), a quantitative inventory emission estimate exists, AND evidence suggests MWI are a significant source, AND regulatory controls exist. THEREFORE, the key question is whether further reductions opportunities exist after regulations. The group discussed possible differences of opinion on this question. For example, if one accepts estimates of expected post-regulation dioxin emission, this source would become low priority. However, if one disagrees with those estimates, this source may still be considered a target for further reduction actions.

Discussion of the adequacy of the decision tree process followed. Ideas and concerns included:

  • the addition of another box or loop at the beginning which would reflect the simultaneous need to get more information for some sources, and still investigate actions to identify further reduction opportunities.
  • correcting gaps in regulations that exist due to insufficient inventories (concern was raised over the fact that reductions expected to result from MACT implementation may not be a s effective as estimated - this should be taken into account when running through the tree so a MACT regulated source isn’t automatically moved to low priority status)
  • the addition of another box/series of boxes to reflect the importance of pollution prevention (not only end of pipe solutions),
  • Dan Hopkins noted that it is very important in this process not to be limited by the lack of emissions estimates. For example, we may never be able to get emission factor estimates that represent any specific burn barrel. Variability from barrel to barrel can be expected. However, general emission factors can be used meaningfully in estimating emissions from the category "burn barrels", collectively.
  • Tom Hornshaw (Illinois EPA) cited a recent USEPA report on opening burning which also identified problems with emission estimates, as well as comparisons of waste management practices in different households. [This report can be obtained through the USEPA website at: http://www.epa.gov/ttncatc1/products.html#aptecrpts ]
  • It was noted that at any point in the decision tree, needs for additional information may be identified. However, as we may need to work for years on generating more reliable emissions estimates, we should also continue to work with the estimates we currently have.

Discussion turned to the question of whether the workgroup felt the decision tree was a useful tool, and where the workgroup wanted to progress from here:

  • The group generally agreed the decision tree would be a useful guiding principle for identifying 4-5 major targets for dioxin/furans reductions activities
  • It was agreed that EPA/EC will apply the decision tree process to a list of primary sectors and share results on the next call (with the workgroup providing feedback). Sectors to be assessed will include the significant sources as reflected in Canada and U.S. inventories, as well as other sources that may be particularly important in the Great Lakes Basin. (EC noted it would be more appropriate to select sectors based on the Ontario inventory, rather than the Canadian inventory).

This led to a brief update on action items as well as the addition of several new items:

Action Items and Next Steps

  • Minutes from the September 7 conference call will be drafted and distributed
  • EPA/EC will revise the decision tree per comments made by the workgroup at today’s meeting (revised version to be distributed before next meeting)
  • EPA/EC will apply the decision tree to as many of the primary candidate sectors as possible and present the results for workgroup focus
  • The Action Items list will be updated and distributed. Workgroup members will review this list, and where possible, offer to report out on progress at the next conference call.

The workgroup will continue work on current action items identified in the action item update. The next conference call is scheduled for October 5.

Participant Roster

Jackie Hunt Christensen, Institute for Agriculture and Trade Policy and Health Care Without Harm
Hugh Eisler, Canadian Chlorine Coordinating Committee
Dan Hopkins, USEPA
Nan Gowda, USEPA Region 5
James Harvie, Western Lake Superior Sanitary District (WLSSD)
Jeffrey Lynn, International Paper
John Menkedick, Battelle
Stephane Gingras, Great Lakes United (GLU)
Mark Johnson, Weyerhauser
Tom Hornshaw, Illinois EPA
Alec Macpherson, Great Lakes United (GLU)
Dale Phenicie, Council of Great Lakes Industries
Guy Williams, National Wildlife Federation
Robert Hyde, Canadian Portland Cement Association
Anita Wong, Environment Canada
Maureen Wooton, Battelle

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