Tobacco Institute
Science, Economics, and Environmental Policy: a Critical Examination
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- Named Person
- Anderson, G. 1
- Applegate, R.
- Hoover Inst
- Stanford Univ
- Bartlett, B.
- Bord, N.
- Brady, G.L. 2
- Browner, C.M. 3
- Carey, M.
- Clark, J. 4
- Conda, C. 5
- Darby, M. 6
- Ekelund, R. 7
- Fossedal, G.
- Gough, M. 8
- Graham, J. 9
- Hazeltine, W.
- Sloan Kettering Cancer Rsch Inst
- Hopkins, T. 10
- Huber, G.L.
- Johnston, J.B. 11
- Juday, D.
- Lee, D.R. 12
- Marlow, M. 13
- Mica, J.L. 14
- Moore, T.G. 15
- Moynihan, D.P. 16
- Ross, M. 17
- Rouse, F.
- Epa
- Singer, S.F. 18
- Slattery, J.
- Stevens, A.
- Stohrer, G.
- Thorton, M. 19
- Tollison, R.D. 20
- Vedder, R. 21
- Zimmer, R. 22
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Annotations
- 1. Anderson, G. Named Person
- Affiliation:
Ca St Univ
- Affiliation:
- 2. Brady, G.L. Named Person
- Affiliation:
Sweet Briar Coll
- Affiliation:
- 3. Browner, C.M. Named Person
- Affiliation:
Epa
- Affiliation:
- 4. Clark, J. Named Person
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Univ Tn
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- 5. Conda, C. Named Person
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A Detocqueville Inst
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- 6. Darby, M. Named Person
- Affiliation:
Univ Ca
- Affiliation:
- 7. Ekelund, R. Named Person
- Affiliation:
Auburn Univ
- Affiliation:
- 8. Gough, M. Named Person
- Affiliation:
US Congress
- Affiliation:
- 9. Graham, J. Named Person
- Affiliation:
Harvard Cntr Risk Analysis
- Affiliation:
- 10. Hopkins, T. Named Person
- Affiliation:
Rochester Inst Technology
- Affiliation:
- 11. Johnston, J.B. Named Person
- Affiliation:
US Senate
- Affiliation:
- 12. Lee, D.R. Named Person
- Affiliation:
Univ Ga
- Affiliation:
- 13. Marlow, M. Named Person
- Affiliation:
Ca St Polytechnic Univ
- Affiliation:
- 14. Mica, J.L. Named Person
- Affiliation:
US House Representatives
- Affiliation:
- 15. Moore, T.G. Named Person
- Affiliation:
Stanford Univ
- Affiliation:
- 16. Moynihan, D.P. Named Person
- Affiliation:
US Senate
- Affiliation:
- 17. Ross, M. Named Person
- Affiliation:
US Geological Survey
- Affiliation:
- 18. Singer, S.F. Named Person
- Affiliation:
Univ Va
- Affiliation:
- 19. Thorton, M. Named Person
- Affiliation:
Auburn Univ
- Affiliation:
- 20. Tollison, R.D. Named Person
- Affiliation:
G Mason Univ
- Affiliation:
- 21. Vedder, R. Named Person
- Affiliation:
Univ Oh
- Affiliation:
- 22. Zimmer, R. Named Person
- Affiliation:
US House Representatives
- Affiliation:
- 23. Wagner, R. Named Person
- Affiliation:
G Mason Univ
- Affiliation:
Document Images
deTOCQUEVILLE
SCIENCE, ECONOMICS, AND ENVIRONMENTAL POLICY:
A CRITICAL EXAMINATION
A research report conducted
by the Alexis de Tocqueville Institution
,
August 11, 1994
J
T11630-2044

TABLE OF CONTENTS
CASE STUDY NO.1:
ENVIRONMENTAL TOBACCO SMOKE .................................................................... 1
CASE SPUDY NO.2:
RADON
..........................................................................................---...
............_..............._. 15
CASE STUDY NO.3:
PEST'ICIDES ...........................................................................
............................................. 33
CASE STUDY NO.4:
SUPERFUND
....................................................................................................
.................. 45
I
T11630-2045

SCIENCE, ECONOMICS, AND ENVIRONMENTAL POLICY:
A CRITICAL EXAMINATION
A research report by the Alexis de Tocqueville Institution
Academic Advisory Board
Dr. Gary Anderson
Professor of Economics
California State University-Northridge
Dr. Nancy Bord
Visiting Scholar
The Hoover Institution
Stanford University
Dr. Gordon L. Brady
Associate Professor and Director
Environmental Studies
Sweet Briar College
Dr. Michael Marlow
Professor of Economics
California State Polytechnic University-San Luis
Obispo
Dr. Thomas Gale Moore
Senior Fellow
The Hoover Institution
Stanford University
Dr. Malcolm Ross
Research Mineralogist
U.S. Geological Survey
Dr. Jeffrey Clark
Professor of Economics
University of Tennessee-Chattanooga
Dr. Michael Darby
Professor of Economics
and Director
J.M. Olin Center for Policy
University of California, Los Angeles
Dr. Robert Ekelund
Lowder Eminent Scholar
Auburn University
D r. Michael Gough
Project Director
Congressional Office of Technology Assessment
Dr. William Hazeltine
Environmental Consultant
Dr. Thomas Hopkins
Gosnell Professor of Economics
Rochester Institute of Technology
Dr. Dwight R. Lee
Ramsey Professor of Economics
University of Georgia
Dr. S. Fred Singer
Professor Emeritus of Environmental Sciences
University of Virginia
and President
Science and Environmental Policy Project
Dr. Gerhard Stohrer
Director of Chemical Risk Program
Science and Environmental Policy Project
and former Department Head
Sloan-Kettering Institute for Cancer Research
Dr. Mark Thorton
Professor of Economics
Auburn University
Dr. Robert D. Tollison
Duncan Black Professor of Economics
and Director
Center for the Study of Public Choice
George Mason University
Dr. Richard Vedder
Professor of Economics
University of Ohio
Dr. Richard Wagner
Professor of Economics and Chairman
Department of Economics
George Mason University
Note: Affliations are for identification purposes only. Not all members of the academic advisory
agreed with
every finding and recommendation in this report.
T11630-2046

Au r
Kent JeHreya
Princinal Reviewer
Dr. S Fred Singer
Senior Staff and Contributinc Aswciates
Rachael Apph:gate
Bruce Bartlett
Merrick Carey
Cesar Conda
Gregory Fossedal
Dave Juday
Felix Rouse
Aaron Stevens
The Alexis de Tocqueville Institution
2000 15th Street North, Suite 501, Arlington, VA 22201
Tel. 703351.49fi9 Fax 703351.0090

ABOUT THIS sTUDY...
"Science, Economics, and Environmental Policy: A Critical Examination," is an evaluation
of the data, statistical analyses, and underlying scientific theories that underlie the
Environmental
Protection Agency's (EPA) policy decisions on environmental tobacco smoke, radon, pesticides and
hazardous clean-up under the Superfund law. With the total costs of environmental regulations
estimated to be $150 billion annually - or $1,500 per U.S. hottsehold - it is extremely important
that
environmental decisions be based on sound scientific analyses of potential risks to public health
and
the environment, and that the costs of environmental regulation be weighed against the benefits.
But as Dr. John Graham of the Harvard Center on Risk Analysis notes, "While it may seem obvious
that EPA should use good science, students of the Agency have documented that the Agency's
leadership, when preoccupied with public fears and legal pressures, has sometimes allowed good
science to be neglected." Perhaps Sen. Daniel P. Moynihan (D-NY) put it best, "Truth be told, I
suspect that environmental decisions have been based more on feelings than on facts."
This research report provides policy-makers, the press, and the general public with the facts
about the science and economics that form the basis of the EPA's risk assessments and cost/benefit
analyses in four of the most current -- and controversial - environmental questions. The objective
of this research is to promote more rational -- and perhaps less costly - environmental decisions
through the use of scientifically vigorous risklcost-benefit analysis. In this regard, the Congress
is
debating several bipartisan initiatives to expand the use of risk assessments and cost-benefit
analysis,
including the 'Environmental Risk Reduction Act" sponsored by Sen. Moynihan, Rep. Richard
Zimmer (R-NJ), and Jim Slattery (D-KS) and the EPA risk/cost-benefit regulatory analysis
amendment sponsored by Sen. J. Bennett Johnston (D-LA) and Rep. John L. Mica (R-FL).
"Staence, Economics, and Environmental Policy" was researched and prepared by the staff
of the Alexis de Tocqueville Institution (AdTI) in Arlington, Virginia. AdTI is a non-profit, non-
partisan educational foundation established to conduct, publish, and publicize research on the
extension and perfection of capitalism, freedom and democracy in the United States and abroad.
For further information, contact Cesar V. Conda, executive director of the Alexis de Tocqueville
Institution, 2000 15th Street North, S.501, Arlington, Va.22201. Tel: (703) 351-4969. Fax: (703)
351-
0090.
Note: Nothing written here should be construed as necessarily reflecting the views of the Alexis de
Toaqueville Institution or its co-chairmen and directors, or as an attempt to aid or hinder
legislation before
Congress.
T11630-2048

E!V V I12UNMr.Nt AL l UkSAI.I.U JMUr.t
CASE STUDY NO. 1:
ENVIRONMENTAL TOBACCO SMOKE
Inhoductlon
The downward trend of cigarette
smoking in America has been going on for many
years. By the end of World War II, almost half
of all adult Americans were smokers. Today,
"fewer than three out of every ten American
adults smoke, and this rate is continuing to
decline."` (See Figure 1-1.) This downward
trend is the result of a combination of factors:
greater knowledge of the health risks associated
with smoking, increased federal and state taxes,
and a general reduction of tolerance for
smoking on the part of nonsmokers, among
other things.
Ironically, as smoking has declined, the
federal government has increased its campaign
against smoking. Undoubtedly, many view this
effort as beneficial to society. However, it now
appears that the federal government has gone
beyond its traditional and-smoking efforu,
consisting mainly of education and health
warnings, and is now moving toward a (de
facto) ban on smoking. The vehicle by which
this ban may take effect is an Environmental
Protection Agency (EPA) studywhich links lung
cancer in non-smokers to environmental tobaeoo
smoke, or EI'S, which is also called "second-
hand smoke" and "passive smoking." If this
were the case, it would be difficult to stop the
govemment from banning smoking in the name
of protecting innocent non-smokers.
Unfortunately, in its zeal to abolish smoking,
science has been sacrificed. The EPA's finding
that second-hand smoke is harmful to human
health is based on a lower threshold of risk
assessment than the agency normally uses for
other substances. In short, the EPA study
relied on methodologies different from those
which have been historically used in such
analyses. Scientific standards were seriously
violated in order to produce a report to ban
smoking in public settings.
The EPA's furding that second-hand
smoke is harmful to human health is
based on a lower threshold of rrsk
assessment than the agency nommlly uses
for other substances.
Before the government takes action to
ban some substance on the basis of its danger
to health, it is extremely important that we
know the precise degree of danger based on
generally accepted scientific principles. If
science is debased in an effort to "do good,"
society ultimately may be left worse off. There
are two reasons for this. First, if we debase the
scientific method in pursuit of a political
agenda, we are opening a Pandora's Box.
Second, the ordinary dangers everyone
encounters in everyday life are so numerous
that if we do not carefully delineate the
government's role in regulating such dangers
there is essentially no limit to how much
government can ultimately control our lives.
The health risk from smoking is not the
focus of this paper. Instead, this paper explores
the EPA's analysis of ETS or second-hand
smoke. By any name, it is a complex and highly
variable mixture of substances which diffuse
through the air.
The Environmental Protection Agency
has compiled several studies and reports which
examine various aspects of the ETS issue. Two
in particular are considered at length in this
paper; one examined the respiratory health
effects of EISZ and the other examined the
economic consequences of a proposed restric-
tion on smoking.'
In briet EPA makes certain assumptions
about ETS which are then used to buttress
EPA's scientific and economic conclusions.
I
T11630-2049

SCIENCE, ECONOMICS & ENVIRONMENCAL POLICY
Moreover, the science as presented is insuf- Crossing the Threshold
ficient and the economic claims are similarly
unsupportable. They will be dealt with in turn.
First, we will examine EPA's use of the
scientific research surrounding ETS.
EPA and the Science of ETS
There arccortain things about smoking
which sound science can demonstrate. For
example, active smoking is detrimental to the
health of millions of smokers. Nevertheless,
EPA has no official role when it comes to
regulating smoking. Yet, EPA lately has taken
the leading role in publiciung the potential
health risks from smoking. According to EPA
Administrator Carol M. Browner, "Although
EPA has no regulatory authority over tobacco
products, it does have a responsibility to inform
the public about dangers it finds in the
environment.' In particular, EPA has gone
far beyond its authority in making ETS an
"envirottmental" issue within its regulatory
jurisdiction. In the process, it has manipulated
both the science and the regulatory process.
EPA has gone far beyond its authority in
making ETS an "environmentaf' issue
within its regulatory jurisdiction.
Admittedly, trying to prove that second-
hand smoke carries a measurable risk of lung
cancer and determiningpreciselywhat that risk
is are difficult tasks. It is accepted that smoking
is linked to several forms of cancer, particularly
of the lungs, and also to heart disease. Similar
conclusions about passive smoking, or ETS,
should be based upon equally strong scientific
evidence. To that end, the EPA has undertaken
a review of the scientific literature to determine
the effects of ETS on the lungs of nonsmokers.
The EPA's major finding was that "ETS is a
human lung carcinogen, responsible for
approumately 3000 lung cancer deaths annually
in U.S. nonsmokers.n5 The question addressed
by this section is whether or not that statement
is justified.
It is well-established that "the dose
makes the poison." That is, almost any chemical
substance will harm a person's health if
administered in sufficiently large quantities.
Even substances which are necessary for life
itself become deadly at high doses.
Unfortunately, the EPA ignores this fact in
most of its risk assessments by applying a'linear
no-threshold" theory of environmental harm.
In essence, the linear no-threshold theory holds
that high-dose effects can be extrapolated back
to a zero dose without searching for a threshold
below which no health effect will be elicited.b
In other words, if it were found that exposure
to a given level of some chemical substance
caused one death per 100,f)00 population, then
half the exposure would therefore cause one
death per 200,000 population, one fourth the
exposure would cause one death per 400,000
population, etc. This flawed assumption
underpins almost all of the EPA's work on
environmental exposures, from the Superfund
program to radon in homes to ETS.
The EPA claims to discern an "apparent
non-threshold nature of the dose-response
relationship observed between active smoking
and lung cancer."' Even if this were true for
active smoking (and, as questionable as that
statement is, it is beyond the scope of this
paper), it is not automatically valid to reject the
possibility of a threshold effect for ETS. For
environmental tobaceo smoke is not just a lower
dose of the substances inhaled by a smoker;
important, if poorly researched, chemical
changes occur as tobacco smoke is diluted and
cooled in the open air.
Researchers recognize three principal
types of tobacco smoke. "Mainstream smoke'
is produced when the smoker draws air through
a cigarette, thereby "fanning" the temperature
as high as 900 degrees centigrade. Most of the
compounds in smoke change as they cool and
as they react with the smoker's mouth, throat
and lungs. "Eahaled smoke" is not the same as
the smoke that was inhaled. "Sidestream smoke"
is that which is produced by the smoldering
cigarette between puffs. Because the
temperature is significantly lower (perhaps500
to 600 degrees centigrade), different chemical

compounds (or different amounts) are pro-
duced. Together, mainstream smoke,exhaled
smoke and sidestream smoke produce environ-
mental tobacco smoke, with sidestream smoke
accounting for 85 to 90 percenc."
The EPA notes that some potentially
carcinogenic compounds are present at much
higher levels in sidestream smoke than in
mainstream smoke. This is a function of the
respective temperatures at which various
compounds form. Regardless of the composi-
tion of sidestream smoke when it is produced,
it rapidly undergoes changes, both chemical and
in terms of concentration per liter of air. EPA's
report recites several distinctions between ETS
and mainstream, or even sidestream smoke.
The most important distinction arises from the
significant dilution of the ETS. In addition, the
composition and concentration of ETS is
dependent on the number of smokers, their
smoking styles, and the number of cigarettes
smoked in a given period of time.
According to the EPA, for active
smoking "A dear dose-response relationship
exists between lung cancer and amount of
exposure, without any evidence of a threshold
level.n9 Of course, a strong dose-response
relationship does not rule out the existence of
some minimum dose below which there will be
zero response. Yet the EPA almost never looks
for a threshold for any potentially harmful
substance. In fact; it is essentially an unofficial
EPApolicy to deny that thresholds exist for any
potentially hazardous substance. As examples,
consider EPA's stance on dioxins, radon gas,
or pesticide residues in the food supply.10
What is more, the faa that tens of millions of
smokers survive their habit without developing
lung cancer seems to suggest that a threshold
exists for each individual, regardless of EPA's
assumptions concerning aggregate data. Thus,
the statement that no evidence for a threshold
exists could easily confuse members of the
public.
As mentioned earlier, essentially every
substance to which humans are exposed is
potentially harmful. Many ordinary substances
-- common table salt, for instance -- are fatal
if ingested in sufficiently large amounts. In
addition, hundreds of foods in the human diet
contain enormous quantities of "natural
carcinogens."' Because the human species
has evolved the ability to self-repair the damage
caused by these natu rally occurring substances,
ENVIRONMENTAL TOBACCO SMOKE
we are also able to repair the similar damage
caused by small amounts of other carcinogens,
including the ones found in ETS.
In the face of this assertion by EPA that
no safe threshold exists for active smoking, it
becomes important to examine how closely EPA
links ETS with mainstream smoke. The EPA's
Guidelines for Carcinogen Risk Assesvnent (U.S.
EPA, 1986) sets out 'three criteria that must
be met before a causal association can be
inferred between exposure and cancer in
humans:
1. There is no identified bias that could
explain the association.
2. The possibility of confounding has
been considered and ruled out as explaining the
association.
3.. The association is unlikely to be due
to chance.""
Under these criteria, one could oonclude
that mainstream smoke (MS) easily qualifies
as a lung carcinogen. However, the EPA asserts
that because sidestream smoke is chemically
similar to MS and because sidestream smoke
is the major constituent of ETS, then by
inference ETS is also a Group A carcinogen
under the EPA test. However. EPA is well
aware that ETS is not identical to mainstream
smoke, either qualitatively (chemical makeup)
or quantitatively (dose). Nevertheless, EPA
seems to adopt the old cliche': "Close enough
for government work."
In fac4 most U.S. studies conducted on
ETS and lung cancer have found no
statistically significant indications of
carcinogenicity.
It should be borne in mind that even
if ETS is legitimately considered a"known
human carcinogen," that does not prove that,
at actual environmental exposures, it can or
does cause lung cancer. In fact, most U.S.
studies conducted on ETS and lung cancer have
found no statistically significant indications of
carcinogenicity. Many observers have ques-
tioned whether EPA's conclusions are
justi 6ed."
If this were limited to the question of
3
T11630-2051

SCIENCE, ECONOMICS & ENVIRONMENTAL POLICY
an internal EPA categorization, it would not
be excessively controversial. However, much
more is riding on this classification than mere
bookkeeping entries. Declaring ETS to be a
Group A carcinogen has set in motion a chain
of policy events which must ultimately result
in widespread federal bans on smoking. To
quote the EPA's expressed reasoning in'full:
Theconclusive evidenced the dose-related
lung earcinogenicity of MS [maiastream
smoke] in active smokers, coupled with
information on the chemical similaritiesof
MS and ETS and evidence of ETS uptake
in nonsmokers, is sufficient by itself to
establishETS as a known human lung carcl-
nogen, or"Group A" carcinogen under U.S.
EPA's carcinogen classification system."
Similarly simplistic reasoning has
allowed the EPA to publicly fret over almost
every suggested cancer risk, from electro-
magnetic radiation to artificial sweeteners.'s
When iis review discovered that eCistrng
U.S. studies of lung cancer and ETS did
not support itr position, the EPA
arbiirarity reduced the traditional standard
of proof, or "confidence interval."
Despite the EPA's conclusion that ETS
is a Group A carcinogen, it is at the very least
arguable that ETS would flunk each separate
step of the three-prong test. And it is the
EPA's effort to cross the final hurdle that has
produced the harshest criticism. When its review
discovered that e dsting U.S. studies of lung
cancer and ETS did not support its position,
the EPA arbitrarily reduced the traditional
standard of proof, or "confidence interval." Only
by this manipulation could the EPA claim that
its analysis was statistically significant.
Why is the concept of statistical
significance so important to epidemiological
studies? As valuable as these studies can be,
there are well-recognized limitations. For
instance, no matter how well designed,
epidemiological studies can only show
correlation, not causation. Only after many
studies have found strong correlatiotts covering
large populations (as is the case with actjve
smoking and lung cancer) are researchers on
firmer ground in asserting direct causation.
(Yet even then they may not know the precise
mechanism.) Most individual studies, which
are expensive and time-consuming, involve only
a small number of individuals (or sample size).
This reduces the confidence that researchers
place in how well the sample population reflects
the characteristies of the general population.
Epidemiologic studies can test the
specific hypothesis, for example, whether ETS
is a risk factor for lung cancer. While even well
designed studies cannot prove beyond any doubt
that a particular substance is the cause of
cancer, they can indicate that a particular
substance is a potential risk factor. In this case,
the EPA assumed - before it even began its
investigation - that ETS is a risk faaor for lung
cancer; the very question supposedly being
asked. However, the fact that most studies of
ETS and lung cancer do not support this
assumption is not entirely ignored by EPA,
which may suggest that the EPA adopted
unique manipulations of the data.
Furthermore, the EPA does not utilize
the appropriate "two-tailed" analysis of whether
ETS causes lung cancer. In a two-tailed test,
a specific assumption is made, for example, that
ETS has an effect on human health. (The two
"tails" refer to the fact that the hypothesized
effect may be harmful or beneficial: the
evidence may point in either direction.) In
addition, if ETS were found to have no
measurable effect either way, that would be
called the "nult hypothesis."
In its examination of ETS, however, the
EPA utilizes a"one-tailed" test. That is, the
EPA makes the assumption that ETS cannot
stimulate the human immune response and
thereby produce lower rates of lung cancer than
would exist in the absence of exposure.
However, several American studies examined
by the EPA leave open this very point. Indeed
of the 30 studies considered for inclusion in the
EPA report, "six found a statistically significant
(but small) effect, 24 found no statistically
significant effect, and six of the 24 found a
passive smoking effect opposite to the expected
relationship."10
Worse perhaps, the EPA goes further
and rejects the possibility of any null hypothesis:
s
T11630-2052

that EI'S has no effect on health. Thus, EPA
refuses to accept any result which would refute
its preeastittg assumption: that EIS causes lung
cancer in nonsmokers. Whatever one may think
of this as a policy outcome, this is not valid
science.
Ordinarily, researchers utilize a standard
mathematical procedure to determine the range
of possibilities within which random error is
extremely unlikely. By scientific convention,
over decades of trial and error and careful
review, studies must produce results which have
no more than a 5 percent chance of being the
result of the natural randomness of the studied
population. This is normally referred to as a
"95 percent confidence interval " In other
words, a 95 percent confidence interval means
that there is a 95 percent possibility that the
result did not happen from chance, or a 5
percent possibility that it did.
However, the EPA rejected this as the
test for its survey of the literature on ETS and
lung cancer. Because the purported relative risk
for ETS was so close to perfectly random, the
combined results of the studies examined by the
EPA could not pass the 95 percent confidence
interval test. In the scientific jargon, the results
were not "statistically significant " It is at this
point that EPA broke with the established
procedure in such matters and declared that a
90 percent confidence interval would be used
for this report's findings, thereby doubling the
chance of being wrong. As a result, EPA could
declare that its findings were "statistically
significant' but only if one applies the less
rigorous standard. Applying the standard test
(a 95 percent confidence interval) would show
that lung cancer rates for people exposed to
ETS are indistinguishable from the lungcancer
rates of unexposed populations.
This is no mere academic debate, for
there are numerous potential risk factors for
lung cancer involving everything from diet to
genetics to smoking tobacco. If the EPA's
chosen procedures cannot distinguish among
the possible risk factors, the report cannot
provide useful or reliable guidance to policy
makers.
Perhaps the strongest criticism of this
and other points in the EPA report has come
from Gary L Huber and his co-authors:"
EPA's risk assessment is built on the
manipulation of data, ignores critical
ENVIRONMENTAL TOBACCO SMOKE
chemical analyses and key epidemiological
data, violates time-honored stalistical
pri.nciples, fails to control adequately for
important confounding influences (factors
other than the one studied that may affect
the result or a conclusion) that provide
alternative explanationsfor itsconclusions,
andvioiatesitsown guidelinesfor assessing
and establishingrisk to a potential environ-
mental tozin."
One of the particular points of
disagreement between Huber, et al., and the
EPA report arises from a major study of EI'S
and lung cancer in U.S. female nonsmokers by
researchers at the National Cancer Institute (see
Figure 1-2).19 Although the EPA did not
include this study's findings in its report's
calculations, it did quote from the report in an
effort to demonstrate general consistency. The
exact quotation selected by the EPA is that
'long-term exposure to [ETS] increases the risk
of lung cancer in women who have never
smoked."20 Huber, et al., quote a different,
yet equally revealing passage. Stockwell and
his co-authors report that "we found no
statistically significant increase in risk associated
with exposure to environmental tobacco smoke
at work or during social activities.n21 (emphasis
added) This is an important point because EPA
suggests that workplace regulations are
legitimized by studies of the wives of smokers.
In a recent report for Congress from
the Congressional Research Service2, another
major study is cited which is not included in the
EPA report.' This study, which covered a
larger population sample than the Stockwell
study, "found no overall increased risk of lung
cancer among nonsmoking spouses of
smokers."2' Furthermore, ifstandard statistical
procedures were applied to the Stockwell study,
it too would fail to support EPA's flnal results.
Bear in mind that Huber and his co-
authors do not assert that ETS does not or
cannot cause lung cancer in nonsmokers. They
'ETS is a risk that is less than that
associated with developing colon cancer
by drinking chlorinated water, which is in
most U S. cities' water supplies."
T11630-2053
