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Air Pollution from Hydraulic Fracturing: Threats to Public Health and Communities, Schemes and Mind Maps of Public Health

The health risks associated with air pollution from hydraulic fracturing operations. It highlights studies that have found links between air pollutants present at oil and gas production sites and health impacts observed in nearby communities. The document also mentions the underestimation of air pollution in inventories and gaps in federal air quality regulations.

What you will learn

  • What are the health risks associated with air pollution from hydraulic fracturing operations?
  • How do state and federal inventories underestimate air pollution from hydraulic fracturing?
  • Which pollutants are linked to health impacts in communities near hydraulic fracturing sites?
  • What are the gaps in federal air quality regulations for hydraulic fracturing operations?
  • What protective standards and measures are recommended to reduce air pollution from hydraulic fracturing?

Typology: Schemes and Mind Maps

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Tanja Srebotnjak
Miriam Rotkin-Ellman
Natural Resources Defense Council
Fracking Fumes: Air Pollution from
Hydraulic Fracturing Threatens
Public Health and Communities
N
R
DC
ISSuE BRIEF december 2014
Ip:14-10-a
Just off Interstate Highway 25, Drill Rig in front of homes in the town of Frederick in Weld County, Colorado. pipes, vehicles and storage tanks
also stand in front of homes as hazy, snow capped Rocky Mountains stand in the background.
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Partial preview of the text

Download Air Pollution from Hydraulic Fracturing: Threats to Public Health and Communities and more Schemes and Mind Maps Public Health in PDF only on Docsity!

Tanja Srebotnjak

Miriam Rotkin-Ellman

Natural Resources Defense Council

Fracking Fumes: Air Pollution from

Hydraulic Fracturing Threatens

Public Health and Communities

N R DC ISSuE BRIEF

december 2014 Ip:14-10-a

Just off Interstate Highway 25, Drill Rig in front of homes in the town of Frederick in Weld County, Colorado. pipes, vehicles and storage tanks also stand in front of homes as hazy, snow capped Rocky Mountains stand in the background.

InTroducTIon

H

ydraulic fracturing (‘fracking’) and other well stimulation methods have led to a rapid expansion

of oil and gas development in the united States.^1 This expansion has brought oil and gas

development closer to backyards and communities and increased the potential for human

exposure to new contaminants and threats. at the same time, a growing body of new research points

to health threats from unconventional oil and gas development and fracking in particular. although

health discussions, particularly in eastern states, have focused on drinking water contamination, there

is mounting evidence for a range of health threats from air pollution as well. For example, research

has linked pollution from fracking to unhealthy levels of smog and of toxic air contaminants. Exposure

to this pollution can cause eye, nose, and throat irritation, respiratory illnesses, central nervous system

damage, birth defects, cancer, or premature death.^2 at the same time, the oil and gas industry has

been exempted from many regulations that limit air pollution from industrial activity.^3 at the federal

level, the Environmental protection agency (Epa) recently issued new standards to limit harmful

air pollution from the oil and gas industry—but these still contain major gaps.^4 Health protective

regulations are also hampered by lack of scientific data on the potential cumulative risks posed by the

combined emissions from a dense network of wells and associated infrastructure such as pipelines,

compressor stations, and roads. State regulations are patchy and enforcement often cannot keep up

with the industry’s rapid expansion, resulting in insufficient protection from air pollutants.

HeAlTH sTudIes FInd ImPAcTs From

FrAckInG-relATed AIr PolluTIon

Conventional oil and gas production has been known

for some time to create harmful air emissions.^5 With the

increase in fracking activity, more and more studies now

document emissions of airborne pollutants at and near

fracking sites that are known to cause cancer and harm the

nervous, respiratory, and immune systems (see Figure 1).

At the same time, people and communities in areas with

many hydraulically fractured wells report health problems

consistent with these types of exposures. 6,7,8,9,10^ While it is

difficult to measure actual exposures to pollutants from

nearby fracking operations and establish clear links to

adverse health outcomes, some studies found associations

between air pollutants that are present at oil and gas

production sites and health impacts observed in nearby

communities. 11,12^ In Colorado, for example, an evaluation

of birth defects in areas with high concentrations of oil and

gas activity found that mothers who lived near many oil and

gas wells were 30 percent more likely to have babies with

heart defects. 13 Similarly, preliminary results from a study in

Pennsylvania show impacts among newborns that could be

linked to air pollution such as increases in low birth weight.^14

In many rural areas, the boom in oil and gas activity has

been linked to unhealthy spikes in ozone concentrations. 15

In 2008 and 2011, increased ozone concentrations in

Wyoming’s Sublette County were associated with subsequent

increases in outpatient clinic visits for respiratory problems. 16

Researchers who looked at air pollution levels near fracking

sites in Colorado also found an increased risk of chronic and

sub-chronic effects mainly stemming from oil and gas related

pollutants, which can harm the respiratory and neurological

systems and lead to symptoms like shortness of breath,

nosebleeds, headaches, dizziness, and chest tightness. 17

Thus, while research into the health effects of air pollution

from unconventional oil and gas development is ongoing,

there is mounting evidence that it causes pollution, which

can affect the health of workers and communities.

AIr PolluTIon From FrAckInG

A comprehensive literature review identified 15 different oil

and gas development processes and sources—including the

drilling process, wastewater, and condensate tanks—that

can release air contaminants (see Figure 2 in the Appendix). 18

The authors conclude that “there is legitimate concern that

local air pollution may produce adverse effects in individuals

who live near the high emitting site or processes.” The rapid

expansion of fracking, both in areas with existing oil and

gas operations and previously undrilled areas, can lead

to an increase in the type of pollution generally found at

conventional oil and gas development and to other pollutants

specific to fracking, such as silica sand, fracking chemicals,

and flowback wastewater.

local Impacts

diesel emissions

Diesel emissions originate from the combustion engines

of heavy trucks and machinery used during well site

preparation, drilling, and production. Exhaust from diesel

engines contains hundreds of toxic chemicals. Of greatest

concern is the fine diesel soot particles, which can lodge

deep within the lungs, increasing health risks including:

emergency room visits, hospital admissions, asthma attacks,

cardiopulmonary disease (including heart attack and stroke),

respiratory disease, adverse birth outcomes, and premature

death (from pneumonia, heart attack, stroke and lung

cancer).19,20^ Researchers are concerned about local residents’

increased risk of exposure to diesel exhaust.^21 A study of

regional air quality impacts from natural gas extraction in

Pennsylvania’s Marcellus Shale included diesel emissions

from truck traffic, well drilling and hydraulic fracturing, gas

production, on-site combustion, and compressor stations in

the monetary damage calculations.^22 The National Institute

for Occupational Safety and Health (NIOSH) expressed

concern about the levels of diesel particulate matter

measured at 11 oil and gas sites in Colorado, Arkansas,

Pennsylvania, Texas, and North Dakota. 23

Toxics

Toxic air pollutants originate from direct and fugitive

emissions of hydrocarbons at the well and from associated

infrastructure such as condensate tanks, dehydrators,

wastewater impoundment pits, and pipelines. The fracking

process involves dozens of chemicals and the process returns

oil, gas, fracking chemicals, formation brines, and mobilized

compounds, including heavy metals and naturally occurring

radioactive materials (NORM) to the surface.

Hydrogen sulfide (H 2 S) is a toxic and explosive gas that

may be present in oil and gas formations and is produced

along with the hydrocarbons. It is damaging to the central

nervous system and can be lethal at higher concentrations

(~1000 ppm).^24 While oil and gas workers may be required

to wear protective respirators, 25 no such protections are

considered for surrounding communities.

Benzene, toluene, ethylbenzene, and xylene (BTEX) and

other toxic hydrocarbons, such as formaldehyde, released

from oil and gas operations and equipment can lead to health

impacts ranging from irritation of eyes, nose, mouth, and

throat to aggravated asthma and other respiratory conditions,

blood disorders, harm to the developing fetus, immune

system-related diseases, and cancer (e.g., leukemia, non-

Hodgkins lymphoma).

A study commissioned by the West Virginia Department

of Environmental Protection found that, at many sites,

a 625-feet distance from oil and gas activity—above the

distances set by many states—still resulted in benzene

concentrations above levels the Center for Disease Control

and Prevention (CDC) considers “the minimum risk level

for no health effects.” 26 At least one of the BTEX compounds

was found at all of the seven drilling sites examined. A health

risk assessment in Colorado’s heavily drilled Garfield County

identified many hydrocarbon pollutants (including trimethyl-

benzenes, aliphatic hydrocarbons, and xylenes) associated

with adverse respiratory and neurological effects. 27 It further

found that concentrations of benzene, toluene, ethylbenzene,

and xylene increased with proximity to the well site and were

up to nine times higher during well completion than during

well production. In tight gas fields in rural northeastern Utah,

researchers estimated the total annual mass flux of volatile

organic compounds (VOCs) from the surveyed gas fields

to be equivalent to the emissions from 100 million cars.^28

The benzene levels measured in this study also exceeded

health standards set by the Agency for Toxic Substances

Disease Registry (ATSDR) and the California Environmental

Protection Agency (CalEPA) to protect against harm to the

developing fetus, immune system and blood.

silica

Silica—the main component of ‘frac sand’—is used widely

and in large quantities to hold open the fractures created

during the fracking process. 29 Inhalation of respirable silica

can cause silicosis, an irreversible lung disease, 30 as well as

lung cancer in miners, sandblasters, and foundry workers.^31

Silica inhalation is now also recognized as an occupational

health hazard among oil and gas workers. NIOSH researchers

collected 111 personal breathing zone (PBZ) samples at

11 sites in 5 states. At each one, they found that full-shift

samples exceeded occupational health criteria,^32 in some

cases by 10 times or more. This means that even if workers

are properly using half-mask air-purifying respirators,

they would not be sufficiently protected, because the

measured concentrations exceed the masks’ maximum use

concentration.^33

regional Pollution

ozone smog

Fracking-related processes and other stages of the oil and gas

production process release nitrogen oxides and VOCs, which

react in the presence of sunlight to form ozone (‘smog’).

Exposure to ozone is associated with a variety of respiratory

and cardiovascular effects, including shortness of breath,

reduced lung function, aggravated asthma and chronic

respiratory disease symptoms, inflammatory processes,

and premature death. 34 A growing number of studies have

attributed emissions of ozone precursors from rapidly

growing oil and gas development^35 to significantly elevated

ozone concentrations in Wyoming, 36 Colorado, 37 Utah, 38,39,

Pennsylvania, 41,42^ Texas, 43,44^ and Oklahoma. 45 In the study on

Wyoming’s Sublette County, tight gas production activities

caused winter ozone levels 46 to spike above the EPA’s 8-hour

ozone standard of 75 parts per billion 13 times between

February 14 and March 15, 2011.^47 In Utah’s Uintah Basin

ambient 1-hour ozone levels exceeded 150 ppb—twice the

federal standard. 48

Workers not Protected

In addition to the community health concerns from fracking,

worker safety at oil and gas production sites is also coming

under increased scrutiny, in part because the oil and gas

industry is one of the most dangerous occupational sectors

in the country. According to statistics released by the Bureau

of Labor Statistics there were 545 fatalities at U.S. oil fields

between 2008 and 2012, of which 216 occurred in Texas. 49

At this level, the industry’s fatality rate is 2.5 times higher

than the accident-prone construction sector and more

than 8 times higher than the industrial sector as a whole.^50

A major contributing factor to the industry’s high fatality

rate are traffic accidents, which also impact neighboring

communities.

On-site toxic exposures present another health hazard

to oil and gas workers. In 2010, at least four worker deaths

may be linked to chemical and petroleum vapor exposure

at or near flowback tanks at oil well sites in North Dakota

and Montana. 51 Air samples collected by NIOSH in the

personal breathing zone of workers at six flowback sites

in Colorado and Wyoming identified benzene as the primary

VOC of concern, especially near the hatches of the flowback

tanks. Of the 17 samples, 15 met or exceeded the NIOSH

Recommended Exposure Limit (REL) of 0.1 ppm. 52

The unprotected inhalation of silica dust and diesel fumes

also threatens worker health and may lead to cancers and

other illnesses many years after exposure. 53 Workers may even

bring contaminated clothes and boots home, putting their

families at risk.

currenT PolIcIes And reGulATIons ProvIde InAdequATe HeAlTH ProTecTIons

The oil and gas industry enjoys numerous exemptions

from parts of key environmental and health protection

laws, including the Clean Air Act, the Clean Water Act, and

Hazardous Waste Laws. 54 These exemptions lead to weak

regulations and inadequate monitoring for air pollutants

and toxins from oil and gas facilities. As fracking and other

extreme stimulation techniques move closer to towns and

cities, this creates an information, legal, and regulatory

vacuum that hampers communities’ knowledge of and ability

to protect themselves from harmful oil- and gas-related

emissions and associated health impacts.

Faulty Inventories underestimate Air Pollution

State and federal inventories provide important information

for tracking and regulating air emissions of greenhouse

gases, VOCs, and other hazardous air pollutants. Recent

research indicates that these inventories may significantly

underestimate air pollution from the oil and gas sector for

a variety of reasons, including data gaps, uncertainty in the

efficiency of emissions control equipment, use of obsolete

or unrealistic emissions factors, incomplete reporting

by operators, and changes in industry practices. One

investigation led by the National Oceanic and Atmospheric

Administration (NOAA) in Colorado’s heavily drilled Denver-

Julesburg Basin concludes that the state inventory for total

VOCs emitted by oil and gas activities—which contribute

to ozone formation and cause local toxicity—may be too

low by a factor of at least two and that benzene emissions

are seven-fold higher than reported in the state inventory.^55

An earlier systematic review of eleven “top-down” (starting

with levels of pollutants in the atmosphere and attributing

those emissions to sources) and a number of “bottom-up”

(starting with measurement of a set of sources’ emissions

and extrapolating to aggregate emissions) studies looking

at methane emissions from the sector estimates that total

U.S. methane emissions from all sources were 25 percent to

75 percent higher than the U.S. Greenhouse Gas Inventory

estimates for 2011, and finds that oil and gas are important

contributors to these unreported emissions.^56 This review

also concludes that a small number of “superemitters”

could be responsible for a large fraction of the industry’s

methane leakage that had not been accounted for in the

Inventory. In sum, the studies strongly suggest that oil and

gas development is making a larger contribution to climate

change than previously thought and that inventories may

underestimate other pollutants.

n Comprehensive characterization of all pollution sources in

unconventional oil and gas development and quantitative

assessment of pollutants and emission rates through

research and updated federal and state inventories

n Improved air quality monitoring before, during, and

after well development and around all sources

n Expansion of the federal and state ozone monitoring

network to better characterize air quality in rural

areas highly impacted by pollution from oil and gas

development

n Identification and implementation of adequate and

protective setback requirements to reduce the exposure

of residents to intermittent and chronic levels of air

pollutants and toxins^70

n Closure of regulatory loopholes in federal environmental

programs to fill data gaps, increase transparency and

oversight of the oil and gas industry and ensure public

health protections

n Rigorous scientific studies in regions with intensive

oil and gas development examining the effects of air

pollution on the health of the local population, including

comprehensive health impact assessments prior to new

site development and followed by ongoing evaluations. 71

WHAT resIdenTs cAn do

Residents can take the following actions to reduce their potential exposure to dangerous air pollutants:

Get informed

n Learn about possible pollution in your area:

n Visit the U.S. EPA website for information on ozone and particulate levels

n Contact your state environmental agency or health department for information on local monitoring for other

air pollutants

n Visit NRDC’s Don’t Get Fracked! Information Center to learn how to protect yourself and your family from

pollution linked to hydraulic fracturing

n For more information on specific oil and gas-related pollutants visit:

n Benzene

n Hydrogen sulfide (H 2 S)

n Diesel

n Other toxics

n If you are worried about health symptoms or impacts, make sure to see your doctor and consult healthcare

providers knowledgeable about the health impacts of air pollution. More resources are available through the

following organizations:

n The Pediatric Environmental Health Speciality Units (PEHSU)

n Association of Environmental Medicine Clinics

Protect the most vulnerable

n Young children, the elderly, and individuals with respiratory conditions (e.g., asthma) can be sensitive to lower

levels of pollution and should avoid exercise or extended outdoor activity when odors are present or agency

websites (EPA or state) indicate poor air quality.

Take Action

n Improve air quality monitoring in your community

n Report spills and other environmental problems in your community

n Connect with your neighbors and set up a Citizen Science group

n Speak up and organize your community’s defense

n Demand stronger protections

Learn more at: nrdc.org/energy/gasdrilling

LOCAL POLLUTION

REGIONAL POLLUTION

GLOBAL POLLUTION

PRODUCTION

3

PROCESSING & STORAGE

4

5^ TRANSMISSION WELL ABANDONMENT (^6) & SITE REHABILITATION

drIllInG: diesel PM, NO (^) x , CO 2 , CO, BTEX, PAH, CH 4 , volatile drilling mud fluids, and volatile hydrocarbons from drill cuttings HYDRAULIC FRACTURING: silica dust, volatile fracturing chemicals, BTEX, and other volatile hydrocarbons, PM, NO (^) x , CO 2 , CO FLOWBACK AND PRODUCED WATER: volatile fracturing fluids, BTEX, and other volatile hydrocarbons, H 2 S

Trucks And HeAvY mAcHInerY: diesel PM, NO (^) x , CO 2 , CO, BTEX, PAH, dust

Trucks And HeAvY mAcHInerY: diesel PM, NO (^) x , CO 2 , CO, BTEX, and PAH ABANDONED / ORPHANED WELLS: CH (^4)

Produced WATer: BTEX, and other volatile hydrocarbons, H 2 S

GAS FLARING/VENTING: CH 4 , NO (^) x , CO 2 , CO, PM, H 2 S, BTEX, and other volatile hydrocarbons

WORK-OVER AND MAINTENANCE: diesel PM, NO (^) x , CO 2 , CO, CH 4 , BTEX, PAH, and other volatile hydrocarbons

WELL SITE PREPARATION

AND ROAD CONSTRUCTION

WELL DRILLING, HYDRAULIC

(^2) FRACTURING & WELL COMPLETION

BTEX: benzene, toluene, ethylbenzene, and xylene; CH 4 : methane; CO: carbon monoxide; CO 2 : carbon dioxide; H 2 S: hydrogen sulfide; NOx: nitrogen oxides; PAH: polycyclic aromatic hydrocarbons; PM: particulate matter

PIPelInes: CH 4 , BTEX, and other volatile hydrocarbons COMPRESSOR STATIONS: diesel PM, NO (^) x , CO 2 , CO, BTEX, PAH, and other volatile hydrocarbons GAS VENTING: CH 4 , H 2 S, BTEX, and other volatile hydrocarbons

GAs venTInG: CH 4 , H 2 S, BTEX, and other volatile hydrocarbons

SEPARATORS AND CONDENSATE TANKS: CH 4 , BTEX, and other volatile hydrocarbons

COMPRESSORS: diesel PM, NO (^) x , CO 2 , CO, BTEX, PAH, and other volatile hydrocarbons

APPendIx

Figure 2: major air pollutants and air toxics released during the different fracking process stages and sources of

equipment

Table 2: Health impacts of the main air pollutants by target organ and system

Pollutant Target organ/system carcinogen

Particulate matter (Pm)

Diesel pM Respiratory system; Cardiovascular system (^) •

pM 10 and smaller Respiratory system; Cardiovascular system

volatile organic compounds (vocs)

Benzene Immune system; Blood; Fetal development, Nervous System (^) •

Toluene

Brain and nervous system; Respiratory system; Fetal and child development;

Reproductive system

Ethylbenzene

Fetal and child development; Liver; Kidney; Endocrine system;

auditory system •

Xylene Brain and nervous system; Fetal and child development

Other VOCs (incl.

Formaldehyde, Methanol)

Immune system; Respiratory system; Brain and nervous system;

Fetal and child development; Liver; Kidney; Endocrine system •

other

Hydrogen sulfide (H 2 S) Respiratory system; Brain and nervous system; Gastrointestinal system

NOx Respiratory system

Ozone (O 3 ) Respiratory system; Cardiovascular system

Respirable Silica Respiratory system; Kidneys; Immune system (^) •

paHs (incl. Naphthalene)

Immune system, Reproductive system; Brain and nervous system*;

Developmental effects* • **

  • in animal studies

** probable carcinogens are among the paHs emitted at unconventional oil & gas sites

Sources: Factsheet on the Health Effects of Diesel Exhaust. available at http://oehha.ca.gov/public_info/facts/dieselfacts.html. u.S. Epa (1997). Health Effects of particulate Matter. OaQpS Fact Sheet, July 17, 1997. available at www.epa.gov/region7/air/quality/pmhealth.htm. OSHa (2014). Crystalline Silica, www.osha. gov/dsg/topics/silicacrystalline/health_effects_silica.html. aTSDR (2004). Interaction profile For: Benzene, Toluene, Ethylbenzene, and Xylenes (BTEX). aTSDR (2007). public Health Statement for Benzene. available at www.atsdr.cdc.gov/phs/phs.asp?id=37&tid=14. aTSDR (2000). public Health Statement for Toluene. available at http://www.atsdr.cdc.gov/phs/phs.asp?id=159&tid=29. aTSDR (2010). public Health Statement for Ethylbenzene. available at www.atsdr.cdc.gov/ phs/phs.asp?id=381&tid=66. aTSDR (2007). public Health Statement for Xylene. available at www.atsdr.cdc.gov/phs/phs.asp?id=293&tid=53. Department of Health and Human Services, Centers for Disease Control, National Institute for Occupational Safety and Health. 2005. NIOSH pocket Guide to Chemical Hazards: Benzene. 2005-149. National Institute for Occupational Safety and Health (NIOSH). www.cdc.gov/niosh/npg/npgd0049.html. Department of Health and Human Services, Centers for Disease Control, National Institute for Occupational Safety and Health. 2005. u.S. Epa. an Introduction to Indoor air Quality. Volatile Organic Compounds. available at www.epa.gov/iaq/voc.html. aTSDR (1995). public Health Statement for polycyclic aromatic Hydrocarbons (paHs). available at www. atsdr.cdc.gov/phs/phs.asp?id=120&tid=25. u.S. Epa. NIOSH pocket Guide to Chemical Hazards: Hydrogen Sulfide. 2005-149. National Institute for Occupational Safety and Health (NIOSH). www.cdc.gov/niosh/npg/npgd0337.html. aTSDR (2002). Factsheet on Nitrogen Oxides. California Epa, Office of Environmental Health Hazard assessment (OEHHa). Health Effects of Ozone in the General population. available at www.epa.gov/apti/ozonehealth/population.html.

Key: BTEX: benzene, toluene, ethylbenzene, xylene; CH 4 : methane; diesel pM: diesel particulate matter; H 2 S: hydrogen sulfide; NOx: nitrogen oxides; O 3 : ozone; paH: polycyclic aromatic hydrocarbons; pM 10 : particulate matter of 10 micrometers or smaller in diameter.

endnotes 1 u.S. Energy Information administration, “Today in Energy. North america leads the World in Shale Gas production,” www.eia.gov/today- inenergy/detail.cfm?id=13491 (accessed June 6, 2014).

2 John L. adgate et al. “potential public Health Hazards, Exposures and Health Effects from unconventional Natural Gas Development,” Environ- mental Science and Technology", 2014 doi:10.1021/es404621d).

3 u.S. Government accountability Office (GaO), “ Unconventional Oil and Gas Development. Key Environmental and Public Health Require- ments ,” GaO-12-874.

4 The new rules still allow existing facilities to release up to 1 ton per year of the carcinogen benzene from large glycol dehydrators despite analysis showing that this could increase the cancer risk for neighbor- ing communities. Existing facilities are also not required to upgrade their equipment to reduce emissions and protect public health.

5 u.S. Environmental protection agency, “Improving air Quality in Your Community,” www.epa.gov/oaqps001/community/details/oil-gas_addl_ info.html (accessed September 3, 2014).

6 Elizabeth Ridlington, John Rumpler, “ Fracking by the Numbers: Key Impacts of Dirty Drilling at the State and National Level” , Environment america Research & policy Center and the Frontier Group, 2013.

7 Charles W. Schmidt, “Estimating Wastewater Impacts from Fracking,” Environmental Health Perspectives 121 (4) (2013): a117. doi:10.1289/ehp.121-a117.

8 Roxana Z. Witter et al., Potential Exposure-Related Human Health Effects of Oil and Gas Development: A Literature Review (2003- 2008) , White paper, Denver, CO, 2008, docs.nrdc.org/health/files/ hea_08091702b.pdf (accessed august 21, 2014).

9 Roxana Z.Witter et al., Health Impact Assessment for Battlement Mesa, Garfield County Colorado , aurora, CO, 2010, www.garfield-county. com/public-health/documents/1%20%20%20Complete%20HIa%20with- out%20appendix%20D.pdf (accessed august 21, 2014).

10 peter M. Rabinowitz et al. “proximity to Natural Gas Wells and Reported Health Status: Results of a Household Survey in Washing- ton County, pennsylvania,” Environmental Health Perspectives , 2014, doi:http://dx.doi.org/10.1289/ehp.1307732.

11 Lisa M. McKenzie et al., “Human Health Risk assessment of air Emissions from Development of unconventional Natural Gas Resources,” Science of the Total Environment 424 (2012): 79–87, doi:10.1016/j.scito- tenv.2012.02.018.

12 Lisa M. McKenzie et al., “Birth Outcomes and Maternal Residential proximity to Natural Gas Development in Rural Colorado,” Environmental Health Perspectives , (2014), doi:http://dx.doi.org/10.1289/ehp.1306722.

13 Ibid. [12].

14 John L. adgate et al., “potential public Health Hazards, Exposures and Health Effects from unconventional Natural Gas Development,” Environmental Science & Technology , (2014), doi:10.1021/es404621d.

15 Detlev Helmig et al., “Highly Elevated atmospheric Levels of Volatile Organic Compounds in the uintah Basin, utah.” Environmental Science & Technology , March 27, 2014. doi:10.1021/es405046r.

16 State of Wyoming Department of Health, “ Associations of Short- Term Exposure to Ozone and Respiratory Outpatient Clinic Visits — Sub- lette County, Wyoming, 2008–2011,” 2013, Cheyenne, WY.

17 Ibid. [11].

18 Ibid. [14].

19 Seth B. Shonkoff et al. Environmental public Health Dimensions of Shale and Tight Gas Development. Environmental Health perspectives. (2014).

20 John L. adgate et al. “potential public Health Hazards, Exposures and Health Effects from unconventional Natural Gas Development," Environ- mental Science and Technology”, 2014 doi:10.1021/es404621d. 21 allen Robinson, “ Air Pollutant Emissions from Shale Gas Develop- ment and Production ,” Workshop presentation on the Health Impact assessment of New Energy Sources: Shale, Institute of Medicine, april 30-May 1, 2012. 22 aviva Litovitz et al., “Estimation of Regional air-Quality Damages from Marcellus Shale Natural Gas Extraction in pennsylvania,” Environ- mental Research Letters, 8 (2013), doi:10.1088/1748-9326/8/1/014017. 23 Eric J. Esswein, Michael Breitenstein, John Snawder, “ NIOSH Field Effort to Assess Chemical Exposures in Oil and Gas Workers: Health Hazards in Hydraulic Fracturing ,” Workshop presentation on the Health Impact assessment of New Energy Sources: Shale, Institute of Medicine, april 30-May 1, 2012. 24 Ibid. [14]. 25 Occupational Safety and Health administration (OSHa), “ Standards for Hydrogen Sulfide ”, www.osha.gov/SLTC/hydrogensulfide/standards. html (accessed June 6, 2014). 26 West Virginia Department of Environmental protection, Division of air Quality, “ Air, Noise, and Light Monitoring Results For Assessing Environmental Impacts of Horizontal Gas Well Drilling Operations (ETD‐ Project) ,” Charleston, WV. 27 Ibid. [11]. 28 Ibid. [15]. 29 according to industry representatives, hydraulic fracturing compa- nies use up to 10,000 tons of silica sand to hydraulically fracture a single well. See Kanika Sikka, Sneha Banerjee, “ U.S. Silica Sees Sand Demand Piling up as Fracking Goes Super-Sized ,” Reuters, September 19, 2014. www.reuters.com/article/2014/09/19/us-ussilica-demand-iduSKBN- 0HE12p20140919. 30 Long-term exposure can lead to chronic silicosis, while short-term exposure to very large amounts of silica can cause acute silicosis. 31 OSHa, “ Silica, Crystalline ,” www.osha.gov/dsg/topics/silicacrystal- line/ (accessed September 4, 2014). 32 The criteria used in the study are the Occupational Safety and Health administration calculated permissible exposure limit (pEL), the NIOSH recommended exposure limit (REL), or the threshold limit value (TLV) set by the american Conference of Industrial Hygienists (aCGIH). 33 Eric J. Esswein et al., “Occupational Exposures to Respirable Crys- talline Silica during Hydraulic Fracturing.” Journal of Occupational and Environmental Hygiene 10 (7) (2013): 347–56, doi:10.1080/15459624. 3.788352. 34 uS Epa, “ Health Effects of Ozone in the General Population ,” www. epa.gov/apti/ozonehealth/population.html (accessed June 13, 2014). 35 Christopher W. Moore et al., “air Impacts of Increased Natural Gas acquisition, processing, and use: a Critical Review,” Environmental Sci- ence & Technology , 11 (2014), doi:dx.doi.org/10.1021/es4053472. 36 Wyoming Department of Environmental Quality. “ WDEQ Winter Ozone Update ,” public Meeting, pinedale, WY, March 22, 2011. 37 Gabrielle pétron et al., “a New Look at Methane and Non-Methane Hydrocarbon Emissions from Oil and Natural Gas Operations in the Colorado Denver-Julesburg Basin,” Journal of Geophysical Research: Atmospheres (2014), doi: 10.1002/2013JD021272. 38 Ibid. [15]. 39 Seth Lyman, Howard Shorthill, “ Final Report: 2013 Uintah Basin Winter Ozone & Air Quality Study ,” CRD/9.273a, Vernal, uT: utah State university, 2013.