Amicus Curiae Brief — Michigan v. Envtl. Prot. Agency, 135 S. Ct. 702 (2014) (No. 14-46)
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Suprenie Court, U.S.
FILED
—MAR 2 — 2015
Nos. 14-46, 14-47, 14-49
gn The
Supreme Court of the United States ~~
+
MICHIGAN, et al.,
Petitioners,
Vv.
ENVIRONMENTAL PROTECTION AGENCY, et ai.
.
UTILITY AIR REGULATORY GROUP,
Petitioner,
v.
ENVIRONMENTAL PROTECTION AGENCY, et al.
¢
NATIONAL MINING ASSOCIATION,
Petitioner,
Vv.
ENVIRONMENTAL PROTECTION AGENCY, et al.
*
On Writs Of Certiorari To The United States Court
Of Appeals For The District Of Columbia Circuit
¢
BRIEF OF THE AMERICAN THORACIC
SOCIETY AS AMICUS CURIAE
IN SUPPORT OF RESPONDENTS
°
ADAM BABICH
Counsel of Record
TULANE ENVIRONMENTAL
LAW CLINIC
TULANE LAW SCHOOL
6329 Freret Street
New Orleans, LA 70118
(504) 865-5789
ababich@tulane.edu
Counsel for Amicus, Curiae
American Thoracic Society
—l———————————————————————— —CEC—
COCKLE LKG* L BIUEFS (80D) 2726-6064
WWW COCKLELEGALSRIEFS.COM
i
TABLE OF CONTENTS
Page
TTT ii
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Interest of the Amicus Curiae ...............00000000000-..... 1
Summary of Argument ...0.0....0....cececoocccccccceceeeeccee. 2
iii itiiclidsratacateltnsstenenetessnudiisacnacesaeescesseeseesss 3
I. EPA REASONABLY OMITTED COST CON.-
SIDERATIONS IN ITS DETERMINATION
THAT IT IS APPROPRIATE TO REGU-
LATE HAZARDOUS AIR POLLUTANTS
EMITTED BY PUBLIC ELECTRIC UTIL-
SNrinersbrinidheneciscastarecanticsescnsisiunssihasecwmeence 3
II. COAL- AND OIL-FIRED POWER PLANT
EMISSIONS INCREASE RISKS OF DEATH
i 7
A. Acid Gases from Power Plants Damage
ee ie an 8
B. Mercury from Power Plants Harms
Le aE 10
C. Other Metals from Power Plants Harm
EE 13
D. Particulate Matter from Power Plants
Elias 14
E. The Danger is Greater to Susceptible
Populations, Including Pregnant Women
at ERE Oa 21
ES A EE a ee 29
$3
TABLE OF AUTHORITIES
Page
CASES
Am. Farm Bureau Fed’n v. EPA, 559 F.3d 512
i: cr rr. canietiedneiennboumienubeetiaiaden 14
Entergy Corp. v. Riverkeeper, Inc., 556 U.S. 208,
129 S. Ct. 1498, 173 L. Ed. 2d 369 (2009)................ 4
Food & Drug Admin. v. Brown & Williamson
Tobacco Corp., 529 U.S. 120, 120 S. Ct. 1291,
ORG ee 4
Lead Indus. Ass’n, Inc. v. Envtl. Prot. Agency,
647 F.2d 1130 (D.C. Cir.), cert. denied, 49 U.S.
1042, 101 S. Ct. 621, 66 L. Ed. 2d 503 (1980) ........... 5
North Carolina v. Tenn. Valley Auth., 593
F. Supp. 2d 822 (W.D.N.C. 2009) ............cecccceeesseeees 14
White Stallion Energy Ctr., LLC v. EPA, 748
F.3d 1222 (D.C. Cir. 2014) (Kavanaugh, J.,
concurring in part and dissenting in part) .............. 6
Whitman v. Am. Trucking Ass’ns, 531 U.S. 457,
121 S. Ct. 903, 149 L. Ed. 2d 1 (2001).................. 5, 6
STATUTES AND LEGISLATIVE MATERIALS
Clean Air Act § 109(a),
GB UB.C. F FERRI A) CRUD) ....0n-.-.n0reccerecessccvssssesorevccees 5
Clean Air Act § 109b),
GE UE BEAS. B FOR Cat AaD onevccnsscacsssccesscccscscoovesese 5, 6
Clean Air Act § 112(dX2),
42 U.S.C. § 7412(d 2) (2O1Z)............cccserreersrereeerreees 4
Clean Air Act § 112(n(1XA),
42 U.S.C. § 7412(nX 1A) (2012)..............2...00 2, 4,5
ill
TABLE OF AUTHORITIES -— Continued
FEDERAL REGISTER
Executive Order 12,866, 58 Fed. Reg. 51,735
CED, G, BED cceccnccccceccscccecevescccccenssescoccccssecstecesees
Preamble to Final Rule, 77 Fed. Reg. 9304
oe 4 eee nee ee
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TABLE OF AUTHORITIES — Continued
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Pe III ccnesvccccscciiscnciessinsvevaniccntineviness
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ee eee me eee eee ee eee eee ee
eC CER HTH CR eee eee eee ee ee ee
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sii 24
x
TABLE OF AUTHORITIES — Continued
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saci 13
sve 27
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METEIUIIII ansinsccuniciedannensiniedunahiostbinadnisitidunndanadesanesanaedt 21
ee
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S. Skolnik, Acute inhalation exposure to hydro-
gen fluoride, 7 J. Occupational Envtl. Hy-
giene D31 (2010), available at http://www.
tandfonline.com/doi/pdf/10.1080/15459621003
741789
PT ROP C ORR ORO COOPER OEE RESET EET Eee ee he
cen 8
TABLE OF AUTHORITIES - Continued
James C. Slaughter et al., Effects of Ambient
Air Pollution on Symptom Severity and Med-
ication Use in Children with Asthma, 91 An-
nals of Allergy, Asthma & Immunology 346
(Supp. 2003), available at http-//pediatrics.
aappublications.org/content/114/Supplement_1/
IIIT xisnss:scnsiesesiiedenathneseasseiasinaisienimidanadiiisiineaiia 23
Maciej Strak et al., Respiratory Health Effects
of Airborne Particulate Matter: The Role of
Particle Size, Composition, and Oxidative
Potential — The RAPTES Project, 120 Envtl.
Health Perspectives 1183 (2012), available at
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC
3440077/pdf/ehp. 1104389. pdf ................cececceeee cence 10
Deliang Tang et al., Molecular and Neurodevel-
opmental Benefits to Children of Closure of a
Coal Burning Power Plant in China, 9 PLoS
One e91966 (2014), http://www.ncbi.nlm.nih.
gov/pmc/articles/PM C3960 155) pdf/pone.009 1966.
Paige E. Tolbert et al., Air Quality and Pediatric
Emergenry Room Visits for Asthma in Atlanta,
Georgia, 151 Am. J. Epidemiology 798 (2000),
available at http~//aje.oxfordjournals.org/content/
I ei crcinnhincinpimnndiaiansniteaiasascetigaeiieeeamees 23
Cathryn Tonne et al., A Case Control Analysis
of Exposure to Traffic and Acute Myocardial
Infarction, 115 Envtl. Health Perspectives 53
(2007), available at http?//www.ncbi.nlm.nih.gov/
pmc/articles/PMC1797833/pdf/ehp0 115-000053.
xix
TABLE OF AUTHORITIES — Continued
Page
Toxicological Profile for Mercury, U.S. Dept of
Health & Human Serv. (Mar. 1999), available
at http://www.atsdr.cdc.gov/toxprofiles/tp46.
Leonardo Trasande et al., Public Health and
Economic Consequences of Methyl Mercury
Toxicity to the Developing Brain, 113 Envtl.
Health Perspectives 590 (2005), available at
http:?//Awww.ncbi.nlm.nih.gov/pmc/articles/PMC
1257552/pdf/ehp0113-000590. pdf..................... 25, 26
Shang-Shyue Tsai et al., Evidence for an Asso-
ciation Between Air Pollution and Daily
Stroke Admissions in Kaohsiung, Taiwan, 34
Stroke 2612 (2003), available at http://stroke.
ahajournals.org/content’'34/11/2612.full.pdf .......... 17
L. Tsonis et al., Hydrofluoric acid inhalation
injury, 29 J. Burn Care & Research 852
(2008), available at http://www.ncbi.nlm.nih.
gov/pubmed/18695605 (abstract)........................00005. 9
Bruce Urch et al., Acute Blood Pressure Re-
sponses in Healthy Adults During Controlled
Air Pollution Exposures, 113 Envtl. Health
Perspectives 1052 (2005), available at http://
www.ncbi.nlm.nih.gov/pmc/articles/PMC 1280
348/pdf/ehp0113-001052. pdf... eee ceceeeee 18
xXx
TABLE OF AUTHORITIES — Continued
Bruce Urch et al., Relative Contributions of
PM,, Chemical Constituents to Acute Arterial
Vasoconstriction in Humans, 16 Inhalation
Toxicology 345 (2004), available at http://
informahealthcare.com/doi/abs/10.1080/089583
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Sverre Vedal et al., Air Pollution and Cardiac
Arrhythmias in Patients with Implantable
Cardioverter Defibrilators, 16 Inhalation Tox-
icology 252 (2004), available at http://
informaheal]thcare.com/doi/abs/10.1080/089583
70490439506%20 (abstract) ...........ccccccceseeeseerees
A.M. Vignola et al., Structural consequences of
airway inflammation in asthma, 105 J. Al-
lergy & Clinical Immunology S514 (Supp.
2000), available at http://www.ncbi.nlm.nih.
gov/pubmed/10669534 (abstract).......................
What You Need to Know about Mercury in Fish
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at http://water.epa.gov/scitech/swguidance/fish
shellfish/outreach/upload/2004_05_24 fish_
MethylmercuryBrochure. pdf .................cccceeeeeeee
Emily M. White et al., Spatial variability of
mercury wet deposition in eastern Ohio: sum-
mertime meteorological case study analysis of
local source influences, 43 Envtl. Sci. & Tech.
4946 (2009), available at http://www.ncbi.
nlm.nih.gov/pubmed/19673290 (abstract).........
Page
Xxi
TABLE OF AUTHORITIES — Continued
Shaowei Wu et al., Blood Pressure Changes
and Chemical Constituents of Particulate Air
Pollution: Results from the Healthy Volunteer
Natural Relocation (HVNR) Study, 121 Envtl.
Health Perspectives 66 (2013), available at
http/ehp.niehs_nih.gov/wp-content/uploads/121/
Vehp.1104812.pdf
Janelle Yorke et al., Assessment of Dyspnea in
Asthma: Validation of the Dyspnea-12, 48 J.
Asthma 602 (2011), available at http://www.
nebi.nim.nih.gov/pmc/articles/PMC3149863/pdf/
ey ean
Antonella Zanobetti & Joel Schwartz, The
Effect of Fine and Coarse Particulate Air Pol-
lution on Mortality: a National Analysis, 117
Envtl. Health Perspectives 898 (2009), avail-
able at http://ehp.niehs.nih.gov/wp-content/
uploads/117/6/ehp.0800108. pdf
Antonella Zanobetti & Joel Schwartz, The
Effect of Particulate Air Pollution on Emer-
gency Admissions for Myocardial Infarction:
A Multicity Case-Crossover Analysis, 113
Envtl. Health Perspectives 978 (2005), avail-
able at http//www.ncbi.nlm.nih.gev/pmc/articles/
PMC1280336/pdf/ehp0113-000978.pdf..............
Antonella Zanobetti et al., Particulate air pol-
lution and survival in a COPD cohort, 7
Envtl. Health 48 (2008), available at http://
www.ehjournal.net/content/pdf/1476-069X-7-
SEC eee eee eee
seein 19
smi 15
xxi)
TABLE OF AUTHORITIES — Continued
Page
GLOSSARY
Chronic Obstructive Pulmonary Disease
Environmental Protection Agency
Mercury and Air Toxics Standards
Micrograms per cubic meter
National Ambient Air Quality Standards
Nitrogen Oxides
Nitrogen Dioxide
Particulate Matter
Fine PM: PM less than or equal to 2.5
microns in diameter
Sulfur Dioxide
1
INTEREST OF AMICUS CURIAE'
The American Thoracic Society is an international,
nonprofit, nonpartisan organization with more than
15,000 members dedicated to improving the health
and wellbeing of patients suffering from respiratory
related diseases through research, clinical care, and
advocacy for cleaner air. The Society participated as
an amicus in the cases under review — No. 12-1100
and consolidated cases — before the D.C. Circuit. The
Society’s members are concerned that the medical
and scientific literature strongly establishes the need
to control the emissions at issue in the rule before
this Court. Emissions from coal- and oil-fired power
plants cause and contribute to avoidable death and
disease in exposed populations and their reduction
will have measurable public health benefits. The So-
ciety intends its participation to show that the sci-
entific literature demonstrates that the harms from
exposure to power plant emissions are serious and, in
the context of those harms, it was reasonable for EPA
to not consider costs when making the threshold de-
cision to include electric utility steam generating
‘ Pursuant to this Court’s Rule 37.3(a), the 10-day notice
requirement of Rule 37.2(a) does not apply. Counsel for petition-
ers and respondents have consented to the filing of this brief and
their written consent has been lodged with the Court. Pursuant
to this Court’s Rule 37.6, amicus states that this brief was not
authored in whole or in part by counsel for any party and that
no person or entity other than amicus or its counsel made a
monetary contribution intended to fund the preparation or sub-
mission of this brief.
2
units among the categories of industrial sources re-
quired to control emissions of hazardous air pollu-
tants.
°
SUMMARY OF ARGUMENT
Amicus curiae submits this brief to assist the
Court in understanding the reach and immanency of
the significant public health risks from hazardous
air pollutant and associated emissions from power
plants, the regulation of which is at issue in this case.
In the context of these risks, EPA reasonably inter-
preted the language in Clean Air Act § 112(nX1)(A),
42 U.S.C. § 7412(nX1XA) (2012) as a Congressional
grant of discretion to consider costs or not when
deciding whether to include electric utility steam
generating units among the categories of sources
required to control emissions of hazardous air pollu-
tants.
Public health risks caused by hazardous air pol-
lutant and associated emissions from power plants
include premature death, disease, abnormal brain
and lung development in children, increased hospital-
ization and medication requirements, and lost work-
days. Constituents of these emissions travel globally.
Power plants emit acid gas, metals including mer-
cury, lead, arsenic, cadmium, nickel, and chromium,
and particulate matter that can penetrate deep into
human lungs. All humans are susceptible to adverse
health effects from these emissions, but pregnant
3
women, fetuses, infants, children, elderly people, and
people with preexisting health conditions are espe-
cially vulnerable.
Amicus curiae American Thoracic Society sup-
ports EPA’s efforts to protect the public from health
problems arising from hazardous air pollutants and
associated emissions from power plants, including
birth defects, disease, and premature death. EPA's reg-
ulation of these emissions is urgently needed, and
necessary to protect public health. Accordingly, amicus
American Thoracic Society urges this Court to affirm
the D.C. Circuit’s decision.
.
ARGUMENT
I. EPA REASONABLY OMITTED COST CON-
SIDERATIONS IN ITS DETERMINATION
THAT IT IS APPROPRIATE TO REGULATE
HAZARDOUS AIR POLLUTANTS EMITTED
BY PUBLIC ELECTRIC UTILITIES.
In light of the serious health concerns that haz-
ardous air pollutants raise — and in the context of the
wide range of approaches to cost considerations that
Congress has treated as reasonable under the Act —
EPA reasonably interpreted the phrase “appropriate
and necessary” as a Congressional grant of discretion
to not consider costs when deciding whether to in-
clude electric utility steam generating units (i.e., power
plants) among the categories of sources required to
control emissions of hazardous air pollutants.
4
Clean Air Act § 112(n)(1KA) contains no specific
requirement that EPA consider costs in this context;
instead, it authorizes the agency to regulate — or not
— based on a finding of “appropriate and necessary.”
Clean Air Act § 112(nX 1A), 42 U.S.C. § 7412(nX 1A)
(2012). Congress knew the words to use when it
wished to specify that costs be considered. See Clean
Air Act § 112(dX2), 42 U.S.C. §7412(dxX2) (2012)
(“Emissions standards promulgated under this sub-
section and applicable to new or existing sources of
hazardous air pollutants shall require the maximum
degree of reduction in emissions of the hazardous air
pollutants subject to this section that the Admin-
istrator, taking into consideration the cost of achiev-
ing such emission reduction, [inter alia] determines is
achievable for new or existing sources in the category
or subcategory to which such emission standard ap-
plies.”). Congress’ decision here, to instead use broad
language to govern EPA’s decision, is functionally
identical to the “silence” at issue in Entergy Corp. v.
Riverkeeper, Inc., 556 U.S. 208, 222, 129 S. Ct. 1498,
1508, 173 L. Ed. 2d 369, 382 (2009). There, this Court
held it to be “eminently reasonable” to interpret
congressional silence as “nothing more sae. a
to tie the agency’s hands as to whether cost-benefit
analysis should be used, and if so to what degree.” /d.
Congress enacted the 1990 amendments to the
Clean Air Act “against the background” of high-profile
* See Food & Drug Admin. v. Brown & Williamson Tobacco
Corp., 529 U.S. 120, 155-56, 120 S. Ct. 1291, 1313, 146 L. Ed. 2d
(Continued on following page)
5
D.C. Circuit precedent that “economic considerations
play no part in the promulgation of ambient air
quality standards” under a key provision of the Act,
42 U.S.C. § 7409(a). Lead Indus. Ass’n, Inc. v. Envil.
Prot. Agency, 647 F.2d 1130, 1148 (D.C. Cir.), cert.
denied, 49 U.S. 1042, 101 S. Ct. 621, 66 L. Ed. 2d 503
(1980).° Congress therefore knew when enacting Clean
Air Act § 112(n)(1XA) that an ambiguous phrase such
as “appropriate and necessary” would not create a re-
quirement for EPA to consider costs when deciding
whether to include power plants among the categories
of sources that must control emissions of hazardous
air pollutants.“
It is not per se unreasonable for EPA to make
regulatory decisions under the Act without consider-
ing costs, given this Court’s holding in Whitman v.
American Trucking Ass’ns that Clean Air Act § 109(b),
“unambiguously bars cost considerations from the
121, 156 (2000) (considering the backdrop against which Con-
gress enacted tobacco-specific statutes).
* This interpretation prevailed notwithstanding Congress’
provision for development during the decision-making process of
“data relating to the cost of installation and operation [of air
pollution contro] techniques].” See Whitman v. Am. Trucking
Ase’ns, 531 U.S. 457, 469, 121 S. Ct. 903, 910, 149 L. Ed. 2d 1, 14
(2001) (quoting Clean Air Act § 108&(b1), 42 U.S.C. § 7408(bx 1)
(2000)).
* Cf. id. at 468, 121 S. Ct. at 909, 149 L. Ed. 2d at 13 (2001)
(ruling consistently with Lead Indus. Ass’n because, inter alia, of
the lack of clear “textual commitment of authority to the EPA to
consider costs [in provisions that] are the engine that drives
nearly all of Title I of the CAA”).
6
NAAQS-setting process.” 531 U.S. 457, 471, 121
S. Ct. 903, 911, 149 L. Ed. 2d 1, 15 (2001). Here, as
in § 109%b), 42 U.S.C. § 7409(b) (2012), the bottom-
line regulatory purpose is protection of public health.
The reasonableness of EPA’s decision, therefore,
is best appreciated in the context of the significant
public health risks of regulatory inaction. The bal-
ance of this brief, therefore, presents information
about the risks to public health that will be ongoing if
EPA regulation of hazardous air pollutant and associ-
ated emissions from power plants is foreclosed or
delayed. These risks to public health were a factor
in EPA’s conclusion — pursuant to Executive Order
12,866, 58 Fed. Reg. 51,735 (Oct. 4, 1993) — that the
total monetized benefits of the decision at issue out-
weigh the social costs. Preamble to Final Rule, 77
Fed. Reg. 9304, 9305-06 & tbl. 2 (Feb. 16, 2012).
Granted, many of EPA’s calculated risk reduction
benefits ($37 to $90 billion) flow from what D.C. Cir-
cuit Judge Kavanaugh characterized as “indirect ben-
efits of reducing PM.,.” White Stallion Energy Ctr.
LLC v. EPA, 748 F.3d 1222, 1263 (D.C. Cir. 2014)
(Kavanaugh, J., concurring in part and dissenting in
part). From a public health perspective, however, the
importance of saving lives and reducing disease is not
affected by whether risk reduction is direct or “indi-
rect.”
7
Il. COAL- AND OIL-FIRED POWER. PLANT
EMISSIONS INCREASE RISKS OF DEATH
AND DISEASE.
Coal- and oil-fired power plants (“power plants”)
emit pollutants that endanger the lives and health
of U.S. citizens, including dioxins, formaldehyde,
radium, and benzene, acid gases, metals, and other
hazardous pollutants. These emissions include com-
plex mixtures of hazardous substances such as acid
gases, carcinogenic toxins, mercury and other metals,
and airborne particles. Power plant emissions contain
at least 84 separate air pollutants.* Further, the
emitted vapors contribute to the formation of other
toxic gases in the atmosphere. These emissions have
both local and long-range impacts, as pollutants are
carried throughout the country. Impacts include pre-
mature death, disease, abnormal brain and lung de-
velopment in children, increased hospitalization and
medication requirements, and lost workdays. As shown
below, the medical and scientific literature strongly
establishes the need to control these emissions to
protect human health and the environment.
* 2002 National Emissions Inventory Data & Documenta-
tion, ALLNEI_HAP Annual_01232008, EPA (2007), available at
http//www.epa.gov/ttn/chief/net/2002inventory.htm]#in ventorydata.
8
A. Acid Gases from Power Plants Damage
Human Health.
Power plants are the largest anthropogenic
source of acid gas emissions (hydrofluoric and hydro-
chloric acid). Even at trace levels highly corrosive
and water-soluble acid gases can cause irritation and
tissue damage to eyes, skin, and lungs. Inhalation
of acids can cause irritation and constriction of asth-
matic airways.’ Continued exposure may contribute
to development of chronic airway diseases including
bronchitis, asthma, and reactive airway dysfunction
syndrome.’
* Id.
’ J.M. Fine et al, The role of titratable acidity in acid aerosol-
induced bronchoconstriction, 135 Am. Review of Respiratory Di-
sease 826 (1987), available at http//www.ncbi.nlm.nih.gov/pubmed/
3551704 (abstract); H.C. Francis et al., Defining and investigat-
ing occupational asthma: a consensus approach, 64 Occupationa!
& Envtl. Med. 361 (2007), available at http://www.ncbi.nim.nih.
gov/pme/articles/PMC20785 17/pdf/361.pdf.
* S. Quirce & P. Barranco, Cleaning Agents and Asthma, 20
J. Investigational Allergology & Clinical Immunology 542 (2010),
available at http//www jiaci.org/issues/vol20issue7/1.pdf; George
D. Leikauf, Hazardous Air Pollutants and Asthma, 110 Envtl.
Health Perspectives 505 (2002), available at http://www.
ncebi.nlm.nih.gov/pmce/articles/PMC 124 1200/pdffehp 110s-000505. pdf;
M. Medina-Ramon et al., Asthma, chronic bronchitis, and ex-
posure to irritant agents in occupational domestic cleaning: a
nested case-control study, 62 Occupational & Envtl. Med 598
(2005), available at http:/Awww.ncbi.nlm.nih gov/pmc/articles/
PMC1741089/pdf/v062p00598.pdf; M.S. Shakeri et al., Which
agents cause reactive airways dysfunction syndrome (RADS)? A
systematic review, 58 Occupational Med. (Lond.) 205 (2008),
available at http://occemed_oxfordjourn als.org/content/58/3/205 full pdf.
9
Hydrofluoric acid — one of the main acid gases in
power plant emissions — is corrosive to the human
respiratory tract and can cause severe disease.” Hy-
drogen chloride, another major acid gas emitted from
power plants, rapidly converts to hydrochloric acid in
the atmosphere and causes irritation and constriction
of asthmatic airways.” The United Kingdom’s Health
Protection Agency reviewed the toxicology of hydro-
chloric acid/hydrogen chloride in 2007 and reported
that acute exposure causes respiratory irritation,
while chronic or repeated lower exposures cause lung
function deficits and bronchial inflammation.”
Emission of nitrogen and sulfur-based gases from
power plants contributes to formation of other strong
acids in the atmosphere, including nitric acid and sul-
furic acid. Susceptible populations include the young,
the elderly, and those with preexisting diseases like
chronic obstructive pulmonary disease (COPD) and
* S. Skolnik, Acute inhalation exposure to hydrogen fluoride,
7 J. Occupational Envtl. Hygiene D31 (2010), available at http-//
www.tandfonline.com/doi/pdf/10.1080/1545962 1003741789; L. Tsonis
et al., Hydrofluoric acid inhalation injury, 29 J. Burn Care &
Research 852 (2008), available at http://www.ncbi.nlm.nih.gov/
pubmed/18695605 (abstract).
* Fine et al., supra note 7.
" S. Bull, Hydrogen chloride/hydrochloric acid Toxicological
Overview, Version 1, Chem. Hazards & Poisons Division Head-
quarters, UK Health Prot. Agency (2007), available at https://
www.gov.uk/government/uploads/system/uploads/attachment_data/
file’337689/hpa_hydrogen_chloride_toxicological_overview_v1.pdf.
10
asthma.” Exposure of healthy young adults to NO,
and oxides of nitrogen is associated with acute airway
inflammation and reduced lung function.” Further
reductions in emissions of sulfur dioxide and nitrogen
oxides would substantially benefit both human health
and the environment.“
B. Mercury from Power Plants Harms Hu-
man Health.
Coal- and oil-fired electric power plants are the
largest source of anthropogenic mercury emissions in
the United States.” Mercury emissions come in vari-
ous forms, such as particulate-bound mercury and
mercury in elemental or ionized forms. Microorgan-
isms can convert ionized mercury into an organic
form called methylmercury. While all chemical forms
of mercury are extremely toxic to all cells in the
" A Fauastini et al., Short-term effects of air pollution in a
cohort of patients with chronic obstructive pulmonary disease, 23
Epidemiology 861 (2012), available at http//www.ncbi.nlm.nih.
gov/pubmed/23018970 (abstract).
* Maciej Strak et al., Respiratory Health Effects of Airborne
Particulate Matter: The Role of Particle Size, Composition, and
Oxidative Potential - The RAPTES Project, 120 Envtl. Health
Perspectives 1183 (2012), available at http//www.ncbi.nlm.nih.
gov/pme/articles/PMC3440977/pdf/ehp. 1104389. pdf.
* Lauraine G. Chestnut & David M. Mills, A fresh look at
the benefits and costs of the US acid rain program, 77 J. EnvtL
Mgmt. 252 (2005), available at http-//www.epa.gov/airmarkets/
resource/doca/bandcofarp. pdf.
"* Mercury Study Report to Congress, EPA (Dec. 1997),
available at http://www.epa.gov/hg/report. htm.
11
human body,” methylmercury is a potent neuro-
toxin.’ Once emitted, mercury returns to the earth
in rain and snow — contaminating land and water.
Elemental mercury persists in the atmosphere for up
to two years and transports globally.” Several studies
from eastern Ohio have found that nearby coal-fired
power plants contribute as much as a 72% increase in
mercury levels in local rainfall.”
Global Mercury Assessment, United Nations Env't Pro-
gramme (2002), available at http://www.chem.unep.ch/mercury/
report/Final®20report/final-assessment-report-25nov02. pdf.
" Human Health, EPA, http://www.epa.gov/mercury/health.
htm (last visited Feb. 16, 2015).
* Noelle E. Selin et al., Sources of Mercury Exposure for
U.S. Seafood Consumers: Implications for Policy, i18 Envtl.
Health Perspectives 137, 138 (2010), available at http://dspace.
mit.edu/openaccess-lisseminate/1721.1/70492.
* Gerald J. Keeler et al., Sources of Mercury Wet Deposition
in Eastern Ohio, USA, 40 Envt!. Sci. & Tech. 5874, 5879 (2006),
available at http://www.google.com/url?sa=t&rct=j&q=&esrc=s&
source=web&cd= 1&ved=0CCAQFjAA&url=http%3A%2F%2F www.
researchgate.net®2F profile®2F Matthew_Landis®2F publication
%2F6743580_Sources_of mercury_wet_deposition_in_Eastern_Ohio_
USA%2Flinks%2F09e4 150f6b7 4652489000000 pdf&ei=ysriVJa9
DMipgwSMooKYBA&usg=AFQjCNHM4zz53mg97fstxQWT7SN
mmQSZUwésig2=ypNVQSBJWtZYzvPEMMmXPQ&bvm=bv.85
970519,d.eXY; Emily M. White et al., Spatial variability of
mercury wet deposition in eastern Ohio: summertime meteorolog-
ical case study analysis of local source influences, 43 Envtl. Sci.
& Tech. 4946 (2009), available at http://www.ncbi.nlm.nih.gov/
pubmed/19673290 (abstract).
12
Methylmercury bio-accumulates through the food
chain, especially in fish.” High to moderate doses
of methylmercury can cause debilitating health ef-
fects and, because methylmercury targets the nervous
system and brain, damage from even low doses of
methylmercury can persist over a lifetime.” Even
very low-level methylmercury exposures in adults
who consume contaminated fish can result in sub-
clinical neurobehavioral abnormalities.”
Significant decreases in psycho-motor coordina-
tion have been found in consumers of fish.” All forms
*® Shigeo Ekino et al., Minamata disease revisited: An up-
date on the acute and chronic manifestations of methyl mercury
poisoning, 262 J. Neurological Sci. 131, 131 (2007), available at
http/www.institute-of-mental-health.jp/thesis/pdf/thesis-O02/thesis-
02-18.pdf.
™ Id.; Katsuyuki Murata et al., Delayed Brainstem Auditory
Evoked Potential Latencies in 14-Year-Old Children Exposed to
Methylmercury, 144 J. Pediatrics 177 (2004), available at https://
www.quicksilverscientific.com/images/art/PDF/DELAYED.PDF.
* Plinio Carta et al., Sub-clinical Neurobehavioral Abnormali-
ties Associated with Low Level of Mercury Exposure Through
Fish Consumption, 24 NeuroToxicology 617 (2003), available at
http//www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&
cd=1&ved=0CB4QFjAA&uri=http¥3A%2F%2F www.researchgate.
net%2F profile%2FRoberto_Lucchini%2F publication%2F6406322_
Sub-clinical_neurobehavioral_abnormalities_associated_with_low_
level_of_mercury_exposure_through_fish_consumption®2Flinks
%2F Odeec52d5c30b0b487 000000. pdf&ei=T83iVJ7 yEsLEggTG loHY
Ag&usg=AFQjCNFczE2DPAfi6DTkOIPp9yfaSrjvgA&sig2=fTV-U1Z
4oq6OvdTK_AGyug&bvm=bv.859705 19,d.eXy.
* Ekino et al., supra note 20, at 131.
13
of mercury exposure damage the kidneys, liver, and
immune systems in both adults and children.“
C. Other Metals from Power Plants Harm
Human Health.
Power plants emit particles that contain metals
besides mercury, including lead, arsenic, cadmium,
nickel, and chromium. Lead damages the developing
nervous system. Arsenic is a carcinogen and highly
toxic. Nickel and chromium are associated with an
increased risk of cancer.” While these metals are
toxic on their own, their incorporation into airborne
particulates increases risks — including the risk of
death — posed by their inhalation.”
* Toxicological Profile for Mercury, U.S. Dep’t of Health &
Human Serv. (Mar. 1999), available at http://www.atsdr.cdc.gov/
toxprofiles/tp46. pdf.
* Rachelle J. Beveridge, Lung cancer risk associated with
occupational exposure to nickel, chromium VI, and cadmium in
two population-based case-control studies in Montreal, 53 Am. J.
of Indep. Med. 476 (2010), available at http-://www.collections
canada.gc.ca/obj/thesescanada/vol1/QMU/TC-QMU-2653.pdf; see
also Juhua Luo et al., Association Between Six Environmental
Chemicals and Lung Cancer Incidence in the United States, 2011
J. Envtl. & Pub. Health 1, 1, http://downloads.hindawi.com/
journals/jeph/2011/463701.pdf.
* Michelle L. Bell et al., Hospital Admissions and Chemical
Composition of Fine Particle Air Pollution, 179 Am. J. Respiratory
& Critical Care Med. 1115 (2009), available at http://www.
atsjournals.org/doi/pdf/10.1164/recm.200808-12400C; Shaowei Wu
et al., Blood Pressure Changes and Chemical Constituents of
Particulate Air Pollution: Results from the Healthy Volunteer
(Continued on following page)
14
D. Particulate Matter from Power Plants
Injures People.
Power plants emit small! particles less than 2.5
microns in diameter (PM,,), which can penetrate deep
into the lungs. Power plants also emit gases such as
sulfur dioxide (SO,), oxides of nitrogen (NO,), and
organic compounds that react to form additional PM,,
in the atmosphere. Exposure to PM,, is strongly
linked to premature death.” Epidemiologic and other
data associate PM,, with premature mortality in
infants and adults, systemic inflammation, altered
vascular reactivity and cardiac rhythms, worsened
asthma, chronic bronchitis, and other cardiopulmo-
nary illnesses.“ Chronic exposure to PM,, increases
the risk of dying from lung cancer and cardiovascular
Natural Relocation (HVNR) Study, 121 Envtl. Health Perspec-
tives 66 (2013), available at http-//ehp.niehs.nih.gov/wp-content/
uploads/121/1/ehp.1104812.pdf; see also Carta et al., supra note
22 at 617; K. Pasanen et al., Mortality among population with
exposure to industrial air pollution containing nickel and other
toxic metals, 54 J. Occupational Envtl. Med. 583 (2012), availa-
ble at http://www.ncbi.nlm.nih.gov/pubmed/22569477 (abstract).
” Am. Farm Bureau Fed’n v. EPA, 559 F.3d 512, 515-16, 527
(D.C. Cir. 2009); Expanded Expert Judgment Assessment of the
Concentration-Response Relationship Between PM2.5 Exposure
and Mortality: Final Report, Office of Air Quality Planning &
Standards, EPA, 3-23, 3-24 (Sept. 21, 2006), available at
http//www.epa.gov/ttn/ecas/regdata/Uncertainty/pm_ee_report.pdf
(hereinafter Expanded Expert Judgment].
* North Carolina v. Tenn. Valley Auth., 593 F. Supp. 2d 812,
821-22 (W.D.N.C. 2009); see also Expanded Expert Judgment,
supra note 27.
15
disease.” Acute exposure increases the risk of death
from respiratory and cardiovascular failure.”
PM,, induces a number of biological processes
that contribute to cardiovascular morbidity and other
life-threatening diseases.” Systemic inflammation
* C. Arden Pope III et al., Cardiovascular Mortality and
Year-round Exposure to Particulate Air Pollution: Epidemiologi-
cal Evidence of General Pathophysiological Pathways of Disease,
109 Circulation 71 (2004), available at http//circ.ahajournals.
org/content/109/1/71.full.pdf; see also C. Arden Pope III et al.,
Lung Cancer, Cardiopulmonary Mortality, and Long-Term Ex-
posure to Fine Particulate Air Pollution, 297 J. Am. Med. Ass’n
1132 (2002), available at http:/jama.jamanetwork.com/data/
Journals/JAMA/4822/JOC 11435. pdf.
* Meredith Franklin et al., Association between PM,, and
all-cause and specific-cause mortality in 27 US communities, 17
J. Exposure Sci. & Envtl. Epidemiology 279, 285 (2007), availa-
ble at http?//www.hsph. harvard edu/clarc/pubs/endnote 132-franklin.
pdf; see also Yun-Chul Hong et al., Effects of Air Pollutants on
Acute Stroke Mortality, 110 Envtl. Health Perspectives 187, 190
(2002), available at http://www.ncbi.nlm.nih.gov/pmc/articles/
PMC 1240734/pdf/ehp0110-000187 pdf; Cathryn Tonne et al., A
Case Control Analysis of Exposure to Traffic and Acute Myocar-
dial Infarction, 115 Envtl. Health Perspectives 53, 53 (2007),
available at http://www.ncbi.nlm.nih.gov/pme/articles/PMC1797833/
pdffehp0115-000053.pdf.
" Antonella Zanobetti & Joel Schwartz, The Effect of
Particulate Air Pollution on "mergency Admissions for Myocar-
dial Infarction: A Multicity Case-Crossover Analysis, 113 Envtl.
Health Perspectives 978 (2005), available at http://www.ncbi.
nim.nih.gov/pmce/articles/PMC 1280336/pdf/ehp0 113-000978. pdf; see
also Daniela D’Ippoliti et al., Air pollution and myocardial
infarction in Rome: a case-crossover analysis, 14 Epidemiology
528 (2003), available at http://www.researchgate.net/publication/
9088068_Air_ pollution_and_myocardial_infarction_in_Rome_a_
case-crossover_analysis (abstract).
16
caused by PM,, affects the vascular system™ and can
contribute to clots, heart attacks, or strokes.” Changes
in vascular reactivity can alter the caliber of blood
vessels and affect the amount of blood that flows to
organs like the heart or brain.“ PM,, can also inhibit
™ See, e.g., Robert D. Brook et al., Air Pollution and Cardi-
ovascular Disease: A Statement for Healthcare Professionals
from the Expert Panel on Population and Prevention Science of
the American Heart Association, 109 Circulation 2655, 2663-
2665 (2004), available at http-//circ.ahajournals.org/content/109/
21/2655.full.pdf (describing physiological responses to pollution
leading to mortality and morbidity); Jiu-Chiuan Chen & Joel
Schwartz, Metabolic Syndrome and Inflammatory Responses to
Long Term Particulate Air Pollutants, 116 Envtl. Health Per-
spectives 612, 616 (2008), available at http://www.ncbi.nlm.nih.
gov/pmc/articles/PMC2367655/pdf/ehp0 116-0006 12.pdf (finding in-
flammatory response associated with long-term exposure to par-
ticulate matter); Andrew J. Ghio et al., Concentrated Ambient
Air Particles Induce Mild Pulmonary Inflammation in Healthy
Human Volunteers, 162 Am. J. Respiratory & Critical Care Med.
981 (2000), available at http://www.atsjournals.org/doi/pdf/10.1164/
ajrecem.162.3.9911115 (finding airway inflammation induced in
healthy volunteers after short-term exposure to PM,, indicated
risk for vascular events).
* Andrea Baccarelli et al., Exposure to Particulate Air
Pollution and Risk of Deep Vein Thrombosis, 168 Archives of
Internal Med. 920, 926 (2008), available at http://www.hsph.
harvard.edu/clare/pubs/endnote180-baccarelli.pdf (finding associa-
tion between blood clots in legs and exposure to PM10); Andrew
J. Ghio et al., Exposure to Concentrated Ambient Air Particles
Alters Hematologic Indices in Humans, 15 Inhalation Toxicology
1465 (2003), available at http-/Anformahealthcare.com/doi/abs/
10.1080/08958370390249111%20 (abstract) (finding blood changes
in healthy volunteers after PM exposure).
“* Robert D. Brook et al., Inhalation of Fine Particulate Air
Pollution and Ozone Causes Acute Arterial Vasoconstriction in
Healthy Adults, 105 Circulation 1534, 1535 (2002), available at
(Continued on following page)
17
the body’s ability to vary the heart rate in response to
environmental or situational changes,” which can
result in arrhythmia, the immediate cause of death
for most heart attacks.” In fact, studies have linked
short-term increases in PM to increased hospitaliza-
tion for cardiovascular diseases.” PM,, can also affect
http/cire.ahajournals.org/content/105/13/1534.full pdf (finding vaso-
constriction caused by short-term inhalation of PM,, reflects risk
for myocardial infarction, stroke, or other cardiovascular events);
Miriam Lemos et al., Chronic Exposure to Urban Air Pollution
Induces Structural Alterations in Murine Pulmonary Coronary
Arteries, 18 Inhalation Toxicology 247 (2006), available at http://
informahealthcare.com/doi/abas/10.1080/08958370500444247 (ab-
stract) (finding mice exposed to PM and other traffic pollutants
developed significant thickening of arterial wall).
* R.B. Devlin et al., Elderly humans exposed to concentrat-
ed air pollution particles have decreased heart rate variability,
21 European Respiratory J. 76s (Supp. 2003), available at http://
erj.ergjournals.com/content/21/40_suppl/76s.full pdf; Yuh-Chin Huang
et al., The Role of Soluble Components in Ambient Fine Parti-
cles-Induced Changes in Human Lungs and Blood, 15 Inhalation
Toxicology 327 (2003), available at http:/Anformahealthcare.com/
doi/abs/10.1080/08958370304460?journalCode=iht (abstract).
* Sverre Vedal et al., Air Pollution and Cardiac Arrhyth-
mias in Patients with Implantable Cardioverter Defibrilators, 16
Inhalation Toxicology 252 (2004), available at http-//informaheaith
care.com/doi/abs/10.1080/08958370490439506%20 (abstract) (find-
ing link between SO, exposure and implanted defibrillator acti-
vation).
* Francesca Dominici et al., Fine Particulate Air Pollution
and Hospital Admission for Cardiovascular and Respiratory
Diseases, 295 J. Am. Med. Assoc. 1127 (2006), available at http://
jama.jamanetwork.com/data/Journals/JAMA/5015/JOC60023. pdf
(finding increase in hospital admissions associated with PM,,);
see also Shang-Shyue Tsai et al., Evidence for an Association Be-
tween Air Pollution and Daily Stroke Admissions in Kaohsiung,
(Continued on following page)
18
blood vessel reactivity,” and increases diastolic blood
pressure.” Year-round exposure to PM can signifi-
cantly damage the small airways of the lungs.“ Re-
cent studies have strengthened the conclusion that
exposure to PM causes decreased lung function, even
at levels below National Ambient Air Quality Stan-
dards,” and that improvement in air quality can
improve lung function.”
Taiwan, 34 Stroke 2612 (2003), available at http://stroke.aha
journals.org/content/34/11/2612. full. pdf.
“ Bruce Urch et al., Relative Contributions of PM,, Chemi-
cal Constituents to Acute Arterial Vasoconstriction in Humans,
16 Inhalation Toxicology 345 (2004), available at http/Anforma
healthcare.com/doi/abs/10.1080/08958370490439489?journalCode
=iht (abstract) (finding exposure to PM,, and ozone increased
blood pressure).
* Bruce Urch et al., Acute Blood Pressure Responses in
Healthy Adults During Controlled Air Pollution Exposures, 113
Envtl Health Perspectives 1052, 1052 (2005), available at http://www.
aera alll “UNE en neat aranas pdf.
“ Andrew Churg et al., Chronic Exposure to High Levels of
Particulate Air Pollution and Small Airway Remodeling, 111
Envtl. Health Perspectives 714 (2003), available at http://www-ncbi.
nlm.nih.gov/pmc/articles/PMC1241480/pdf/ehp0111-000714.pdf.
“ Sara H. Downs et al., Reduced Exposure to PM10 and At-
tenuated Age-Related Decline in Lung Function, 357 New Eng. J.
Med. 2338, 2346 (2007), available at http://Aeamsofangels.org/
publication/medical_journal_articles/NEJM_PM10_DOwns. pdf;
James McCreanor et al., Respiratory Effects of Exposure to
Diesel Traffic in Persons with Asthma, 357 New Eng. J. Med.
2348 (2007), available at http:/Awww.nejm.org/doi/pdf/10.1056/
NEJMoa071535.
© Downs et al., supra note 41, at 2346 (concluding that rel-
atively small reductions in particulate pollution could have
measurable benefits for lung function).
19
Exposure to PM,, also has non-morbid effects
that are expensive, harmful, and inconvenient. It can
aggravate asthma.“ Asthma is a medical condition in
which the smooth muscles of the bronchial wall
tighten in response to stimulants, like allergens or
pollutants, and it affects more than 8% of the U.S.
population.“ The onset is often sudden.“ Affected
children describe feeling like they are suffocating or
“smothering.™ Besides this painful suffering and
inconvenience, untreated asthma can scar the lungs
“ Verena Morgenstern et al., Atopic Diseases, Allergic
Sensitization, and Exposure to Traffic-Related Air Pollution in
Children, 177 Am. J. Respiratory & Critical Care Med. 1331
(2008), available at http://www.atsjournals.org/doi/pdf/10.1164/
recm.200701-0360C (finding link between allergic sensitivity,
including asthma, and PM,, exposure).
“ Peter B. Noble et al., Airway smooth muscle in asthma:
Linking contraction and mechanotransduction to disease patho-
genesis and remodeling, 29 Pulmonary Pharmacology & Thera-
peutics 96, 98 (2014), available at http://www.sciencedirect.com/
science/article/pii/S10945539140008684; Asthma Facts, CDC’s Na-
tional Asthma Control Program Grantees, Department of Health
and Human Services, Center for Disease Control, i (July 2013),
available at http://www.cdc.gov/asthma/pdfs/asthma_facts_program_
grantees. pdf.
“ Janelle Yorke et al., Assessment of Dyspnea in Asthma:
Validation of the Dyspnea- 12, 48 J. Asthma 602 (2011), available
at http//www.ncbi.nim.nih.gov/pmc/articles/PMC3149863/pdf/nihms-
312142. pdf.
“ Andrew Harver et al., Descriptors of Breathlessness in
‘Children With Persistent Asthma, 139 Chest J. 832, 834-35 (2011),
available at http://www.nchi.nlm.nih.gov/pmc/articles/PMC3071274/
20
and bronchial tubes,” reducing lung function by as
much as sixty percent.“
Reductions in PM,, yield public health benefits.“
A 2009 study explored the effect of improved air
quality by comparing data on PM,, pollution and life
expectancy in fifty-one cities throughout the United
States for two periods of time — from the late 1970s
and early 1980s, and from the late 1990s to the early
2000s.” After controlling for socioeconomic, demo-
graphic, and social factors (like smoking), the study
revealed that a decrease of 10 pg/m’ of fine particu-
late matter was associated with an increase in life
expectancy of six months to two years, and reductions
in air pollution accounted for as much as 15% of the
“ AM. Vignola et al., Structural consequences of airway
inflammation in asthma, 105 J. Allergy & Clinical Immunology
S514 (Supp. 2000), available at http//www.ncbi.nlm.nih. gov/pubmed/
10669534 (abstract).
“ Kian Fan Chung et al., International ERS/ATS guidelines
on definition, evaluation and treatment of severe asthma, 43 Eur.
Respiratory J. 343 (2014), available at http-//erj.ersjournals.
com/content/43/2/343.long.
“ Joel Schwartz et al., The Effect of Dose and Timing of
Dose on the Association between Airborne Particles and Survival,
116 Envtl. Health Perspectives 64, 67-68 (2008), available at
http//www.ncbi.nlm.nih gov/pmce/articles/PMC2199297/pdfehp0 116-
000064. pdf (finding no evidence of a threshold in the association
between exposure to PM2.5 and the risk of death, suggesting
that efforts to reduce particle concentrations as low as feasible is
the most effective way to improve public health).
” C. Arden Pope III et al® Fine Particulate Air Pollution
and Life Expectancy in the United States, 360 New Eng. J. Med.
371 (2009), available at http://www.nejm.org/doi/pdf/10.1056/
NEJMsa0805646.
21
overall increase in life expectancy seen in the study
areas.” Other studies also show that reductions in air
pollution could be expected to produce substantial
improvements in public health.”
F. The Danger is Greater to Susceptible
Populations, Including Pregnant Women
and Fetuses.
Power plant emissions are especially dangerous
to susceptible populations.” These susceptible populations
- -
“ Robin C. Puett et al., Chronic Particulate Exposure,
Mortality and Coronary Heart Disease in the Nurses’ Health
Study, 168 Am. J. Epidemiology 1161, 1167 (2008), available at
http-//aje.oxfordjournals. org/content/168/10/1161.full._ pdf+html ({O}ur
findings add to a growing coherence of the literature across
multiple time scales indicating that the public health benefits of
reducing particle concentrations will be realized within years,
not decades, of the reduction.”); Antonella Zanobetti & Joel
Schwartz, The Effect of Fine and Coarse Particulate Air Pollu-
tion on Mortality: a National Analysis, 117 Envtl. Health Per-
spectives 598, 902 (2009), available at http://ehp.niehs.nih.gov/
wp-content/uploada/117/6/ehp.0800108.pdf (concluding that the
strong association between particle pollution and deaths sug-
gests that tens of thousands of early deaths per year could be
avoided by reducing particle concentrations and recommending
controls on power plants); Antonella Zanobetti et al., Particulate
air pollution and survival in a COPD cohort, 7 Envtl. Health 48
(2008), available at http://www.ehjournal.net/content/pdf/1476-069X-
7-48.pdf (concluding that results of study heightens urgency for
pollution control measures because “reductions in air pollution
should be followed quickly by improvements in public health”).
* Parinaz Poursafa & Roya Kelishadi, What health profes-
sionals should know about the health effects of air pollution and
climate change on children and pregnant mothers, 16 Iranian J.
(Continued on following page)
22
include pregnant women, fetuses, infants, children,
the elderly, and people with pre-existing health
conditions.“ Constituents of power plant emissions
can travel and impose harmful effects across large
distances, and can have even greater effects locally.”
Individuals who live near emission sources bear the
brunt of the most concentrated emissions and those
with special susceptibilities compose a large propor-
tion of the overall population; thus, they represent a
large proportion of those exposed to these emissions.
Power plant emissions disproportionately cause
morbidity and mortality in susceptible populations
but also change the quality of life for susceptible
individuals in ways that are difficult to quantify or
monetize.” Poor air quality changes lifestyles.”
Asthma is the most common chronic childhood
lung disease, and affects more than 9% of all U.S.
children.” Emissions from power plants worsen
Nursing & Midwifery Research 257, available at http//www.
ncbi.nim.nih.gov/pmc/articlea/PMC3249808/?report=classic.
ae
* Global Mercury Assessment, supra note 16.
“ Maureen R. Gwinn et al., Meeting Report: Estimating the
Benefits of Reducing Hazardous Air Pollutants - Summary of
2009 Workshop and Future Considerations, 119 Envtl. Health
Perspectives 125, 126-27 (2010), available at http//www.ncbi.
nim.nih.gov/pme/articles/PMC301849 1/pdf/ehp- 119-125. pdf.
" Asthma Facts, supra note 44, at i.
* Asthma Facts, supra note 44, at i.
23
asthma.” Exposure of children to SO, is associated
with active asthma and poor control of existing asth-
” Exposure to PM,, can aggravate asthma.”
Short-term increases in PM are linked to a rise in
hospitalizations for children with asthma attacks.”
Asthma is not the only lung disease exacerbated by
power plant emissions. Individuals with other lung
* Committee of the Envtl. & Occupational Health Assembly
of the Am. Thoracic Society, Health effects of outdoor air pollu-
tion, 153 Am. J. Respiratory & Critical Care Med. 3 (1996),
available at http?//www_.ncbi.nlm.nih gov/pubmed/8542133 (abstract).
” Leyla Deger et al., Active and uncontrolled asthma among
children exposed to air stack emissions of sulphur dioxide from
petroleum refineries in Montreal, Quebec: A cross-sectional study,
19 Can. Respiratory J. 97 (2012), available at http//www.
nebi.nlm.nih.govw/pmc/articles/PMC3373279/pdf/crj 19097. pdf.
" Morgenstern et al., supra note 43.
“ James C. Slaughter et al., Effects of Ambient Air Pollu-
tion on Symptom Severity and Medication Use in Children with
Asthma, 91 Annals of Allergy, Asthma & Immunology 346
(Supp. 2003), available at http://pediatrics.aappublications.org/
content/114/Supplement_1/535.2.full._pdf (PM,, associated with
aggravated asthma attacks); see also Shao Lin et al., Childhood
asthma hospitalization and residential exposure to state route
traffic, 88 Envtl. Research 73 (2002), available at http://www.
sciencedirect.com/science/article/pii/S0013935101943038 (abstract);
Gary Norris et al., An Association Between Fine Particles and
Asthma Emergency Department Visits for Children in Seattle,
107 Envtl. Health Perspectives 489 (1999), available at http://
www.ncbi.nim.nih gov/pme/articles/PMC 156657 4/pdf/envhper005 11-
0105.pdf; Paige E. Tolbert et al., Air Quality and Pediatric
Emergency Room Visits for Asthma in Atlanta, Georgia, 151 Am.
J. Epidemiology 798 (2000), available at http://aje.oxfordjournals.
org/content/15 1/8/798. full. pdf.
24
diseases such as cystic fibrosis™ or COPD™ are also
negatively affected by air pollutants. Infants face a
9% greater risk of bronchiolitis for each 10 pg/m’
increase in PM,,.”
Power plant emissions can be particularly dan-
gerous for normal growing fetuses as well as infants
and children because emissions alter both overall and
organ-specific growth and development: Pollutant
effects are especially prominent in the brain and
nervous system and the respiratory system.” Expo-
sure to polycyclic aromatic hydrocarbons (PAHs),
which are emitted from power plants, is associated
with smaller head size at birth and decreased height
as a child grows.” Furthermore, exposure to power
“ Christopher H. Goss et al., Effect of Ambient Air Pollution
on Pulmonary Exacerbations and Lung Function in Cystic
Fibrosis, 169 Am. J. Respiratory & Critical Care Med. 816
(2004), available at http-//www.atsjournals.org/doi/pdf/10.1164/
recm.200306-7790C.
“ Faustini et al., supra note 12.
” Catherine Karr et al., Effects of Subchronic Exposure to
Ambient Air Pollutants on Infant Bronchiolitis, 165 Am. J. Epi-
demiology 553, 557 (2007), available at http//aje.oxfordjournals.
org/content/165/5/553.full.pdf.
“ Sermin Genc et al., The Adverse Effects of Air Pollution
on the Nervous System, 2012 J. Toxicology 1 (2012), http-/
downloads. hindawi.com/ournals/jt/20 12/782462. pdf.
” Kinga Polanska et al., Effect of Prenatal Polycyclic
Aromatic Hydrocarbons Exposure on Birth Outcomes: The Polish
Mother and Child Cohort Study, 2014 BioMed Research Int’
408939 (2014), http://downloads.hindawi.com/journals/bmri/2014/
408939. pdf.
25
plant emissions that include SO, during the first
trimester of pregnancy results in lower body mass
in newborns.” Reducing or eliminating exposure to
power plant emissions results in positive effects on
neurocognitive development in children.” Mercury is
particularly hazardous to infants and children, caus-
ing abnormal neurological development including
brain damage, birth defects, diminished intelligence,
and developmental delays.” Methylmercury can ac-
cumulate in a fetus’s blood to a concentration higher
than that in the mother.” Each year, 300,000 to
600,000 U.S. children are born with blood methy]l-
mercury levels that exceed the EPA reference dose
* Lucijan Mohorovic, First two months of pregnancy ~
critical time for preterm delivery and low birthweight caused by
adverse effects of coal combustion toxics, 80 Early Human Dev.
115 (2004), available at http//www.ncbi.nlm.nih.gov/pubmed/
15500992.
” Deliang Tang et al., Molecular and Neurodevelopmental
Benefits to Children of Closure of a Coal Burning Power Plant in
China, 9 PLoS One e91966 (2014), http://www.ncbi.nlm.nih.
gov/pmc/articles/PMC3960 155/pdf/pone.009 1966. pdf.
” Jd.; see also Margaret R. Karagas et al., Evidence on the
Human Health Effects of Low-Level Methylmercury Exposure,
120 Envtl. Health Perspectives 799 (2012), available at http://
www.ncbi.nlm.nih gov/pmce/articles/PMC3385440/pdf/ehp. 1104494.
pdf; Leonardo Trasande et al., Public Health and Economic Con-
sequences of Methyl Mercury Toxicity to the Developing Brain,
113 Envtl Health Perspectives 590 (2005), available at http//www.
nebi.nlm.nih.gov/pmc/articles/PMC1257552/pdf/ehp0113-000590.
pdf.
" Toxicological Profile for Mercury, supra note 24, at 179.
26
(the acceptable oral dose of a toxic substance).” Those
children have more mercury in their blood than will
permit healthy brain development as they grow.”
Thus, those children’s capacity to see, hear, move,
feel, learn, and respond is compromised.” Reduced
cognitive development can result in significant costs
to society.” Accumulation of mercury in fish, coupled
with the known developmental hazards of mercury
exposure on fetal, infant, and child development,
prompted both the Federal Drug Administration and
™ Kathryn R. Mahaffey et al., Blood Organic Mercury and
Dietary Mercury Intake: National Health and Nutrition Exami-
nation Survey, 1999 and 2000, 112 Envtl. Health Perspectives
562, 562 (2004), available at http://www.ncbi.nlm.nih.gov/pmc/
articles/PMC1241922/pdf/ehp0 112-000562. pdf; Trasande et al.,
supra note 70, at 590.
™ Trasande et al., supra note 70.
(NHANES 1999-2004), 117 Envtl. Health Perspectives 47 (2009),
available at http/www.ncbi.nim.nih.gov/pmc/articles/PMC2627864/
pdf/EHP-117-47.pdf; Mahaffey et al., supra note 72; Trasande et
al., supra note 70; see also Brooks B. Gump et al., Fish Consump-
tion, Low-Level Mercury, Lipids, and Inflammatory Markers in
Children, 112 Envtl. Research 204 (2012), available at http://
pdf.
® Trasande et al., supra note 70.
27
EPA to advise women of childbearing age to limit
consumption of fish and to check local advisories.”
PM,, adversely impacts lung growth and devel-
opment.” Lung function increases normally during
childhood until twenty to twenty-five years of age,
when lung function peaks at the maximal capacity to
breathe.” A pernicious effect of exposure to damaging
air pollution is reduction in this peak lung function,
which represents a loss of functional reserve.” Further-
more, lower peak lung function as an adult predisposes
* What You Need to Know cbout Mercury in Fish and
Shellfish, EPA & FDA (2004), available at http://water.epa.gov/
i swguidance/fishshellfish/outreach/upload/2004_05_24_fish_
MethylmercuryBrochure. pdf.
” See, e.g., Thais Mauad et al., Chronic Exposure to Ambi-
ent Levels of Urban Particles Affects Mouse Lung Development,
178 Am. J. Respiratory & Critical Care Med. 721, 727 (2008),
available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556454/
pdf/AJRCCM1787721.pdf (suggesting exposure to ambient levels
of PM,, and other urban pollutants may adversely impact lung
growth and development).
™ w. James Gauderman et al., Association Between Air
Pollution and Lung Function Growth in Southern California
Children, 162 Am. J. Respiratory & Critical Care Med. 1383,
1389 (2000), available at http//www.atsjournals.org/doi/pdf/10.
1164/ajrecm.162.4.9909096; see also J. Dubnov et al., Estimating
the effect of air pollution from a coal-fired power station on the
development of children’s pulmonary function, 103 Envtl.
Research 87 (2006), available at http//www.ncbi.nim.nih.gov/
pubmed/16618483 (abstract); B.F. Hwang et al., Relationship
between exposure to fine particulates and ozone and reduced lung
function in children, 137 Envtl. Research 382 (2015), available
at http://www.ncbi.nlm.nih.gov/pubmed/256 143339 ( abstract).
” Gauderman et al., supra note 78.
28
the subject to a greater potential effect of lung dis-
ease later in life as lung function decreases with age.”
Children exposed to NO, acids and PM,, suffer dimin-
ished lung function growth.” Children who grow up
in regions with high levels of NO, and PM air pollu-
tion have decreased lung function as adults.”
These widespread, serious adverse effects that
power plant emissions impose on people, and th —
urgent public need for reduction in hazardous air
pollutants and associated emissions form a backdrop
against which EPA reasonably interpreted the phrase
“appropriate and necessary” to allow it to not consider
costs when deciding to include power plants among
the categories of sources required to contro] emissions
of hazardous air pollutants.
J
" Id.
" Id.
-
29
CONCLUSION
For all the foregoing reasons, the decision of the
United States Court of Appeals for the District of
Columbia Circuit should be AFFIRMED.
Respectfully submitted this March 2, 2015,
ADAM BABICH
Counsel of Record
TULANE ENVIRONMENTAL
Law CLINIC
TULANE LAW SCHOOL
6329 Freret Street
New Orleans, LA 70118
(504) 865-5789
ababich@tulane.edu
Counsel for Amicus Curiae
American Thoracic Society
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.