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    <p>Thank you!</p>
    <p>regards, Ronald von Bayowahristan (where they are trying to
      prohibit _all_ diesel vehicles, including passenger cars, from
      driving through large cities.)</p>
    <p><br>
    </p>
    <p><br>
    </p>
    <br>
    <div class="moz-cite-prefix">On 10.09.2016 23:58, Traveller wrote:<br>
    </div>
    <blockquote
cite="mid:CAK27e=msjfsQcABGLayN=T--MdDi3f_ZuuvrL6=veVPNWnYOdg@mail.gmail.com"
      type="cite">
      <div dir="ltr">This too is a long post. "Take aways" for stovers
        at the end. <br>
        <br>
        I have recently been diagnosed with many <a
          moz-do-not-send="true"
          href="https://www3.epa.gov/airquality/particlepollution/"
          target="_blank">illnesses associated with PM2.5 </a>- aggravated
        asthma, decreased lung function, and irritation of the airways,
        coughing, and difficulty breathing.
        <div><br>
          Since I am a candidate for premature mortality, I decided to
          poke around EPA web. <br>
          <br>
          -------------------------<br>
          <br>
          I began with <font
style="font-family:apertura-condensed-1,apertura-condensed-2,"helvetica
            neue",helvetica,arial,"lucida
            grande",sans-serif;line-height:1.6" size="2"><a
              moz-do-not-send="true"
href="https://www.federalregister.gov/articles/2014/06/18/2014-13726/carbon-pollution-emission-guidelines-for-existing-stationary-sources-electric-utility-generating"
style="font-family:apertura-condensed-1,apertura-condensed-2,"helvetica
              neue",helvetica,arial,"lucida
              grande",sans-serif;line-height:1.6" target="_blank">Carbon
              Pollution Emission Guidelines for Existing Stationary
              Sources: Electric Utility Generating Units</a> - A
            proposed rule, 6/18/14, as part of the US Clean Power Plan
            (which I otherwise generally like, science or no science).</font> 
          <div>
            <div><br>
              "These models assume that all fine particles, regardless
              of their chemical composition, are equally potent in
              causing premature mortality because the scientific
              evidence is not yet sufficient to allow differentiation of
              effect estimates by particle type."<br>
              <br>
              Whoa! This is justification by assumption!! <br>
              <br>
              I have serious doubts about whether air quality monitoring
              stations in developing countries such as India adequately
              capture all types of pollutants and are usable for
              representative outdoor air pollution exposures, and
              whether their design and use across the world is
              appropriate for local conditions. <br>
              <br>
              But this makes me wonder where EPA's justification for
              ambient concentration standards and achievement strategies
              comes from. Ultimately its economics are in doubt - in
              cost and benefit terms - though I grant once the standards
              are set, economics may change. <br>
              <br>
              It gets worse:<br>
              <br>
            </div>
          </div>
          <blockquote style="margin:0px 0px 0px
            40px;border:none;padding:0px">
            <div>
              <div>"<span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px">In
                  this analysis, the EPA </span><span
style="font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px"><font
                    color="#0000ff">assumes</font></span><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px">
                  <u>that the health impact function for fine particles
                    is without a threshold</u>. This is based on the
                  conclusions of EPA's </span><i
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px">Integrated
                  Science Assessment for Particulate Matter,</i><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px"> </span><sup
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif"><a
                    moz-do-not-send="true" rel="footnote"
href="https://www.federalregister.gov/articles/2014/06/18/2014-13726/carbon-pollution-emission-guidelines-for-existing-stationary-sources-electric-utility-generating#footnote-344"
style="border:0px;font-weight:inherit;font-style:inherit;font-size:13px;font-family:inherit;vertical-align:baseline;margin:0px;padding:0px;text-decoration:none;color:rgb(1,91,162)"
                    target="_blank">[344] </a></sup><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px">which
                  evaluated the substantial body of published scientific
                  literature, reflecting thousands of epidemiology,
                  toxicology, and clinical studies that documents the
                  association between elevated PM </span><sub
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif">2.5</sub><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px"> </span><span
style="border:0px;font-size:15.6px;font-family:athelas-1,athelas-2,georgia,serif;vertical-align:baseline;padding:0px;display:inline-block;width:11px;min-height:14px;color:rgb(54,54,54);line-height:25.2408px;background-image:url("http:///images/icons.png?1465417046");background-position:0px
-1045px;background-size:initial;background-repeat:no-repeat;background-origin:initial;background-clip:initial;background-color:initial"></span><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px"><u>concentrations</u>
                  and </span><span
style="font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px"><font
                    color="#0000ff">adverse health effects, including
                    increased premature mortality</font></span><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px">.
                  This assessment, which was twice reviewed by the EPA's
                  independent Science Advisory Board, concluded that the
                  scientific literature consistently finds that</span><span
style="font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px"><font
                    color="#0000ff"> a no-threshold model most
                    adequately portrays the PM-mortality</font></span><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:15.6px;line-height:25.2408px">
                  <u>concentration-response relationship</u>." (Emphasis
                  added.)<br>
                </span></div>
            </div>
          </blockquote>
          <div>
            <div><br>
              What is "the relationship" between PM of any type and size
              (2.5 and below) and how are these correlations arrived at
              across different times, populations with different health
              conditions and genetic makeup? <br>
              <br>
              What is being assumed constant in all the statistical
              models that is hugely variable across populations and over
              time? <br>
              <br>
              Inasmuch as PM2.5 concentrations may have declined in many
              areas over the last few decades when these studies were
              done and will continue to do so, why is EPA continuing
              with some invariable relationship, even while admitting
              that it is "less confident" (code for diffident, nervous)
              in doing so? <br>
              <br>
              I quoted Burnett (2014) in an earlier post, "<span
                style="font-size:12.8px">we are not suggesting that
                there is convincing evidence that PM mortality and ALRI
                risk is zero below any specific concentration based on
                biological considerations (Brook et al. 2010). </span><u
                style="font-size:12.8px">Absence of such evidence from
                epidemiologic studies does not necessarily imply
                evidence of the absence </u><span
                style="font-size:12.8px">of such a counterfactual
                concentration. We thus take the conservative approach
                and set a positive counterfactual </span><wbr
                style="font-size:12.8px"><span style="font-size:12.8px">concentration. However, our ap</span><wbr
                style="font-size:12.8px"><span style="font-size:12.8px">proach can be adapted to a
                different counterfactual if new evidence supporting a
                positive association at lower
                concentrations becomes availab</span><wbr
                style="font-size:12.8px"><span style="font-size:12.8px">le."<br>
              </span><br>
              How can it be simultaneously the case that there is no
              convincing evidence of a threshold (onetime, annual,
              lifetime) for PM exposure for any particular population
              AND that the "no-threshold model most adequately portrays
              the PM-mortality concentration-response relationship."?<br>
              <br>
              Besides, note that EPA discusses only <u>"concentration-response"
                relationship; we have moved far away from
                "exposure-response relationships.</u><br>
              <br>
              Have data, will kill. </div>
            <div><br>
            </div>
            <div>Assume emissions, assume concentrations (in the
              developing world), and assume "concentration-response"
              relationship. Voila! Another paper that EPA's next round
              of Integrated Assessment for PM will review. The
              Assessment will then be reviewed, maybe twice, by EPA's
              independent (how can anything be EPA's and independent?)
              advisory board? <br>
              <br>
              "Second-hand" science Ronald Fisher warned about is as
              good as "second hand" second hand smoke.  <br>
              <br>
              Literature review. Meta-analysis. These are tools of
              deception. <br>
              <br>
              We have all joined Alice. <br>
              <br>
              ----------<br>
              <br>
            </div>
          </div>
          <blockquote style="margin:0px 0px 0px
            40px;border:none;padding:0px">
            <div>
              <div>
                <p
style="border:0px;font-family:athelas-1,athelas-2,georgia,serif;vertical-align:baseline;margin:0px
                  0.4125em 0px 0px;padding:0px 0.2em
                  0.8125em;color:rgb(54,54,54);font-size:1.2em">"In
                  general, we are more confident in the magnitude of the
                  risks we estimate from simulated PM <sub>2.5</sub> concentrations
                  that coincide with the bulk of the observed PM
                  concentrations in the epidemiological studies that are
                  used to estimate the benefits. Likewise, we are less
                  confident in the risk we estimate from simulated PM <sub>2.5</sub> concentrations
                  that fall below the bulk of the observed data in these
                  studies.</p>
              </div>
            </div>
            <div>
              <p style="border:0px;vertical-align:baseline;margin:0px
                0.4125em 0px 0px;padding:0px 0.2em 0.8125em"><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em">For
                  this analysis, <u>policy-specific air quality data
                    are not available,</u></span><u><sup
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em"><a
                      moz-do-not-send="true" rel="footnote"
href="https://www.federalregister.gov/articles/2014/06/18/2014-13726/carbon-pollution-emission-guidelines-for-existing-stationary-sources-electric-utility-generating#footnote-345"
style="border:0px;font-weight:inherit;font-style:inherit;font-family:inherit;vertical-align:baseline;margin:0px;padding:0px;color:rgb(1,91,162)"
                      target="_blank"> </a></sup><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em">and
                    thus, we are unable to estimate the percentage of
                    premature mortality associated with this specific
                    rule's emission reductions at each PM</span><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em"> </span><sub
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em">2.5</sub><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em"> </span></u><span
style="color:rgb(54,54,54);font-family:athelas-1,athelas-2,georgia,serif;font-size:1.2em"><u>level</u>."<br>
                  <br>
                </span></p>
            </div>
          </blockquote>
          <div>
            <p style="border:0px;vertical-align:baseline;margin:0px
              0.4125em 0px 0px;padding:0px 0.2em 0.8125em">How reliable,
              pray tell, are EPA's multi-decadal forecasts for PM2.5
              (including dust, pollen, open burning, forest fires, some
              of which are "natural") in the first place? Can everything
              be controlled? <br>
              <br>
              <a moz-do-not-send="true"
href="https://www3.epa.gov/airquality/particlepollution/actions.html#dec12"
                target="_blank">EPA says</a> that by 2020, even without
              this Clean Power Plan, 99% of US counties (with monitors;
              who cares when there is no monitoring) will meet EPA's
              tightened 2012 standard of PM2.5. <br>
              <br>
              So, EPA knowingly computes health benefits and monetizes
              them that it is "less confident" about. <br>
              <br>
              ----------------<br>
              <br>
              It gets curiouser and curiouser. What <i>are</i> the new
              <a moz-do-not-send="true"
href="https://www3.epa.gov/airquality/particlepollution/2012/decfsstandards.pdf"
                target="_blank">(2012) EPA standards</a>? <br>
              <br>
            </p>
          </div>
          <blockquote style="margin:0px 0px 0px
            40px;border:none;padding:0px">
            <div>
              <div>
                <p style="border:0px;vertical-align:baseline;margin:0px
                  0.4125em 0px 0px;padding:0px 0.2em 0.8125em">"An area
                  will meet the standard if the <u>three-year average
                    of its annual
                    average</u> PM2.5 concentration (at each monitoring
                  site in the area) is less than or
                  equal to 12.0 µg/m3
                  ." and " An
                  area meets the 24-hour standard if the <u>98th
                    percentile of 24-hour PM2.5
                    concentrations in one year, averaged over three
                    years</u>, is less than or equal to 35
                  μg/m3
                  ." The PM10 standards, correspondingly are, "An area
                  meets the 24-hour PM10 standard if it does not exceed
                  the 150 µg/m3
                  level
                  more than once per year on average over a three-year
                  period."</p>
              </div>
            </div>
          </blockquote>
          <div>
            <div>
              <p style="border:0px;vertical-align:baseline;margin:0px
                0.4125em 0px 0px;padding:0px 0.2em 0.8125em"><br>
                So, all you have is an average of averages at monitoring
                sites, particular locations heights that may or may not
                correspond to human exposures. No matter;
                concentrations, not exposures, kill. By EPA fiat. <br>
                <br>
                In developing countries, the spotty air quality monitors
                do not even measure arguably more toxic pathogens from
                open wastes, chemical spills, rural fires and dust
                storms (except when they are transported to these holy
                shrines of air pollution religion.) <br>
                <br>
                If EPA's concentration standard has fuzzy justification,
                what's the point of source emission standards? Just air
                basin modeling? <br>
                <br>
                How many 30-year forecasts for air quality and premature
                mortality have been made in the last forty years, and
                what is the record so far? <br>
                <br>
                Oops, the rates and composition of incidence of disease
                have changed and arguably exposures have changed in a
                way different from concentrations, so all of this is
                forward-looking promises of a securities trader. <br>
                <br>
                Sub-prime regulation based on concocting false
                assurances? <br>
                <br>
                -------------------------<br>
                From what I see here as jiggery-pokery, I am relieved. I
                could die any time but probably not from PM2.5
                concentrations in Washington, DC. <br>
              </p>
              <div>I wonder if some scientists would call this
                bankruptcy of science in the service of regulatory zeal,
                climate change mania? <br>
                <br>
                Dick Schmalensee and Bob Stavins, in their 2013 paper <a
                  moz-do-not-send="true"
href="http://web.mit.edu/ceepr/www/publications/reprints/Reprint_248_WC.pdf"
                  target="_blank">The SO2 Allowance Trading System:The
                  Ironic History of a Grand Policy Experiment</a>*
                concluded: "The central purpose of the SO2 allowance
                trading program was to reduce the the
                acidification of forest and aquatic ecosystems.. The
                goal of reducing SO2 emissions was met and exceeded.
                However, it turns out that the ecological benefits of
                the program have been relatively small, largely because
                it takes much longer than thought to reverse the
                acidification
                of ecosystems .. On the other
                hand, other completely unanticipated benefits of the
                program have been massive."<br>
                <br>
                My cynical re-reading of history - which I observed
                first and second-hand - is that the central drivers of
                that grand policy experiment were political - a)
                ideological opposition to coal, no matter what the
                merits; lb) Washington power struggle between coal
                states of Appalachia and Illinois Basin versus coal
                states of the West; and, c) power struggles between gas
                and coal interests, groups within the coal interests,
                and all the ancillary enterprises. </div>
              <div><br>
              </div>
              <div>Schmalensee and Stavins (who might have been in the
                White House CEQ at the time of the "acid rain" debates
                and the "allowance trading" compromise compared to EPA's
                earlier obsession with NSPS) further write <br>
                <br>
              </div>
            </div>
          </div>
          <blockquote style="margin:0px 0px 0px
            40px;border:none;padding:0px">
            <div>
              <div>
                <div>"..but instead with human health impacts of
                  reduced levels of airborne fine sulfate particles less
                  than 2.5 micrometers in diameter
                  (PM ter (PM2.5), particles which derive from SO2
                  emissions. Epidemiological evidence
                  of the harmful human health effects of these fine
                  particulates mounted rapidly in
                  the decade he decade after the CAAA was enacted ....
                  human health benefits of the program may have exceeded
                  annual costs by a factor of more than fifty! With its
                  mandated
                  50 percent cut in SO2 emissions, the government did
                  what turned out to be the
                  right thing for the wrong reason."</div>
              </div>
            </div>
          </blockquote>
          <div>
            <div><br>
            </div>
            <div>"Right thing"? These are all imputed benefits by
              assumption loaded on assumption. There is no evidence that
              actual health costs - disease treatment, lost days of
              work, even death - declined compared to some baseline
              estimate prior to 1995. Besides, the environment changed -
              air and water quality - as did the populace - aging,
              immigrants, internal migration, new housing stock.<br>
              <br>
              When your religion says that concentrations kill - damn
              exposures - then you only need to assume that emissions
              anywhere change concentrations everywhere, and voila, you
              have saved people! <br>
              <br>
              Burnett (2014) have already told us the limits of
              epidemiological evidence, and deployment of fancier models
              with more restrictive assumptions in order to come up with
              "relative risk"; further explorations are required. </div>
            <div><br>
            </div>
            <div>--------------<br>
              Now I am beginning to wonder whether the "epidemiological
              evidence" was simply "evidence by assumption" and "changed
              circumstances" that <u>required assuming that PM2.5
                exposure was equally toxic no matter what species</u>. </div>
            <div><br>
            </div>
            <div>Because, as the "acid rain" amendments to the Clean Air
              Act (1990) required, SO2 emissions fell. A further boost
              was provided by higher utilization factors of the US
              nuclear power fleet. Presumably, local concentrations also
              fell. <br>
              <br>
              With lower sulfates in the air, <b>did EPA scientists
                need to assume equitoxicity in order to keep using old
                data on concentration-response "relationship"</b>? <br>
              <br>
              Then, if equitoxicity was not enough in predicting
              premature mortality and valuation of statistical lives
              lost - EPA now recommends about $9 million as Value of
              Statistical Life (<a moz-do-not-send="true"
href="https://www.epa.gov/environmental-economics/mortality-risk-valuation">$7.4
                million in 2006$</a>; I inflate to the present) -<b> did
                it need to also assume "no threshold" to raise
                mortality?. </b><br>
              <br>
              Killing by assumption is lucrative. Evidence of absence is
              a convenient untruth. <font face="georgia, times new
                roman, times, serif" color="#000000"> </font></div>
            <div><br>
              -------------<br>
              EPA has learnt a lesson from the acid rain program:
              promises to "save lives" sell better than promises to
              restore ecosystems. (I can make a model with synergies to
              contradict this; ready to write a grant proposal to EPA?) <br>
              <br>
              "Premature mortality avoided" is the yardstick by which
              EPA justifies its regulatory reach. <br>
              <br>
              By EPA's calculation, climate change action has <a
                moz-do-not-send="true"
href="http://www.cnsnews.com/news/article/penny-starr/epa-chief-fighting-climate-change-could-prevent-69000-deaths-pollution-2100">annual
                benefit of 69,000 deaths averted by 2100.</a>  That
              could be worth $7 trillion a year by 2100. (In 2100$, that
              is. I assume VSL will rise to $100 million in 2100, with
              inflation and higher productivities, i.e., higher GDP.) <br>
              <br>
              (I don't know how VSL factors in YLL. My premature death -
              on the basis of average life expectancy for a Gujarati
              male born in 1950s and properly vaccinated - will have
              fewer YLL than that compared to GBD's new universal health
              target - all deaths before age 86 are "premature". I am
              willing to buy DALY reduction.) <br>
              <br>
              The Bush EPA failed to convince the US <a
                moz-do-not-send="true"
                href="https://www.supremecourt.gov/opinions/06pdf/05-1120.pdf">Supreme
                Court</a> - save Antonin Scalia, who has suffered a
              premature death, and John Roberts (still around) - that
              CO2 molecules are not weapons of mass destruction. <br>
              <br>
              Then the Obama EPA made an "<a moz-do-not-send="true"
                href="https://www.gpo.gov/fdsys/pkg/FR-2009-12-15/pdf/E9-29537.pdf">endangerment
                finding</a>" with respect to climate change, that "the
              air pollution is the combined mix of six
              key directly-emitted, long-lived and
              well-mixed greenhouse gases
              (henceforth ‘‘well-mixed greenhouse
              gases’’), which together, constitute the
              root cause of human-induced climate
              change and the resulting impacts on
              public health and welfare."<br>
              <br>
              However, I could find only one specific reference to
              premature mortality - to do with groundlevel ozone, which
              is of course a potent warmer. There's much on
              temperature-related mortality - unclear evidence on net
              morbidity (heat v. cold) - and reference to
              aero-allergens/temperature (no basis for judgment). The
              primary culprit is ozone (whose precursors are sometimes
              coemitted with PM, as is the case with inefficient solid
              fuels use).  <br>
              <br>
              It is interesting to see how the concept of "contribution"
              is seen in legal terms. (I see "attribution" analogous to
              "contribution" but I haven't done the legal research for
              that.) EPA says, </div>
          </div>
          <br>
          <blockquote style="margin:0px 0px 0px
            40px;border:none;padding:0px">
            <div>
              <div>"In upholding EPA’s PM2.5 attainment
                and nonattainment designation
                decisions, the DC Circuit analyzed CAA
                section 107(d), which requires EPA to
                designate an area as nonattainment if it
                ‘‘contributes to ambient air quality in a
                nearby area’’ not attaining the national
                ambient air quality standards. Id. at 35.
                The court noted that it had previously
                held that the term ‘‘contributes’’ is
                ambiguous in the context of CAA
                language. See EDF v. EPA, 82 F.3d 451,
                459 (DC Cir. 1996). ‘‘[A]mbiguities in
                statutes within an agency’s jurisdiction
                to administer are delegations of
                authority to the agency to fill the
                statutory gap in reasonable fashion.’’
                571 F.3d at 35 (citing Nat’s Cable &
                Telecomms. Ass’c v. Brand X Internet
                Servs, 545 U.S. 967, 980 (2005)).
                <u>The court then proceeded to consider
                  and reject petitioners’ argument that the
                  verb ‘‘contributes’’ in CAA section
                  107(d) necessarily connotes a significant
                  causal relationship</u>. S<u>pecifically, the DC
                  Circuit again noted that the term is
                  ambiguous, leaving it to EPA to
                  interpret in a reasonable manner. In the
                  context of this discussion, the court
                  noted that ‘‘a contribution may simply
                  exacerbate a problem rather than cause
                  it </u>* * * ’’ 571 F.3d at 39. This is
                consistent with the DC Circuit’s
                decision in Bluewater Network v. EPA,
                370 F.3d 1 (DC Cir. 2004), in which the
                court noted that the term contribute in
                CAA section 213(a)(3) ‘‘[s]tanding alone,
                * * * has no inherent connotation as to
                the magnitude or importance of the
                relevant ‘share’ in the effect; certainly it
                does not incorporate any ‘significance’
                requirement.’’ 370 F.3d at 13. The court
                found that the bare ‘‘contribute’’
                language invests the Administrator with
                discretion to exercise judgment
                regarding what constitutes a sufficient
                contribution for the purpose of making
                an endangerment finding. Id. at 14. " From <a
                  moz-do-not-send="true"
                  href="https://www.gpo.gov/fdsys/pkg/FR-2009-12-15/pdf/E9-29537.pdf">here</a>.<br>
                <br>
              </div>
            </div>
          </blockquote>
          <div>
            <div>Contribution does not necessarily connote a causal
              relationship. </div>
            <div><br>
            </div>
            <div>I suspect the same is true of attribution; not
              necessarily a causal relationship. </div>
            <div><br>
            </div>
            <div>GACC/IEA propaganda to the contrary. Relying on state
              of the law so far. (Like emissions, law changes.) <br>
              <br>
              -----------------------------------<br>
              <b>Lessons for us stovers: </b><br>
              <br>
              1. Do not get too anxious that "dirty cooking" kills. What
              kills whom how is never that clear to doctors, and the GBD
              statements about "attributable to risk factors" are
              allegations in evolution. </div>
            <div><br>
            </div>
            <div>2. There is no evidentiary basis to assume equitoxicity
              and "no threshold" for PM2.5. At least, not for the air
              pollution concentrations and composition found in poor
              households for whom we debate "clean cooking." <br>
              <br>
              3. Just because EPA has shifted from "exposure-response"
              to "concentration-response" does not mean everybody
              everywhere has to fall for the emissions ->
              concentrations -> death theology. At least, no promises
              of "saving lives" are worth a statistical US life. </div>
            <div><br>
            </div>
            <div>4. Insist on a long-term concentration profile, even if
              exposures aren't measured, instead of the EPA/ISO
              gobbledygook about emission RATES (whether lab or field
              tests). Concentration data have to include all air
              pollutants from all sources in specific environments, not
              this WHO gaming with stove emissions. </div>
            <div><br>
            </div>
            <div>5. Then there're additional problems of keeping all
              risk factors unchanged (my prior post), confounding bias,
              and the diversity among humans according to their genetic
              basis, physical environments (agroclimatic zones, dwelling
              type, transport). </div>
            <div><br>
            </div>
            <div>6. Beware of US politics. EPA is becoming an Empire
              Promotion Alliance. <br>
              <br>
              I am afraid what Cecil calls "fundamental foolishness" is
              a diversion from more relevant research and planning issue
              - air quality and exposure management strategies of the
              conventional variety. We cannot pretend that the last 60
              years of air management - science, economics, spatial
              planning, buildings design - is worthless and "new source
              voluntary performance targets" will save our sisters,
              daughters, grand daughters. </div>
            <div><span style="font-size:12.8px"><br>
                Not that emission rates are entirely irrelevant. </span></div>
            <div><span style="font-size:12.8px"><br>
              </span></div>
            <div><span style="font-size:12.8px">In air quality
                strategies, reduction in emission rates - by source
                type, stationary or mobile, small or large - is but one
                of the means of lowering concentrations to standards and
                presumably dosage and hence damage. For large stationary
                sources with continuous emissions, usually a daily
                average is specified for some pollutants (e.g. SO2). But
                with small sources like household cookstoves - which can
                vary enormously in fuel quality and operating practices
                - a per minute max or a 15-minute max would seem to be
                an appropriate metric, along with some hourly average
                max. </span><br>
            </div>
            <div><br style="font-size:12.8px">
              <span style="font-size:12.8px">I remember the
                controversies on SO2 or low-level ionizing radiation, or
                other pollutants from sources large and small, and how
                the averaging times, maximum one-time and lifetime
                exposures were incorporated in the standards for
                equipment design or operations. But all that was real
                epidemiology of cause and effect. With all this
                cookstoves stuff, all you have is "premature deaths", a
                statistical artifact for allocating across other
                statistical artifacts called "risk factors". A premature
                death is not a death, and a risk factor is not a
                disease. Risk factors certainly contribute to diseases
                and deaths, the causality links for which are sometimes
                quite vague, at least debatable.<br>
                <br>
                Nikhil  </span><span style="font-size:12.8px"> <br>
                <br>
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                                                    <div><font
                                                        face="georgia,
                                                        serif">------------------------------<wbr>------------------------------<wbr>------------<br>
                                                        Nikhil Desai</font></div>
                                                    <div><font
                                                        face="georgia,
                                                        serif">(US <a
                                                          moz-do-not-send="true"
href="tel:%2B1%29%20202%20568%205831" value="+12025685831"
                                                          target="_blank">+1)
                                                          202 568 5831</a><br>
                                                        <i>Skype:
                                                          nikhildesai888</i><br>
                                                      </font><br>
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