dunn, jd md

<font face="Times New Roman" size="4">=</font><div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">https://www.prnewswire.com/news-releases/attack-on-coal-will-not-save-lives-states-the-association-of-american-physicians-and-surgeons-aaps-275119731.html</font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">
</font></div><div style="font-size: small;"><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4"></font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">no lnx</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">attack on Coal Will Not Save Lives, States the Association of American Physicians and Surgeons (AAPS)</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">NEWS PROVIDED BY</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">Association of American Physicians and Surgeons (AAPS) </font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">Sep 15, 2014, 09:56 ET</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">TUCSON, Ariz., Sept. 15, 2014 /PRNewswire-USNewswire/ --<b> The Obama Administration's attack on coal-fired electricity, through draconian "carbon" rules imposed by the Environmental Protection Agency (EPA), makes bogus claims about lives to be saved, states the Association of American Physicians and Surgeons (AAPS).</b></font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4" style="background-color: rgb(255, 255, 102);">The Administration is lumping together carbon dioxide—the basic building block of all living things and also a weak greenhouse gas—and soot. So is the American Lung Association, which also lumps "carbon pollution" with arsenic, lead, and mercury.</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4"><b>The American Academy of Pediatrics j</b>oins the chorus, echoing the EPA's claim that the new rules will avert 2,700 to 6,600 "premature deaths" and 140,000 to 150,000 asthma attacks in children by 2030. The EPA told Congress that it neither possesses nor can produce the data used in developing the rules.</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style=""><font face="Times New Roman" size="4" style=""><span style="background-color: rgb(255, 255, 255);"><b>Claims of such harm from small particulates (dust or soot) are extrapolated from small associations reported in poorly designed and non-replicated epidemiological studies,</b> writes</span><b style=""><span style="background-color: rgb(255, 255, 255);"> </span><span style="background-color: rgb(255, 153, 0);">John Dale Dunn, M.D., J.D., </span><span style="background-color: rgb(255, 255, 255);">in the spring 2014 issue of the Journal of American Physicians and Surgeons. </span></b></font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4" style="background-color: rgb(255, 204, 102);">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4" style="background-color: rgb(255, 204, 102);">"The adverse health effects of Obama's promised skyrocketing of the costs of electricity, not to mention unemployment, are simply being ignored," states AAPS executive director Jane M. Orient, M.D.</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4" style="background-color: rgb(255, 255, 102);">Hillary Clinton, in a September 4 speech, also claimed that the war on coal would address both "climate change" and children's respiratory illness. "This 'two-fer' also depends on conflating two entirely different forms of carbon," stated Orient. "And there is no actual evidence that shutting off all coal-fired electricity (40% of the total) would either make the climate more benign or help asthmatics."</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">The Association of American Physicians and Surgeons (AAPS) is a national organization representing physicians in all specialties, founded in 1943 to preserve private medicine and the patient-physician relationship.</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">SOURCE Association of American Physicians and Surgeons (AAPS)</font></div></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">=</font></div></div><div><font face="Times New Roman" size="4">=
</font><div><font face="Times New Roman" size="4">E&E holocaust BS:</font></div><div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4"><b><span style="background-color: rgb(255, 255, 102);">I. EPA’s PM2.5 </span>Research Conduct is a Shocking Violation of Acceptable </b></font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4"><b>Ethical and Moral Norms </b></font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">
</font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4"><b>89. John Dale Dunn, MD, JD, is an expert in medical ethics </b>who has written and </font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">lectured on professional ethics, medical/legal affairs, patient safety and<b> risk management</b>, and </font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">health care quality and practice guidelines and provided consultation on professional peer review </font></div><div style="font-size: small; background-color: rgb(255, 255, 255);"><font face="Times New Roman" size="4">matters for more than 25 years. Dunn Decl.</font></div></div><div><font face="Times New Roman" size="4">
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</font></div><div><font face="Times New Roman" size="4">http://www.desmogblog.com/john-dale-dunn</font></div><div><font face="Times New Roman" size="4">
</font><div><div class="field field-name-body field-type-text-with-summary field-label-hidden" style="margin: 0px; padding: 0px; letter-spacing: 0.39px; line-height: 19.5px;"><div class="field-items" style="margin: 0px; padding: 0px;"><div class="field-item even" style="margin: 0px; padding: 0px;"><h1 style="margin: 0px; padding: 0px 0px 0.5em; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">John Dale Dunn</font></h1><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"> Credentials</font></h2><ul style="margin: 0px; padding: 0px 0px 0px 2em;"><li style="margin: 0px; padding: 0px;"><font size="4" face="Times New Roman"><b style="background-color: rgb(255, 255, 102);">J.D.,</b><span style="background-color: rgb(255, 255, 255);"> Creighton University, Omaha, Nebraska (1979).</span></font></li><li style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);"><b><font size="4" face="Times New Roman">M.D., Creighton University (1971).</font></b></li><li style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">B.S., biology, Creighton University (1967).</font></li></ul><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"><strong style="margin: 0px; padding: 0px;">Source:<a href="http://www.desmogblog.com/john-dale-dunn#s1" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"> </a></strong><a href="http://www.desmogblog.com/john-dale-dunn#s1" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[1]</a></font></p><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"> Background</font></h2><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"><b>John Dale Dunn is a practicing physician</b> and has worked as a civilian emergency medicine faculty physician at Carl R. Darnall Army Medical Center in Fort Hood Texas since 2003.</font></p><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><span style="background-color: rgb(255, 255, 255);">John Dale Dunn is also a </span><a href="http://heartland.org/dr-john-dale-dunn-md-jd" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none; background-color: rgb(255, 255, 255);">policy advisor</a><span style="background-color: rgb(255, 255, 255);"> for the </span><b style="background-color: rgb(255, 255, 102);"><a href="http://www.sourcewatch.org/index.php?title=Heartland_Institute" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Heartland Institute</a> and the <a href="http://www.sourcewatch.org/index.php?title=American_Council_on_Science_and_Health" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">American Council on Science and Health</a> (<span class="caps" style="margin: 0px; padding: 0px;">ACSH</span>).</b></font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">From 1989 to 1995 he was an instructor on environmental law at Howard Payne University, in Brownwood, Texas from 1989 - 1995. He has been a reviewer for the <em style="margin: 0px; padding: 0px;">Annals of Emergency Medicine</em> since 1991 and of <em style="margin: 0px; padding: 0px;">Military Medicine</em> since 2006. <a href="http://www.desmogblog.com/john-dale-dunn#s1" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[1]</a></font></p><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">Stance on Climate Change</font></h2><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">“I assert that warm is good for human health and that global warming, even the most extreme estimates, will not create heat illness or death increases and certainly no changes that are more important than the basic public health measures of vector control, water, nutrition, sewage and water quality, and housing quality.” <a href="http://www.desmogblog.com/john-dale-dunn#s2" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[2]</a></font></p><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">Key Quotes</font></h2><blockquote style="margin: 15px 30px; padding: 15px; border: 1px solid rgb(153, 153, 153); background-image: initial; background-attachment: initial; background-color: rgb(238, 238, 238); background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman">“United States Environmental Protection Agency (<span class="caps" style="margin: 0px; padding: 0px;">EPA</span>)-sponsored and funded 'human health effects science' research is unreliable and makes irresponsible and outrageous claims about how air pollution causes thousands of deaths.”<a href="http://www.desmogblog.com/john-dale-dunn#s3" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"> [3]</a></font></p></blockquote><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">Key Deeds</font></h2><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><strong style="margin: 0px; padding: 0px; letter-spacing: 0.03em; line-height: 1.5em;"><font size="4" face="Times New Roman">July 7 - 9, 2014</font></strong></p><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman" style="background-color: rgb(255, 255, 102);">Dunn was a <a href="http://web.archive.org/web/20140714154246/http://climateconference.heartland.org/speakers/" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">speaker</a> at the <a href="http://www.desmogblog.com/heartland-institute" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Heartland Institute</a>’s Ninth International Conference on Climate Change (<span class="caps" style="margin: 0px; padding: 0px;">ICCC</span>9) in Las Vegas, Nevada. <a href="http://www.desmogblog.com/john-dale-dunn#s6" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[6]</a></font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">DeSmogBlog has done in-depth research on the other speakers and sponsors from Heartland's <span class="caps" style="margin: 0px; padding: 0px;">ICCC</span>9, which can be found <a href="https://web.archive.org/web/20140714160136/http://www.desmogblog.com/2014/07/08/return-denial-palooza-heartland-institute-hitches-anti-science-wagon-freedomfest" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">here</a>.</font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><strong style="margin: 0px; padding: 0px;"><font size="4" face="Times New Roman">May 21 - 23, 2012</font></strong></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">Dunn was a <a href="http://climateconference.heartland.org/speakers/" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">speaker </a>at the <a href="http://www.sourcewatch.org/index.php?title=Heartland_Institute" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Heartland Institute</a>'s Seventh International Conference on Climate Change (<span class="caps" style="margin: 0px; padding: 0px;">ICCC</span>7).</font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">DeSmogBlog<a href="http://www.desmogblog.com/heartland-denial-palooza-sponsors-have-received-67-million-exxonmobil-koch-and-scaife-foundations" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"> researched the co-sponsors behind Heartland's <span class="caps" style="margin: 0px; padding: 0px;"><span class="caps" style="margin: 0px; padding: 0px;"><span class="caps" style="margin: 0px; padding: 0px;">ICCC</span>7</span></span></a> and found that they had collectively received <strong style="margin: 0px; padding: 0px;">over $67 million</strong> from ExxonMobil, the <a href="http://www.sourcewatch.org/index.php?title=Koch_Brothers" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Koch Brothers </a>and the conservative <a href="http://www.sourcewatch.org/index.php/Scaife_Foundations" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Scaife family foundations</a>.</font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><strong style="margin: 0px; padding: 0px;"><font size="4" face="Times New Roman">March 8 - 10, 2009</font></strong></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">Dunn was a <a href="http://web.archive.org/web/20090312033307/http://www.heartland.org/events/NewYork09/proceedings.html" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">speaker</a> for the International Conference on Climate Change (2009), hosted by the<a href="http://www.sourcewatch.org/index.php?title=Heartland_Institute" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"> Heartland Institute</a>. His presentation is titled “Human Health Effects of Warming and Cooling.” <a href="http://www.desmogblog.com/john-dale-dunn#s4" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[4]</a></font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><strong style="margin: 0px; padding: 0px;"><font size="4" face="Times New Roman">March, 2008</font></strong></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">Dunn was a speaker at the Heartland Institute's First International Conference on Climate Change.</font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">See his speech below: <a href="http://www.desmogblog.com/john-dale-dunn#s2" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[2]</a></font></p><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);" /><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"> Affiliations</font></h2><ul style="margin: 0px; padding: 0px 0px 0px 2em; background-color: rgb(255, 255, 255);"><li style="margin: 0px; padding: 0px;"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><a href="http://www.sourcewatch.org/index.php?title=Heartland_Institute" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><strong style="margin: 0px; padding: 0px;">The Heartland Institute </strong></a>— “<a href="http://heartland.org/dr-john-dale-dunn-md-jd" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Expert</a>” and Policy Advisor. <a href="http://www.desmogblog.com/john-dale-dunn#s1" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[1]</a></font></p></li><li style="margin: 0px; padding: 0px;"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><strong style="margin: 0px; padding: 0px;"><a href="http://www.sourcewatch.org/index.php?title=American_Council_on_Science_and_Health" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">American Council on Science and Health</a></strong> — <a href="http://www.acsh.org/about/pageID.89/default.asp" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Policy Advisor</a>. <a href="http://www.desmogblog.com/john-dale-dunn#s5" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">[5]</a></font></p></li></ul><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"> Publications</font></h2><p style="margin: 0px 0px 1em; padding: 0px; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">According to a search of Google Scholar, Dunn has published a number of papers in medical journals.</font></p><p style="margin: 0px 0px 1em; padding: 0px;"><span style="background-color: rgb(255, 255, 102);"><font size="4" face="Times New Roman">He does not appear to have published any papers related to climate, or climate change and human health.</font></span></p><h2 style="margin: 0px 0px 0.75em; padding: 0px; line-height: 1.3em; font-weight: 300; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman"> Resources</font></h2><ol style="margin: 0px; padding: 0px 0px 0px 2em;"><li style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><a name="s1" id="s1" style="margin: 0px; padding: 0px;">“</a><a href="http://heartland.org/dr-john-dale-dunn-md-jd" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Heartland Experts: Dr. John Dale Dunn, M.D., <span class="caps" style="margin: 0px; padding: 0px;">J.D.</span></a>”, The Heartland Institute. Retrieved May 4, 2012.</font></p></li><li style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><a name="s2" id="s2" style="margin: 0px; padding: 0px;">“</a><a href="http://youtu.be/uImjLxR28Vc" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Will human health suffer with Global Warming?</a>”, YouTube Video uploaded by user “Bushvision,” May 20, 2008.</font></p></li><li style="margin: 0px; padding: 0px;"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><a name="s3" id="s3" style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);">“</a><a href="http://junkscience.com/2012/04/20/john-dale-dunn-steve-milloy-the-epas-faulty-science-can-be-stopped/" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><span style="background-color: rgb(255, 255, 255);">John Dale Dunn </span><span class="amp" style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);">&</span><span style="background-color: rgb(255, 255, 255);"> </span><span style="background-color: rgb(255, 255, 102);">Steve Milloy: The <span class="caps" style="margin: 0px; padding: 0px;">EPA</span>’s Faulty Science Can Be Stopped</span></a><span style="background-color: rgb(255, 255, 102);">,” JunkScience</span><span style="background-color: rgb(255, 255, 255);">.com, April 20, 2012.</span></font></p></li><li style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><a name="s4" id="s4" style="margin: 0px; padding: 0px;">“</a><a href="http://web.archive.org/web/20090312033307/http://www.heartland.org/events/NewYork09/proceedings.html" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Proceedings</a>,” The 2009 International Conference on Climate Change. Archived March 12, 2009.</font></p></li><li style="margin: 0px; padding: 0px;"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><span style="background-color: rgb(255, 255, 102);"><a name="s5" id="s5" style="margin: 0px; padding: 0px;">“</a><a href="http://www.acsh.org/about/pageID.89/default.asp" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Scientific Advisors</a>,” American Council on Science and Health.</span><span style="background-color: rgb(255, 255, 255);"> Accessed May 4, 2012.</span></font></p></li><li style="margin: 0px; padding: 0px; background-color: rgb(255, 255, 255);"><p style="margin: 0px 0px 1em; padding: 0px;"><font size="4" face="Times New Roman"><a name="s6" id="s6" style="margin: 0px; padding: 0px;"><span style="margin: 0px; padding: 0px; letter-spacing: 0.03em; line-height: 1.5em;">“</span></a><a href="https://web.archive.org/web/20140714160136/http://www.desmogblog.com/2014/07/08/return-denial-palooza-heartland-institute-hitches-anti-science-wagon-freedomfest" target="blank" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;">Return of Climate Denial-a-Palooza: Heartland Institute Hitches Anti-Science Wagon to Vegas FreedomFest</a>,” <em style="margin: 0px; padding: 0px; letter-spacing: 0.03em; line-height: 1.5em;">DeSmogBlog</em><span style="margin: 0px; padding: 0px; letter-spacing: 0.03em; line-height: 1.5em;">, July 7, 2014. Archived July 14, 2014.</span></font></p></li></ol></div></div></div><div class="field field-name-taxonomy-vocabulary-14 field-type-taxonomy-term-reference field-label-above" style="margin: 0px; padding: 0px; letter-spacing: 0.39px; line-height: 19.5px; background-color: rgb(255, 255, 255);"><div class="field-label" style="margin: 0px; padding: 0px; font-weight: bold;"><font size="4" face="Times New Roman">Tags: </font></div><div class="field-items" style="margin: 0px; padding: 0px;"><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/913" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">global warming</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/939" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">climate change</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/2540" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">desmogblog</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/2560" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">global warming blog</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/2654" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">denial industry</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/3068" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">climate change denier</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/4046" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">global warming research</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/4047" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">climate misinformation</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/5721" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">smogger</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/6886" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">climate change skeptic</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/7705" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">climate denialism</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/7706" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">denial database</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/9029" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">Heartland Institute International Conference on Climate Change</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/9062" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">Heartland Institute Seventh International Conference on Climate Change</font></a></div><div class="field-item even" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/9067" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">John Dale Dunn</font></a></div><div class="field-item odd" style="margin: 0px; padding: 0px;"><a href="http://www.desmogblog.com/directory/vocabulary/9068" style="margin: 0px; padding: 0px; color: rgb(51, 153, 204); text-decoration: none;"><font size="4" face="Times New Roman">Heartland Institute Global Warming Experts</font></a></div></div></div></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">=
</font><div><font face="Times New Roman" size="4">ati bs v epa hu res
</font><div><font face="Times New Roman" size="4">
</font></div><div><div><font face="Times New Roman" size="4"><b><span style="background-color: rgb(255, 255, 102);">I. EPA’s PM2.5 </span>Research Conduct is a Shocking Violation of Acceptable </b></font></div><div><font face="Times New Roman" size="4"><b>Ethical and Moral Norms </b></font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4"><b>89. John Dale Dunn, MD, JD, is an expert in medical ethics </b>who has written and </font></div><div><font face="Times New Roman" size="4">lectured on professional ethics, medical/legal affairs, patient safety and<b> risk management</b>, and </font></div><div><font face="Times New Roman" size="4">health care quality and practice guidelines and provided consultation on professional peer review </font></div><div><font face="Times New Roman" size="4">matters for more than 25 years. Dunn Decl.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">90. For the past 10 years he has been actively involved in analyzing the human health </font></div><div><font face="Times New Roman" size="4">effects research of the EPA. His work has resulted in writing and lecturing on human health </font></div><div><font face="Times New Roman" size="4">epidemiology and toxicology issues. He is a <span style="background-color: rgb(255, 255, 102);">Policy Advisor to the American Council on Science </span></font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">and Health </span>that is intensely involved in analyzing and evaluating public health research and </font></div><div><font face="Times New Roman" size="4">policy making. Id.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">91. He has examined the facts presented in the preceding paragraphs. Id.</font></div><div><font face="Times New Roman" size="4">92. He was shocked and outraged to read Ghio, A. et al, Swiss Med Wkly. </font></div><div><font face="Times New Roman" size="4">2012;142:w13597 “Controlled human exposures to diesel exhaust”, which described an obese </font></div><div><font face="Times New Roman" size="4">woman with hypertension and pre-experiment evidence of cardiac irritability, was put in a </font></div><div><font face="Times New Roman" size="4">chamber and exposed to small particles at levels far above what the EPA had published as safe. </font></div><div><font face="Times New Roman" size="4">Id.</font></div><div><font face="Times New Roman" size="4">93. It is Dr. Dunn’s expert opinion this EPA study was an egregious violation of Verified Complaint 20</font></div><div><font face="Times New Roman" size="4">ethical norms—to expose a human subject to what was considered a toxic and <span style="background-color: rgb(255, 255, 102);">lethal level </span>of </font></div><div><font face="Times New Roman" size="4">small particles. Id.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">94. Dr. Dunn has concluded that Consent forms used in these studies showed that not </font></div><div><font face="Times New Roman" size="4">only was the research in violation of any acceptable ethical and moral norms, but the volunteers </font></div><div><font face="Times New Roman" size="4">who were the subjects were not warned of the EPA position that small particles were lethal. Id.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">95. Dr. Dunn’s response to the facts given above is, in his own words, “I am outraged </font></div><div><font face="Times New Roman" size="4">and saddened to know that highly trained and expert physicians would be involved in </font></div><div><font face="Times New Roman" size="4">scandalously unethical and immoral professional research, subjecting humans to toxic or lethal </font></div><div><font face="Times New Roman" size="4">levels of small particles.” Id.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">96. After reviewing the facts and underlying documents supporting the facts listed </font></div><div><font face="Times New Roman" size="4">above, Dr. Dunn has concluded: “There can be no further tolerance of this misconduct. As a </font></div><div><font face="Times New Roman" size="4">licensed physician I cannot imagine the conduct that has been going on in North Carolina. It </font></div><div><font face="Times New Roman" size="4">must be stopped. One patient, one subject is too many to expose. <b>If the EPA wants to withdraw </b></font></div><div><font face="Times New Roman" size="4"><b>its claims of toxicity and lethality of small particles</b>, then that must be done in an appropriate </font></div><div><font face="Times New Roman" size="4">scientific manner, and can’t be done on the fly to excuse these immoral experiments that harken </font></div><div><font face="Times New Roman" size="4">back to historical scandals that were the product of immoral decision made by misguided and </font></div><div><font face="Times New Roman" size="4">unethical physicians and government officials.” Id.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">V. Summary</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">97. Federal rules and EPA policies control the conduct of human experimentation by </font></div><div><font face="Times New Roman" size="4">EPA, its employees and the Institutional Review Boards EPA uses to ensure EPA employees and </font></div><div><font face="Times New Roman" size="4">grantees meet all ethical research requirements. In experiments conducted by EPA employees </font></div><div><font face="Times New Roman" size="4">and approved by an EPA contractor serving as an Institutional Review Board, EPA has </font></div><div><font face="Times New Roman" size="4">unethically, immorally, repeatedly and ultimately illegally exposed human subjects to PM2.5, a Verified Complaint 21</font></div><div><font face="Times New Roman" size="4">pollutant EPA states is lethal and can cause death within hours of exposure without informing </font></div><div><font face="Times New Roman" size="4">the human subjects of this fact. EPA failed to properly complete its IRB application and failed to </font></div><div><font face="Times New Roman" size="4">properly inform human subjects of the risks they would face if participating in the proposed </font></div><div><font face="Times New Roman" size="4">studies. The Institutional Review Board failed to take account of the lack of personal benefit to </font></div><div><font face="Times New Roman" size="4">the human subjects when weighing the risks, including the risk of death, associated with the </font></div><div><font face="Times New Roman" size="4">proposed research and thus improperly approved the proposals. Both EPA and the IRB failed to </font></div><div><font face="Times New Roman" size="4">meet its statutory duties to ensure ethical research using human subjects. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">VI. Claims For Relief</font></div><div><font face="Times New Roman" size="4">A. First Claim for Relief </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">[destroy the science]</font></div><div><font face="Times New Roman" size="4">....</font></div></div><div><font face="Times New Roman" size="4"></font></div><div><font face="Times New Roman" size="4">
</font></div><div><div><font face="Times New Roman" size="4"> </font></div><div><font face="Times New Roman" size="4">John Dale Dunn MD JD </font></div><div><font face="Times New Roman" size="4">Civilian Faculty, Emergency Medicine, </font></div><div><font face="Times New Roman" size="4">Carl R. Darnall Army Medical Center, Fort Hood, Texas </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">401 Rocky Hill Road Lake Brownwood, Texas 76801 </font></div><div><font face="Times New Roman" size="4">Phone 325 784-6697 cell 642-5073 </font></div><div><font face="Times New Roman" size="4"> Fax 325 784-7567, call first </font></div><div><font face="Times New Roman" size="4"> E-mail jddmdjd@web-access.net</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">June 23, 2008 </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Addressed to the <span style="background-color: rgb(255, 255, 102);">California</span> Air Resources Board (CARB) and</font></div><div><font face="Times New Roman" size="4">Interested Elected and Appointed Officials.</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4"><b>Comments on the CARB Diesel and Small Particles research and policy </b></font></div><div><font face="Times New Roman" size="4"><b>making</b>. Critique of “Estimating premature deaths from small </font></div><div><font face="Times New Roman" size="4">particulates and diesel fumes in California.” </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Draft Report from CARB Staff and Engaged Experts, May 22, <span style="background-color: rgb(255, 255, 102);">2008 </span></font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">My opinions expressed here are not opinions of the Department of Defense or the Army. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Biographical information </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">I am a 36 year physician and 29 year inactive attorney<span style="background-color: rgb(255, 255, 102);">. I teach Emergency Medicine at </span></font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">Carl R. Darnall Army Medical Center, Fort Hood, Texas</span>, so I have general and specific </font></div><div><font face="Times New Roman" size="4">knowledge of toxicological science. I was a 10 + year public health authority, and a </font></div><div><font face="Times New Roman" size="4">lecturer and writer on environmental law and regulation for the past 18 years. </font></div><div><font face="Times New Roman" size="4">I have expertise in public health epidemiological research and principles and public policy </font></div><div><font face="Times New Roman" size="4">issues that pertain to air pollution and other environmental policy matters. </font></div><div><font face="Times New Roman" size="4">I am familiar with the rules of evidence and the standards for admissibility of scientific </font></div><div><font face="Times New Roman" size="4">evidence under the new Daubert v. Merrill Dow dicta and the Reference Manual on </font></div><div><font face="Times New Roman" size="4">Scientific Evidence 2nd Edition, published by the U.S. Federal Judicial Center. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4"><b>I am a policy advisor for the Heartland Institute of Chicago, and the American Council on </b></font></div><div><font face="Times New Roman" size="4"><b>Science and Health of New York City.</b> </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">In the past I have submitted memoranda and argued </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">to the EPA, and it’s Board of Scientific Counselors on the problems of EPA distorted and </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">weak toxicological and epidemiological health effects science. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">I will focus here in my comments on science issues that impact CARB regulatory actions </font></div><div><font face="Times New Roman" size="4">and policy making on diesel and small particles. </font></div><div><font face="Times New Roman" size="4">1I submit that: </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">1<span style="background-color: rgb(255, 255, 102);">. The studies on air pollution listed in the report as key studies and relied on by </span></font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">CARB and its experts propose death data that do not meet the requirement for proof </font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">of anything.</span> The studies listed fail to meet the requirement of a relative risk of at </font></div><div><font face="Times New Roman" size="4">least 2 for observational studies. The researchers who promote and rely on such </font></div><div><font face="Times New Roman" size="4">studies have decided not to even attempt to explain or excuse such nonsense </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">2. The other alternative science proposal being foisted on the public by CARB is that </font></div><div><font face="Times New Roman" size="4">the death studies that assert acute deaths can propose a short period lag time for </font></div><div><font face="Times New Roman" size="4">death from air pollution. That is nonsense, and Dr. Utell, a physician expert on the </font></div><div><font face="Times New Roman" size="4">CARB panel, a critical care physician, knows it. Sudden death from cardiac </font></div><div><font face="Times New Roman" size="4">arrhythmia is not in play here, and Dr. Utell or any reasonably competent physician </font></div><div><font face="Times New Roman" size="4">could keep a person with end stage lung disease alive for an indefinite period. </font></div><div><font face="Times New Roman" size="4">People don’t drop dead in the streets from dust or diesel. Studies that propose short </font></div><div><font face="Times New Roman" size="4">lag times are preposterous. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">3. The CARB research ignores that null effect of the <b>Enstrom</b></span><b> study</b> which is specific </font></div><div><font face="Times New Roman" size="4">for Californians, and the null effect shown in the later half of the Pope ACS study. </font></div><div><font face="Times New Roman" size="4">Those two studies, when combined with the null Western U.S. and California </font></div><div><font face="Times New Roman" size="4">effect of the Krewski map, create evidence that cannot be ignored by the CARB. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">4. Studies that falsify a scientific assertion are more pertinent to the scientific inquiry </font></div><div><font face="Times New Roman" size="4">than studies that support a proposition, since the goal of science is to avoid a type </font></div><div><font face="Times New Roman" size="4">one (false positive) error.</font></div><div><font face="Times New Roman" size="4"> </font></div><div><font face="Times New Roman" size="4">Intrusive regulatory regimes should only be enacted if the research is conclusive that a </font></div><div><font face="Times New Roman" size="4">human health problem exists. California air quality does not justify the crisis tone or </font></div><div><font face="Times New Roman" size="4">aggressive policy attitude of the CARB. </font></div><div><font face="Times New Roman" size="4">CARB is faced with the problems that make aggressive regulatory approaches appear to be </font></div><div><font face="Times New Roman" size="4">a desperate maneuver to promote panic mongering. CARB should consider the following: </font></div><div><font face="Times New Roman" size="4">1. A major study by the Health Effects Institute shows no excess mortality from fine </font></div><div><font face="Times New Roman" size="4">particles. </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">2. The Enstrom Study of a robust cohort of Californians studied over a significant </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">period of time shows no death effect from small particles. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">3. The US EPA 2002 report of diesel exhaust health effects showed no effect. </font></div><div><font face="Times New Roman" size="4">4. The previously mentioned Pope second half data and the Krewski map of effects </font></div><div><font face="Times New Roman" size="4">shows that California residents are not suffering any adverse effects from air </font></div><div><font face="Times New Roman" size="4">pollution. </font></div><div><font face="Times New Roman" size="4"> </font></div><div><font face="Times New Roman" size="4">LEGAL STANDARDS FOR EVIDENCE WILL DELEGITIMIZE THE CARB STUDIES</font></div><div><font face="Times New Roman" size="4">AND PUT FUTURE CARB POLICY POSITIONS AND LITIGATION AT RISK </font></div><div><font face="Times New Roman" size="4">The Federal Judicial Center, in its Reference Manual on Scientific Evidence, 2nd edition </font></div><div><font face="Times New Roman" size="4">outlines advice for determining admissibility of scientific evidence in Federal Courts, and </font></div><div><font face="Times New Roman" size="4">advises Federal Judges and Lawyers practicing in Federal Courts to adhere to that advice in </font></div><div><font face="Times New Roman" size="4">complying with the Rules of Evidence. . </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">2An electronic version of the Reference Manual can be downloaded from the </font></div><div><font face="Times New Roman" size="4">Federal Judicial Center’s site on the World Wide Web. </font></div><div><font face="Times New Roman" size="4">http://air.f jc.gov/public/f jcweb.nsf/pages/16 </font></div><div><font face="Times New Roman" size="4">For the Judicial Center’s homepage on the Web, go to http://www.f jc.gov </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">RELATIVE RISK AS PROOF OF CAUSATION </font></div><div><font face="Times New Roman" size="4">All the studies that are cited by CARB as key to the diesel and small particulates rules and </font></div><div><font face="Times New Roman" size="4">regulatory policy violate basic epidemiology rules for proof of health effects. They all </font></div><div><font face="Times New Roman" size="4">have an effect of a relative risk of less than 2 (100% increase in effect), too weak to </font></div><div><font face="Times New Roman" size="4">consider proof. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">In the Chapter on Epidemiology the authors, including Leon Gordis, MD Dr. P.H. the </font></div><div><font face="Times New Roman" size="4">renowned former Chair of Epidemiology at Johns Hopkins School of Public Health and D </font></div><div><font face="Times New Roman" size="4">Michal Freedman J.D. Ph.D. MPH from the National Cancer Institute, advise the following </font></div><div><font face="Times New Roman" size="4">at page 384: </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The threshold for concluding that an agent was more likely than not the </font></div><div><font face="Times New Roman" size="4">cause of an individual’s disease is a relative risk greater than 2.0. Recall that a </font></div><div><font face="Times New Roman" size="4">relative risk of 1.0 means that the agent has no effect on the incidence of disease. </font></div><div><font face="Times New Roman" size="4">When the relative risk reaches 2.0, the agent is responsible for an equal number of </font></div><div><font face="Times New Roman" size="4">cases of disease as all other background causes. Thus, a relative risk of 2.0 (with </font></div><div><font face="Times New Roman" size="4">certain qualifications noted below) implies a 50% likelihood that an exposed </font></div><div><font face="Times New Roman" size="4">individual’s disease was caused by the agent. </font></div><div><font face="Times New Roman" size="4">A relative risk greater than 2.0 would permit an inference that an individual plaintiff’s </font></div><div><font face="Times New Roman" size="4">disease was more likely than not caused by the implicated agent. </font></div><div><font face="Times New Roman" size="4">The studies relied on by the CARB to project estimates of deaths in California all have </font></div><div><font face="Times New Roman" size="4">health effects or death effect below a relative risk of 2, again insignificant for evidence of </font></div><div><font face="Times New Roman" size="4">proof of real effect. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">IF CARB HAD TO DEFEND IT’S ACTIONS IN COURT OR IN AN </font></div><div><font face="Times New Roman" size="4">ADMINISTRATIVE HEARING. </font></div><div><font face="Times New Roman" size="4">A careful and thorough Judge, a Judge not influenced by the environmental fanaticism so </font></div><div><font face="Times New Roman" size="4">fashionable today, following the advice and guidance of the Reference Manual on Scientific </font></div><div><font face="Times New Roman" size="4">Evidence would suggest to CARB: </font></div><div><font face="Times New Roman" size="4">1. That the CARB Key studies are weak and faulty in failing to meet the rule on </font></div><div><font face="Times New Roman" size="4">relative risk. </font></div><div><font face="Times New Roman" size="4">2. That the plausibility for deaths at a few days from exposure to ambient increases in </font></div><div><font face="Times New Roman" size="4">air pollution fails to meet the rules of toxicology in the Manual.</font></div><div><font face="Times New Roman" size="4">3. That the Enstrom study and the second half of the Pope ACS study as well as the </font></div><div><font face="Times New Roman" size="4">Krewski geographic analysis map appear to falsify the CARB assertion that diesel </font></div><div><font face="Times New Roman" size="4">and small particles are killing thousands of Californians every year. </font></div><div><font face="Times New Roman" size="4"> </font></div><div><font face="Times New Roman" size="4">3A reasonable and thorough Judge would insist that CARB and its sponsored and well paid </font></div><div><font face="Times New Roman" size="4">consultants and researchers explain the studies that falsify the CARB assertions and the </font></div><div><font face="Times New Roman" size="4">relative weakness of the studies that rely on small effects and minimal relative risks. </font></div><div><font face="Times New Roman" size="4">Whenever a study from a reputable scientist disproves a theory or a premise, the study must </font></div><div><font face="Times New Roman" size="4">be dealt with, not ignored, lest politics and intellectual fascism become the fashion, even in </font></div><div><font face="Times New Roman" size="4">a bastion of free speech, the great State of California. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">OTHER PROBLEMS WITH OBSERVATIONAL STUDIES USED BY CARB. </font></div><div><font face="Times New Roman" size="4">Observational studies are notoriously unreliable and uncertain, since there is no way to </font></div><div><font face="Times New Roman" size="4">eliminate the more than 40 confounders that may produce error. If a study is observational </font></div><div><font face="Times New Roman" size="4">rather than randomized and controlled, blinded and crossed over, there are significant </font></div><div><font face="Times New Roman" size="4">problems with reliability. Reports from observational studies do not reproduce well when </font></div><div><font face="Times New Roman" size="4">converted to randomized, controlled studies. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The CARB exercise of engaging multiple experts who have relied on small effects </font></div><div><font face="Times New Roman" size="4">observational studies throughout their careers, creates a mad cycle. Most of the experts </font></div><div><font face="Times New Roman" size="4">engaged are included in the company of individuals who publish observational studies with </font></div><div><font face="Times New Roman" size="4">relative risks of less than 2. Most have done and stand by studies that violate this basic rule </font></div><div><font face="Times New Roman" size="4">of relative risk, the equivalent of the fox in the henhouse. </font></div><div><font face="Times New Roman" size="4">So consider all the CARB studies which are invariably studies based on health effects of </font></div><div><font face="Times New Roman" size="4">monitored outside ambient air when humans live indoors more than 75 % of the time, </font></div><div><font face="Times New Roman" size="4">particularly when they are frail and approaching death. The studies then either do long </font></div><div><font face="Times New Roman" size="4">term death comparisons to air monitor data, to smooth out the effect of air pollution--or </font></div><div><font face="Times New Roman" size="4">they do something more outrageous—argue that air pollution causes acute toxicity that kills </font></div><div><font face="Times New Roman" size="4">within days. Neither methodology can pass the smell test. </font></div><div><font face="Times New Roman" size="4">Study methodologies and bigger computers cannot and will not be able to eliminate </font></div><div><font face="Times New Roman" size="4">important confounders in observational studies, or the problems of biological implausibility </font></div><div><font face="Times New Roman" size="4">of the minor current ambient air pollution causing acute deaths or chronic illness is </font></div><div><font face="Times New Roman" size="4">tenuous. The human organism is much more resilient and resistant than proposed by </font></div><div><font face="Times New Roman" size="4">CARB or the CARB studies. </font></div><div><font face="Times New Roman" size="4">Piling up “experts” who have authored these weak studies is not the answer to the question. </font></div><div><font face="Times New Roman" size="4">Following the rules and looking at the studies that refute the assertions of the studies that </font></div><div><font face="Times New Roman" size="4">claim death effects and health effects is the scientific way to address the question.</font></div><div><font face="Times New Roman" size="4">The proper answer is that the science is not settled, there are too many studies that show no </font></div><div><font face="Times New Roman" size="4">effect, and the small effects and small relative risks are proof of nothing in the context of </font></div><div><font face="Times New Roman" size="4">observational studies. CARB should be cautious. </font></div><div><font face="Times New Roman" size="4">4TIME AND GEOGRAPHIC CONSIDERATIONS ARE ESSENTIAL TO GOOD </font></div><div><font face="Times New Roman" size="4">ANALYSIS, AND CARB IGNORES THE KREWSKI, POPE AND ENSTROM NULL </font></div><div><font face="Times New Roman" size="4">EFFECTS. </font></div><div><font face="Times New Roman" size="4">There are two good examples in the studies relied on by CARB that show that ignoring </font></div><div><font face="Times New Roman" size="4">time and geography may create unreliable analysis. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The first is the study by <span style="background-color: rgb(255, 255, 102);">James <b>Enstrom </b>Ph.D., MPH (Inhalation Toxicology 2005)</span>, </font></div><div><font face="Times New Roman" size="4">referenced in the draft report on page 18, a robust and long term study of California </font></div><div><font face="Times New Roman" size="4">residents, that concludes there is<font color="#ff0000"> no death effect from small particulates in the levels found </font></font></div><div><font face="Times New Roman" color="#ff0000" size="4">in California air. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The second is the second half of the Pope ACS study and the Krewski map to determine the </font></div><div><font face="Times New Roman" size="4">implications of the null effect. When one removes the effect of the first half of the Pope </font></div><div><font face="Times New Roman" size="4">ACS study, the later half of the study would show essentially no health effect in California </font></div><div><font face="Times New Roman" size="4">from small particles. Pope’s second half data results confirms the Enstrom study. Now </font></div><div><font face="Times New Roman" size="4">CARB has two elephants in the room. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The Krewski map and the Health Effects Institute study of 2000 put a third and fourth </font></div><div><font face="Times New Roman" size="4">elephant in the CARB conference room. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">FALSIFIABILITY AND THE<span style="background-color: rgb(255, 255, 102);"> DANGERS OF “CONSENSUS” </span></font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">
</span></font></div><div><font face="Times New Roman" size="4">Karl Popper, the most highly respected philosopher of science of the 20th Century, was </font></div><div><font face="Times New Roman" size="4">favorably referenced by Justice Blackmun in the Daubert v Merrill Dow Opinion, [509 </font></div><div><font face="Times New Roman" size="4">U.S. 579 (1993)] that changed the rules for scientific evidence in United States courts. </font></div><div><font face="Times New Roman" size="4">Daubert assigned the role of scientific evidence and testimony gatekeeper to the presiding </font></div><div><font face="Times New Roman" size="4">judge, in order to reduce the chance of junk science in the court room. In 1994 the first </font></div><div><font face="Times New Roman" size="4">edition of the Reference Manual was published by the Judicial Center to educate judges on </font></div><div><font face="Times New Roman" size="4">their role of assessing scientific evidence and testimony for reliability. </font></div><div><font face="Times New Roman" size="4">That is even though the CARB is willing to ignore the small relative risk and small effects </font></div><div><font face="Times New Roman" size="4">shown by all the studies that the CARB report considers “key.” </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The Popper falsifiability test essentially means that a pile of studies supporting a premise is </font></div><div><font face="Times New Roman" size="4">trumped by one good study that disproves the premise. Falsifiability is a key to preventing </font></div><div><font face="Times New Roman" size="4">“consensus” fallacious thinking in science. CARB and its experts are victims of the </font></div><div><font face="Times New Roman" size="4">consensus and refuse to recognize the elephants in the room, the studies that say FALSE. </font></div><div><font face="Times New Roman" size="4">Dr. Enstrom should be given the courtesy of an invitation to sit with the CARB staff and </font></div><div><font face="Times New Roman" size="4">consultants and review his data set and the data sets of all the key studies. Moreover, the </font></div><div><font face="Times New Roman" size="4">Pope ACS study should be dissected for the second half data, and the Krewski map should </font></div><div><font face="Times New Roman" size="4">be better studied on the question of California effects. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">5 THE CARB PREMATURE DEATH NUMBERS—COMPUTER MAGIC? </font></div><div><font face="Times New Roman" size="4">As a physician I am not impressed at all by the observational studies relied on by CARB. </font></div><div><font face="Times New Roman" size="4">Death certificate matching to air pollution monitor information is an invitation to data </font></div><div><font face="Times New Roman" size="4">dredging. Death certificate associations with air pollution? A few micro grams of dust per </font></div><div><font face="Times New Roman" size="4">cubic meter of air kills?? This data exercise appears to be number crunchers with </font></div><div><font face="Times New Roman" size="4">computer power doing the association game, ignoring biological plausibility. </font></div><div><font face="Times New Roman" size="4">In 36 years as an emergency physician and family practitioner, I have not seen anyone die </font></div><div><font face="Times New Roman" size="4">of small particle or diesel fume toxicity. At best these irritants might cause some decline </font></div><div><font face="Times New Roman" size="4">in lung function or health, but death? </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4"> Sudden deaths from dust? See the CARB report at pages 34-38 for small particles and </font></div><div><font face="Times New Roman" size="4">diesel deaths and imagine thousands of people dying every year on the streets or in the </font></div><div><font face="Times New Roman" size="4">yards and fields of California. The CARB projections are an exotic numbers game done by </font></div><div><font face="Times New Roman" size="4">uploading data and making associations and projections with the hard drive humming and </font></div><div><font face="Times New Roman" size="4">fingers crossed. The real world is not on a hard drive and real people die in hospitals and </font></div><div><font face="Times New Roman" size="4">emergency departments, not on or in computer boxes on the desks of epidemiologists who </font></div><div><font face="Times New Roman" size="4">never owned a stethoscope. </font></div><div><font face="Times New Roman" size="4">People die over a long period of time from lung and cardiac ailments, as a general rule, </font></div><div><font face="Times New Roman" size="4">with a few acute deaths, not caused by air pollution. Recent efforts by the radical element </font></div><div><font face="Times New Roman" size="4">of the environmental medical fanatics to argue in journals that inflammatory mediators kill </font></div><div><font face="Times New Roman" size="4">people in the streets, caused by exposure to some benign and minor exposure to ambient air </font></div><div><font face="Times New Roman" size="4">pollution are fantastic and delusional. </font></div><div><font face="Times New Roman" size="4"> Any physician, familiar with the nature of lung and cardiac disease and the tenuous </font></div><div><font face="Times New Roman" size="4">relationship that can be constructed with dust-death has to smile that fanatics would be </font></div><div><font face="Times New Roman" size="4">willing to compromise their scientific backgrounds to make arguments for such </font></div><div><font face="Times New Roman" size="4">preposterous theories. It is silly for CARB and all its horsemen to claim that 10 or 20 </font></div><div><font face="Times New Roman" size="4">thousand people will die prematurely in California every year from minor air pollution </font></div><div><font face="Times New Roman" size="4">levels measured in millionths of a gram per cubic meter of air or predict that removal of a </font></div><div><font face="Times New Roman" size="4">few micrograms from the air will save lives. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">AN EXAMPLE OF IRRESPONSIBLE CARB SPONSORED RESEARCH </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">W. James Gauderman of the University of Southern California, and the<span style="background-color: rgb(255, 255, 102);"> Children’s Health </span></font></div><div><font face="Times New Roman" size="4" style="background-color: rgb(255, 255, 102);">Study (CHS) which is regularly and generously supported by CARB and other </font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">governmental agencies, </span>wrote in the January 26, 2007 issue of Lancet about traffic air </font></div><div><font face="Times New Roman" size="4">pollution effects on adolescents (Effect of exposure to traffic on lung development from 10 </font></div><div><font face="Times New Roman" size="4">to 18 years of age: a cohort study) asserting that they find a "significant" deleterious affect </font></div><div><font face="Times New Roman" size="4">proportionate to residential proximity for four groups living up to and beyond 1500 meters </font></div><div><font face="Times New Roman" size="4">from busy roadways. Sponsoring funding was from CARB, the U.S. EPA, and the </font></div><div><font face="Times New Roman" size="4">National Institute of Environmental Health Sciences (a Subdivision of NIH). CHS has </font></div><div><font face="Times New Roman" size="4">always enjoyed generous government funding. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">6This study was low power with a high drop out rate (3677 to 1497). The authors claimed </font></div><div><font face="Times New Roman" size="4">“significant” health effects results when the pulmonary function test (PFT) results were </font></div><div><font face="Times New Roman" size="4">2% less than predicted for the more than 1500 meter group and the rest of the group results </font></div><div><font face="Times New Roman" size="4">were clustered with no trend line. Any clinician knows that pulmonary function tests are </font></div><div><font face="Times New Roman" size="4">imprecise and that there is a 10 % range for results. Pulmonary function studies are </font></div><div><font face="Times New Roman" size="4">dependent on operator but also affected by subject effort. </font></div><div><font face="Times New Roman" size="4">The tables in the study showed a cluster of results in the groups with no trend, but there </font></div><div><font face="Times New Roman" size="4">was on 93% of expected outlier result in the mid-expiratory flow for the group at less than </font></div><div><font face="Times New Roman" size="4">500 meters. That is not a trend. There is no trend. Two points can make a slope, but do </font></div><div><font face="Times New Roman" size="4">not define a trend. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Most telling, however, is that the CHS study was chasing a phantom air pollution menace. </font></div><div><font face="Times New Roman" size="4">Yifang Zhu’s group from University of Southern California that included a faculty member </font></div><div><font face="Times New Roman" size="4">from Gauderman’s University of Southern California (Kim), published in 2002, five years </font></div><div><font face="Times New Roman" size="4">before, that air pollution from busy roadways rapidly decreases at 150 meters until it </font></div><div><font face="Times New Roman" size="4">becomes background at slightly more than 300 meters (Zhu references, 1,2,3 in the </font></div><div><font face="Times New Roman" size="4">appendix). The CHS group is studying what health effects from what pollution? </font></div><div><font face="Times New Roman" size="4">In summary, this University of Southern California prominent children’s air pollution study </font></div><div><font face="Times New Roman" size="4">group claims the following: </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">1. Pollution effects children who lived beyond the pollution from thoroughfares and </font></div><div><font face="Times New Roman" size="4">highways. </font></div><div><font face="Times New Roman" size="4">2. A health effect or toxicity trend line created by one outlier and a cluster of other </font></div><div><font face="Times New Roman" size="4">pulmonary function results. </font></div><div><font face="Times New Roman" size="4">3. Proof of an adverse health effect by results from pulmonary function testing that are </font></div><div><font face="Times New Roman" size="4">less than the range of sensitivity and specificity for tests performed. </font></div><div><font face="Times New Roman" size="4"> </font></div><div><font face="Times New Roman" size="4">Although the CHS group may defend themselves as passing the peer review test for </font></div><div><font face="Times New Roman" size="4">publication, that brings me back home to my original point about the CARB chosen </font></div><div><font face="Times New Roman" size="4">“experts” who do and support the same kinds of research as that done by the CHS group </font></div><div><font face="Times New Roman" size="4">because that is what they do—they do epidemiology in search of air pollution health </font></div><div><font face="Times New Roman" size="4">effects. </font></div><div><font face="Times New Roman" size="4">Isn’t it remarkable that at this point, after 20 years of improved air quality in America and </font></div><div><font face="Times New Roman" size="4">California, the CARB and its sponsored researchers are still trying to scare the public about </font></div><div><font face="Times New Roman" size="4">air quality? Claiming that thousands will die if something isn’t done immediately. </font></div><div><font face="Times New Roman" size="4">Forget the slipshod methodology of this study, the questionable findings, the unnecessary </font></div><div><font face="Times New Roman" size="4">scare tactics promoted by the media that publicizes the study. Ignore the economic </font></div><div><font face="Times New Roman" size="4">consequences of any new regulation based on the study, move the policy agenda of the </font></div><div><font face="Times New Roman" size="4">CARB forward, make the world spic and span, eliminate dust and pollutants at any cost. </font></div><div><font face="Times New Roman" size="4">Breathtaking what CARB will do to control the discussion and the research it will fund and </font></div><div><font face="Times New Roman" size="4">sponsor. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">7CONCLUSION </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">I challenge CARB to overturn or refute the findings of James Enstrom, the Pope/ACS </font></div><div><font face="Times New Roman" size="4">second half results, the Health Effects 2000 study, and the Krewski map, all of which show </font></div><div><font face="Times New Roman" size="4">no reason for aggressive California air regulations. I challenge the CARB to explain why </font></div><div><font face="Times New Roman" size="4">California has to be the only state that pursues diesel fumes and small particulates with no </font></div><div><font face="Times New Roman" size="4">regard for the strength of the health effects research and certainly no regard for the </font></div><div><font face="Times New Roman" size="4">economic consequences for an economy dependent on diesel engines. There is no good </font></div><div><font face="Times New Roman" size="4">reason at this time for another round of air pollution regulations focused on diesel and </font></div><div><font face="Times New Roman" size="4">small particles. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">ON A MORE PERSONAL AND DIRECT NOTE, I CHALLENGE DR. UTELL, WHO </font></div><div><font face="Times New Roman" size="4">WAS ENGAGED AS A CARB EXPERT, WHO IS WELL KNOWN NATIONALLY TO </font></div><div><font face="Times New Roman" size="4">BE A COMPETENT AND INSIGHTFUL RESEARCHER, TO SAY AND WRITE, ONE </font></div><div><font face="Times New Roman" size="4">WAY OR THE OTHER, IF HE THINKS CURRENT LEVELS OF AMBIENT AIR </font></div><div><font face="Times New Roman" size="4">POLLUTION, DIESEL FUMES, SMALL PARTICLES, OR ANY OTHER </font></div><div><font face="Times New Roman" size="4">POLLUTANT, KILL ANYONE, ANYTIME, ANYWHERE IN AMERICA. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">I know that Dr. Utell, like any good clinician/critical care specialist, could kee[ a patient </font></div><div><font face="Times New Roman" size="4">with three alveoli and a bronchus alive indefinitely and that he knows that toxicology is not </font></div><div><font face="Times New Roman" size="4">a desk and computer game. Epidemiology is out of control and producing junky studies of </font></div><div><font face="Times New Roman" size="4">all kinds to the detriment of policy makers in California and nationally. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">I can understand how fanatics with a career at stake, who have Ph.D.s in physics and public </font></div><div><font face="Times New Roman" size="4">health and economics and such can pretend that people actually die on the desk in a death </font></div><div><font face="Times New Roman" size="4">certificate, but my challenge is to the physicians of the epidemiology community—THE </font></div><div><font face="Times New Roman" size="4"><b>Jon Samets</b> and Mark Utells of the epidemiology community. Tell this benighted </font></div><div><font face="Times New Roman" size="4">emergency physician why we all should believe that non toxic ambient air pollution kills </font></div><div><font face="Times New Roman" size="4">people and the CARB can make claims of thousands of innocent Californians will die </font></div><div><font face="Times New Roman" size="4">prematurely because of diesel or dust in the air? </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">It appears that these studies are mischievous and deceptive and they will panic politicians </font></div><div><font face="Times New Roman" size="4">to do more to hurt the California economy for no real benefit to the citizens of California. </font></div><div><font face="Times New Roman" size="4">People do not die of air pollution in America. The bad old days of London and Pittsburg </font></div><div><font face="Times New Roman" size="4">dirty air are gone. Modern medicine would have saved those folks too because the last 50 </font></div><div><font face="Times New Roman" size="4">years have completely changed our ability to treat respiratory illness. Air quality in </font></div><div><font face="Times New Roman" size="4">California, the rest of America is benign and getting better all the time. CARB refuses to </font></div><div><font face="Times New Roman" size="4">tell the truth on that, instead focusing on the negative. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">The days of the killer smog and soot in America are gone. This<b> panic mongering</b> has to </font></div><div><font face="Times New Roman" size="4">stop and physicians in public health research have a professional duty to shut up the </font></div><div><font face="Times New Roman" size="4">chicken littles. Regulatory and economic burdens of new CARB regimes of air quality </font></div><div><font face="Times New Roman" size="4">controls, chasing after small particles and diesel exhaust, will jeopardize the economic well </font></div><div><font face="Times New Roman" size="4">being of the state of California and its residents. It is well known in public health </font></div><div><font face="Times New Roman" size="4">epidemiology that poverty is an independent predictor of premature deaths. Will CARB </font></div><div><font face="Times New Roman" size="4">8be responsible for those deaths created by lost jobs and other economic hardships? Those </font></div><div><font face="Times New Roman" size="4">will be real deaths, not the desk top toxin deaths predicted by the CARB. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Respectfully submitted, </font></div><div><font face="Times New Roman" size="4">John Dale Dunn MD JD </font></div><div><font face="Times New Roman" size="4">Civilian Faculty, Emergency Medicine Carl R. Darnall Army Medical Center </font></div><div><font face="Times New Roman" size="4">Fort Hood, Texas </font></div><div><font face="Times New Roman" size="4">Policy advisor Heartland Institute, Chicago, </font></div><div><font face="Times New Roman" size="4">Policy advisor American Council on Science and Health, NYC </font></div><div><font face="Times New Roman" size="4">CARB Report selected references discussed.</font></div><div><font face="Times New Roman" size="4"> </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">Enstrom, J.E. Fine Particulate Air Pollution and Total Mortality Among elderly </font></div><div><font face="Times New Roman" style="background-color: rgb(255, 255, 102);" size="4">Californians, 1973–2002; Inhal. Toxicol. (2005), 17, 803-816. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">*Krewski, D.; Burnett, R.T.; Goldberg, M.S.; Hoover, K.; Siemiatycki, J.; Jerrett, M.; </font></div><div><font face="Times New Roman" size="4">Abrahamowicz, M.; White, W.H. Reanalysis of the Harvard Six Cities Study and the </font></div><div><font face="Times New Roman" size="4">American Cancer Society Study of Particulate Air Pollution and Mortality. Special </font></div><div><font face="Times New Roman" size="4">Report; Health Effects Institute: Cambridge MA, (2000). </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Pope, C.A., III; Thun, M.J.; Namboodiri, M.M.; Dockery, D.W.; Evans, J.S.; Speizer, </font></div><div><font face="Times New Roman" size="4">F.E.; Heath, J.C.W. Particulate Air Pollution as a Predictor of Mortality in a Prospective </font></div><div><font face="Times New Roman" size="4">Study of U.S. Adults; Am. J. Respir. Crit. Care. Med. (1995), 151, 669-674. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Pope, C.A.; III; Burnett, R.T.; Thun, M.J.; Calle, E.E.; Krewski, D.; Ito, K.; Thurston, G.D. </font></div><div><font face="Times New Roman" size="4">Lung Cancer, Cardiopulmonary Mortality, and Long-Term Exposure to Fine Particulate </font></div><div><font face="Times New Roman" size="4">Air Pollution; J. Am. Med. Assoc. (2002), 287, 1132-1141. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Samet, J. M.; F. Dominici, et al.; The National Morbidity, Mortality, and Air Pollution </font></div><div><font face="Times New Roman" size="4">Study Part I: Methods and Methodologic Issues. Research Report 94, </font></div><div><font face="Times New Roman" size="4"><span style="background-color: rgb(255, 255, 102);">Health Effects Institute, Boston,</span> MA. (2000a). </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Samet, J. M.; S. L. Zeger, et al.; The National Morbidity, Mortality, and Air Pollution </font></div><div><font face="Times New Roman" size="4">Study Part II: Morbidity and Mortality from Air Pollution in the United States. Research </font></div><div><font face="Times New Roman" size="4">Report 94, Health Effects Institute, Boston, MA. (2000b). </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">Zhu references discussed in relation to the Gauderman group study on major thoroughfares.</font></div><div><font face="Times New Roman" size="4">1. Zhu, Y, Hinds WC Seongheon K et. al. Study of ultrafine particles near a major highway </font></div><div><font face="Times New Roman" size="4">with heavy-duty diesel traffic. Atomospheric Environment 2002; 36: 4325-35. </font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">2. Zhu Y, Hinds WC, Seongheon K, et. al. Concentration and size distribution of ultrafine </font></div><div><font face="Times New Roman" size="4">particles near a major highway. Journal of Air & Waste Management 2002; 52: 1032-42. </font></div><div><font face="Times New Roman" size="4">3. Zhu Y, Kuhn T, Mayo P, et. al. Comparison of Daytime and nighttime concentration </font></div><div><font face="Times New Roman" size="4">profiles and size distribution of ultrafine particles near a major highway Environmental </font></div><div><font face="Times New Roman" size="4">910</font></div><div><font face="Times New Roman" size="4">Science & Technology 2006; 40: 2531-36. </font></div></div><div><font face="Times New Roman" size="4">=</font></div></div></div></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">
</font></div><div><font face="Times New Roman" size="4">=</font></div><div><font face="Times New Roman" size="4">ggle 9/14</font></div><div><font face="Times New Roman" size="4">
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Consultant Emergency Services, Peer Review. Mediator. <span style="font-weight: bold;">401 Rocky Hill Road</span>. <span style="font-weight: bold;">Lake Brownwood</span>, <span style="font-weight: bold;">Texas</span> 76.</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman">2011? cites samet 2000</font></span></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">confusion. It should be considered the Safe Air Act, since there is no way with </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">any technology that we can make the air clean. The Act is intended to mitigate air </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">pollutants that harm humans not just make everybody happy that we are reducing </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">pollution. Pollution will always be in the air. </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">Another CASAC member said that studies that show no death effect from air </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">pollution are a “red herring,” but again that is not so. Jon Samet’s research that </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">shows no death effect from ozone is right on point, not a red herring. Premature </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">deaths is probably a poor end point on air pollution research, but it is the only one </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">available and used customarily by the researchers, so studies that show “minor </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">associations” (no death effect) are relevant. Studies that show small effects below </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">the threshold for proof are just that, not proof of anything. EPA studies used to </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">justify regulations seldom if ever provide proof of anything, as defined in the </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">Federal Reference Manual Chapter on Epidemiology and no further regulations </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">should be implemented until the studies meet these standards, at a minimum. </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">The CASAC knows these small effects studies are not proof of morbidity or </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">mortality in observational population studies, and could be effects from </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">confounders, or unknown co factors or data dredging for more a positive result. </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">Why would researches do this? Simply for the publication and funding. Showing </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">potential premature mortality is today’s trigger for additional funding. This </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">funding is the only driving force left for researchers as we have cleaned up the </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">real hazards to health and without new “phantom menaces” to scare the public, </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">funding for research in this market ceases to be needed. </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><b><font size="4" face="Times New Roman">There is no disease caused by ozone, and no valid evidence of any premature </font></b></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman"><b>death effect. </b>High inspired(I cannot figure out what is meant by “high inspired”) </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">ozone studies show variable pulmonary function effects that are extremely small, </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">and reversible. That’s not disease that meets the requirement of the CAA. Ozone </font></a></div><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">regs appear at this point to be arbitrary and unreasonable. ...</font></a></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman"><span class="st" style="line-height: 1.4; word-wrap: break-word;">...</span>The Clean Air Act was misnamed and that has resulted in even CASAC member </font></a></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="rc" data-hveid="69" style="position: relative;"><h3 class="r" style="font-weight: normal; margin: 0px; padding: 0px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:EsN7vnoKwZAJ:yosemite.epa.gov/sab/sabproduct.nsf/CA3B1F5A09B441A385257847004E226C/%24File/dunn%2Bcasac%2Boral%2Bpresentation%2Bfinal%2Bwo%2Bemail.pdf+&cd=4&hl=en&ct=clnk&gl=us" style="text-decoration: none; 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border-width: 4px 4px 0px; width: 0px; height: 0px; top: 8.5px; position: absolute; margin-left: 6px; margin-top: -3px; border-color: rgb(170, 170, 170) transparent !important;" /></a></div></div></div><div class="f slp" style="color: rgb(128, 128, 128);"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:SBfofODPlpkJ:yosemite.epa.gov/sab/sabproduct.nsf/59ECE02DD0037AEA8525783100675EC3/%24File/Dunn%2BComments%2BVersion%2B2.pdf+&cd=5&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman">Admitted but inactive, <span style="font-weight: bold;">Texas</span> and Louisiana Bars. Consultant Emergency Services, Peer Review. Mediator. <span style="font-weight: bold;">401 Rocky Hill Road</span>. <span style="font-weight: bold;">Lake Brownwood</span>, <span style="font-weight: bold;">Texas</span> 76801.</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="rc" data-hveid="77" style="position: relative;"><h3 class="r" style="font-weight: normal; margin: 0px; padding: 0px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:SBfofODPlpkJ:yosemite.epa.gov/sab/sabproduct.nsf/59ECE02DD0037AEA8525783100675EC3/%24File/Dunn%2BComments%2BVersion%2B2.pdf+&cd=5&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="ogd b w xsm" style="color: rgb(26, 13, 171); font-weight: bold; cursor: auto; margin: 0px 3px 0px 0px; float: left;"><font size="4" face="Times New Roman">[PDF]</font></span></a><a href="http://www.kslegislature.org/li/b2011_12/committees/misc/ctte_h_fed_st_1_20120312_21_other.pdf" style="color: rgb(102, 0, 153); cursor: pointer; text-decoration: none;"><font size="4" face="Times New Roman">John Dale Dunn MD JD</font></a></h3><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><div class="f kv _SWb" style="color: rgb(128, 128, 128); height: 17px; line-height: 16px; white-space: nowrap;"><font size="4" face="Times New Roman"><cite class="Rm" style="color: rgb(0, 102, 33); font-style: normal;">www.kslegislature.org/.../ctte_h_fed_st_1_20120312...</cite></font><div class="action-menu ab_ctl" style="display: inline; position: relative; margin: 0px 3px; vertical-align: middle; -webkit-user-select: none;"><font size="4" face="Times New Roman"><a class="Fmb ab_button" href="https://www.google.com/search?q=401+Rocky+Hill+Road+Lake+Brownwood%2C+Texas&oq=401+Rocky+Hill+Road+Lake+Brownwood%2C+Texas&aqs=chrome..69i57.2032j0j4&sourceid=chrome&es_sm=122&ie=UTF-8#" id="am-b5" aria-label="Result details" aria-expanded="false" aria-haspopup="true" role="button" jsaction="ab.tdd;keydown:ab.hbke;keypress:ab.mskpe" data-ved="0CE8Q7B0wBQ" style="border-radius: 0px; 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color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;">Kansas Legislature<span class="Bs" style="border-style: solid; border-width: 4px 4px 0px; width: 0px; height: 0px; top: 8.5px; position: absolute; margin-left: 6px; margin-top: -3px; border-color: rgb(170, 170, 170) transparent !important;" /></a></div></div></div><div class="f slp" style="color: rgb(128, 128, 128);"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:lP1Ylq0RvWAJ:www.kslegislature.org/li/b2011_12/committees/misc/ctte_h_fed_st_1_20120312_21_other.pdf+&cd=6&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman">Diplomate ABEM, ABLM. Admitted but inactive, Texas and Louisiana Bars ... <span style="font-weight: bold;">401 Rocky Hill Road</span> ' <span style="font-weight: bold;">Lake Brownwood</span>, <span style="font-weight: bold;">Texas</span> 76801. Phone 325 784-6697.</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:lP1Ylq0RvWAJ:www.kslegislature.org/li/b2011_12/committees/misc/ctte_h_fed_st_1_20120312_21_other.pdf+&cd=6&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman">
</font></span></a></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:lP1Ylq0RvWAJ:www.kslegislature.org/li/b2011_12/committees/misc/ctte_h_fed_st_1_20120312_21_other.pdf+&cd=6&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman">3/12, cites enstrom and dusputes "anti  smoking lobby" on ETS Ohio?</font></span></a></div></li><li class="g" style="margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><div class="s" style="max-width: 42em;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:lP1Ylq0RvWAJ:www.kslegislature.org/li/b2011_12/committees/misc/ctte_h_fed_st_1_20120312_21_other.pdf+&cd=6&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="word-wrap: break-word; line-height: 14.5600004196167px;"><font color="#545454" size="4" face="Times New Roman">http://www.kslegislature.org/li_2012/b2011_12/committees/misc/ctte_h_fed_st_1_20120312_21_other.pdf</font></span></a></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; 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text-decoration: none;"><font size="4" face="Times New Roman">John Dale Dunn MD JD - Stopthebans.com</font></a></h3><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><div class="f kv SWb" style="color: rgb(128, 128, 128); height: 17px; line-height: 16px; white-space: nowrap;"><font size="4" face="Times New Roman"><cite class="Rm" style="color: rgb(0, 102, 33); font-style: normal;">www.stopthebans.com/.../drjohndunntocoloradopoliticians.doc</cite></font><div class="action-menu ab_ctl" style="display: inline; position: relative; margin: 0px 3px; vertical-align: middle; -webkit-user-select: none;"><font size="4" face="Times New Roman"><a class="_Fmb ab_button" href="https://www.google.com/search?q=401+Rocky+Hill+Road+Lake+Brownwood%2C+Texas&oq=401+Rocky+Hill+Road+Lake+Brownwood%2C+Texas&aqs=chrome..69i57.2032j0j4&sourceid=chrome&es_sm=122&ie=UTF-8#" id="am-b6" aria-label="Result details" aria-expanded="false" aria-haspopup="true" role="button" jsaction="ab.tdd;keydown:ab.hbke;keypress:ab.mskpe" data-ved="0CFcQ7B0wBg" style="border-radius: 0px; 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color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;" /></font></font></font></font></font></font></font></font></font></font></font></font></font></li><li class="action-menu-item ab_dropdownitem" role="menuitem" data-type="share" style="margin: 0px; padding: 0px; border: 0px; line-height: 1.2; list-style: none; -webkit-user-select: none; cursor: pointer;"><div class="action-menu-button" role="menuitem" tabindex="-1" jsaction="am.itemclk" data-ved="0CFoQ5hkwBg" style="color: rgb(51, 51, 51); padding: 7px 18px; outline: 0px;" /></li></ul></div></div></div><div class="f slp" style="color: rgb(128, 128, 128);"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:ssCtiG0H4QAJ:www.stopthebans.com/sitebuildercontent/sitebuilderfiles/drjohndunntocoloradopoliticians.doc+&cd=7&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman"><span class="f" style="color: rgb(128, 128, 128);">Jan 18, 2010 - </span>Diplomate ABEM, ABLM. Admitted but inactive, Texas and Louisiana Bars ... <span style="font-weight: bold;">401 Rocky Hill Road Lake Brownwood</span>, <span style="font-weight: bold;">Texas</span> 76801. Phone 325 ...</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><font size="4" face="Times New Roman">....<span style="color: rgb(0, 0, 0); orphans: 2; widows: 2; line-height: 1.2;">1-18-10</span>

</font><p style="margin-right: 0.5in; margin-bottom: 0in; widows: 2; orphans: 2;">

<font size="4" face="Times New Roman"><font color="#000000">Dear

Colorado Office Holder, </font>

</font>

</font>

<font color="#000000"><font size="4" face="Times New Roman">I am a

Texas physician, but previously a physician in Nebraska—Buffalo

football fans, please don’t hold it against me on this political

discussion.</font></font>

</font>

<font size="4" face="Times New Roman"><font color="#000000">I have been

a physician 38 years and I was a public health official for 10 years.

I practice emergency medicine and have for 36 years. I am familiar

with the public health science on second hand smoke. I can say with

confidence that second hand smoke may irritate some, but it does not

kill anyone, anytime. Those claiming thousands of deaths from second

hand smoke to the public are deceitful, so they can pursue their

political goal to eliminate smoking. </font>

</font>

</font>

<font size="4" face="Times New Roman"><font color="#000000">Public

Health Studies cited by the Cancer Society and the Surgeon General

that claim thousands of deaths from second hand smoke are weak,

cherry-picked studies. Their supporters compound their perfidy by

ignoring studies by the World Health Organization (Buffetta 1998 in

the </font><font color="#000000"><i>Journal

of the National Cancer Institute</i></font><font color="#000000">),

Stranges, 2006 in </font><font color="#000000"><i>Archives

of Internal Medicine </i></font><font color="#000000">and

Enstrom 2003 in </font><font color="#000000"><i>The

British Medical Journal, </i></font><font color="#000000">that

show no second hand smoke effect....  </font>

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See reviews ... <span style="font-weight: bold;">401 Rocky Hill RdBrownwood</span>, <span style="font-weight: bold;">TX</span> 76801 ... BSG-<span style="font-weight: bold;">Lake</span> Clinic.</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 23px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="rc" data-hveid="105" style="position: relative;"><h3 class="r" style="font-weight: normal; margin: 0px; padding: 0px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap;"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.yellowpages.com/brownwood-tx/doctors+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CGQQHzAH" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="ogd b w xsm" style="color: rgb(26, 13, 171); font-weight: bold; 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color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;">The Heartland Institute<span class="Bs" style="border-style: solid; border-width: 4px 4px 0px; width: 0px; height: 0px; top: 8.5px; position: absolute; margin-left: 6px; margin-top: -3px; border-color: rgb(170, 170, 170) transparent !important;" /></a></div></div></div><div class="f slp" style="color: rgb(128, 128, 128);"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:pOSeP7N_1SoJ:heartland.org/sites/all/modules/custom/heartland_migration/files/pdfs/23398.pdf+&cd=9&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman">Carl R. Darnall Army Medical Center, Fort Hood, <span style="font-weight: bold;">Texas</span>. <span style="font-weight: bold;">401 Rocky Hill Road</span>. <span style="font-weight: bold;">Lake Brownwood</span>, <span style="font-weight: bold;">Texas</span> 76801. Phone 325 784-6697 cell 642-5073. Fax 325 ...</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none;"><div class="rc" data-hveid="113" style="position: relative;"><h3 class="r" style="font-weight: normal; margin: 0px; padding: 0px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap;"><a class="fl" href="http://webcache.googleusercontent.com/search?q=cache:pOSeP7N_1SoJ:heartland.org/sites/all/modules/custom/heartland_migration/files/pdfs/23398.pdf+&cd=9&hl=en&ct=clnk&gl=us" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px; background-color: rgb(255, 255, 255);"><span class="ogd b w xsm" style="color: rgb(26, 13, 171); font-weight: bold; cursor: auto; margin: 0px 3px 0px 0px; float: left;"><font size="4" face="Times New Roman">[PDF]</font></span></a><a href="http://www.scientificintegrityinstitute.org/Dunn060911.pdf" style="color: rgb(102, 0, 153); cursor: pointer; text-decoration: none;"><font size="4" face="Times New Roman"><span style="background-color: rgb(255, 255, 255);">John Dale Dunn MD JD - </span><span style="background-color: rgb(255, 255, 102);">Scientific Integrity Institute</span></font></a></h3><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px; background-color: rgb(255, 255, 255);"><div class="f kv _SWb" style="color: rgb(128, 128, 128); height: 17px; line-height: 16px; white-space: nowrap;"><font size="4" face="Times New Roman"><cite class="Rm" style="color: rgb(0, 102, 33); font-style: normal;">www.scientificintegrityinstitute.org/Dunn060911.pdf</cite></font><div class="action-menu ab_ctl" style="display: inline; position: relative; margin: 0px 3px; vertical-align: middle; -webkit-user-select: none;"><font size="4" face="Times New Roman"><a class="_Fmb ab_button" href="https://www.google.com/search?q=401+Rocky+Hill+Road+Lake+Brownwood%2C+Texas&oq=401+Rocky+Hill+Road+Lake+Brownwood%2C+Texas&aqs=chrome..69i57.2032j0j4&sourceid=chrome&es_sm=122&ie=UTF-8#" id="am-b9" aria-label="Result details" aria-expanded="false" aria-haspopup="true" role="button" jsaction="ab.tdd;keydown:ab.hbke;keypress:ab.mskpe" data-ved="0CHMQ7B0wCQ" style="border-radius: 0px; 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padding: 7px 18px; outline: 0px;" /></li></ul></div></div></div><div class="f slp" style="color: rgb(128, 128, 128);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman"><span class="f" style="color: rgb(128, 128, 128);">Jun 8, 2011 - </span><span style="font-weight: bold;">401 Rocky Hill Road</span>. <span style="font-weight: bold;">Lake Brownwood</span>, <span style="font-weight: bold;">Texas</span> 76801. Phone 325 784-6697. Fax 325 784-7567, call first. E-mail jddmdjd@web-access.net.</font></span></a></div></div></div></li><li class="g" style="color: rgb(34, 34, 34); margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; line-height: 1.2; list-style: none; background-color: rgb(255, 255, 255);"><div class="s" style="max-width: 42em; color: rgb(84, 84, 84); line-height: 18px;"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><span class="st" style="line-height: 1.4; word-wrap: break-word;"><font size="4" face="Times New Roman" /><div class="s" style="max-width: 42em; line-height: 18px;"><font size="4" face="Times New Roman"><font size="4" face="Times New Roman"><font size="4" face="Times New Roman"><font size="4" face="Times New Roman"><font size="4" face="Times New Roman"><font size="4" face="Times New Roman"><font size="4" face="Times New Roman">June 8, 2011</font></font></font></font></font></font></font></div><div class="s" style="max-width: 42em; line-height: 18px;">Research Screening Committee Members</div><div class="s" style="max-width: 42em; line-height: 18px;">California Air Resources Board</div><div class="s" style="max-width: 42em; line-height: 18px;">1001 I Street</div><div class="s" style="max-width: 42em; line-height: 18px;">P.O. Box 2815</div><div class="s" style="max-width: 42em; line-height: 18px;">Sacramento, CA 95812</div><div class="s" style="max-width: 42em; line-height: 18px;">RE: Draft report for the contract No. 06-332 “Spatiotemporal Analysis of Air Pollution and Mortality in </div><div class="s" style="max-width: 42em; line-height: 18px;">California Based on the American Cancer Society Cohort”</div></span></a></div></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman"><span class="st" style="color: rgb(34, 34, 34); line-height: 1.4; word-wrap: break-word;">...</span><font color="#222222"><span style="line-height: 14.5600004196167px;"> few points for your consideration: ,</span></font></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">1. The Jarrett study, if intended to show small particles kill, came a cropper (that means it failed, folks), </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">since it fails in every effort to find significant evidence that small particles kill Californians. In fact it </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">shows what we all knew, that Californians are not dying from small particles. All of the studies showed </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">effects with a confidence interval that crossed or included 1.0. As Bugs Bunny would say—that’s all </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">folks! You have nothing to hang your hat on and approval of this study will show your lack of good </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">faith.</span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">2. All 9 modeling exercises, intended to dredge for proof to support CARB had no effects that escaped the </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">confidence interval that made them mean nothing—NOTHING. The studies showed the confidence</span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">intervals meeting or crossing 1.0, confirming that there is of NO EFFECT of small particles on </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">premature death in California from small particles of 2.5 microns or less. </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">3. When the 9 studies offered by the Jarrett study show no effect, any CARB decision to pursue the Small </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">Particle regulations would not only violate a committee public duty to pursue policies that are based on </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">sound science, I WOULD ARGUE THAT SUCH A DECISION BY CARB WOULD INDICATE </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">COMPLICITY BY THE COMMITTEE AND BY CARB LEADERSHIP IN A FRAUD, A </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">FRAUDULENT STUDY PAID FOR BY THE BELEAGURED TAXPAYERS OF CALIFORNIA</span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">WHO COULD HAVE BEEN SPARED THE THREE QUARTERS OF A MILLION DOLLARS </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">WASTED ON THE STUDY.</span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">4. I would remind the review committee that complicity in a fraud exposes individuals, either in their </span></font></a></div><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">official or their individual capacities as<b> parties to misuse of taxpayer funds.</b></span></font></a></div></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">
</span></font></a></div></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">=</span></font></a></div></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font size="4" face="Times New Roman">
</font></a></div></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" face="Times New Roman" size="4"><span style="line-height: 14.5600004196167px;"><div>Spatiotemporal Analysis of Air Pollution </div><div>and Mortality in California Based on the </div><div>American Cancer Society Cohort: Final Report Principal Investigator: </div><div>Michael Jerrett, PhD </div><div>Co-Investigators: </div><div>Richard T. Burnett, PhD </div><div>Arden Pope III, PhD </div><div>Daniel Krewski, Ph</div></span></font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);" /><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">Cardiovascular disease (CVD) deaths, especially those from ischemic heart disease </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">(IHD), are consistently and robustly associated with measures of fine particulate and </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">traffic-related air pollution. The effects on CVD and IHD in California are virtually </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">identical to those of the national ACS study (see Abstract Table 1). ..</font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);" /><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">2. All-cause mortality is significantly associated with PM2.5 exposure, but the results are </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">sensitive to statistical model specification and to the exposure model used to generate the </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">estimates. When we applied control for residence in the largest urban conurbations, and </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">we employed the land use regression (LUR) model, we found significantly elevated </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">effects on all cause mortality. The effect sizes are the same as those in the national study </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">(see Abstract Table 1 for a comparison). We observed effects that were of similar size, </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font face="Times New Roman" size="4">but of borderline significance when using other exposure models. </font></a></li><li class="g" style="margin: 0px 0px 16px; padding: 0px; border: 0px; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; list-style: none; background-color: rgb(255, 255, 255);"><div><a class="fl" href="https://www.google.com/search?es_sm=122&q=related:www.scientificintegrityinstitute.org/Dunn060911.pdf+401+Rocky+Hill+Road+Lake+Brownwood,+Texas&tbo=1&sa=X&ei=AXoTVImxKoi_8QHuyYCQBA&ved=0CHYQHzAJ" style="text-decoration: none; color: rgb(51, 51, 51); cursor: pointer; display: block; padding: 7px 18px; outline: 0px;"><font color="#222222" size="4" face="Times New Roman"><span style="line-height: 14.5600004196167px;">
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dunn, jd md

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