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Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
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Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
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Page 118
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
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Page 119
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
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Page 120
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
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Page 121
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
×
Page 122
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
×
Page 123
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
×
Page 124
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
×
Page 125
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2014. Health Impact Assessment of Shale Gas Extraction: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18376.
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Page 126

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A Agenda WORKSHOP ON THE HEALTH IMPACT ASSESSMENT OF NEW ENERGY SOURCES: SHALE GAS EXTRACTION Sponsored by Roundtable on Environmental Health Sciences, Research, and Medicine April 30–May 1, 2012 House of Sweden 2900 K Street NW, Washington, DC Workshop Goals and Objectives 1. Use shale gas extraction to explore the health impacts of emerging energy technologies. 2. Application of health impact assessments to identify ways to mitigate adverse health effects; state of the science. 3. Identify direct and indirect health risks and solutions from a cradle- to-grave approach. Draw from analogous conditions when data are incomplete. 4. Identify vulnerable populations and stakeholders. 5. Describe research questions, data sources, data gaps, and how to address uncertainty. Identify opportunities to draw from insights from similar and well-characterized operations conducted in different regions of the country or world. 6. Discuss next steps for stakeholders. 117

118 HEALTH IMPACT ASSESSMENT OF SHALE GAS EXTRACTION Day 1—April 30 8:00 a.m. Welcome Harvey V. Fineberg, M.D., Ph.D. President, Institute of Medicine 8:10 a.m. Opening Lynn R. Goldman, M.D., M.P.H. Vice Chair, Roundtable on Environmental Health Sciences, Research, and Medicine Dean, School of Public Health, George Washington University 8:20 a.m. Charge of the Workshop Christopher J. Portier, Ph.D. Director, National Center for Environmental Health and Agency for Toxic Substances and Disease Registry Centers for Disease Control and Prevention 8:35 a.m. Hydraulic Fracturing: Accessing Shale and Tight Gas David Cole, M.S. Regional Discipline Leader—Production Technology/Chemistry Shell Upstream Americas 8:55 a.m. Health Impact Assessment for Shale Gas Extraction Aaron Wernham, M.D., M.S. Project Director, Health Impact Project Pew Charitable Trusts 9:15 a.m. Discussion Moderator: Lynn R. Goldman, M.D., M.P.H. 9:35 a.m. BREAK

APPENDIX A 119 9:50 a.m. Setting the Stage for Health: Why Fracking, Why Now?: Identifying Key Issues That Are Unique and Potential Priorities Linda A. McCauley, Ph.D., R.N., FAAN, FAAOHN Dean, Nell Hodgson Woodruff School of Nursing Emory University 10:10 a.m. The Geographic Footprint Michael Focazio, Ph.D. Assistant Program Coordinator Toxic Substances Hydrology Program U.S. Geological Survey 10:30 a.m. Assessing the Perceived and Real Environmental Consequences of Shale Gas Development Charles G. Groat, Ph.D. John A. and Katherine G. Jackson Chair in Energy and Mineral Resources Department of Geological Sciences Professor of Geological Sciences and Public Affairs Lyndon B. Johnson School of Public Affairs The University of Texas at Austin 10:50 a.m. Discussion Moderator: Anne M. Sweeney, Ph.D. Professor, Department of Epidemiology and Biostatistics School of Rural Public Health Texas A&M University 11:20 a.m. NIOSH Field Effort to Assess Chemical Exposures in Oil and Gas Workers Eric J. Esswein, M.S.P.H. Senior Industrial Hygienist National Institute for Occupational Safety and Health Centers for Disease Control and Prevention 11:40 a.m. Discussion Moderator: Linda A. McCauley, Ph.D., R.N., FAAN, FAAOHN

120 HEALTH IMPACT ASSESSMENT OF SHALE GAS EXTRACTION 12:05 p.m. LUNCH BREAK 1:00 p.m. Community Impacts of Natural Gas Development and Human Health Roxana Witter, M.D., M.S.P.H., M.S. Assistant Research Professor Environmental and Occupational Health Colorado School of Public Health 1:20 p.m. Economic and Community Impacts of Gas Shale in Pennsylvania Timothy Kelsey, Ph.D. Professor of Agricultural Economics State Program Leader, Economic & Community Development The Pennsylvania State University 1:40 p.m. Discussion Moderator: Linda A. McCauley, Ph.D., R.N., FAAN 2:00 p.m. Potential Air Quality Impacts of the Development and Production of Marcellus Shale Gas Allen Robinson, Ph.D. Professor, Mechanical Engineering, and Engineering and Public Policy Carnegie Mellon University 2:20 p.m. Air Quality Impacts of Natural Gas Operations in Texas Michael Honeycutt, Ph.D. Toxicology Division Director Texas Commission on Environmental Quality 2:40 p.m. Air Pollution Exposure and Risk Near Unconventional Natural Gas Drill Sites: An Example in Garfield County, Colorado John Adgate, Ph.D., M.S.P.H. Professor and Chair, Department of Environmental & Occupational Health Colorado School of Public Health

APPENDIX A 121 3:00 p.m. Air Respondent Bernard D. Goldstein, M.D. Professor Emeritus, Department of Environmental and Occupational Health, Graduate School of Public Health University of Pittsburgh 3:05 p.m. Discussion Moderator: Richard A. Fenske, Ph.D., M.P.H. Associate Chair and Professor Department of Environmental and Occupational Health Sciences, School of Public Health University of Washington 3:35 p.m. BREAK 3:50 p.m. Potential Impacts of Hydraulic Fracturing on Water Resources Deborah L. Swackhamer, Ph.D., M.S. Professor, Co-Director of the Water Resources Center Division of Environmental Health Sciences University of Minnesota School of Public Health 4:10 p.m. Hydraulic Fracturing, Water Resources, and Human Health Robert B. Jackson, Ph.D., M.S. Nicholas Chair of Global Environmental Change Nicholas School of the Environment Professor, Department of Biology Duke University 4:30 p.m. EPA Study Plan on the Potential Impacts of Hydraulic Fracturing on Drinking Water Resources: Approach to Study Potential Health Impacts Jennifer Orme-Zavaleta, Ph.D. Director, National Exposure Research Laboratory Office of Research and Development U.S. Environmental Protection Agency

122 HEALTH IMPACT ASSESSMENT OF SHALE GAS EXTRACTION 4:50 p.m. Discussion Moderator: James K. Bartram, Ph.D. Professor of Environmental Sciences and Engineering Director of the Water Institute Gillings School of Global Public Health University of North Carolina at Chapel Hill 5:20 p.m. ADJOURN FOR THE DAY Day 2—May 1, 2012 8:00 a.m. Welcome Back Lynn R. Goldman, M.D., M.P.H. 8:15 a.m. Sustainable Energy for All? Steven Hamburg, Ph.D., M.F.S. Chief Scientist, Environmental Defense Fund 8:35 a.m. Sustainable Energy for All: Ensuring Health Throughout the Energy Production and Use Life Cycle Daniel S. Greenbaum, M.S. President, Health Effects Institute 8:55 a.m. Discussion 9:20 a.m. Panel I: Research Community Each panelist will give a 5-minute presentation followed by discussion. Assessment of the Science and Next Steps  What evidence links adverse health effects and hydraulic fracturing?  What can be done to minimize adverse health effects as the technology evolves (e.g., best practices)?  Where is there uncertainty (appropriate metrics)?  What are the next steps for stakeholders?

APPENDIX A 123 Moderator: Richard J. Jackson, M.D., M.P.H. Professor and Chair, Department of Environmental Health Sciences, School of Public Health University of California, Los Angeles David Carey, Ph.D. Director, Weis Center for Research Geisinger Health Center Rob Donnelly, M.B.Ch.B., MFOM Vice President of Health Royal Dutch Shell Bernard D. Goldstein, M.D. Professor Emeritus, Department of Environmental and Occupational Health, Graduate School of Public Health University of Pittsburgh Roxana Witter, M.D., M.S.P.H. Assistant Research Professor Environmental and Occupational Health Colorado School of Public Health 10:00 a.m. Discussion 10:30 a.m. BREAK 10:50 a.m. Environmental Health and Hydraulic Fracturing Bob Perciasepe, M.Pl., M.P.A. Deputy Administrator U.S. Environmental Protection Agency 11:05 a.m. Discussion 11:15 a.m. Panel II: Federal Representatives Each panelist will give a 5-minute presentation followed by discussion.

124 HEALTH IMPACT ASSESSMENT OF SHALE GAS EXTRACTION Identification of Key Research and Regulatory Needs  From your agency’s perspective, what do you see as clear opportunities for action?  What is your agency’s critical advantage for addressing questions about shale gas extraction?  What makes shale gas extraction unique? What are opportunities to draw from insights from similar and well-characterized operations conducted in different regions of the country or world?  How can local, state, and federal institutions coordinate to make efficient progress?  Are there other partners that can help advance our knowledge? Moderator: George M. Gray, Ph.D. Professor, Department of Environmental and Occupational Health Director, Center for Risk Science and Public Health School of Public Health and Health Services The George Washington University John M. Balbus, M.D., M.P.H. Senior Advisor for Public Health National Institute of Environmental Health Sciences National Institutes of Health Suzette M. Kimball, Ph.D. Associate Director for Geology, U.S. Geological Survey U.S. Department of the Interior David M. Michaels, Ph.D., M.P.H. Assistant Secretary of Labor Occupational Safety and Health Administration U.S. Department of Labor Christopher J. Portier, Ph.D. Director, National Center for Environmental Health and Agency for Toxic Substances and Disease Registry Centers for Disease Control and Prevention

APPENDIX A 125 12:00 p.m. Discussion 12:30 p.m. Closing Frank Loy, L.L.B. Chair, Roundtable on Environmental Health Sciences, Research, and Medicine U.S. Representative to the 66th Session of the General Assembly of the United Nations 12:45 p.m. ADJOURN

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Natural gas extraction from shale formations, which includes hydraulic fracturing, is increasingly in the news as the use of extraction technologies has expanded, rural communities have been transformed seemingly overnight, public awareness has increased, and regulations have been developed. The governmental public health system, which retains primary responsibility for health, was not an early participant in discussions about shale gas extraction; thus public health is lacking critical information about environmental health impacts of these technologies and is limited in its ability to address concerns raised by regulators at the federal and state levels, communities, and workers employed in the shale gas extraction industry.

Health Impact Assessment of Shale Gas Extraction is the summary of a workshop convened in 2012 by the Institute of Medicine (IOM) Roundtable on Environmental Health Sciences, Research, and Medicine to discuss the human health impact of shale gas extraction through the lens of a health impact assessment. Eminent scientists, physicians, public health experts, and representatives from government agencies at federal and state levels, from nongovernment organizations, from the business sector, and from interest groups representing the interests of the citizens met to exchange ideas and to inform on hydraulic fracturing as a means of extraction of natural gas. This report examines the state of the science regarding shale gas extraction, the direct and indirect environmental health impacts of shale gas extraction, and the use of health impact assessment as a tool that can help decision makers identify the public health consequences of shale gas extraction.

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