Perfluorochemical (PFC) Investigation Public Meeting: PFC Blood Testing & Long Term Water Solutions

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Perfluorochemical (PFC) Investigation Public Meeting: PFC Blood Testing & Long Term Water Solutions Hosted by NH Department of Health and Human Services NH Department of Environmental Services Litchfield, NH July 19, 2016

Perfluorochemical (PFC) Investigation July 19 Public Meeting Agenda Introduction: Jeffrey A. Meyers, Commissioner, NH DHHS PFC Blood Testing: Benjamin Chan, MD, State Epidemiologist Sampling Status & Ongoing Activities Brandon Kernen, Manager of Hydrology and Conservation, NHDES Questions & Answers Written Questions followed by oral Q&A

Introduction Jeffrey A. Meyers Commissioner NH Department of Health and Human Services PFC Investigation Public Meeting Litchfield, NH July 19, 2016

Perfluorochemical (PFC) Blood Testing Benjamin Chan, MD, MPH State Epidemiologist NH Department of Health and Human Services PFC Investigation Public Meeting Litchfield, NH July 19, 2016

For more detailed information about PFCs and studied health effects, please visit our website: http://www.dhhs.nh.gov/dphs/pfcs/index.htm Review our Frequently Asked Questions and PFC Fact Sheet documents (tonight s handouts)

How is NH DHHS facilitating PFC blood testing?

PFC blood testing is being offered for those who are on private wells and live on streets in areas eligible for bottled drinking water from DES (where private wells have tested above 70 ppt PFOA, PFOS, or PFOA/PFOS combined) PFC blood testing will be free for these individuals

To provide concerned individuals with their specific blood PFC levels To better understand levels of PFC exposure in the community

Step 1: Register for PFC blood testing Registration website: http://www.dhhs.nh.gov/dphs/pfcs/blood-testing.htm Call the DHHS Public Inquiry Line Step 2: Complete exposure questionnaire and consent form (online) Step 3: Blood draw (requires a requisition form) You will be mailed a blood draw requisition form Southern NH Medical Center & Portsmouth Regional Hospital are performing blood draws and processing specimens

Step 4: Serum testing for PFC levels Blood (serum) sample will be sent to DHHS Public Health Laboratories where it will be shipped to an out-of-state laboratory Step 5: Results Reported from the testing laboratory to DHHS DHHS will mail results to individual participants

For those who decide to get their blood tested for PFC levels, we want you to understand what a blood test can and cannot be used for

A PFC blood test is a test of exposure to PFCs This test has been used to learn about levels of exposure to PFCs in the various communities It will tell a person their level of exposure to specific PFCs at the time of the test It will not tell a person where those PFCs came from

A PFC blood test is not a medical or healthrelated test It is not medically needed by your healthcare provider to monitor your health Neither DHHS nor a healthcare provider will be able to tell a person whether finding PFCs in your blood has/will harm your health

Most people in the United States have various PFCs detectable in their blood Your PFC blood level can be compared to levels in other populations tested If you drank contaminated water, your blood PFC level likely will be higher than the general U.S. population

Who is Responsible for Monitoring my Health?

Your primary healthcare providers are responsible for monitoring and addressing any health concerns you may have They can best assess your health based on a through history and physical exam NH DHHS has provided resources and information to help clinicians make informed decisions

PFCs are an emerging national Issue The CDC s Agency for Toxic Substances Disease Registry (ATSDR) is developing national healthcare provider recommendations for monitoring the health of exposed individuals NH DHHS has requested that ATSDR perform a Health Consultation to evaluate potential health concerns related to drinking water exposure around the Saint-Gobain plant

There is no way to remove PFCs more quickly from your body Blood PFC levels will go down slowly over time There are no medical therapies for finding PFCs in your body

Individuals can proactively look out for their health by seeking routine medical care Maintain healthy lifestyles and undergo routine medical screening as recommended by your healthcare provider Get your private drinking water tested for contaminants known to cause health problems: http://des.nh.gov/organization/divisions/water/dwgb/ well_testing/documents/well-testing.pdf

Any questions or concerns should be directed to the Public Inquiry Line Concerns about your individual health are best addressed by your healthcare provider Register for PFC blood testing: http://www.dhhs.nh.gov/dphs/pfcs/blood-testing.htm

Sampling Status & Ongoing Activities Brandon Kernen Manager of Hydrology and Conservation, Drinking Water and Groundwater Bureau NH Department of Environmental Services PFC Investigation Public Meeting Litchfield, NH July 19, 2016

Bottled water provided to 480 homes & businesses Ongoing testing Plume extent Sensitive Sites Soils Agriculture Water system extension design completed 7/18/16 Saint-Gobain currently reviewing the design Next steps should be determined in August Permanent solution Interim solution

Private Wells and Community Water System Cost Considerations Average Annual Operating Cost Properly Maintained Well Minimally Maintained Well Community Water System $625-$833 $150-$360 $600-$800 Monthly Operating Cost $52-$69 $12.50-$30 $50-$67 Fire Protection/Insurance Savings Minimally Maintained Well Costs New Well Pump/Tank (every 10 years) Electricity $0 $0 -$100 to -$300 (cost savings) Properly Maintained Well Costs New Treatment System (non PFC Contaminants) Water Quality Testing

Questions & Answers: Written Questions Oral Q&A

Perfluorochemical (PFC) Investigation Public Meeting on PFC Blood Testing & Long Term Water Solutions Litchfield, NH July 19, 2016