1. Heather Kuiper DrPH, MPH
Health and Rule 12-16
A review of the Comment Letter for Notice of Preparation, December 2, 2016
Heather Kuiper DrPH, MPH
January 18, 2017

2. Submitted By: Bart Ostro PhD Former Chief Air Pollution Epi, Cal EPA
Linda Rudolph MD MPH
Director Center for Climate and Health
Amy D Kyle PhD, MPH
School of Public Health UCB (for ID only)
Jonathan Heller PhD
Co-Director Human Impact Partners
Claire V Broom MD
Former Assistant Surgeon General
Wendel Brunner MD PhD MPH
Former Director Public Health, Contra Costa
Kathy Dervin MPH
Sr. Cimate and Health Consultant
Janice Kirsch MD MPH
Oncologist and Hematologist
Heather Kuiper DrPH MPH
Public Health Consultant
Deborah Burger RN
Co-President California Nurses Association

3. From Tar Sands to Adverse Health Outcomes
Increased Emissions and Exposures
Adverse Health Outcomes
Premature mortality, cardiovascular and pulmonary disease, heart attacks, strokes, cancer
Physical, neurological, and cognitive adverse effects on infants and children
Health impacts of climate change
Particulate matter (PM2.5 and ultra fines)
Heavy metals, SO2, Nox, VOCs, etc.
Greenhouse Gas co-pollutant and local climate related hazards

4. Additional Ramifications
Environmental Justice
No Safe Levels
No Cap-and-Trade Protection
Disproportionate exposure/burden on vulnerable: infants, children, elderly, people of color and low SES
Concentrated on fence line
Non Attainment for Particulate Matter
Every increment increase emissions associated with increased adverse health outcomes
Cap and trade won’t protect health from local refinery emissions
Likely not permissible per disproportionate burden

5. BAAQMD, CEQA, AB32 are for Health
BAAQMD’s mission states:
“[t]he Air District aims to create a healthy breathing environment for every Bay Area resident while protecting and improving public health, air quality, and the global climate.”