Camp Lejeune Marine Cancer Risk Assessment for Exposure to Contaminated Drinking Water From 1955 to 1987

Abstract

This study utilizes guidance from the United States Environmental Protection Agency (USEPA) and the Agency for Toxic Substances and Disease Registry (ATSDR) to calculate the cancer risk to United States Marines who were exposed to carcinogens in drinking water at Marine Corps Base Camp Lejeune. Camp Lejeune is a 233-square-mile Marine Corps training facility in North Carolina. From 1953 to 1987, nearby dry cleaners, landfills, and underground storage tanks contaminated drinking water systems that served Camp Lejeune (ATSDR, 2017). Some of the most toxic contaminants found in the drinking water modeled by ATSDR include benzene, tetrachloroethylene (PCE), trichloroethylene (TCE), trans-1,2-dichloroethylene (DCE), and vinyl chloride (VC). ATSDR utilized MODFLOW and EPANET modeling software to determine the level of contamination in the three main drinking water systems at Camp Lejeune: Tarawa Terrace, Holcomb Boulevard, and Hadnot Point. This paper presents an application of methodology to quantify cancer risk for the Marines who lived and served at Camp Lejeune from 1953 to 1987 using ATSDR’s health assessment, chemical contaminant modeling, and USEPA methodology. While VC and TCE were found to be the main risk drivers, benzene and PCE also contributed to the cumulative cancer risk. This analysis shows (1) That the cancer risk was greatest during the 1970s and 1980s and (2) that the inhalation exposure pathway had the greatest contribution to overall cancer risk followed by ingestion, with the smallest contribution from dermal absorption.