Orange County NC Website
<br />study azea either during or prior to the study.. There are biosolids application sites near some of the <br />properties but no recent complaints have been registered concerning their operation. The only other <br />significant ecological disturbance in recent years was the construction of the Hillsborough reservoir <br />,just east of the area. <br />The tenain in this area is generally gently sloping with broad ridges with intermediate drainage <br />ways, some with intermittent streams. Slopes are mostly 5% or less but some stream side and <br />drainage way slopes can reach 10%. Soils on the upland ueas are well drained and principally in the <br />Georgeville-Herndon association. Some minor inclusions of Chewacla (alluvial), Enon, Lignum, <br />and Tattrm, and Wedowee also occur. (Soil Survey of Orange County, North Carolina), The <br />underlying geology is a mix of metavolcanic and metaigneous rocks (vazious USGS maps). Wells <br />drilled in this area are considered to have low to moderate susceptibility to groundwater <br />contamination fi°om surface or shallow subsurface sources (Terziotti and Eimers, 1999, <br />Susceptibility of ground water to surface and shallow sources of contamination, Orange County, NC, <br />USGS Report). These soils, rock formations and contatination susceptibility are typical to most of <br />Orange County and also to many slate belt areas of North Carolina. <br />Study Design <br />The Orange County Health Department Epidemiology Response Team (Epi Team) took the lead in <br />designing and implementing the studies. Assistance and consultation in the design and in <br />interpreting data results was provided by the Environmental Epidemiologist with the Region IV <br />Public Health Surveillance Team, a Toxicologist with the NC Division of Health Services, and the <br />NC Cancer Registry Coordinator. The Epi Team met three times to define the scope of the project, <br />develop a plan for implementation and to review surveys and implementation as it progressed. <br />The Epi Teazn utilized the list provided by the Holloway's to define the study area. An attempt was <br />made to include each potentially reported cancer household in the study area.. In consultation with <br />the NC Cancer Registry and on review of the literature, it became apparent that it is difficult to <br />associate cancer in a community with an enviromnental exposure unless the cancer is very prevalent <br />in a community and of certain types. The Epi Team decided that the best approach would be to <br />separate the two issues of concern to the community and to conduct separate studies in each area. If <br />indicated, the results could be correlated at the conclusion of each study. Therefore, the final plan <br />was to conduct a telephone survey to determine the prevalence of various types of cancer and request <br />a cancer cluster evaluation from the NC Cancer Registry and to simultaneously conduct a water <br />quality study through offering a complete suite of available water tests. It was decided to conduct all <br />studies with the entire population in question rather than sampling a portion of the study area. More <br />information on the process followed for each portion of the study is included with the detailed results <br />for each study. <br />Project leaders volunteered for various portions of the studies. Candice Watkins-Robinson, Health <br />Educator, volunteered for the lead responsibility for the cancer assessment study, Tom Konsler, <br />Envirotunental Health Supervisor, volunteered for lead responsibility for the water quality study, <br />Ron Holdway, Environmental Health Director, coordinated the overall effort, maintained contact <br />with the community, and consulted with the state participants. <br />Page 4 of 47 <br />