March 17, 2015

The Honorable Gina McCarthy Administrator U.S. Environmental Protection Agency EPA Docket Center Mailcode 28221T 1200 Pennsylvania Avenue, NW. Washington, DC 20460

Attention Docket ID No. EPA-HQ-OAR-2008-0699

Dear Administrator McCarthy:

We, the undersigned, are public health and medical professionals who call on you to protect our patients, our communities and our nation from ozone pollution by adopting the most protective national ambient air quality standard of 60 parts per billion (ppb).

The Clean Air Act requires the U.S. Environmental Protection Agency (EPA) to set the primary national air quality standard to accurately reflect the state of the science and to protect the public health, including those most vulnerable to the effects of , with an adequate margin of safety. There is a robust body of scientific evidence that supports the adoption of a more protective standard of 60 ppb. Clearly, the evidence show that the current standard of 75 ppb does not protect the public health.

EPA's panel of expert science advisors, the Clean Air Scientific Advisory Committee (CASAC), has reviewed the scientific evidence in the EPA Integrated Science Assessment, the Health Risk and Exposure Assessment and the Policy Assessment and has unanimously concluded that "there is clear scientific support for the need to revise the standard." We also agree with CASAC's unanimous expert opinion that at "70 ppb there is substantial scientific evidence of adverse effects," and that adopting a standard of 60 parts per billion "would certainly offer more public health protection than the levels of 70 ppb or 65 ppb and would provide an adequate margin of safety." (CASAC letter to Administrator McCarthy, dated June 26, 2014).

Controlled human exposure studies have repeatedly demonstrated that some healthy adults experienced reduced lung function and increased airway inflammation following exposures to concentrations of 60 ppb and below (Adams, 2002 and Adams, 2006 Brown et al., 2008 and Kim et al, 2011). The chamber studies establish the strongest evidence that concentrations above 60 ppb provide significant risk not only to many healthy adults, but most critically, to vulnerable and susceptible populations, including children, seniors and people with asthma and other chronic lung diseases.

Six large epidemiological studies in the U.S. and Canada provide further real-world evidence that a standard of either 70 ppb or 65 ppb fails to provide adequate protection, as recognized in the Policy Assessment. These studies (Bell et al., 2006; Cakmak et al., 2006; Dales et al., 2006; Katsouyanni et al., 2009, Stieb et al, 2009) reported positive and statistically significant associations from the most serious health threat—premature death—as well as from hospital admissions and emergency department visits. In the majority of locations where increased risk was found, the ozone levels would have met the weaker standards of either 70 or 65 ppb, but would not meet a standard set at 60 ppb.

The combined evidence demonstrates that the EPA's proposed range of 65 to 70 ppb would not provide adequate protection for the large at-risk populations, nor even for all healthy adults. EPA's Integrated Science Assessment identifies children, the elderly, outdoor workers and people with asthma as more susceptible to ozone than the general population. However, EPA also identified research that indicated that others, including people with low socioeconomic status, may face increased risk.

The primary ozone standard is crucial to protecting the public health. The current ozone standard clearly puts far too many people at risk. Therefore, we urge you to adopt the most protective level for the ozone national ambient air quality standard of 60 parts per billion.

Sincerely,

Alabama Cassalyn David, MPH A. David Russakoff, MD Corinthia Walters, MSHE, RRT, AE-C Angela Garnett, LPN David Sanderson, MD DeNay Kirkpatrick, DNP David Wootten, BS, RRT Donna Shanklin, MPH Dena L'Heureux, MD Marissa Natelson Love, MD Diane Lupo, RRT Mark Dransfield, MD Donna Bryson, RN Melanie Dickens, MS Eve Shapiro, MD Paula Warren, MD George Parides, DO Selena Coleman, MPH Jennifer Miller, BA, RRT Stacie Propst, PhD Jill Triplett, RRT Surya Bhatt, MD Jim Love, RRT Tammy Shikany, RRT John McKinney, RRT Tim Op't Holt, RRT Keith Kaback, MD Leah Iverson, MPH Alaska Mary Ellen Westlake, RRT Deborah Giedosh, Ed D, RN Patricia Van Maanen, RN, BSN, MS Debra Riner, RN, BSN Phyllis Primas, RN, BSN, MPH, PhD Elizabeth Snyder, PhD, MPH Rafael Merle, RRT, RPFT, MS, NPS Erin Michael, RN, MSN, BA, ADN Rob Rachowiecki, RRT, MS Gretchen Clarke, MPH Robin Rosenberg, RRT Lonni Clayton, RRT, AE-C Rolf Halden, PhD Susi Peterson, RN Tony Corrales, RRT

Arizona Arkansas Alan Crawford, MBA, RRT-NPS-ACCS, AE-C, David Grimes, MD, MPH HACP James Wohlleb, MS Barbara Warren, MD, MPH, FACP Nathaniel Smith, MD, MPH Bernice Carver, BA, Public Health Educator Page Daniel, MS Beth Roberts, RRT-NPS, RCP Syed Abid, MD California H. Leabah Winter, MS, MPH, MPH Adriana Botic, MPH Candidate Hassan Bencheqroun, MD Akilina Douthat, BSPH Ivan Gomez, MD, MS Amanda Gonzales, MPH Janene Harper, RRT Amy D Kyle, PhD MPH Janyth Bolden, RRT Ana Gomez, VN Jennifer Akamine, MD Andrea Graboff, PT Jerena Hammett, RRT, RCP Andrew Deckert, MD, MPH Jill Biggane, RN Angela Wang, MD Jo Elliff, RN, PHN, FNP Angelie Soriano, LVN Joan Edelstein, MSN, DrPH, RN, PHN Anne Kelsey Lamb, MPH John F. Murray, MD, FRCP Anya Gutman, MPH John Kaufman, MPH Armando Valdez, PhD John Oda, RN Arnold Gorske, MD Jose Ramon Fernandez-Pena, MD, MPA Barbara Langham, RN, BSN Jose Vempilly, MD Barbara O'Malley, RN Judith Katzburg, PhD, MPH, BSN, RN Catherine Thomsen, MPH Karen Jakpor, MD, MPH Christopher Chin, DO Kate Benscoter, MEd, RRT Christopher Warren, PhD Student Kate Cheyne, MPH Chung Yi, RRT Kate Mcintyre, MPH Cindy Nelson, RN, PNP, MPH Kenneth Saffier, MD Cindy Russell, Cindy Russell, MD Kimberlee Walsh, MPAS, PA-C Consuelo Pernia, CHP Kortney Sommer, RN Dan Huynh, MPH Krista Farey, MD Dan Woo, MPH Larry Posner, MD David Cooke, MD, FACS Leslie Hata, DDS David Pepper, MD Lilian Martinez, RN Dawn Mare Wadle, MD Linda Ayala, MA, MPH Deanna Aikenberry, MPH Linda Rudolph, MD, MPH Deborah Baker, RN Lisa Archibald, MSW Diana McKee, RRT Lorean Nwosu, MD Don Gaede, MD Lori Wilson-Hopkins, RN, MSN Donna Carr, MD Manal Aboelata, MPH Dr. Brent Green, PhD, MPH Mandeep Singh, MD Elaine Lo, MPH Maria Bejarano, CHP Elena Lingas, DrPH, MPH Maria Montilla, RN Erica Kasper, MD Marie Boman-Davis, PhD, MPH, MCHES Eugene Takahashi, PhD, MPH Marie Hoemke, RN, PHN Fred Herskowitz, MD Marilia Baltazar, RN G. Zacharia Reagle, DO Mark Andrade, RRT Gail Hovland, RRT Mark Horton, MD, MSPH Gilbert Urquidez, RRT Greg Urbina, RN Gregory Stevens, PhD California, continued Stephen Hansen, MD Mark Shane Balagot, RRT Stephen Ruoss, MD Mary Frazier, RN, MSN, AE-C Steven Ratcliff, DO Mary Hunsader, RN, MSN, CNS, AE-C Stutee Khandelwal, MD Mary Maddux-Gonzalez, MD, MPH Susan Sinio-Pineda, LVN Mel Hovell, Ph.D, MPH Susan Smyth, RRT Meredith Barrett, PhD Suzan Goodman, MD MPH Meredith Milet, MPH Suzanne Alderete, RRT Michael Guarnieri, MD, MPH Theresa Cannizzaro, CRT, RCP Michael Kelly, MD Tze-Ming Chen, MD Michael Peterson, MD Wendy Ring, MD, MPH Michael Schivo, MD, MAS William Miller, RRT Mirthia Kaufman, RN William Wallin, MD Monica Laimayum, MD Yong Sun, RRT Naiel Nassar, MD Nicole Person-Rennell, MD, MPH Colorado Norman Orr, DO Angela Pollock, RN-BC, BSN, MS Overa Simmons, RCP Ann Magennis, PhD Padideh Towfighi, CRT, RRT Barbara Brandt, NP Pamela Luna, DrPH, MST Carrie Robinson, RRT Paul Mills, PhD Dawn Webb, RRT-NPS Pik Wah Ho, RRT Dvonne Duran, RRT Praveen Buddiga, FAAAAI Elsa Palafox, RRT Ranjeet Singh, MD Hector Grajeda, RRT Richard J Jackson, MD MPH Jamie Sahli, RRT Richard Kreutzer, MD Joshua Zimmerman, CRT, RRT Rick Lighthizer, RRT Juan Badal, RRT Robert Blount, MD, MAS Julia O'Shea, RRT, BA, RYT-200 Roberta Welling, MS, MPH Kari Woodruff, RRT Rodney Mardirosian, MPH Lisa Cicutto, RN, ACNP, PhD Roshenara Moore, CHP Melanie Gleason, PA-C Roshon Murray, CHW Michael Volz, MD Royce Calhoun, MD Morgan Crowell, RRT Rudy Yanit, RRT Rebecca Lynn, RRT Samantha Pellon, MPH Robert Keith, MD Samuel Applebaum, MD Ron Blidar, MEd, CHES Sandra Wong, RCP Sara Pope, CNA Sarah McNeil, MD Sonya Pradia, RRT Seth Shonkoff, PhD, MPH Timothy Kennedy, MD Shefali Majmudar, DO Solange Gould, MPH, DrPH (c) Connecticut Sonal Patel, MD, MS Audrey Fee RRT Soyoung Thouvenin, RN Christina Kyriakos MPH Stephanie Leonard, MS Connecticut, continued Claudine Isaacs, MD Christine Solimini-Swift MEd, CHES, CHFS, RMT Emily Rugel, MPH Colleen D'Amico RN Janice Nolen, MS Connie Dills RRT Nsedu Witherspoon, MPH Cynthia Varsell, RN Patrick Benko, MPH David Hill, MD Philip Filder, MD Donna Gebow, RRT Rebecca Rehr, MPH Frederick Cohn, MD Tee Guidotti, MD MPH Glenn Ellsworth, CRT Hossein Sadeghi, MD Florida Jane Reardon, MSN, APRN Andrea Fiedler, MA Jason Ligos, RRT Barbara McComb, MD Jennifer Pagano, RN Brenda Olsen, RN John Votto, DO Cherylann Celian, LPN June Kung, RN Colleen Bartlett, ARNP Kathleen Conway, APRN Gabrielle Schmitt, APRN, MSN Kathryn Mcbreen, RRT Gail Finneran, RRT Kerry McNiven, MS, RRT Heather Elizondo Vega, MD Krisitne Jones, RN Jaime Magnetico, RRT Lisa Mariani, RRT John Lima, PharmD Louis Levine, RRT-NPS, RPFT Joy Dixon, MPH Lynn Galgano, RN Juan Martinez, MD Mohammed Rahman, RRT Michael Reuther, RRT Morna Guerra, RRT, AE-C Patricia Lowrey, RN Patricia Cohn, RN Rachel Bossola, RN, BSN Peter Rogol, MD Richard Thurer, MD Phyllis Pallett-Hehn, PhD, MPH Richard Sudac, RRT Georgia Ruth Canovi, MPH Anne Dunlop, MD, MPH Sandy Weinberg, RN, BSN, MA Betty Daniels, RN Susan Ayr, RRT Bhavana Murthy, MPH Tracy Dalzell-Hill, RN Christina Fuller, ScD Wendy Martinson, RN, MSN Clifton Dennis, RRT, CRT, AE-C Deidre Harp, MSN, RN Delaware Donielle Bell, MPH Candidate Albert Rizzo, MD Frances Dunston, MD, MPH Anne Glass, RN Hannah Beriault, MPH, RRT Ashley Gebhart, BSN, RN Jodie Rodriguez, RN, MS, CPNP, AE-C Farid Moosavy, MD Maeve Howett, PhD, APRN, CPNP, IBCLC, CNE Joseph Kestner, Jr., MD Marcia Holstad, PhD, RN, FNP-BC Mark Jones, MD Paul Weinberg, MD Rabindra Tirouvanziam, PhD District of Columbia William Crosland, MD Bill Blatt, MPH Hawaii Samuel Jackson, MPH Christian Gloria, PhD, CHES Sandra Blood, CRT, TTS Christine Fukui, MD Sara Fiddes, RRT Stephen Wehrman, RRT, RPFT Sarah Restrepo, RRT Valerie Chang, JD, facilitator of COPD Support Sherri Sheftel, MPH Groups Stephen Joyce, MD, MPH Susan Avila, RN, MPH Idaho Terri Weaver, PhD, RN Judi Jackson, RRT Terry Mason, MD, FACS Judith Bailey-Jackson, RRT Therese Hanigan, APN/CNP Victoria Wiebel, MPH Illinois Worku Feleke, MPH Alfreda Beth, PhD Yashika Watkins, PhD, MPH Angel Lugay, MD Angel Perry, MPH student Indiana Bernadette McCoy, CRT Barbara Cox, Retired RN Carol Ramm, RRT Brenda Wilkerson, CRT Cheryl Davis, RN Connie Salm, RRT, AE-C, CPFT, CCT Cherylee Bridges, RN Elizabeth Richards, PhD, RN Christina Emmert, RDH Jennifer Denney, HSC Christina Hildebrand, CRT Joycell Ingram, RN Collette Hoagland, RN, EMT-B Karen Rance, DNP, APRN, CPNP, AE-C Cristina Turino, MPH/MBA Candidate Linda Bundick, CHES Dean Schraufnagel, MD Mary McAteer, MD Diane Meyer, RN, BSN, MA Vicky Hicks, RRT, AE-C Elizabeth Bormann, MPH, CHES Elizabeth Strain, MPH, CHES Iowa Enas Khalaf, MPH Chartles DeProsse, MD, MPH Felicia Fuller, MD Claudia Boss, RN Harold Wimmer, MS Jane Caes, RN, BSN Jane Shehorn, RT Jeneane Moody, MPH John Patena, MPH Katie Jones, MPH, CHES Joseph Morin, MPA, REHS Laura Delaney, PA-C Kelley Watson, MPA MPH Lorene Mein, DNP Kevin Kovitz, MD Mary Hansen, RN, PhD Kim Artis, CHW Peg Eppolito, LMHC Kristina Bushue, Exercise Physiologist Rebecca Ubben, MS RD Kristina Hamilton, MPH Scott Sheets, DO Malcolm DeCamp, MD Stephen Hamann, MPH Malgorzata Borowy, RN Susan Pohl, MS, RD Matthew Schmitz, MS, BS Teresa Kelley, PharmD Michaeline Hade, PC Thomas Gross, MD Paula Enstrom, MSPH, RN Phyllis DeCamp, RN, MS Kansas Barbara LaVallee, RDH Bette Stansbury, CRT Bob Kohl, MPH Chris Tilden, PhD Bonita Irwin, LPN, AE-C, CTTS Eldonna Chesnut, RN Brita Nettleton, MPH, CHES, CTTS Heather Male, MD Carol Rice, PhD, CIH Herbert F. Young, MD, MA, FAAFP Celine Kuhn, MS Ivonne Rivera-Newberry, RN, BSN Cheryl Dedian, RRT James Joerke, MPA Christina LaBrecque, RRT Kathy Weaver, RT Christine Fowlie, Medical secretary Kenneth Davis, PT, MPH Daren Rainey, RRT Kimber Kasitz, BSN David Bachman, MD Lougene Marsh, MPA David Giansiracusa, MD Marshall Post, RRT Debbie Andrews, MPH Peter Ninemire, LSCSW, LCAC Deborah Deatrick, MPH Richard Ziesenis, BA, REHS, CPM Deborah Hoch, DNP Stephanie Thibeault, RN, BSN Diane Haskell, RRT Vickie Klein, CRT, CPFT Donald Berthiaume, RMA Donald Endrizzi, MD Kentucky Donna Levi, MS Aruni Bhatnagar, PhD Donna Wheeler, CEA Barbara Casper, MD Douglas Couper, MD Brittney Stinnett, BSN Edward Walworth, MD Bryan Beatty, RRT Effie Craven, MPH Jean Bowling, BSN Heather Brown, RRT Tami Capilleti, RRT James Melloh, MD Terri Schlader, CRT Janice Pelletier MD, FAAP Jeff Saffer, MD Louisiana Joan Miller, RN Andrea Lowe, MPH, PhD Jordan Peck, PhD Bijal Patel, MPH Joyce Ellsmore, RRT Fayron Epps, PhD, RN Julie Osgood, MPH Jane Andrews, MD, MPH Kalie Hess, MPH Kyle Happel, MD Karen Boucher, RRT Marcia Oursler, MPH Karen Greenlaw, Wellness Mapping 360 Nereida Parada, MD Wellness & Health Rebecca Rothbaum, PsyD Katherine Murdough, RN Kathleen Huntington, RN Maine Keith Siegel, RRT Al Sheehy, MPPM Lawrence Fischman, MD Alan Leo, EMT Lee Beth Gilman, MS, CHES Albert Nickerson, LA Lynne Thompson, CRT Allen Wicken, PT Marguerite Pennoyer, MD Barbara DeCoste, RN Molly Hendsbee, RN, ASN Barbara Larsson, RRT Maine, continued Antonia Blinn, BS, CHES Norman Anderson, MSPH Bethany Schloss, RRT Paul Shapero, MD Brian Simonds, RRT Peggy Weed, RRT Candice Belanoff, ScD, MPH Peter Doran, PhD,CHES Carole Dorris, BA, MA Pierre Marki, RRT Craig Slatin, ScD, MPH Rhonda Vosmus, RRT-AE-C David Clini, CRT Richard Veilleux, MPH David Hunt, EMT Scott Edgecomb, RN, RRT, CCRN David Wegman, MD, MSc Sharon Foerster, LCSW Donna Hawk, RRT, AE-C Sharon Hooper, RN Douglas Johnson, MD Sherrie Miller, RRT Eduardo Siqueira, MD ScD Stephen Meister, MD, FAAP Elizabeth Pietro, RT Sue Thieme, RN Francine Jacobson, MD, MPH Suzanne Rosenberg, LCSW Jane Taylor, RN, MPH Sydney Sewall, MD. MPH Katie Mowatt, MPH Tina Pettingill, MPH Kenneth Stevens, RRT Wendy Haskell, RN CEN CPEN Leonard Sicilian, MD William Turner, MS, PE Linda Kovitch, RRT, DRNA, MSN Lisa Tonello, FFS facilitator Maryland Lois McCloskey, DrPH Christine Berg, MD Malcolm Bryant, MD MPH Daniel Tran MD Mary Vogel, JD Elizabeth Gall, MHS Nahiris Bahamon, Medical Student Fred Murphy, PT, GCS Philip O'Donnell, CRT Georges C. Benjamin, MD Ron Raymond, RRT Gillian Silver, MPH Ronald Dorris, MD Henry Montes, MPH Sara Donahue, MPH, DrPH Jamie Tran, RN Sharon Pero, MSN, RN, GCNS-BC Karen Lewis, MD Stephanie Beaudett, BS Nursing, MEd, NCSN Kathleen Mcnulty MSW Susan Lundin, RN, BSN, AE-C Kathleen Ogden, MPH Katie Huffling, MS, RN, CNM Michigan Kendra Fink, RDN Amy Schulz, PhD, MPH Linda Berry, MD, MPH Carly Ornstein, MPH Lisa Jordan, PhD,RN Cheryl Holloway, PhD PhD Mona Sarfaty, MD, MPH Chris Coombe, PhD, MPH Omar Khan, MD Connie Currier, DrPH, MPH Richard Beckerman, MD Dave Errickson, RN Robyn Gilden, PhD, RN Dave Gupta, MD Delbert Raymond, PhD, RN Diane Schilling RN, AE-C, CCE Angeli Jesrani, RRT Dilhara Muthukuda, MPH Ann Ottalagana, PTA Michigan, continued Michelle Morris, MPH Harry Perlstadt, PhD, MPH Richard Woellner, MD Jan Fletcher, RN Sam Norte RN, Student Jessica Thomas, BSHA Sandra Kistner, RRT Jiayi Wan, RN Sonja Johnson, RN, BSN, PHN Joyce Stein, BSN Sumathi Vaidhyanathaswamy, MD Kathleen Slonager, RN Teresa Schicker, MPA Kenneth Rosenman, MD Travis Anderson, MS Laura Kennett, MS, ATC, CSCS Lawrence Hennessey, MD Mississippi Naomi Ervin, PhD RN Brenda Bell Caffee, MPH Natalie Sampson, PhD, MPH Celia Roberts, RN student Nettie Riddick, MSN Jennifer Cofer, MPH, CHES Patricia Koman, MPP Marshae McNeal, MPH Rebecca LaDronka, DVM, MPH Ron Davis, MBA Samir Parikh, MD Stephanie Watson, RRT Therese Smith, RN, BSN, MS, MPA, CCM Trisha Neumeier, RN Tina Reynolds, RN Missouri Minnesota Ajay Sheshadri, MD, MSCI Annette Schmit-Cline, MD April Fritz, BSRT Borgstrom Kim, RRT Debbie Hoehn, RNC WHNP Catherine Erickson, RN, BSN Jaime Tarsi, RN, MPH Cherie Zachary, MD Laura Frick, MSW Cheryl Sasse, RRT Michelle Robinette, MD/PhD student Colette Henke, RN Student Shahida Rice, MPH David Midthun, MD Dona Haines, RN, PHN Montana Eamon Flynn, MPH Christine Stanish, RRT Ed Corazalla, MS, RPFT David Mark, MD Janet Keysser, MA, MPH Diana Hammer, MPH, CIG Janet Malkiewicz, RN, AE-C Elizabeth Schenk, PhD, MHI, RN Jessica Simmons, RRT, CPFT, AE-C Gregar Lind, MD John Inkster, MS, ACSM-CEP Kathleen Masis, MD Josh Greensweig, SPT Kelli Avanzino, RN, MN Judith Luebke, PhD Lori Byron, MD Julia Silvrants, RRT Mark Robertson, MSPT Karen Kaverman, BSN Meg Traci, PhS Laura Duckett, BSN, MS, PhD, MPH, RN Paul Smith, DO Linda Funk, MD Robert Byron, MD, MPH Linden Weiswerda, MURP Robert Merchant, MD Mary Ruff, RRT Megan Schultz, RRT-NPS Nebraska Michele Allen, MD David Corbin, PhD Nebraska, continued Kim Blanda, RN, BSN Marlene Wilken, RN, MN, PhD Lara Gee RD, CDE Ryan Schmidt, RRT Lori Tartell, RN Mary Stabile, CHT Nevada Mary Vecchio, MSN, RN, APNC, OCN, CTTS Aimee Barnes, BSRT, RRT Monica Falkin, MPH Angelina Manchester, MSN, RN Natalie Pierro, RN Cecilia Degenhart, MEd; RRT Nicolette Crescas, RN, MPA Douglas Springer, CRT Nimfa Cabatingan, RN Hermine Plotnick, OTR Roni Todd-Marino, LPC Holly Cechvala, BSRC, RRT-NPS Stephen Crane, PhD, MPH Janera Tucker CADC Susan Landick, BS, RRT Joseph Iser MD, DrPH, MSc Tommie Lou Judson, RN Kyle Thrower, FFS facilitator Velva Dawson, MPA Laura O'Gara, BSW Zachary Ehrlich, MPH Lysa Buonanno, BSRS, RT(R) Mayra Burnham, BA New Mexico Paul Visone, CRT Akshay Sood MD, MPH Sierra McKillips, CAN Dona Upson, MD, MA Duane Ross, MD New Hampshire Erica Walden, LPN Amy Hibbard, ACSM - Certified Exercise Kathleen Moseley, RN MS Physiologist Rachel Seltzer, MD, MPH Ann Turner, MS, RN, CCM Anne Duszny, RRT,NPS, AE-C New York Barbara Gleason, RN BSN AEC Ali Jivraj, PT Cheryl Keeler, CMA Allen Dozor, MD Christine Houle, LPN Andrew Ray, PT Jessie Lawford, RRT Anna Dennis, MSED Katherine Wescott, RN Anne Calvo, RN, MS Kristie Stone, LPN, AE-C, VA-BC, ROT Anne Little, MPH, AE-C Lindo Terry Spencer, MD Anne Lopez, RD, CDE Richard Rumba, MPH Arianny Tejada, MPH Trudy Loy, CRT Barbara Rowe, MS, RN Virginia Hedberg, RN Barbara Warren, RN, MS Xan Gallup RN, RRT, AE-C Betty Borowsky, PhD Carol Meschkow, MPA, Health Care New Jersey Carol Trzaska, LPN Alvin Strelnick, MD Catherine Machalaba, MPH Arthur Torre, MD Christian P Becker, RRT Derek Shendell, DEnv, MPH Christine Caruso, PhD, MPH Dr. Joseph Parrish, PhD Cindy Trubisky, AE-C Jacob Peltzman, MPH Colleen Lynch, MD John Rutkowski, RRT Cynthia Rosen, AE-C New York, continued Monica Diamond-Caraveldla, RN, MS, AE-C Daniel Jacobsen, NP-C Nathaniel Speer, RN Daniel Nadelman, FFS Facilitator Neil Schachter, MD Darcy Pitcheralle, RRT Nikki Vivion, MPH David Kotelchuck, PhD, MPH Noah Greenspan, DPT, CCS, EMT-B Debra Weintraub, RN MSN Norman Edelman, MD Diane Petito, RN, MSN, CPNP, AE-C Richard Collens, MD Edward McCabe, MD, PhD Richard Novitch, MD Elizabeth Peters, MS Ed, NCSC Sarah Enteen, FFS facilitator, MPH(c) Gary Weinstock, MD Sarah Sidhu, MD Geraldine Moore, EdD, RN, BC, AE-C Sheila Palevsky, MD MPH Gina Galante, CPNP Sonja Mains, PT Heather Calendrillo, CPNP Stacie Lampkin, PharmD Henry Stern, PD Susan Rappaport, MPH Jacqueline Rubino, MPH Sybilla Daniel Douglas, MSN, RN, AE-C Jennifer Ceide, AE-C Taisy Conk, MPH Jennifer Sullivan, MS Tara O'donohue, MD Jenny Walker, MD, MPH Thomas Frederick, RN Joanne Bardin, MSN, RN, AE-C William Browne, RTT, AE-C CRT, AE-C Jody Steinhardt, MPH Zachary Peters, MPH Joerel Ramos, MD Jogesh Syalee, MD North Carolina Johanna Lassin, RN, BSN, MS Gregg Stave, MD, JD, MPH Joseph Seguel, MD Karin Yeatts, PhD, Epidemiology Juan Espinoza, MD Laura Kellogg, RN, AE-C Karen Warman, MD Lisa Johnson, RRT, RCP, BAS, AE-C Kathleen Bremer, LCSW-R Lisa Moyer, Pediatric RN Kathleen Sheehan, RN Masa Reaves, BSW Keiko Sakagami, EdD Nicolle Hawley, RN Kristin Sainato, RN, BSN Peggy Spivey, RN Leslie Jacobson, PhD, Pf Rebecca Geary, RN, BSN Linda Ruskin, LPN AE-C Richard Fireman, MD Liz D'Imperio, RRT Ronald Dobbin, MSc Luis Rodriguez, MD Makeda James, MPH North Dakota Makini Chisolm-Straker, MD, MPH Becky Anderson, RRT Marianne Zacharia, MS, CHES Chelsea Bryant, MPH Marie Donnay, M.A., CHES Elizabeth Hughes, PhD, RRT Mary Cataletto, MD Erin Dionne, RRT Mathew Ednick, DO Herbert Wilson, MD Maya Korin, PhD, MS James Hughes, MD Melodi Pirzada, MD Jay Taylor, RRT, TTS Michael Hoffner, LMSW Monica Paulo, MD Michael Richheimer, MD Ohio Alicia McKelvey, MD Alice Frazier, MD Alison Stanley, MD Amy Chuang, MD Amy Heberling, RRT Amy Pellegrini, RRT-NPS, CPFT Anna Bechtel, RN, MPH Benjamin Kopp, MD, FAAP Azael Hernandez, RRT, RPFT Beth Canfield-Simbro, PhD, MPH Barbara K. Kolmen, MD Clare Fagerholm, RN, BSN Brenda Shull, RRT Cynthia Hudson, MPH, CHES Cathleen King, RRT David Lucas, RRT-NPS Cathy Mende, RN Dorr Dearborn, PhD, MD Chen Kenyon, MD, MS Emily Lee, PhD, CHES, AE-C Clarke Woods, RRT Gail Lowe, MSW, LSW Deborah Brown, CHES Karen Mulloy, DO, MSCH Deborah Gentile, MD Kathleen Morris, MSA, BSN, RN Dolores Minchhoff, DNP Kristine Bradley, MS Emma Watson, MPH Linda Goldenhar, PhD Gary Emmett, MD FAAP Lisa Frazier, MPH, CPH Gisoo Ghaffari, MD Lois Hall, MS Gopal Sankaran, MD, DrPH Mary Zirkle, RN Helen Podgainy, MD Mike Smeltzer, MPH Jamie Magee, MSW, MSPH Richard Hicks, MPA Joe DiSanto, BS PHE Richard Pellegrini, RRT John Esbenshade, CRT Sally Boales, BSN Kari Magill, RRT Sumita Khatri, MD MS Kate Niehoff, MD Kristin Jaros, RRT CPFT Oklahoma Lacreasia Wheat-Hitchings, MD, MPH Bradon Nave, RRT Laura Loggi, RRT Marshan Marick, MPH Lauren Reichbaum, RRT Polly Robinson, PharmD Lenore Resick, CRNP, FNP-BC Lyubov Gayevaya, CRT Oregon Mark Posner, MD Annee von Borg, MSW, MPH MSW, MPH Mary Bryner, RRT, RPFT Bonnie New, MD, MPH Matthew Basile, RRT Brenda Batts, MPH, RRT, NPS Matthew Dietz, MPH Devin Nadar, CPC Maureen George, PhD RN AE-C FAAN Judy Lubera, RN Maureen Romano, RRT Kelly Rutherford, TTS Michael Kraus, RRT Kim Hoffman, PhD Michele Maciejewski, BS, RRT Louis Libby, MD Monica Harmon, MSN, MPH, RN Nicole Iroz-Elardo, PhD Monica Lazur, MPH Susan Piekarski, CRT Nicholas Thompson, MPHc Nina Kaktins, MS, RN Pennsylvania Oscar Mayer, MD Alana Wright, MSHA/MSHE Poune Saberi MD, MPH Pennsylvania, continued Raymond Malloy, RRT South Dakota Rima Bishar, MD Britt Locken, RRT Robert Shellenberger, CRT Char Raley, RRT Robert Steiner, MD Jessica Bad Horse, RRT, AE-C Robin Eichenlaub, MPH Joseph Spader, RRT Ruth McDermott-Levy, PhD, RN Peter Vitiello, PhD Scott Faber, MD Stephen Olin, MD Tennessee Timothy Craig, DO Andres Carrion, MD Todd Green, MD Anthony DeLucia, Ph D Trina Peduzzi, MD Lacey Snell, RRT-NPS Troy Moritz, DO Molly Meinbresse, MPH Yasmine Wasfi, MD, PhD Wilson McGriff, OD, MPH

Rhode Island Texas Barbara Carter, CRT Betty Chern-Hughes, RN, CNM, APRN Catherine Kempe, RRT Harold Farber, MD, MSPH Elizabeth Lilly, RN Lisa Stone, MPH Karen Daigle, MD Maria Colon-Gonzalez, MD Linda Mendonca, MSN, MED, NCSN, APHN-BC Marian Morris, MPH, RN Lyle J. Shier, BS, RRT-NPS, RPFT Onyinye Chukwuneke, MBA Mary Brown, RHP, Pharm D Patricia Brooks, MED, MS Mary Hubbard Clark, MPH Wendy Benedict, MHA MaryAnne Bilbo, RRT Patricia A. Nolan, MD, MPH Utah Phyllis Shier BA, RRT-NPS, CPFT Cheryl Pirozzi, MD Renee Chartier, RRT Dexter Pearce, MBA Terrance Healey, MD Mimi Ujiie, MPPM R. Scott Poppen, MD, MPA South Carolina Richard Kanner, MD Bailey Pierce, BS, Health Promotion Sharon Moon, RN, BSN, MN Cheryl Johnson Benjamin, MBA Christine Power, RN Vermont Dawn Pender, MSN, FNP Donohue Andria, BSN Hannah Corre, CHES, MA Elizabeth Davis, RN, MPH Jan Eberth, PhD Richard Valentinetti, MPH Judith Alexander, RN, MS Eoana Sturges, MPH Kathy Biggs, MSPT Joan Dusablon, CRT Katrina Taylor, MS Justine Sears, MS Lill Mood, RN MPH Kelly Little, RN, AE-C Lillie Hall, MPH, MHS, CHES Lewis Holmes, MD, MPH Lisa Lewis, RN Sarah Cosgrove, RRT, M-TTS, AE-C William Cook, MD Theodore Marcy, MD, MPH Virginia Anne Teichman, PharmD, BCACP, AE-C Alison Scott, PhD Christopher Foley, PharmD, AE-C Amy Paulson, MPH, AE-C Cynthia Keely, RRT Ann Marie Kopitzke, BBA, MPA, PhD Deborah Nutter, RN Anna Jeng, ScD Diane Nichols, RRT Barbara Kaplan, MPH Diane Ocheltree, RRT Catherine Chandler, MHA, CHES Gary Johnson, BSHSM, RRT Danny Murphy, MPHc Georgia Narsavage, PhD,MSN, Adult NP- BC Deborah Henderson, RN, MSN Heather Rine, RRT Evelyn Urquhart, LPC Jay Wildt, RRT, RPFT, MBA Gary Ewart, MHS Jessica Randolph, RN, RRT Geri Bouchard, MHA, RRT-NPS Julie Neff, RRT Janet Eddy, MD Kim Beaver, RN IP UR Laura Anderko, RN, PhD Linda Holmstrand,MS Leon Vinci, DHA, DAAS, MPH, RS Lindsay Acree, PharmD Linda Hudgens, RN Marybeth Emmerth, MS, RRT, CPFT Lori Stump, RN Rhonda Sheridan, RRT Renata Slayton, MPH Susan Aufdenkampe, RRT Resa M. Jones, MPH, PhD Richard Stairhime, RRT Wisconsin Robert Leek, MHA Aimee Carr, RN Rotesha Colbert, PNP Alesia Gray, Community Health Worker Ruth Mabry, PhD Allison Simon, CNA Samantha Ahdoot, MD Amy Kalkbrenner, PhD MPH Sarah Jawaid, PharmD Amy Setchell, RRT and BS Sarah Southard, CPPNP, AE-C Ani Saryan, MD Sue Bhati, FNP-BC, PhD Ann Schlimgen, RN, BSN, AE-C Teresa Polk, RN, MSA Anne Weirich, RN Virginia Weisz, PhD, WHNP Asriani Chiu, MD Barbara J. Ludke, MSN, RN Washington Betty Koepsel, BSN, RN-BC Aileen Gagney, MA, HHS, GA-C, DST, CLR, Bonnie Rode, RN Student David Park, MD Carol Arnold, RN Eric King, CPhT Chad Hess, RN Gillian Mittlestaedt, MPA Christina Goff, RN Student Janet Primomo, RN, PhD Clara Wittman, RN Student Jasmine Hutchinson, MSPH Dawn Alberts, BSN, RN-BC Julie Takasugi, MD Deb Bakakarski, RRT Kathleen Postlethwaite, OMS II Deborah Grayson, RN, MSN, MPH Steven Gilbert, PhD Diana Carroll, BS, RRT, AE-C Tony Gerbino, MD Diana Haley RN, BSN Dion Porter, RN West Virginia Douglas Wubben, RN Alan Ducatman, MD Elizabeth Gore, MD Wisconsin, continued Nicole Carnegie, PhD Elly Fatehi, PharmD Omoshalewa Bamkole, CHW Eric Tourbier, RN Student Pamela A. Wilson, MD Erika Horstmann, PharmD Pat Keller, MSN, RN Heidi Lindroth, RN Student Patricia Bolling, MSN Heidi Zafra, MD Patricia Safavi, MD Jane Shabtaie, RN Peggy Fritsch, RN Jane Swoboda, RRT Randolph Lipchik, MD, MPH Jennifer Bayuk Yednock, RN Rebecca Hamann, RN Student Jennifer Cacciotti, RN Student Rhonda Duerst, RRT-NPS Jennifer Jansen, RN, BSN, MS Rhonda Hertwig, PNP Jennifer Woo, MPH Rose Aird, RN Jessa Van Every, CHES Roxanne Hemmerling, RN, BSN, NCSN Jim Steinhoff, MT (ASCP) Sara Lowe, APNP Jo Ann Wagner Novak, MS, APNP Sarah Brundidge, RRT Jodi Jaeger, BS RRT-NPS Scott Peschke, MD, FAAFP Joshua Steinberg, MD Shane Sanderson, MS, JD, REHS Juan P. Ruiz, MD Steven Brown, MD MD Judith Komblatt, RN Student Susan Ashton, BSN, retired Julie Tittl, RN, BSN Susan Freese, RN Kate Wilson, Master of Arts TeAngelo Cargile Jr., CHW Katelynne Klein, RN Student Teresa Prattke, MSN, WHNP-BC Kathleen Roebber, MA, BSN Timothy Banwell, MPH Kathryn Lammers, PhD, RN Todd Mahr, MD Kevin McCabe, MD Vanessa Witkowski, ADN, RN Kirsten Berge, RN, OCN Kristen Grimes, MAOM, MCHES Kyle Martin, MD Alex Bowler, MPH Laura Wojtak, RN Student Laurie Hartjes, PhD, RN Linda Newberry-Ferguson, RN, BSN, MHS Lisa Crandall, MSN Liz Zeps, RN, BSN Marlena Anderson, RN, BSN Mary Biebl-Yahnke, BS, RRT, RPFT Mary Koller, BSN Matthew Gray, MD, MS Megan Leadholm, Medical Assistant Michael Jaeger, MD Michael Lischak, MD Michele Pettit, MPH, PhD, MCHES Mitchell Grayson, MD Monica Holmes, RN Student Neal Cragg, BSN, RN