Joan Picone, NWF Project Consultant, Clean Air Campaign, Ohio 

# 11 EPA-HQ-OAR-2011-0660

Good afternoon, my name is Joan Picone. I am a lifelongresident ofCanton, Ohio and workin the community ofStark and Summit Counties on behalfofthe National Wildlife Federation, Clean Air Defense Campaign. Professionally, I have workedin business and public health. Today, I want to address the importance ofthe proposed carbonpollution standards for newpowerplants through the health lens.
According to the American Lung Association's 2012 State ofthe Ait Report, Stark and SummitCounties-my home base-have a combinedpopulation ofroughly 917,367 residents. ,\loreover, they estimate that ofhalfthis population-456,364-are at greater health risks from ait pollution due to an existing diagnose ofasthma, chronicbronchitis, emphysema, cardiovascular disease, or diabetes.

The Lung Association's report, released in late April, gave Stark and Summit Counties failing grades of"F" for ozone levels, while Stark received a poorgrade of"D" and Summit a failing grade of"F" for 24-hourparticle pollution levels. Recognizing Ohio is considered
one ofthe dirtiest, polluting states, I would like to highlight what impact that has on the lives oftwo Ohioans.
Recently, I learned that a dear, childhood friend, Patty, has been suffering from emphysema and COPD for sometime. She is frequently on oxygen but going outdoors, particularly, during ozone alerts days can be fatal to her. She is a grandmother so enjoyingplaytime with her grandkids outdoors is no longer an option. In anotherincidence, I have been in communication with a mother,**~ichole,** whose son was diagnosed with pediatric asthma and receives on-going, weekly treatments in Akron. Sadly, his doctor now recommends that her child wear a mouth mask when venturing outdoors for any length oftime. In both cases, simply stepping outside creates breathingrisks for these individuals given the existence of unhealthy, polluted air.

The National Wildlife Federation 2007 Gardner's Guide points out that global warminghas increased Northern Ohio temperatures by 4" Fahrenheit over the last century. For residents living in the region, winter 2011-2012 was the warmest in 140 years according to theJoan Picone, NWF Project Consultant, Clean Air Campaign, Ohio 

# 12 EPA-HQ-OAR-2011-0660 NationalWeather Service weather records. We know that with warming temperatures the threat ofotherhealth issues includingheat-related deaths, illnesses and the spread of infectious diseases becomereal possibilities.

With tbe rise ofdiabetes, in all age categories includingyouth, heat is a troublesome factor and canbe life-threatening for this at risk group. My mother lived 36 years with this disease
so I know first hand how herbodyreacted with the rise ofsmog related temperatures. Venturing outdoors duringvery warm days was limiting for her particularly as she aged. However, tbe rise in outdoor temperatures and living without air conditioning created a medical challenge. Heatlessens one's desire to eat and this was true for my mother who was insulin dependent. Often this combination would send herbody into a severe insulin reaction state and weakening her quality oflife. Image ouryouth oftoday, going through similar health circumstances simply because the climate is warming at the hands polluters.
Ohioans, along with the nation, continue to be exposed to air pollutionlevels that are dangerous to one's health. The proposed CPA carbonpollution standards for new power plants arc another step in the right direction and one I and the NationalWildlife Federation fully support.

Thank vou for vour time.

Joan Picone joan.picone@yahoo.com Home: 330-455-4287Joan Picone, NWF Project Consultant, Clean Air Campaign, Ohio 

# 11 EPA-HQ-OAR-2011-0660

Good afternoon, my name is Joan Picone. I am a lifelong resident ofCanton, Ohio and workin the community ofStark and Summit Counties on behalfofthe National Wildlife Federation, Clean Air Defense Campaign. Professionally, I have workedin business and public health. Today, I want to address the importance ofthe proposed carbon pollution standards for new power plants through the health lens.
According to the American Lung Association's 2012 State ofthe Air Report, Stark and Summit Counties-my home base-have a combined population ofroughly 917,367 residents. Moreover, they estimate that ofhalfthis population-456,364-are at greater health risks from air pollution due to an existing diagnose ofasthma, chronic bronchitis, emphysema, cardiovascular disease, or diabetes.

The Lung 1\ssociation's report, released in late April, gave Stark and Summit Counties failing grades of"F" for ozone levels, while Stark received a poor grade of"D" and Summit a failing grade of"F" for 24-hourparticle pollution levels. Recognizing Ohio is considered
one ofthe dirtiest, polluting states, I would like to highlight whatimpact that has on the lives oftwo Ohioans.
Recently, !learned that a dear, childhood friend, Patty, has been suffering from emphysema and COPD for sometime. She is frequently on oxygen but going outdoors, particularly, during ozone alerts days can be fatal to her. She is a grandmother so enjoying playtime with her grandkids outdoors is no longer an option. In anotherincidence, I have beenin communication with a mother, Nichole, whose son was diagnosed with pediatric asthma and receives on-going, weekly treatments in 1\kron. Sadly, his doctor nowrecommends that her child wear a mouth mask when venturing outdoors for any length oftime. In both cases, simply stepping outside creates breathingrisks for these individuals given the existence of unhealthy, polluted air.

The National Wildlife Federation 2007 Gardner's Guide points outthatglobalwarming has increased Northern Ohio temperatures by 4" Fahrenheit over the last century. Forresidents living in the region, winter 2011-2012 was the warmestin 140 years according to theJoan Picone, NWF Project Consultant, Clean Air Campaign, Ohio 

# 12 EPA-HQ-OAR-2011-0660 NationalWeather Service weatherrecords. We know that with wanning temperatures the threat ofotherhealth issues includingheat-related deaths, illnesses and the spread of infectious diseases becomereal possibilities.

With the rise ofdiabetes, in all age categories inductingyouth, heatis a troublesome factor and can be life-threatening for this at risk group. ev!y mother lived 36 years with this disease
so I know ftrst hand how herbody reacted with the rise ofsmog related temperatures. Venturing outdoors during very warm days was limiting for herparticularly as she aged. However, the rise in outdoor temperatures and living without air conditioning created a medical challenge. Heat lessens one's desire to eat and this was true for my mother who was insulin dependent. Often this combinationwould send her bodyinto a severe insulin reaction state and weakening her quality oflife. Image ouryouth oftoday, going through similar health circumstances simply because the climate is wanning at the hands polluters.
Ohioans, along with the nation, continue to be exposed to air pollution levels that are dangerous to one's health. The proposed EPA carbon pollution standards for newpower plants are another step in the right direction and one I and the NationalWildlife Federation fully support.

Thankyou for your time.

foan Picone joan.picone@yahoo.com Home: 330-455-4287Joan Picone, NWF Project Consultant, Clean Air Campaign, Ohio 

# 11 EPA-HQ-OAR-2011-0660

Good afternoon, my name is Joan Picone. I am a lifelong resident ofCanton, Ohio and work in the community ofStark and Summit Counties on behalfofthe NationalWildlife Federation, Clean Air Defense Campaign. Professionally, I have workedin business and public health. Today, I want to address the importance ofthe proposed carbon pollution standards for newpowerplants through the health lens.
According to the American LungAssociation's 2012 State ofthe Air Report, Stark and Summit Counties-my home base-have a combinedpopulation ofroughly 917,367 residents. Moreover, they estimate that ofhalfthis population-456,364-are at greater healthrisks from air pollution due to an existing diagnose ofasthma, chronic bronchitis, emphysema, cardiovascular disease, or diabetes.

The Lung AssoCJatton's report, released m late April, gave Stark and Sumnut Counttes failing grades of"F" for ozone levels, while Starkreceived a poor grade of"D" and Summit a failing grade of"F" for 24-hour particle pollution levels. Recognizing Ohio is considered
one ofthe dirtiest, polluting states, I would like to highlight whatimpact that has on the lives oftwo Ohioans.
Recently, I learned that a dear, childhood friend, Patty, has been suffering from emphysema and COPD for sometime. She is frequently onoxygen butgoing outdoors, particularly, during ozone alerts days can be fatal to her. She is a grandmother so enjoying playtime with her grandkids outdoors is no longer an option. In anotherincidence, I have beenin communication with a mother, Nichole, whose son was diagnosed with pediatric asthma and receives on-going, weekly treatments in Akron. Sadly, his doctor now recommends thather child wear a mouth mask when venturingoutdoors for any length oftime. In both cases, simply stepping outside creates breathingrisks for these individuals given the existence of unhealthy, polluted air.

The NationalWildlife Federation 2007 Gardner's Guide points out that global warminghas increased Northern Ohio temperatures by 4" Fahrenheit over the last century. Forresidents livingin the region, winter 2011-2012 was the warmest in 140 years according to theJoan Picone, NWF Project Consultant, Clean Air Campaign, Ohio 

# 12 EPA-HQ-OAR-2011-0660 NationalWeather Service weatherrecords. We know that with warming temperatures the threat ofotherhealthissues includingheat-related deaths, illnesses and the spread of infectious diseases becomereal possibilities.

With the rise ofdiabetes, in all age categories includingyouth, heat is a troublesome factor and can be life-threatening for this at risk group. 

### My mother lived 36 years with this disease
so I know first hand how herbody reacted with the rise ofsmogrelated temperatures. Venturing outdoors during very warm days was limiting for her particularly as she aged. However, the rise in outdoor temperatures and living without air conditioning created a medical challenge. Heatlessens one's desire to eat and this was true for my mother who was insulin dependent. Often this combination would send her body into a severe insulin reaction state and weakening her quality oflife. Image ouryouth oftoday, going through similar health circumstances simply because the climate is warming at the hands polluters.
Ohioans, alongwith the nation, continue to be exposed to airpollutionlevels that are dangerous to one's health. The proposed EP1\ carbonpollution standards for new power plants are another step in the right direction and one I and the NationalWildlife Federation fully support.

1hankyou for your time.

Joan Picone joan.piconc@yahoo.com Home: 330-455-4287