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Causal Analysis Using Stressor Identification & CADDIS Glenn Suter, Susan Cormier & Sue Norton USEPA Office of Research & Development National Center for Environmental Assessment

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Page 1: Causal Analysis Using Stressor Identification & CADDISdep.wv.gov/WWE/.../Documents/Potomac-Intersex/EPA_Reg3...CADD… · ... CADDIS 2 Technical Content 0 10 20 30 40 50 60 ... Microsoft

Causal Analysis Using Stressor Identification & CADDIS

Glenn Suter, Susan Cormier & Sue NortonUSEPAOffice of Research & DevelopmentNational Center for Environmental Assessment

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Our Causal Strategy:Stressor Identification

Define the Case

List Candidate Causes

Evaluate Data from the Case

Evaluate Data from Elsewhere

Identify Probable Cause

Detect or Suspect Biological Effects

As Necessary: Acquire Data,

and Iterate Process

Identify and Apportion Sources

Management Action: Eliminate or Control Sources, Monitor Results

Biological Condition Restored or Protected

Decision-maker and

StakeholderInvolvement

Stressor Identification

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Define the Case

• Objectives and scope– Determine cause of failure to meet biocriteria– Determine whether a source is the cause– Determine cause of specific effect

• Specific Impairment to be analyzed• Location in space and time

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List Candidate Causes

• Make an initial list• Gather and map information on sources

Consult stakeholders and experts• Make conceptual model• Finalize the list

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Causal Analysis is the Hard Part

• Causation is one of the most difficult and controversial concepts in philosophy

• Epidemiologists do not agree on causal inference

• Epidemiologists do not agree that causation can be inferred for specific cases

• No standard formal method• But errors common without a method

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Why do smart people make mistakes?

1. Theory tenacity:– We form opinions rapidly based on non-

logical processes• Intuition• Heuristic biases

– Because we are smart, we can ably defend them.

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Why do smart people make mistakes?

2. We overweight meaningful chance events:

– Every time I wash my car it ______

Rain?No

Rain? Yes

Wash Car? No

WashCar? Yes

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Disproof

Popperian disproof– Based on crucial

experiment– Based on observation

• Cannot identify cause– No finite list

• But can shorten the list

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Diagnostics

• Koch’s Postulates (single chem. or pathogen)– Association of Cause and Effect– Isolation of Cause from Effect– Experimental Association of Cause and Effect– Experimental Isolation of Cause from Effect

• Can be applied where novel cause• Basis for diagnostic protocols

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Hill’s Criteria for Causation

• Causality based on weight of evidence• By applying criteria to the evidence

– Strength– Consistency– Specificity– Temporality– Biological Gradient– Plausibility– Coherence– Experiment– Analogy

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Statistical Methods

Fisherian Disproof / NHT– Only for experiments– Cannot identify cause

Probabilistic Association– Correlation ≠ Causation– One type of evidence– Frequentist– Bayesian

Page 12: Causal Analysis Using Stressor Identification & CADDISdep.wv.gov/WWE/.../Documents/Potomac-Intersex/EPA_Reg3...CADD… · ... CADDIS 2 Technical Content 0 10 20 30 40 50 60 ... Microsoft

Inference for Cases

• Abductive Inference -- C.S. Peirce– Reasoning to the best solution

• D is a set of data (facts, observations, etc.)• H, if true, would explain D• No other hypothesis explains D as well as H does• Then, H is probably true

– A rigorous logic for individual cases

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Our Causal Strategy

• Identify alternative candidate causes• Logically eliminate when you can• Diagnose when you can• Use strength of evidence for the rest• Do not claim proof of causation• Identify the most likely cause• Use a consistent process• Document the evidence and inferences

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We are Concerned with Cases

• Generic Causation– Does C cause E ?

• Case Causation– What C caused E ?– Equivalent to autopsies, forensics or cancer

clusters

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Our Solution

• Hill-like Analysis of the Strength of Evidence• Types of Evidence, not Criteria

– None are required• Redefined and Renamed to reduce Ambiguity• Three Categories of Evidence

– Evidence from the Site (9 types)• Did C cause E here?

– Evidence from Elsewhere (6 types)• Does C cause E in other circumstances?

– Characteristics of the Body of Evidence (2 types)

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Our Solution, 2

• Adapt Susser’s +/- Scoring Approach• Integrate Diagnostics and Elimination

– Diagnosis is extreme form of Symptomology– Elimination is extreme form of Case-specific

Absence of Association• Iterative and Adaptive Implementation

Page 17: Causal Analysis Using Stressor Identification & CADDISdep.wv.gov/WWE/.../Documents/Potomac-Intersex/EPA_Reg3...CADD… · ... CADDIS 2 Technical Content 0 10 20 30 40 50 60 ... Microsoft

• Spatial/Temporal Co-Occurrence• Causal Pathway• Stressor-Response Relationships from the Field• Evidence of Exposure or Biological Mechanism• Manipulation of Exposure• Laboratory Tests of Site Media• Temporal Sequence• Verified Predictions• Symptoms

Types of Evidence that Use Data from the Case

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Supports

Refutes

Spatial/Temporal Co-Occurrencewith positive reference sites

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Supports

Refutes

Spatial/Temporal Co-OccurrenceThrough Time

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Supports

Refutes

Spatial/Temporal Co-OccurrenceUpstream Downstream Comparison

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Algae

CO2Supports

Refutes

Causal Pathway

Page 22: Causal Analysis Using Stressor Identification & CADDISdep.wv.gov/WWE/.../Documents/Potomac-Intersex/EPA_Reg3...CADD… · ... CADDIS 2 Technical Content 0 10 20 30 40 50 60 ... Microsoft

Strengthens

Weakens

Stressor-Response Relationshipsfrom the Field

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Evidence of Exposure or Biological Mechanism

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Supports

Refutes

Manipulation of Exposure

Page 25: Causal Analysis Using Stressor Identification & CADDISdep.wv.gov/WWE/.../Documents/Potomac-Intersex/EPA_Reg3...CADD… · ... CADDIS 2 Technical Content 0 10 20 30 40 50 60 ... Microsoft

Supports

Refutes

Laboratory Tests of Site Media

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Supports

Refutes

Temporal Sequence

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Verified Predictions

Strengthens

Weakens

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Symptoms

Strengthens

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Types of Evidence that Use Data from Elsewhere

• Stressor-Response Relationships from Other Field Studies

• Stressor-Response Relationships from Laboratory Studies

• Stressor-Response Relationships from Ecological Simulation Models

• Mechanistically Plausible Cause• Manipulation of Exposure at Other Sites• Analogous Stressors

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Stressor-Response Relationships from Other Field Studies

StrengthensWeakens

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Stressor-Response Relationships from Laboratory Studies

Weakens Strengthens

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Stressor-Response Relationships from Ecological Simulation Models

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Mechanistically Plausible Cause

Weakens

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Strengthens

Weakens

Manipulation of Exposureat Other Sites

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Analogous Stressors

Strengthens

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Score Each Type of Evidence for Each Candidate Cause

R refutesD diagnoses+++ convincingly supports (or weakens)++ strongly supports (or weakens)+ somewhat supports (or weakens)0 neither supports nor weakens NE no evidence

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Scoring Example:Spatial/Temporal Co-occurrence

Refutes if negative evidence is indisputableR

Lack of co-occurrence convincingly negates, because exposure must occur- - -

Ambiguous evidence is neutral0

Weakly supports, because it could be a coincidence+

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Scoring Example:Laboratory Tests of Site Media

Laboratory tests cannot refute toxic effects in the field.no R

Lack of laboratory toxicity weakly negates, because the test species, responses or conditions may be inappropriate

-

Ambiguous evidence is neutral0

Laboratory toxic effects that are not clearly related to site effects weakly support+

Laboratory toxic effects similar to site effects are convincing support media toxicity as a cause+++

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Weigh the Evidence for Each Candidate Cause

• Evaluate the quantity and quality of evidence– Do not add the pluses and minuses

• Evaluate consistency and credibility• Summarize the compelling evidence

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Confidence in the argument for a candidate cause is increased when a post hoc mechanistic, conceptual, or mathematical model reasonably explains any inconsistent evidence.

Explanation of the Evidence

Confidence in the argument for or against a candidate cause is increased when many types of evidence consistently support or weaken it.

Consistency of Evidence

The ConceptType of Evidence

Evaluating Multiple Types of Evidence

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Consistency of Evidence

Strengthens

Weakens

Weakens

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Explanation of the Evidence

Strengthens

Weakens

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Scoring Explanation of Evidence

-A credible explanation for any positive inconsistencies in an otherwise negative case

0No explanation for inconsistencies

+A credible explanation exists for any negative inconsistencies in an otherwise positive case

Reasonable Explanation of the Evidence

ScoresPossible ResultsConsideration

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Connecticut Case StudyWillimantic River

– Identified source– Remediated– Biotic condition improved – Removed from 303d list– Residual impairment– Associated with upstream

dams• Temperature• Allocthonous trophic structure

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+ + +-+-----Consistency of EvidenceEvaluating Multiple Types of Evidence

+--+Stressor-Response Relationships from Laboratory Studies

- -Stressor-Response Relationships from Other Field Studies

Types of Evidence that Use Data from Elsewhere+ + +Verified Predictions+ + +Manipulation of Exposure

++--+Stressor-Response Relationships from the Field

+-++-+-Causal Pathway

+-++--+++Evidence of Exposure orBiological Mechanism

++- - -+--+Spatial/Temporal Co-OccurrenceTypes of Evidence that Use Data from the Case

Episodic Mix

Food TLow DOSiltFlowNH3MetalsWillimantic

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Possible Outcomes

Strong evidence for one causeCelebrate and remediate

Inconclusive evidence across causesRemediate as adaptive managementGather more data and reanalyzeRedefine the impairmentConsider more candidate causesConsider joint action of causes

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Causal Analysis/Diagnosis Decision Information System CADDIS

An online system that helps

• Organize• Use• Access, and• ShareInformationTo Identify

Causes of Biological Impairments

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CADDIS 1 Includes

• Step-by-Step Guide• Worksheets and Examples• Conceptual Models• Case Studies• External links• References• Search Glossarywww.epa.gov/caddis/

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• Stressor-Response relationships– Stressor syntheses

• Metals (Fall 2005)• Nutrients• Suspended and

Bedded Sediments• Dissolved oxygen• Temperature• Salinity

– Analytical methods• Stressor-specific

tolerance values • Regional stressor-

response curves

CADDIS 2 Technical Content

0 10 20 30 40 50 60MDEPTHFINE

0

10

20

30

EP

T

Unobserved EPT taxa

Effects due to additional stressors

EPT Taxa vs. Mean Depth Fines

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ORD Potomac / Shenandoah Team

Sue Norton Patricia Shaw-AllenGlenn Suter Sharon Taylor

Other CATs are standing by