February 27, 2017

To the Marcellus Shale Coalition:

As health care and public health professionals, we are asking that you stop attacking reasonable
safeguards for the Pennsylvanians we are committed to protecting.

In our roles as doctors, nurses, and public health professionals, we understand the unintended
consequences that oil and gas development can have on public health.

Pollution from the oil and gas industry can deteriorate air quality and result in elevated levels of smog
that can exacerbate asthma and other respiratory conditions. High smog levels pose a health threat to
everyone in the community. However, children, who spend more time outdoors and are more likely to
have asthma, are particularly at risk from these impacts. Seniors, people with lung disease, and people
who work or play outdoors also have increased risk from smog pollution, which can travel many miles
downwind from its source. All of these consequences come with real costs in the form of more
emergency room visits, hospital admissions, and missed school and work days. As a society, we all bear
these costs.

Fortunately, cost-effective solutions exist today that can significantly reduce methane emissions and
other harmful air pollutants. The Pennsylvania Department of Environmental Protection (DEP) has
recently acted to reduce emissions of methane and other harmful pollution from the state’s oil and gas
industry. Reducing this pollution will have a positive impact on Pennsylvania’s most vulnerable
communities.

As health care and public health professionals, we are asking that you stop attacking these
reasonable safeguards for the Pennsylvanians we are committed to protecting.

Thank you for your consideration.

Physicians for Social Responsibility, Philadelphia
(Poune Saberi, MD, Board President)

Robert Little, MD
President, Physicians for Social Responsibility
Harrisburg/Hershey

SEIU Healthcare Pennsylvania

Ruth McDermott-Levy, PhD, MPH, RN
Alliance of Nurses for Healthy Environments
Philadelphia

Peggy Slota, DNP, RN, FAAN
Associate Professor, Georgetown University

Bernard D. Goldstein, MD
Emeritus Professor and Emeritus Dean
University of Pittsburgh Graduate School of Public Health
Evelyn O. Talbott, Dr. P.H., MPH
Professor, Department of Epidemiology
University of Pittsburgh

Alan S. Peterson, MD
Emeritus Director of Environmental and Community Medicine
Lancaster General Health

Raina Rippel, Director
Southwest Pennsylvania Environmental Health Project

Edward C. Ketyer, MD, FAAP

Brian Davies, MD, FAAP

Erin Davies, MD, FAAP

Anthony L. Kovatch, MD, FAAP

Erin Schaffner, MD, FAAP

Sylvia Choi, MD, FAAP

Ben Miller, MD, FAAP

Pamela Clair, MD, FAAP

Lisa M. Cerra, RN, BSN

Deborah Gentile, MD

Sarah Kohl, MD, FAAP

Christopher Dudro, MD, FAAP

William F. Coppula, MD, FAAP

Leslie Soloshatz, MD, FAAP

Brook McHugh, MD, FAAP

Katherine L. Walczak, MD, FAAP

Susie Saunders, MD, FAAP

Raymond O'Toole, MD, FAAP

Katharina Hayes, MD, FAAP
Elizabeth Cutrell, DO, FAAP

Ann Spence, RN

Melanie Austin, MD

Trina Peduzzi, MD, FAAP

Wendy Bacdayan, MD, FAAP, IBCLC

Terri Otteni, RN

Scott Tyson, MD, FAAP

Amy G. Nevin, MD

Jessica Marshalek, LPN

Kelly Campbell, DNP, FNP-BC

Nathan Millard, MD

Janelle Selva, PA-C

Damian L. Ternullo, MD

Laura Boll, CRNP

Laurence E. Carroll, MD, FASN, FNKF