1 the U. S. Department of Health and Human Services Public Health Service Centers for Disease Control and Prevention National
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1 THE U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH convenes the ADVISORY BOARD ON RADIATION AND WORKER HEALTH VOLUME I The transcript of the Meeting of the Advisory Board on Radiation and Worker Health before Debbie G. Williams, Certified Court Reporter and Notary Public; commencing at 8:30 a.m., Wednesday, February 5, 2003, at The DoubleTree Guest Suites, 181 Church Street, Charleston, South Carolina. ************************************* DEBBIE G. WILLIAMS, CCR, CVR CERTIFIED VERBATIM REPORTER 2515 Little John Court Cumming, Georgia 30040 (770) 886-9814 2 PARTICIPANTS BOARD MEMBERS CHAIR: PAUL L. ZIEMER, Ph.D., Professor Emeritus School of Health Sciences Purdue University West Lafayette, Indiana EXECUTIVE SECRETARY: LARRY J. ELLIOTT Director, Office of Compensation Analysis and Support National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Cincinnati, Ohio MEMBERSHIP: HENRY A. ANDERSON, M.D. Chief Medical Officer Occupational and Environmental Health Wisconsin Division of Public Health Madison, Wisconsin ANTONIO ANDRADE, Ph.D. Group Leader/Manager Radiation Protection Services Group Los Alamos National Laboratory Los Alamos, New Mexico ROY LYNCH DeHART, M.D., M.P.H. Director, The Vanderbilt Center for Occupational and Environmental Medicine Professor of Medicine Nashville, Tennessee RICHARD LEE ESPINOSA Sheet Metal Workers Union Local #49 Johnson Controls Los Alamos National Laboratory Espanola, New Mexico MICHAEL H. GIBSON, President Paper, Allied-Industrial, Chemical, and Energy Union Local 5-4200 Miamisburg, Ohio 3 MARK A. GRIFFON, President Creative Pollution Solutions, Inc. Salem, New Hampshire JAMES MALCOLM MELIUS, M.D., Dr.P.H. Director, New York State Laborers' Health and Safety Trust Fund Albany, New York WANDA I. MUNN, Senior Nuclear Engineer (Retired) Richland, Washington ROBERT W. PRESLEY, Special Projects Engineer BWXT Y-12 National Security Complex Oak Ridge, Tennessee GENEVIEVE S. ROESSLER, Ph.D. Radiation Consultant Professor Emeritus University of Florida Elysian, Minnesota AGENDA SPEAKERS MS. MARTHA DiMUZIO, NIOSH MR. RUSH HENSHAW, NIOSH DR. JAMES MELIUS DR. SERGIO BUSTOS, SRSHES Chair STAFF/VENDORS CORI HOMER, Committee Management Specialist, NIOSH DR. JAMES NETON, NIOSH TERESA ROBINSON, Writer/Editor DEBBIE G. WILLIAMS, Certified Verbatim Court Reporter 4 I N D E X VOLUME I February 5, 2003 REGISTRATION AND WELCOME Dr. Paul Ziemer, Chair ................... Page 5 Mr. Larry Elliott, Executive Secretary.... Page 7 REVIEW AND APPROVAL OF SUMMARY OF CLOSED SESSION MEETING 10 .................................. Page 10 PROGRAM STATUS REPORT Ms. Martha DiMuzio, NIOSH............... Page 10 Dr. Jim Neton, NIOSH ................... Page 25 Mr. Richard Toohey, NIOSH .............. Page 29 IREP LATENCY ADJUSTMENT Mr. Russ Henshaw, NIOSH ................ Page 60 IREP SCIENTIFIC ISSUES WORKGROUP REPORT Dr. James Melius, Chairperson .......... Page 95 SAVANNAH RIVER SITE HEALTH EFFECTS SUBCOMMITTEE ACTIVITIES Dr. Sergio Bustos, SRSHES Chair ........ Page 132 BOARD DISCUSSION/WORKING SESSION Review Process of Dose Reconstructions.......................... Page 150 PUBLIC COMMENT PERIOD Mr. Hans Behling ........................ Page 225 Ms. Denise Brock ........................ Page 231 Mr. Richard Miller....................... Page 245 5 1 P R O C E E D I N G S 2 8:30 a.m. 3 DR. ZIEMER: Good morning, everyone. This 4 is the eleventh meeting of the Advisory Board on 5 Radiation and Worker Health. I'm Paul Ziemer, 6 Chairman of the Advisory Board. The Board members 7 are seated here at the table before me, and we're 8 not going to introduce them individually. You can 9 identify them by the placards in front of each 10 individual. 11 I would like to indicate for the record that 12 as best we know at the moment, Mike Gibson will be 13 unable to be with us for this meeting. It is our 14 understanding that Henry Anderson will be -- I'm 15 sorry, I said Mike Gibson. It's Leon, isn't it, 16 Leon Owens will be unable. I'm sorry. I hadn't 17 heard that Mike wouldn't be, so maybe Mike will be 18 joining us shortly. Leon Owens will be unable to be 19 here for this meeting. It is my understanding that 20 Henry Anderson will be joining the Board just a 21 little later. There was a conflict that will cause 22 him to arrive late. 23 I'd like to remind all of those in 24 attendance today, Board members, as well as staff 25 members from the various agencies, and members of 6 1 the public, to register your attendance with us in 2 the registration book that's at the table near the 3 entrance. If you are a member of the general public 4 and wish to address the Board during the public 5 comment period, we ask that you sign up to do so. 6 There is a sign-up sheet for commenting during the 7 public comment period, and that sign-up sheet is 8 also on the table near the entrance. 9 There are a number of handouts on the other 10 table in the rear of the room that includes copies 11 of today's Agenda, copies of Minutes of some of the 12 past meetings, and other documents that relate to 13 the presentations that we will have today, so please 14 avail yourself of those materials on the table. 15 We will proceed with the Agenda pretty much 16 as its there. There will be some shifting on the 17 times, as needed, depending on the length of 18 presentations and the Board discussion periods, but 19 in general we will proceed with the Agenda as 20 indicated. 21 I would like to point out that originally a 22 month ago when this meeting was confirmed there had 23 been the intent that at this meeting the Board would 24 discuss the provisions of the -- what we thought was 25 the -- going to be the materials in the Code of 7 1 Federal Regulations dealing with the Special 2 Exposure Cohorts. That material has not yet 3 appeared in the Federal Register and thus, it cannot 4 be included today as part of our discussion, and the 5 Board members are already aware that that item has 6 been removed from what was the original draft 7 Agenda. The revised Agenda was, of course, on the 8 web site and was promulgated accordingly. 9 I'm going to now turn the mike, or a mike 10 over to Larry Elliott, our Executive Secretary. And 11 Larry has some additional comments before we proceed 12 in the Agenda. 13 MR. ELLIOTT: Thank you, Dr. Ziemer. I just 14 wanted to welcome the Board to Charleston. I hope 15 you find this city to be very interesting, and it is 16 a very exciting city, so I hope you have some time 17 to spend walking through the streets here and enjoy 18 it. 19 As Dr. Ziemer said, the Notice of Proposed 20 Rulemaking on additions to the Special Exposure 21 Cohort has not gone completely all through the 22 clearance process, and thus, we have not been able 23 to put it into the Federal Register for public 24 comment. We hope to see that very soon. And 25 tomorrow we will have to take up in the Board's 8 1 housekeeping items your agendas for when we can meet 2 to discuss that. 3 On your Agenda today we have a few -- a 4 different -- a couple of different people to -- for 5 you to get to know. I know you've met Martha 6 DiMuzio in the past. Dave Sundin, who traditionally 7 and regularly gives the Program Status Report to you 8 all, is back home in Cincinnati minding the store. 9 And Martha DiMuzio is here today, she'll be giving 10 that Program Status Report to you. She's also 11 critical to today's and tomorrow's discussion on the 12 procurement and -- and task order development, so 13 that's why I asked her to be here today. 14 And with that, I think I'll turn it back to 15 -- to Dr. Ziemer. 16 DR. ZIEMER: Thank you, Larry. 17 You'll notice that the next item on our 18 Agenda is the Review and Approval of Draft Minutes 19 of Meeting 10. What I propose that we do is that we 20 address only the -- what we might call the Minutes, 21 it's the summary of the closed session, which was 22 the executive session. The Minutes of those are not 23 available to be made public, but the summary of the 24 closed section -- or closed session can be made 25 public, and is in the book and we will act on that. 9 1 The actual Minutes for the open portion of the 2 meeting have been, or are being distributed, and 3 they're rather lengthy. In fact, let me ask: Have 4 they been distributed? Or they will be today 5 sometime, if they're not already. 6 MR. ELLIOTT: I don't see Cori here right 7 now, but I -- I know she's having the copies made. 8 DR. ZIEMER: In any event, those Minutes are 9 thirty-some pages long, and I'm not going to ask you 10 to glance on them and approve them forthwith. We 11 will delay the action on those Minutes till tomorrow 12 morning. I know you all were wanting to have 13 something to do this evening, and that will -- that 14 will occupy your time. 15 So without objection, let's simply move to 16 the summary of the closed section -- closed session. 17 It's in the tab that says: Draft Minutes/Meeting 18 10.