Former Worker Medical Screening Program (FWP) –

An Update

Mary Fields, Program Manager

Office of Health, Safety and Security

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Overview

Beryllium Rescreening

Early Lung Cancer Detection Program

Access Handbook

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Beryllium Testing

November 2011 PI Meeting - discussion re utility of beryllium rescreening

Consensus that “one size fits all” would not work for entire program

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Beryllium Testing(cont’d)

DOE requested each project submit a proposal which would outline the following: The project’s approach for beryllium rescreening, The rationale for the approach, What the “freed up funds” would be used for, and A plan for communicating their approach to stakeholders

Each project analyzed the number of abnormal BeLPTs they were finding at each of their screening sites

Based on these findings, the projects determined how they would proceed with rescreening

Each project is in the process of submitting their protocol modifications to the Central DOE IRB for review/approval and sharing their plans with stakeholders

Any worker expressing concern and/or wishing to be tested will receive BeLPT

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Early Lung CancerDetection (ELCD) Program

Since 2000, FWP has offered low-dose helical CT scans to workers at high risk for occupational lung cancer based on a Congressional mandate

In October 2009, FWP PIs submitted proposal to expand CT scanning to sites/workers not currently served

In April 2010, HSS approved expansion to other eligible FWP participants within available funding

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ELCD(cont’d)

CT scans currently offered at 9 DOE sites: Former Fernald Site Former Mound Plant Oak Ridge K-25 Gaseous Diffusion Plant Oak Ridge National Laboratory Y-12 National Security Complex Nevada National Security Site Paducah Gaseous Diffusion Plant Portsmouth Gaseous Diffusion Plant Idaho National Laboratory

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ELCD(cont’d)

New CT scanning programs in development for:

Rocky Flats former production workersHanford former construction/building trades workers

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Access Handbook

Handbook evolved as a result of 1990 MOU between DOE and HHS – transferred the conduct of epi studies of DOE workforce and surrounding communities to HHS

As part of MOU, DOE committed to provide access to DOE-owned and contractor-owned records needed to conduct studies

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Access Handbook(cont’d)

Handbook provides guidelines for conducting health studies at DOE sites Outlines procedures for gaining access to site info Intended for use by researchers and DOE site personnel

responsible for making the requested info available

Includes: Steps in conducting a study, including a checklist IRB requirements Security regulations Roles responsibilities Contact info for DOE’s HSPP and site IRBs

Handbook was recently published as a Technical Standard (http://www.hss.doe.gov/nuclearsafety/techstds/docs/handbook/DOE-HDBK-1209-2012.pdf)

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Questions???