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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 

CENTERS FOR DISEASE CONTROL NATIONAL INSTITUTE 

FOR OCCUPATIONAL SAFETY AND HEALTH

+ + + + +

ADVISORY BOARD ON RADIATION AND WORKER HEALTH

+ + + + +

121st MEETING

+ + + + +

WEDNESDAY

FEBRUARY 21, 2018

+ + + + +

The Advisory Board met telephonically 

at 11:00 a.m. Eastern Time, Ted Katz, Designated 

Federal Official, presiding. 

PRESENT:

HENRY A. ANDERSON, Member

JOSIE BEACH, Member

BRADLEY P. CLAWSON, Member

R. WILLIAM FIELD, Member

DAVID KOTELCHUCK, Member

WANDA I. MUNN, Member

GENEVIEVE S. ROESSLER, Member

PHILLIP SCHOFIELD, Member

LORETTA R. VALERIO, Member

PAUL L. ZIEMER, Member

TED KATZ, Designated Federal Official
 

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ALSO PRESENT:

NANCY ADAMS, NIOSH Contractor

ISAF AL-NABULSI, DOE

BOB BARTON, SC&A

ZAIDA BURGOS, NIOSH

JOE FITZGERALD, SC&A

STU HINNEFELD, DCAS

JEFF KOTSCH, DOL

JENNY LIN, HHS

JOHN MAURO, SC&A

JIM NETON, DCAS

JOHN RAMSPOTT

LAVON RUTHERFORD, DCAS

JOHN STIVER, SC&A

TIM TAULBEE, DCAS
 

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Contents 

Roll Call and Welcome............................. 4

Upcoming Need..................................... 6

Special Exposure Cohort petition status update.... 9

Updates from Work Group Subcommittees............ 12

Plans for the April 2018 Board Meeting........... 19

Board Correspondence............................. 25

Adjourn.......................................... 27
 

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P-R-O-C-E-E-D-I-N-G-S 

(11:01 a.m.)

Roll Call and Welcome 

MR. KATZ: Okay, it's 11 o'clock, so 

let's get rolling here. Welcome, everybody. 

This is the Advisory Board on Radiation and 

Worker Health, our teleconference.

The agenda for today is posted on the 

NIOSH website, under the Board section, schedule 

of meetings, today's date. If you don't already 

have it, you don't really need it. It's a pretty 

simple agenda today and easy to follow along. 

And there are no other documents for the meeting, 

so it's a pretty simple agenda today.

Some preliminaries. Please, 

everyone, mute your phones except for when you're 

addressing the group. And for people without a 

mute button, press *6 to mute your phone, *6 to 

bring yourself off of mute. And please, no one 

put the call on hold at any point.

Yes, I think that takes care of 

preliminaries.
 

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So the first thing I have to say is, 

which I think almost everybody knows, if not 

everybody, but we are -- the Board is chair-less 

at the present. Dr. Melius passed away in January 

unexpectedly. We have not had a new chair 

designated.

So I think we're all feeling a little 

lonely without Dr. Melius. And related to that, 

we'll talk about the agenda for April later, but 

on the agenda will be a -- we'll have an honoring 

of Dr. Melius as part of that.

Okay, let me get started with roll 

call and I'll begin --

(Audio interference)

MR. KATZ: Someone is not muted. So 

I think everybody but the Board Members should be 

muted right now. Press *6 to mute your phone if 

you don't have a mute button.

And let's do roll call alphabetically.

(Roll call.)

MR. KATZ: Okay, let me just circle 

back then to Board Members, make sure we still 
 

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don't have them. Dr. Lockey, have you joined us? 

Or Dr. Poston? Dr. Richardson? How about Dr. 

Ziemer?

Okay. Well, we have nine Members 

present, which is a quorum. So we're okay. So, 

off we go.

All right, first item on the agenda, 

there are a couple things I'll note. The new HHS 

Secretary, Alex Azar. And he is very familiar 

with HHS because he's worked at the highest 

levels of HHS previously.

And the good news for us is he's 

familiar with us, too, and I can say a Board 

charter is coming up in March, and he's already 

approved that so you guys will have a new charter 

for another couple of years, which is good. So, 

takes care of that.

Upcoming Need 

All right, I don't know, let's just 

switch one thing around on the agenda. Before we 

get to LaVon and the SEC petitions update, let me 

just note, I have on here, we're going to need 
 

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new Work Group chairs and/or members, because if 

we move a member to the chair spot then we'll 

need a new member, but there are a number of Work 

Groups that Dr. Melius chaired.

Those include the Dose Reconstruction 

Review Methods Work Group, the SEC Issues Work 

Group, the Hanford Work Group and the Surrogate 

Data Work Group. And all of those Work Groups 

actually have some work to address at some point, 

not necessarily ready yet.

But my plan for that is to wait. I 

am hopeful that we'll have a designated chair 

before the April Board meeting. And I would like 

to give some time for that to allow that chair to 

weigh in on designating chairs for these Work 

Groups.

But, in the meantime, I think it would 

be good for us to get together volunteers from 

among you, to either chair or be a member if need 

be. If you're not on one of these Work Groups, 

for any one of these four Work Groups.

So, again, it's Dose Reconstruction 
 

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Review Methods, SEC Issues Work Group, the 

Hanford Work Group, and the use of Surrogate 

Data. And all of those could use the additional 

member or someone to step up as chair.

So you can just send those, send me 

your wishes by email, I'll collect those. And 

then we'll have those in hand.

And if it looks like it's going to be 

a long process before we have a new designated 

Chair for the Board, we may move forward on some 

of these so that we don't have the work sitting 

idle while we're waiting for a chair.

MEMBER ZIEMER: Paul here, Ted.

MR. KATZ: Oh, Paul, great.

MEMBER ZIEMER: Yes.

MR. KATZ: Thanks. Okay. And I hope 

you just caught that note that I just made about 

new chairs and --

MEMBER ZIEMER: I just hit the end of 

it.

MR. KATZ: Okay. All I was saying 

was, for Dose Reconstruction Review Methods, SEC 
 

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Issues, Hanford and Use of Surrogate Data, those 

four Work Groups, we're going to need new members 

and/or chairs for each of those.

MEMBER ZIEMER: Right.

MR. KATZ: So, if you want to 

volunteer for any of those send me an email.

MEMBER ZIEMER: Right.

MR. KATZ: And I'll collect those 

together. And I wasn't planning to make that 

selection myself, unless it seems like a long 

time coming for us to get a new Board designated 

Chair.

MEMBER ZIEMER: Right.

MR. KATZ: But I'm going to wait for 

that.

MEMBER ZIEMER: Yes.

MR. KATZ: I hope. Okay, so then next 

on the agenda is LaVon's SEC petition status 

update. LaVon?

Special Exposure Cohort petition status update 

MR. RUTHERFORD: Yes. Okay, thanks, 

Ted. I think our first thing, key to note, is we 
 

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will not be presenting any new SEC evaluations at 

the April Board meeting.

We had anticipated presenting the 

Sandia addendum. However, Sandia was unable to 

provide us the information requested in time for 

us to complete the evaluation. They are 

currently scheduled to have the information to us 

by early March.

I do want to point out, the longer it 

takes for them to get us the information the 

closer we get to not being able to make the August 

meeting.

I will make sure, I've been talking to 

Greg Lewis, and in fact he's been out, but I'll 

keep Greg Lewis up to date on this and make sure 

he is aware of it. And I know Isaf is on the 

phone so I'm sure she's writing this down.

We had one new SEC petition that has 

qualified and we are moving forward with the 

evaluation. The petition is for the De Soto 

Facility, and it's for all employees from 1965 to 

1995.
 

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So, again, we have no new petition 

evaluations for the April meeting. And we are 

currently evaluating one new petition for the De 

Soto Facility. And that's all I have.

MR. KATZ: Okay. Thank you, LaVon. 

Any questions for LaVon?

MEMBER CLAWSON: Hey, LaVon, this is 

Brad. Why are we having trouble getting this 

information? What's the hold-up according to 

Sandia?

MR. RUTHERFORD: Well, you know, we've 

actually been working with them for a while to 

get the information. I do appreciate that Greg 

Lewis has put a lot of effort into pushing 

forward, however, there is some -- I don't know 

what to say. They're just, they're running late.

They have committed that they will 

have it to us by March 2nd. So as long as they 

get it to us by then, we will make the August 

meeting. I can't really say much more than that, 

sorry, Brad.

MEMBER CLAWSON: Okay. So it's not a 
 

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funding issue or anything else like that, it's 

just the workload and stuff that we have seen at 

other sites.

MR. RUTHERFORD: Right.

MEMBER CLAWSON: I understand that. I 

just wanted to make sure if it was funding issues 

that that's something we can take care of 

relatively fast.

MR. RUTHERFORD: Yeah. No, it's not 

funding at all.

MEMBER CLAWSON: Okay. That's all I 

wanted to make sure, thanks.

Updates from Work Group Subcommittees 

MR. KATZ: Okay, any other questions? 

All right, moving on, then, to these that are as 

necessary: updates from Work Groups and 

Subcommittees, either about work completed or 

ahead.

MEMBER BEACH: Ted, this is Josie, 

I'll go ahead and start with LANL. And mostly 

I'm asking for an update from LaVon. We were 

looking at maybe doing some interviews and I was 
 

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just kind of wondering, LaVon, if you can let me 

know where that stands.

MR. RUTHERFORD: Yes, I can. Well, 

actually ATL is working on the coordination for 

that. And we have identified the individuals, at 

least a list to start with, of individuals.

And I actually had drafted an email to 

the Work Group yesterday looking for, one, Work 

Group Members who wanted to participate in the 

interviews, as well as SC&A, and what their 

availability would be. I'll send that out right 

after this meeting and you guys can respond to 

me.

And then from that point we'll work on 

putting together the interview sheet. I think 

the Work Group is going to be involved and SC&A 

may have a lot of the key questions for that.

But, yes, it's in the process, we've 

been doing it. Actually, I've been a little bit 

behind on getting the email out to you guys.

MEMBER BEACH: Okay, thanks for the 

update, we'll look for that.
 

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MEMBER KOTELCHUCK: LaVon?

MR. RUTHERFORD: Yes.

MEMBER KOTELCHUCK: This is Dave. You 

sent the Committee Members an email about your 

updating work on Rocky Flats, looking at the 

boxes at LANL. Would you like to report on that 

to the larger group?

MR. RUTHERFORD: Sure, I can. We 

actually had, as most everybody remembers, that 

we identified, it was roughly 6,200-and-something 

boxes at LANL.

We actually worked with the site to 

get good indices pulled together of what those 

boxes contained. And we were able to narrow the 

-- working with SC&A and the Work Group, we were 

able to narrow it down to 46 boxes.

We were looking for information that 

potentially -- or looking for items to review 

that may identify magnesium-thorium alloy at the 

site. So we looked at key things like engineering 

orders, purchase orders, you know, design 

drawings.
 

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We ended up looking at a number of 

welding operations. Different things that we 

looked for that may identify magnesium-thorium 

alloy.

We also had identified, in our review 

process, some health and safety procedures and a 

few other things that we wanted to review while 

we were out there as well.

One of the key things we found out 

when we got out there was roughly 80 percent of 

all of the documents at LANL, from Rocky Flats, 

are radiographs. So that gives you a feel, you 

know. And so if you were looking at it, roughly 

1,200 boxes were non-radiographs. And we 

identified a number -- I think we went down to 46 

boxes of which 39 we were able to review.

Some of the boxes had been 

consolidated. And we also had to cut some of --

two boxes that were still with the attorneys at 

LANL.

And, again, we reviewed all those 

documents. That was myself, ORAU Team, and Ron 
 

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Buchanan with SC&A. And we did not identify 

anything associated with magnesium-thorium alloy 

or HK-31, which is the other name. And that's 

it.

MEMBER KOTELCHUCK: Yes, let me thank 

you for following up on that because that was a 

matter of concern. And thanks for all that work. 

For you and DCAS.

MR. KATZ: Okay, any other Work Groups 

want to update the Board?

MEMBER ROESSLER: Ted, this is Gen. 

Can you hear me okay?

MR. KATZ: Yeah, you're perfectly 

clear.

MEMBER ROESSLER: Oh, good. Okay, I 

have an update on Oak Ridge, ORNL/X-10. I got an 

update from Lara Hughes, who's the NIOSH lead at 

this facility. And she said we are still working 

on the report on exotic radionuclides. DCAS has 

decided to turn this into a report format. And 

it's currently undergoing this change.

The plan is to have this submitted to 
 

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the Work Group in March 2018. The reason that 

they're making this change is, she said a White 

Paper would require us to post the references on 

the DCAS website, and since this report has so 

many, it would delay the release until all 

references are cleared. So that's the reason for 

changing this to a report format.

So it looks to me like things are 

moving along. And I have a question, Ted, on the 

Oak Ridge meeting. Is there a tour being planned?

MR. KATZ: Yes, I was going to get to 

that, but I can talk about that now. So, yes. I 

haven't got a final date for the tour, but I have 

it confirmed that there will be a tour. And it 

will definitely cover Y-12.

The outlying, actually outlying issue 

is ORNL, because they haven't responded with 

whether they can make either of the two possible 

dates, which would be on either side of the 

meeting, before or after.

But they have been, DOE is following 

up on this. They asked them again earlier this 
 

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week to please let them know whether either of 

those dates work.

And so I'm hoping to hear something 

back soon this week, because we also have to 

settle our hotel business as to what night people 

might be staying so that we can set the contract. 

But we do have a hotel for this, too, in Oak 

Ridge, so that's good. Yeah, that's my update 

there on that.

MEMBER ROESSLER: Okay, Ted. I would 

mention, then, to remind the Work Group, Field, 

Lemen, and Valerio, if we do get something on X10 that I think it would be good for all Work 

Group Members to be able to go on the tour, if 

that's possible.

MR. KATZ: Sure.

MEMBER ROESSLER: Okay, thank you. 

That's it.

MR. KATZ: All right. Okay. And I'll 

remind -- since Dr. Lemen is not on this call, 

I'll remind him about that, too. Thanks, Gen.

Okay, any other Work Group 
 

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Subcommittees want to update the group?

MEMBER MUNN: Nothing from Procedures.

MR. KATZ: Okay. 

MEMBER KOTELCHUCK: Nothing from Dose 

Reconstruction Review.

MR. KATZ: Okay. Dose Reconstruction 

has a meeting coming up in March.

MEMBER KOTELCHUCK: Correct. March 

13.

MR. KATZ: Right. So I can update a 

little bit on --- Science Issues did meet. And 

very productive on the DDREF report that they're 

reviewing.

Then we have tentatively scheduled, 

well we've scheduled a meeting for March 23rd. I 

think somewhat tentative because it just depends 

on whether the Work Group Members or NIOSH are 

ready to do anything at that meeting, present 

more information, what have you.

Plans for the April 2018 Board Meeting 

If not, then that meeting won't 

necessarily be useful. And otherwise it will be 
 

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on the agenda for the April Board meeting. I 

have the intention, I'll get around to that. 

Actually, I can get around to that now because 

that's the next on the agenda.

I will also mention, SRS Work Group

met and there are tasks that are being pursued 

for their work. So it was a productive meeting 

earlier in the month.

Okay. So, for the April Board 

meeting, let me see where we're at. We've covered 

the tour. So that will be either before or after. 

And many of you are interested on the Board, so 

that's great. It's also about time, it's when we 

usually do the annual ethics training, so we'll 

try to take care of that. I've got that 

confirmed, Ms. Stromberg at HHS said she can do 

that. She'll probably do that remotely again.

I have, in the morning, 15 minutes for 

honoring Dr. Melius with Dr. Ziemer presiding. 

And, Paul, I don't remember what date you gave 

folks, but I know you wanted -- would like to get 

their input. 
 

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MEMBER ZIEMER: Yes, I asked for 

things to be in by the end of this month. A 

number of you have already sent things but there 

is a number that haven't yet. So if you plan to, 

go ahead.

I'd like to have several weeks to get 

it ready so don't forget to do it, okay?

MR. KATZ: Okay, good. Good, that was 

the opportunity to plug in. Yes, okay.

Oh, by the way, just trailing back, I 

already have a response so we definitely can do 

ORNL on April 10th. That's the day before the 

Board meeting. And so the only question is 

whether you'd prefer it on the 12th. But that 

seems good.

So we could confirm for the 10th, the 

day before. I don't know whether Board Members 

have any preference of doing it before the Board 

meeting or after the Board meeting.

MEMBER ROESSLER: It doesn't matter to 

me.

MEMBER MUNN: It just matters with 
 

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respect to travel time I guess.

MR. KATZ: Well, it just means you 

would start your travel sooner, so if you had to 

be there on the 10th for the tour.

MEMBER MUNN: 10th sounds good to me.

MR. KATZ: Okay. I'm not hearing any 

negatives on the 10th. Okay, good.

Okay. Okay, after Dr. Melius' session 

there are the usuals. Then we also have, Dick 

isn't here to talk about this, we did have the 

Weldon Spring Work Group meet offsite. I should 

have reported that when we were talking about 

Work Groups.

And they finished up their business, 

reviewing the Site Profile. So that will get 

presented at the Board meeting.

And then we have, as a possibility, 

and I'm just scheduling this today, a Fernald 

Work Group meeting. So, depending on how that 

goes, whether the matters still on the table get 

settled or not, we may have Fernald Site Profile 

review presentation as well.
 

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If that falls through, because we 

can't get that work finished before, then we'll 

fill it in with procedure reviews. We already 

have several others prepared for the last Board 

meeting, and we can add to that if need be.

Then, after lunch, a session on Dose 

and Dose-Rate Effectiveness Factors for Low-LET 

Radiation. It's a big report that the Science 

Issues Work Group is working through.

And we have the agreement of Dr. David 

Kocher from ORCRA to present. He's one of the 

lead authors of that report and he's going to 

present to the full Board to get everyone sort of 

up to speed on that, what that material is.

On that, we have another, that's 

tentative, of Dr. Jim Neton. And I don't know if 

you can provide an update or a likelihood but I 

have Pacific Proving Grounds Site Profile review.

As you all recall on the Board, there 

was one little matter sort of to wrap up. We 

took care of most of the Site Profile review at 

a previous Board meeting. And maybe, Jim, if you 
 

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could just tell us where we are, if that looks 

likely.

DR. NETON: Yeah, Ted, it's me. I 

just checked yesterday, the database is nearing 

completion, the entering of data. I just don't 

have a feel yet for how much data manipulation is 

involved, and I'll try to get back to you sooner 

than later on that. Hopefully sometime this week 

or early next week.

MR. KATZ: Okay. I mean, we have some 

time, right?

DR. NETON: Yes.

MR. KATZ: So that's good. And then 

if it makes sense, depending on how complex the 

whole matter is, we may or may not need a Work 

Group before the Board meeting to considering 

what -- the work that's been done.

Okay. And then we have the usual work 

session, SEC petitions update. And then ending 

the day we'll have the Oak Ridge Facilities 

update that Dr. Hughes will give.

And then public comment. And that's 
 

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what the agenda looks like. Any questions, 

suggestions? Okay then.

One other note I will just make. 

We're going to be in Oak Ridge and I think we 

should reach out to [identifying information 

redacted]. I don't know what others -- I can do 

that or Paul or Gen. Have any of you been in 

touch with [identifying information redacted]? 

MEMBER ZIEMER: Yes, we can call 

[identifying information redacted] if you want us 

to. Yes.

MR. KATZ: Okay. I just thought it 

might be nice to see her if that ends up being 

convenient considering we're staying.

MEMBER ZIEMER: Sure. We'll let 

[identifying information redacted] know.

MR. KATZ: Okay, that's good. All 

right, and that takes care of plans for the April 

Board meeting. Again, I hope we have a chair by 

that time.

Board Correspondence 

Board correspondence. So we've have 
 

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a number of letters since the December Board 

meeting. We had one from Ms. Blaze dealing with 

CLL and specified cancers, which I've addressed, 

and I think I kept you all informed about that.

We have another, couple of letters 

from Mr. Yeager to Stu on sort of broad matters 

of DR and IREP. Since those were addressed to 

Stu and DOE was just copied on the letters after 

the fact, I think we could just wait and see what 

the program, how the program responds. I'm not 

sure that that would be something for the Board 

to need to respond to following that.

And then we have also, a 

correspondence from Ms. Hand related to the 

reconstructability of exposures to metal 

tritides. And the program responding to that and 

shared that with the full Board and individually 

most of you responded on that and concurred with 

the program's response on that.

And that's all the correspondence that 

we've had in this period. Any questions about 

any of that?
 

27 

NEAL R. GROSS

COURT REPORTERS AND TRANSCRIBERS 

1323 RHODE ISLAND AVE., N.W. 

(202) 234-4433 WASHINGTON, D.C. 20005-3701 www.nealrgross.com 

Adjourn 

Okay, then, that gets us through the 

agenda. And unless anyone has something else, 

last call, then we can adjourn. And thank you 

all.

(Whereupon, the above-entitled matter 

went off the record at 11:31 a.m.)
 

28 

NEAL R. GROSS

COURT REPORTERS AND TRANSCRIBERS 

1323 RHODE ISLAND AVE., N.W. 

(202) 234-4433 WASHINGTON, D.C. 20005-3701 www.nealrgross.com