Enc.

ADVISORY BOARD ON RADIATION AND WORKER HEALTH

4676 Columbia Parkway, MS: C-46 

Cincinnati, Ohio 45226

(513) 533-6825

CHAIRMAN

James M. Melius, M.D., Dr. PH.

 Albany, New York

MEMBERS

Henry Anderson, M.D.

 Madison, Wisconsin

Josie Beach

 Kennewick, Washington 

Bradley P. Clawson

 Rexburg, Idaho

R. William Field, Ph.D. 

 Iowa City, Iowa

Michael H. Gibson

 Franklin, Ohio

Mark A. Griffon

 Salem, New Hampshire

David Kotelchuck, Ph.D.

 New York, New York

Richard Lemen, Ph.D.

 Canton, Georgia

James E. Lockey, M.D.

 Cincinnati, Ohio

Wanda I. Munn

 Richland, Washington

John W. Poston, Sr., Ph.D.

 College Station, Texas

David B. Richardson, Ph.D.

Chapel Hill, North Carolina

Genevieve S. Roessler, Ph.D.

 Elysian, Minnesota

Phillip Schofield

 Bosque Farm, New Mexico

Loretta R. Valerio

 Santa Fe, New Mexico

Paul L. Ziemer, Ph.D.

 Lafayette, Indiana

STAFF

EXECUTIVE SECRETARY

Theodore M. Katz, MPA

 Atlanta, Georgia

COMMITTEE MANAGEMENT 

Zaida Burgos

 Atlanta, Georgia

July 27, 2012

The Honorable Kathleen Sebelius

Secretary 

Department of Health and Human Services

200 Independence Avenue, S.W.

Washington, D.C. 20201

Dear Madam Secretary:

The Advisory Board on Radiation and Worker Health (The Board) has 

evaluated Special Exposure Cohort (SEC) Petition 00203 concerning 

workers at the Medina Modification Center in San Antonio, Texas, under 

the statutory requirements established by the Energy Employees 

Occupational Illness Compensation Program Act of 2000 (EEOICPA) and 

incorporated into 42 CFR Sec. 83.13. 

The Board respectfully recommends that SEC status be accorded to:

“All employees of the Department of Energy, its predecessor 

agencies, and their contractors and subcontractors who worked at 

the Medina Modification Center in San Antonio, Texas, from 

January 1, 1958, through December 31, 1966, for a number of 

work days aggregating at least 250 work days, occurring either 

solely under this employment or in combination with work days 

within the parameters established for one or more other classes of 

employees included in the Special Exposure Cohort."

This recommendation is based on the following factors:

• Individuals employed at Medina Modification Center in San 

Antonio, Texas, during the time period in question worked on 

technical tasks related to the production of nuclear weapons. 

• The National Institute for Occupational Safety and Health (NIOSH) 

review of available monitoring data, as well as available process 

and source term information for this facility found that NIOSH 

lacked the sufficient information necessary to complete individual 

dose reconstructions with sufficient accuracy for internal 

radiological exposures to uranium, plutonium, and tritium to which 

employees at this facility may have been subjected during the time 

period in question. The Board concurs with this determination. 

• NIOSH determined that health may have been endangered for 

employees at the Medina Modification Center in San Antonio, 

Texas, during the time period in question. The Board also concurs 

with this determination.
The Secretary July 27, 2012

Based on these considerations and the discussion at the June 19 to 21, 2012, Board meeting 

held in Santa Fe, New Mexico, the Board recommends that this class be added to the SEC. 

Enclosed is the documentation from the Board meeting(s) where this SEC class was 

discussed. The documentation includes copies of the petition, the NIOSH review thereof, and 

related materials. If any of these items are unavailable at this time, they will follow shortly.

Sincerely,

 

 [Signature on File]

James M. Melius, M.D., Dr. PH

Chairman, ABRWH

Enclosure