THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

October 18, 2011 

The Honorable Joseph R. Biden, Jr.

President of the United States Senate

Washington, D.C. 20510 

Dear Mr. President:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from W.R. Grace and Company 

in Curtis Bay, Maryland to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on August 23, 2011. The Board considered the 

petition, and on September 19, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following

class for addition to the SEC: 

All Atomic Weapons Employees who worked at any building or area 

at the facility owned by W.R. Grace and Company in Curtis Bay, 

Maryland, for the operational period from May 1, 1956 through 

January 31, 1958, 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. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter. 

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

October 18, 2011 

The Honorable Harry Reid 

Majority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator Reid:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from W.R. Grace and Company 

in Curtis Bay, Maryland to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on August 23, 2011. The Board considered the 

petition, and on September 19, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at any building or area 

at the facility owned by W.R. Grace and Company in Curtis Bay, 

Maryland, for the operational period from May 1, 1956 through 

January 31, 1958, 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. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

October 18, 2011 

The Honorable Mitch McConnell 

Minority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator McConnell:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from W.R. Grace and Company 

in Curtis Bay, Maryland to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on August 23, 2011. The Board considered the 

petition, and on September 19, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at any building or area 

at the facility owned by W.R. Grace and Company in Curtis Bay, 

Maryland, for the operational period from May 1, 1956 through 

January 31, 1958, 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. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report. 

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

October 18, 2011 

The Honorable John A. Boehner 

Speaker of the House of Representatives

Washington, D.C. 20515 

Dear Mr. Speaker:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from W.R. Grace and Company 

in Curtis Bay, Maryland to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on August 23, 2011. The Board considered the 

petition, and on September 19, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at any building or area 

at the facility owned by W.R. Grace and Company in Curtis Bay, 

Maryland, for the operational period from May 1, 1956 through 

January 31, 1958, 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. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

October 18, 2011 

The Honorable Nancy Pelosi

Minority Leader

House of Representatives

Washington, D.C. 20515 

Dear Representative Pelosi: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from W.R. Grace and Company 

in Curtis Bay, Maryland to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on August 23, 2011. The Board considered the 

petition, and on September 19, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at any building or area 

at the facility owned by W.R. Grace and Company in Curtis Bay, 

Maryland, for the operational period from May 1, 1956 through 

January 31, 1958, 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. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
HHS Special Exposure Cohort Designation: W R Grace and Company, Curtis Bay, Maryland 

 

HHS Designation of Additional Members of the 

Special Exposure Cohort 

under the 

Energy Employees Occupational Illness Compensation Program Act of 2000 

Designating a Class of Employees from 

W. R. Grace and Company

Curtis Bay, Maryland
HHS Special Exposure Cohort Designation: W R Grace and Company, Curtis Bay, Maryland

I. Designation 

I, Kathleen Sebelius, Secretary of Health and Human Services, designate the class 

of employees defined in Section II of this report for addition to the Special Exposure 

Cohort (SEC), as authorized under the Energy Employees Occupational Illness 

Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. § 7384q.

October 18, 2011 [Signature on File]

Date Kathleen Sebelius

II. Employee Class Definition

All Atomic Weapons Employees who worked at any building or area at the 

facility owned by W.R. Grace and Company in Curtis Bay, Maryland, for the 

operational period from May 1, 1956 through January 31, 1958, 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.

III. Designation Criteria and Recommendations

Pursuant to 42 U.S.C. § 7384q, for the class defined in Section II of this report, the 

Secretary has determined, and the Advisory Board on Radiation and Worker Health 

(Board) has recommended, that

(1) it is not feasible to estimate with sufficient accuracy the radiation dose that the 

class received; and

(2) there is a reasonable likelihood that such radiation dose may have 

endangered the health of members of the class.

The SEC final rule states in 42 C.F.R. § 83.13(c)(1) that it is feasible in two situations 

to estimate the radiation dose that the class received with sufficient accuracy. First, 

the rule states that radiation doses may be estimated with sufficient accuracy if 

NIOSH has established that it has access to sufficient information to estimate the 

maximum radiation dose for every type of cancer for which radiation doses are 

reconstructed that could have been incurred under plausible circumstances by any 

member of the class. Alternatively, radiation doses may be estimated with sufficient 

accuracy if NIOSH has established that it has access to sufficient information to 

estimate the radiation doses of members of the class more precisely than a 

maximum dose estimate.

The Board, pursuant to 42 U.S.C. § 7384q, advised the Secretary to designate the 

class as an addition to the SEC in a letter received by the Secretary on September

19, 2011. 
HHS Special Exposure Cohort Designation: W R Grace and Company, Curtis Bay, Maryland

IV. Designation Findings

Feasibility of Estimating Radiation Doses with Sufficient Accuracy

The Secretary established the feasibility determination for the class of employees 

covered by this report based upon the findings summarized below.

• NIOSH determined that members of this class may have received internal 

radiation exposures from inhalation and ingestion of dust generated during 

the various processes associated with monazite sands performed at the W.R. 

Grace and Company site in Curtis Bay, Maryland. Thorium was the only 

radionuclide refined during the operational period; internal exposure was 

primarily a concern during this process. 

• NIOSH finds that it lacks sufficient personnel or area monitoring data, source 

term data, and operational information to support reconstructing internal and 

external dose with sufficient accuracy during the operational period at the 

W.R. Grace and Company site in Curtis Bay, Maryland from May 1, 1956 

through January 31, 1958, which encompasses the period that AEC-related 

radiological operations were performed on site. Therefore, NIOSH finds that 

it is not feasible to estimate, with sufficient accuracy, the total internal and 

external dose for workers at the W.R. Grace and Company site in Curtis Bay, 

Maryland from May 1, 1956 through January 31, 1958.

• NIOSH lacks sufficient information, which includes specific biological 

monitoring data, air monitoring information, process and radiological source 

information, and surrogate data from similar operations at other sites that 

would allow it to estimate the potential internal and external radiological 

exposures for workers at the W.R. Grace and Company site in Curtis Bay, 

Maryland from May 1, 1956 through January 31, 1958. 

• Pursuant to 42 C.F.R. § 83.13(c)(1), NIOSH determined that there is 

insufficient information to either: (1) estimate the maximum radiation dose, for 

every type of cancer for which radiation doses are reconstructed, that could 

have been incurred under plausible circumstances by any member of the 

class; or (2) estimate the radiation doses of members of the class more 

precisely than a maximum dose estimate.

• NIOSH concluded that physical examinations involving medical X-rays were 

not performed at the site, and thus, not a covered exposure to be included in 

the dose reconstruction. Therefore, medical X-ray dose is not a 

consideration for workers at the W.R. Grace and Company site in Curtis Bay, 

Maryland. 

• Although NIOSH found that it is not possible to completely reconstruct 

radiation doses for employees who worked at the W.R. Grace and Company 

site in Curtis Bay, Maryland from May 1, 1956 through January 31, 1958, 

NIOSH intends to use any reliable internal and external monitoring data that 

may be available for an individual claim during this period (and that can be 

interpreted using existing NIOSH dose reconstruction processes or 
HHS Special Exposure Cohort Designation: W R Grace and Company, Curtis Bay, Maryland

procedures). Dose reconstructions for individuals employed at the W.R. 

Grace and Company site in Curtis Bay, Maryland from May 1, 1956 through 

January 31, 1958, but who do not qualify for inclusion in the SEC, may be 

performed using these data as appropriate. 

• During the residual radiation period, workers had a potential for internal and 

external radiation from residual surface contamination. NIOSH finds that it 

has access to sufficient area monitoring data and surrogate site information 

to reconstruct internal and external dose with sufficient accuracy during the 

residual radiation period from February 1, 1958 through October 31, 2009.

• The Board concurred with the NIOSH evaluation and recommended the 

proposed class for addition to the SEC.

 Health Endangerment

The Secretary established the health endangerment determination for the class of 

employees covered by this report based upon the findings summarized below.

(1) Pursuant to 42 C.F.R. § 83.13(c)(3), NIOSH established that there is a 

reasonable likelihood that such radiation doses may have endangered the 

health of members of the class. Pursuant to 42 C.F.R. § 83.13(c)(3)(ii), NIOSH 

specified a minimum duration of employment to satisfy this health 

endangerment criterion as “having been employed for a number of work days 

aggregating at least 250 work days within the parameters established for this 

class or in combination with work days within the parameters (excluding 

aggregate work day requirements) established for one or more other classes 

of employees in the Cohort.”

(2) NIOSH did not identify any evidence from the petitioners or from other 

resources that would establish that the class was exposed to radiation during 

a discrete incident likely to have involved exceptionally high-level exposures, 

such as a nuclear criticality incident, as defined under 42 C.F.R. § 

83.13(c)(3)(i). 

(3) The Board concurred with NIOSH’s finding that the health of the class of 

employees may have been endangered and defined the class according to the 

250-work day requirement specified under 42 C.F.R. § 83.13(c)(3)(ii).
HHS Special Exposure Cohort Designation: W R Grace and Company, Curtis Bay, Maryland

V. Effect and Effective Date of Designation

The Secretary submits this report on the designation of one additional class to the 

SEC for review by Congress, pursuant to 42 U.S.C. §§ 7384l(14)(C)(ii) and 

7384q(c)(2)(A), as amended by the Ronald W. Reagan National Defense 

Authorization Act for Fiscal Year 2005, Pub. L. No. 108-375 (codified as amended in 

scattered sections of 42 U.S.C.). Pursuant to 42 U.S.C. § 7384l(14)(C)(ii), as 

amended by the Ronald W. Reagan National Defense Authorization Act for Fiscal 

Year 2005, Pub. L. No. 108-375 (codified as amended in scattered sections of 42 

U.S.C.), the designation in this report will become effective 30 days after the date of 

this report’s submission to Congress “unless Congress otherwise provides.”

VI. Administrative Review of Designation

The health endangerment determination of the designation provided in this report 

may be subject to an administrative review within HHS, pursuant to 42 C.F.R. § 

83.18(a). On the basis of such a review, if the Secretary decides to expand the class 

of employees covered by this designation, the Secretary would transmit a 

supplementary report to Congress providing the expanded employee class definition 

and the criteria and findings on which the decision was based.