THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 29, 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 the Norton Co. (or a 

subsequent owner) in Worcester, Massachusetts 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 February 24, 2011. The Board considered 

the petition, and on March 30, 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 in any building or area at the 

facility owned by the Norton Co. (or a subsequent owner) in Worcester, 

Massachusetts, during the period from January 1, 1958 through October 10, 

1962, 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

April 29, 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 the Norton Co. (or a 

subsequent owner) in Worcester, Massachusetts 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 February 24, 2011. The Board considered 

the petition, and on March 30, 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 in any building or area at the 

facility owned by the Norton Co. (or a subsequent owner) in Worcester, 

Massachusetts, during the period from January 1, 1958 through October 10, 

1962, 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

April 29, 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 the Norton Co. (or a 

subsequent owner) in Worcester, Massachusetts 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 February 24, 2011. The Board considered 

the petition, and on March 30, 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 in any building or area at the 

facility owned by the Norton Co. (or a subsequent owner) in Worcester, 

Massachusetts, during the period from January 1, 1958 through October 10, 

1962, 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

April 29, 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 the Norton Co. (or a 

subsequent owner) in Worcester, Massachusetts 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 February 24, 2011. The Board considered 

the petition, and on March 30, 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 in any building or area at the 

facility owned by the Norton Co. (or a subsequent owner) in Worcester, 

Massachusetts, during the period from January 1, 1958 through October 10, 

1962, 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

April 29, 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 the Norton Co. (or a 

subsequent owner) in Worcester, Massachusetts 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 February 24, 2011. The Board considered 

the petition, and on March 30, 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 in any building or area at the 

facility owned by the Norton Co. (or a subsequent owner) in Worcester, 

Massachusetts, during the period from January 1, 1958 through October 10, 

1962, 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:

Norton Company, Worcester, Massachusetts

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 

Norton Company

Worcester, Massachusetts
HHS Special Exposure Cohort Designation:

Norton Company, Worcester, Massachusetts

Page 2

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.

_____April 29, 2011___ _[Signature on file]____________

Date Kathleen Sebelius

II. Employee Class Definition

All atomic weapons employees who worked in any building or area at the facility 

owned by the Norton Co. (or a subsequent owner) in Worcester, Massachusetts, 

during the period from January 1, 1958 through October 10, 1962, 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 March 30, 

2011.
HHS Special Exposure Cohort Designation:

Norton Company, Worcester, Massachusetts

Page 3

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 radiation 

exposures from internal and external radiation exposures to residual natural 

uranium and thorium metals during the tear-down, clean-up, and disposal of 

contaminated equipment and other materials in the early residual radiation 

period.

• NIOSH evaluated the feasibility of completing dose reconstructions for all atomic 

weapons employees who worked in any building or area at the facility owned by 

the Norton Co. (or a subsequent owner) in Worcester, Massachusetts from 

January 1, 1958 through October 31, 2009 (the entire residual radiation period). 

Although Atomic Weapons Employer (AWE) operations were not performed at 

Norton Co. after 1957, the Norton Co. performed decontamination and 

decommissioning of AWE materials and wastes from January 1, 1958 through 

October 10, 1962. 

• NIOSH determined that it does not have adequate internal monitoring or 

workplace monitoring data to bound doses that were potentially received during 

the dismantling, clean-up, packaging, and burial of AWE-related materials and 

contamination during the period from January 1, 1958 through October 10, 1962. 

• Although NIOSH has air monitoring data obtained during the AWE operations 

period at Norton Co. that can be used to bound doses following the burial 

operations which culminated on October 10, 1962, those data cannot be 

assumed to bound all radiological contamination levels that could have arisen 

from the dismantling, clean-up, packaging and burial processes which were 

documented to have generated dust during the 1958-1962 period. 

• NIOSH has identified sufficient air monitoring data in the form of long-lived grossalpha results, and short-lived thoria results, to support bounding internal dose 

estimates for the period starting on October 11, 1962 through the end of the 

residual radiation period on October 31, 2009.

• NIOSH has not identified any external dosimeter results obtained during the 

residual radiation period for the Norton Co. Therefore, NIOSH has determined 

that it has insufficient external monitoring data to bound potential external 

exposures for the period from January 1, 1958 through October 10, 1962.

• NIOSH determined that it can use derived contamination levels to calculate 

external dose rates for the period from October 11, 1962 through the end of the 

residual radiation period on October 31, 2009.
HHS Special Exposure Cohort Designation:

Norton Company, Worcester, Massachusetts

Page 4

• Doses received from occupational medical X-rays are not reconstructed during 

residual radiation periods at AWE sites.

• NIOSH does not have access to sufficient personnel monitoring, workplace 

monitoring, or source term data to estimate unmonitored internal or external 

exposures for Norton Co. workers during the period of decontamination and 

decommissioning operations from January 1, 1958 through October 10, 1962. 

Consequently, NIOSH finds that it is not feasible to estimate, with sufficient 

accuracy, unmonitored internal or external exposures and resulting doses for 

workers at the Norton Co. during the period from January 1, 1958 through 

October 10, 1962.

• 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.

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

doses for employees who worked at the Norton Co. in Worcester, Massachusetts 

during the period from January 1, 1958 through October 10, 1962, NIOSH 

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

become available for an individual claim (and that can be interpreted using 

existing NIOSH dose reconstruction processes or procedures). Dose 

reconstructions for individuals employed at the Norton Co. during the period from

January 1, 1958 through October 10, 1962, but who do not qualify for inclusion in 

the SEC, may be performed using these data as appropriate.

• 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 
HHS Special Exposure Cohort Designation:

Norton Company, Worcester, Massachusetts

Page 5

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 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). 

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.