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 May 25, 2007.

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 upon the findings summarized below.

(1) People working at the Los Alamos National Laboratory (LANL) during this
time period worked in nuclear weapons development and testing and other
technical and scientific research involving exposures to many different
radionuclides.

(2) The NIOSH review of the available monitoring data as well as the available
source term information found that they lacked adequate information necessary
to conduct adequate individual dose reconstructions for a number of
radionuclides during a significant percentage of the time period in question. The
Board concurs with this conclusion that individual dose reconstructions are not
feasible for people working in these technical areas from March 15, 1943
through December 31, 1975.

(3) Pursuant to 42 C.F.R. § 83.13(c)(1), NIOSH determined that there is insufficient
information either 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, or to estimate the
radiation doses of members of the class more precisely than a maximum dose
estimate.

(4) Although NIOSH found that it is not possible to completely reconstruct
radiation doses for these employees, NIOSH determined that it is possible to
reconstruct components of the internal dose including tritium (1950-1975),
polonium (1944-1956), plutonium (1944-1975), and uranium (1943-1975), and
of the external dose including gamma (1946-1975), beta (1949-1975), neutron
(1946-1975) and occupational medical X-ray (1943-1975), and therefore
individuals with non-presumptive cancers may be considered for partial dose
reconstructions.

Health Endangerment

The Secretary established the health endangerment determination for the class of
employees covered by this report 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

HHS Special Exposure Cohort Designation:
Los Alamos National Laboratory (LANL)


ig Designation

I, Michael O. Leavitt, Secretary of Health and Human Services (Secretary), 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.

JUN 2 2 2007 3
Date Michael O. Leavitt
Il. Employee Class Definition

Employees of the Department of Energy (DOE), its predecessor agencies, or DOE
contractors or subcontractors who were monitored or should have been monitored
for radiological exposures while working in operational Technical Areas with a
history of radioactive material use at the Los Alamos National Laboratory
(LANL) for a number of work days aggregating at least 250 work days from
March 15, 1943 through December 31, 1975, or in combination with work days
within the parameters established for one or more other classes of employees in
the Special Exposure Cohort.

Ill. Designation Criteria and Recommendations

Pursuant to 42 U.S.C. § 73844, 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.

HHS Special Exposure Cohort Designation:
Los Alamos National Laboratory (LANL)


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 the finding of NIOSH that the health of the class may
have been endangered and defined the class according to the 250-workday
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 designation of one additional class to the SEC
for review by Congress, pursuant to 42 U.S.C. §§ 7384/(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. § 7384/(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.

HHS Special Exposure Cohort Designation:
Los Alamos National Laboratory (LANL)


THE SECRETARY OF HEALTH AND HUMAN SERVICES
WASHINGTON, D.C. 20201

JUN 2 2 2007

The Honorable Richard Cheney
President of the United States Senate
Washington, D.C. 20510

Dear Mr. President:

Pursuant to the Energy Employees Occupational [IIness Compensation Program Act of
2000 and 42 C.F.R. § 83, a petition was filed on behalf of workers from Los Alamos National
Laboratory to be added to the Special Exposure Cohort (SEC).

On May 3, 2007, NIOSH presented its findings on the petition’s evaluation to the
Advisory Board on Radiation and Worker Health (“the Board”) at the Board meeting in
Westminster, Colorado. The Board finished its consideration of the petition on May 4, 2007, and,
on May 25, 2007, I received the deliberations, findings, and recommendations of the Board, the
Director of NIOSH, and the Director of CDC, and I have designated the following class for
addition to the SEC:

Employees of the Department of Energy (DOE), its predecessor agencies, or DOE
contractors or subcontractors who were monitored or should have been monitored for
radiological exposures while working in operational Technical Areas with a history of
radioactive material use at the Los Alamos National Laboratory (LANL) for a number of
work days aggregating at least 250 work days from March 15, 1943 through December
31, 1975, or in combination with work days within the parameters established for one or
more other classes of employees in the Special Exposure Cohort.

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

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

Sincerely,

Mithael O. Leavitt

Enclosure


THE SECRETARY OF HEALTH AND HUMAN SERVICES
WASHINGTON, D.C. 20201

JUN 2 2 2007

The Honorable Nancy Pelosi
Speaker of the House of Representatives
Washington, D.C. 20515

Dear Madam Speaker:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of
2000 and 42 C.F.R. § 83, a petition was filed on behalf of workers from Los Alamos National
Laboratory to be added to the Special Exposure Cohort (SEC).

On May 3, 2007, NIOSH presented its findings on the petition’s evaluation to the
Advisory Board on Radiation and Worker Health (“the Board”) at the Board meeting in
Westminster, Colorado. The Board finished its consideration of the petition on May 4, 2007, and,
on May 25, 2007, I received the deliberations, findings, and recommendations of the Board, the
Director of NIOSH, and the Director of CDC, and I have designated the following class for
addition to the SEC:

Employees of the Department of Energy (DOB), its predecessor agencies, or DOE
contractors or subcontractors who were monitored or should have been monitored for
radiological exposures while working in operational Technical Areas with a history of
radioactive material use at the Los Alamos National Laboratory (LANL) for a number of
work days aggregating at least 250 work days from March 15, 1943 through December
31, 1975, or in combination with work days within the parameters established for one or
more other classes of employees in the Special Exposure Cohort.

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

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

Sincerely,

Miéhael O. Leavitt

Enclosure


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

Los Alamos National Laboratory (LANL)
Los Alamos, New Mexico

HHS Special Exposure Cohort Designation:
Los Alamos National Laboratory (LANL)