THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201 

February 2, 2012 

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 Savannah River Site in 

Aiken, South Carolina 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 December 8, 2011. The Board considered 

the petition, and on January 4, 2012, 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 employees of the Department of Energy, its predecessor agencies, 

and their contractors and subcontractors who worked at the Savannah 

River Site from January 1, 1953 through September 30, 1972, 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 

February 2, 2012 

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 Savannah River Site in 

Aiken, South Carolina 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 December 8, 2011. The Board considered 

the petition, and on January 4, 2012, 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 employees of the Department of Energy, its predecessor agencies, 

and their contractors and subcontractors who worked at the Savannah 

River Site from January 1, 1953 through September 30, 1972, 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 

February 2, 2012 

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 Savannah River Site in 

Aiken, South Carolina 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 December 8, 2011. The Board considered 

the petition, and on January 4, 2012, 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 employees of the Department of Energy, its predecessor agencies, 

and their contractors and subcontractors who worked at the Savannah 

River Site from January 1, 1953 through September 30, 1972, 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 

February 2, 2012 

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 Savannah River Site in 

Aiken, South Carolina 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 December 8, 2011. The Board considered 

the petition, and on January 4, 2012, 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 employees of the Department of Energy, its predecessor agencies, 

and their contractors and subcontractors who worked at the Savannah 

River Site from January 1, 1953 through September 30, 1972, 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 

February 2, 2012 

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 Savannah River Site in 

Aiken, South Carolina 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 December 8, 2011. The Board considered 

the petition, and on January 4, 2012, 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 employees of the Department of Energy, its predecessor agencies, 

and their contractors and subcontractors who worked at the Savannah 

River Site from January 1, 1953 through September 30, 1972, 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 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 

Savannah River Site 

Aiken, South Carolina
 

HHS Special Exposure Cohort Designation: 

Savannah River Site, Aiken, South Carolina 
 

 

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. 

____February 2, 2012__ _[Signature on file]___________ 

Date Kathleen Sebelius 

II. Employee Class Definition 

All employees of the Department of Energy, its predecessor agencies, and 

their contractors and subcontractors who worked at the Savannah River Site 

from January 1, 1953 through September 30, 1972, 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 January 4, 

2012. 

HHS Special Exposure Cohort Designation: 

Savannah River Site, Aiken, South Carolina 

Page 2 
 

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 evaluated the feasibility for completing dose reconstructions for all 

construction workers who worked in any thorium area at the Savannah River Site 

from January 1, 1953 through December 31, 1972, and determined that some 

members of this class, as well as some non-construction-worker employees of 

the Savannah River Site may have received internal and external radiation 

exposures from thorium operations performed at the site. 

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

radiation exposures from inhalation and ingestion of thorium during the thorium 

related operations involving unencapsulated radionuclides during fabrication, 

research and development activities of reactor fuel components, and associated 

chemical separation operations performed in the 773A (Savannah River 

Laboratory) and TNX (Separations Pilot Plant) buildings at the Savannah River 

Site. 

	 NIOSH has determined, based on its assessment of thorium exposures, that 

there is a lack of sufficient thorium personnel and area monitoring data within the 

773A and TNX buildings from the onset of thorium operations in 1953 through 

the end of thorium research activities in those locations 1972. The monitoring 

data deficiency extends only to the work with unencapsulated thorium. 

	 NIOSH has determined that the monitoring data deficiency extends only to the 

work with unencapsulated thorium. Workers with the potential to be exposed to 

unencapsulated thorium in these buildings can be identified through external 

monitoring records by having: (1) at least one of the following dosimetry codes: 

A, G, CMX, TNX, D2, Y, or the code is blank or illegible indicating issuance from 

an unknown or indeterminable location and worked at the Savannah River Site 

from January 1, 1953 through December 31, 1957; or (2) at least one of the 

following dosimetry codes: 5A, 5C, 6B through 6Z, 12D through 12H, 12J through 

12Z, or 000 indicating issuance from an unknown location and worked at the 

Savannah River Site from January 1, 1958 through September 30, 1972. NIOSH 

concluded that personnel were required to wear a dosimeter in order to have 

access to those parts of 773A and TNX where the unencapsulated thorium was 

handled. 

	 NIOSH finds it is feasible to reconstruct the doses received from potential 

exposures to thorium (metal) and its progeny or encapsulated thorium for 

workers assigned to other areas including the 300 Area, the Savannah River Site 

R,P,K,L,C reactors (100 area), and F and H Separation Canyons (200 area). 

There was no exposure to thorium in the heavy water plant (400 area). 

HHS Special Exposure Cohort Designation: 

Savannah River Site, Aiken, South Carolina 

Page 3 
 

	 NIOSH lacks sufficient information, which includes specific biological monitoring 

data, sufficient air monitoring information, sufficient process and radiological 

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

would allow it to estimate the potential internal radiological exposures for all 

workers who worked with unencapsulated thorium in the 773A and TNX buildings 

at the Savannah River Site from January 1, 1953 through December 31, 1972. 

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

external radiation exposures from thorium operations performed at the site 

through September 1972. 

	 Principal sources of external radiation for members of the Savannah River Site 

proposed class included exposures to various radionuclides at the facility. This 

could have included beta-gamma and neutron exposures during fabrication, 

research and development activities of reactor fuel components, and associated 

chemical separation operations. 

	 NIOSH has determined that it has access to sufficient external monitoring data, 

and associated medical monitoring data, for all personnel during all time periods 

at the Savannah River Site facility. NIOSH has identified that it can bound, or 

reconstruct with sufficient accuracy, the external and occupational medical dose 

for all Savannah River Site workers. 

	 NIOSH has documented that it cannot complete the dose reconstructions related 

to this petition with sufficient accuracy for the employees who worked at the 773A 

and TNX buildings at the Savannah River Site from January 1, 1953 through 

September 30, 1972. 

	 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 the proposed class, NIOSH intends to use any 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)) to support a partial dose reconstruction for non-presumptive 

cancers and/or cases that have less than 250 work days of employment. 

	 The Board recommended the proposed class for addition to the SEC and the 

NIOSH Director concurred with its recommendation. 

HHS Special Exposure Cohort Designation: 

Savannah River Site, Aiken, South Carolina 

Page 4 
 

 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 the NIOSH 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. 

HHS Special Exposure Cohort Designation: 

Savannah River Site, Aiken, South Carolina 

Page 5