Former Worker Medical Screening Program (FWP) An Update Mary
Fields, Program Manager Office of Health, Safety and Security
Slide 2
22 Overview Beryllium Rescreening Early Lung Cancer Detection
Program Access Handbook
Slide 3
33 Beryllium Testing November 2011 PI Meeting - discussion re
utility of beryllium rescreening Consensus that one size fits all
would not work for entire program
Slide 4
44 Beryllium Testing (contd) DOE requested each project submit
a proposal which would outline the following: The projects approach
for beryllium rescreening, The rationale for the approach, What the
freed up funds would be used for, and A plan for communicating
their approach to stakeholders Each project analyzed the number of
abnormal BeLPTs they were finding at each of their screening sites
Based on these findings, the projects determined how they would
proceed with rescreening Each project is in the process of
submitting their protocol modifications to the Central DOE IRB for
review/approval and sharing their plans with stakeholders Any
worker expressing concern and/or wishing to be tested will receive
BeLPT
Slide 5
55 Early Lung Cancer Detection (ELCD) Program Since 2000, FWP
has offered low-dose helical CT scans to workers at high risk for
occupational lung cancer based on a Congressional mandate In
October 2009, FWP PIs submitted proposal to expand CT scanning to
sites/workers not currently served In April 2010, HSS approved
expansion to other eligible FWP participants within available
funding
Slide 6
66 ELCD (contd) CT scans currently offered at 9 DOE sites:
Former Fernald Site Former Mound Plant Oak Ridge K-25 Gaseous
Diffusion Plant Oak Ridge National Laboratory Y-12 National
Security Complex Nevada National Security Site Paducah Gaseous
Diffusion Plant Portsmouth Gaseous Diffusion Plant Idaho National
Laboratory
Slide 7
77 ELCD (contd) New CT scanning programs in development for:
Rocky Flats former production workers Hanford former
construction/building trades workers
Slide 8
88 Access Handbook Handbook evolved as a result of 1990 MOU
between DOE and HHS transferred the conduct of epi studies of DOE
workforce and surrounding communities to HHS As part of MOU, DOE
committed to provide access to DOE-owned and contractor-owned
records needed to conduct studies
Slide 9
99 Access Handbook (contd) Handbook provides guidelines for
conducting health studies at DOE sites Outlines procedures for
gaining access to site info Intended for use by researchers and DOE
site personnel responsible for making the requested info available
Includes: Steps in conducting a study, including a checklist IRB
requirements Security regulations Roles responsibilities Contact
info for DOEs HSPP and site IRBs Handbook was recently published as
a Technical Standard
(http://www.hss.doe.gov/nuclearsafety/techstds/docs/handbook/DOE-
HDBK-1209-2012.pdf)