AW: AW: [ RadSafe ] Cameron's refutation of "Alara Does Work" - Preemployment physicals

[Rainer.Facius at dlr.de]

Dear John,

if in fact a selection bias was operating against the assignment of applicants to a nuclear workplace by the persistent application of such "family history" regulations, this indeed would render the NSYW study immaterial regarding health effects from radiation. 

The regulations which you kindly offered so far so that I could study them do not mention family history and others here familiar with such procedures reject it as a selection mechanism possibly affecting the bulk of the NSY workforce. Unless I can read documents proving otherwise, I prefer to discard it as an explanation for the improved health status of nuclear workers.

Kind regards, Rainer

Dr. Rainer Facius
German Aerospace Center
Institute of Aerospace Medicine
Linder Hoehe
51147 Koeln
GERMANY
Voice: +49 2203 601 3147 or 3150
FAX:   +49 2203 61970

-----Ursprüngliche Nachricht-----
Von: John Jacobus [mailto:crispy_bird at yahoo.com] 
Gesendet: Mittwoch, 5. Juli 2006 21:17
An: Facius, Rainer; rjgunter at chpconsultants.com; radsafe at radlab.nl
Betreff: Re: AW: [ RadSafe ] Cameron's refutation of "Alara Does Work" - Preemployment physicals

Rainer,
Looking at the SF-93, would not that the revision data is 1989, which is after I was no longer involved with the review of medical records.  Remembering back more than 20 years, I believe that the old SF-93 did have a section for family history of cancer, leukemia, cataracts.  

Nevertheless, there are three blank lines on the front page.  As noted in Section 2-5.(1)(a) "Use of an overprint or rubber stamp on the SF-93 for the required supplemental history questions is acceptable. . . "

Both the SF-88 and SF-93 are standard forms which could be augmented for specific types of exams, e.g, submarine duty, aviaiton, or radiation.  I think those were the only "special" programs.

--- Rainer.Facius at dlr.de wrote:

> Dear John:
> 
> Thank you for his pointer to NAVMED P-5055 (2001). 
> 
> Unless it is included implicitly in some of the other referred 
> regulations (SF-xx) - and provided I am able to read bureaucratese in 
> a foreign language, this document does nowhere prescribe the 
> procedures which you invoked.
> 
> Every mentioning of "history" or "medical history"
> clearly pertains to that of the individual applicant. I cannot detect 
> any explicit reference to hereditary parental or familial health risks 
> in general and particularly not with respect to cancer proneness.
> 
> Kind regards, Rainer
> 
> 
> ________________________________
> 
> Von: radsafe-bounces at radlab.nl im Auftrag von John Jacobus
> Gesendet: Fr 30.06.2006 15:57
> An: Robert J. Gunter; radsafe at radlab.nl
> Betreff: RE: [ RadSafe ] Cameron's refutation of "Alara Does Work" - 
> Preemployment physicals
> 
> 
> 
> Look under Section 2-4 "Standards" on page 15 at
>
http://navymedicine.med.navy.mil/Files/Media/directives/5055.pdf
> I believed that the shipyards used the same guidance document.  If it 
> had a different title, I forgot what is was.
> 
> I know of a couple instances where individuals were medically 
> disqualified.
> 
> --- "Robert J. Gunter" <rjgunter at chpconsultants.com>
> wrote:
> 
> > Having been the recipient of many pre-employment physicals (civilian 
> > rad worker and the Navy version of the same), it has
> not
> > been my experience that
> > a doctor has any real say in what someone will be doing.  This is 
> > aside from the obvious case where a potential worker cannot function 
> > in a work environment or otherwise fails the physical.
> >
> > The most common failure I have seen is failure to qualify to wear a 
> > respirator.
> >
> > Robert J. Gunter, CHP
> > CHP Consultants
> > Oak Ridge, TN
> > Ph:  (865) 387-0028
> > Fax: (865) 483-7189
> > rjgunter at chpconsultants.com
> > Products and Services at:
> > www.chpconsultants.com
> >
> > ------------------------------
> >
> >
> 
> +++++++++++++++++++
> "You get a lot more authority when the workforce doesn't think it's 
> amateur hour on the top floor."
> GEN. MICHAEL V. HAYDEN, President Bush's nominee for C.I.A. director.
> 
> -- John
> John Jacobus, MS
> Certified Health Physicist
> e-mail:  crispy_bird at yahoo.com
> 
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> 
> 


+++++++++++++++++++
"You get a lot more authority when the workforce doesn't think it's amateur hour on the top floor."
GEN. MICHAEL V. HAYDEN, President Bush's nominee for C.I.A. director.

-- John
John Jacobus, MS
Certified Health Physicist
e-mail:  crispy_bird at yahoo.com

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