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

Thu Jul 6 10:54:36 CDT 2006

Rainer,
As I have said, I was involved with oversight of the
medical exams.  There were other Navy officers also
involved, and their experiences may have been
different from mine.  Maybe the number of workers not
accepted for radiation work was not significant. 
Nevertheless, I would think that even the suggestion
of selection bias that was not corrected would call
into question the original data set.  

If you wish to consider my concerns as being valid,
that is up to you.

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

> 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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> 

+++++++++++++++++++
"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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