FW: Inst. of Med. Panel Recommendations

[Sinisterra@adp.uchc.edu (Sinisterra,Andres)]

Hi All:

I received this post from a friend that belongs to a radiobiology list and I 
thought RADIATORS might be interested.  I apologize for the rather poor text 
format.

Andrés

 ----------
From: Sauna Malay
To: Sinisterra,Andres
Subject: Inst. of Med. Panel Recommendations
Date: Tuesday, March 12, 1996 9:45PM

Hi Andre,

This was posted to the radiobiology list. I thought you might be interested.


>From: "Bob Etcher" <RATCHER@creative.vprua.uab.edu>
>Organization:
>To: dose-net@orau.gov, radiobiology@mailbase.ac.uk, 
medphys@CMS.CC.WAYNE.EDU
>Date:          Tue., 12 Mar 1996 17:29:27 CST+6CDT
>Subject:       Inst. of Med. Panel Recommendations
>Reply-to: ratcher@creative.vprua.uab.edu
>Priority: normal
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>
>The Nuclear Regulatory Commission funded a study by the
>Institute of Medicine/National Academy of Sciences on the
>regulation of medical activities by the NRC.  The panel
>published its report recently, though it is not available
>yet.  The report is copyrighted, so you will have to buy
>it from the NAS.  I have my problems with a federally funded
>study being made available that way, but that isn't the point
>of this post.
>
>Several people on these lists have asked me to post the
>committees recommendations since they are an interesting
>model for the ultimate actions that one might expect based
>upon the Health Physics Society's recent position paper on
>low dose and health risks.
>
>Here are the recommendations.
>
>
>Summary of Recommendations to the Congress, the Nuclear Regulatory
>Commission, the Conference of Radiation Control Program Directors, and the
>States
>
>The committee recommends that:
>
>        A1.  Congress eliminate all aspects of the NRC's Medical Use 
Program,
>10
>CFR Part 35, and those regulatory activities conducted under 10 CFR Part 20
>that are applicable to medical uses.
>        A2.  Congress direct the Secretary of Health and Human Services to
>support, coordinate, and encourage the following activities involving
>regulation of all ionizing radiation in medicine:
>
>                a.      supporting the operation of the Conference of
>Radiation Control
>Program Directors;
>                b.      providing a venue for the review and evaluation of
>Suggested State
>Regulation for Control of Radiation;
>                c.      assisting states in implementation of their
regulation;
>                d.      aiding in assessment of the effectiveness of state
>programs through
>the collection and analysis of data;
>                e.      helping develop survey methods by which the rate of
>adverse events for
>a wide range of procedures and devices might be measured;
>                f.      monitoring the effects of deregulation;
>                g.      enhancing training and standards for health care
>personnel; and
>                h.      investigating future significant radiation medicine
>incidents.
>
>        B1.  The NRC immediately relax enforcement of 10 CFR 35.32 and 
35.33
>through its present mechanisms.
>        B2.  The NRC initiate formal steps under the Administrative 
Procedure
>Act
>to revoke Part 35 in its entirety, if Congress fails to act within two
>years in response to the two recommendations to Congress stated above.
>        B3.  The NRC separate the costs of formulating regulations from the
>costs
>of administering those regulations.
>
>        C1.  The Conference of Radiation Control Program Directors
incorporate
>into its Suggested State Regulations for Control of Radiation any relevant
>concepts from 10 CFR Part 35 that are not already integrated in those
>suggested regulations.
>        C2.  All state legislatures enact enabling legislation to 
incorporate
>the
>regulation of reactor-generated byproducts into existing state regulatory
>programs.
>        C3.  The Conference of Radiation Control Program Directors and the
>states
>continually reevaluate their regulations and procedures pertaining to
>radiation medicine to ensure congruence with evolving scientific
>understanding of radiation bioeffects and to be in accord with advances in
>knowledge regarding benefits and risks related to medical and biomedical
>research uses of ionizing radiation in medicine.
>
>
>The report is very long.  A copy of the executive summary would suffice all
>but the most masochistic reader.
>
>Bob Atcher
>Cardiovascular Disease Div.
>Dept. of Medicine
>Univ. of Alabama at Birmingham
>
>

Sanjay M. Mallya BDS, MDS
Div. of Oral & Maxillofacial Radiology
Univ. of Conn. Health Center
Farmington, CT 06030-1605
Tel:(860) 679-3167
Fax: (860) 679-4760
smallya@neuron.uchc.edu