A brief
summary of stakeholder values pertaining to remediation
activities at Hanford
Author: Takaro, T.K. Other Author(s):
Document Type: CRESP Researcher Reports
Publication Date: 1995
Citation: June.
Abstract:
|
Beryllium
bio-markers of exposure, susceptibility and effect
Author: Takaro, T.K., Other Author(s): L.
Newman, K. Ertell, B. Stover, M. Knievel, and S.
Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: American Conference on Occupational
Health, Boston, MA. April.
Abstract:
|
Beryllium
lymphocyte transformation test as a biomarker of exposure
in a large US DOE worker population
Author: Takaro, T.K., Other Author(s): K.
Ertell, L. Newman, R.A. Ponce, and S. Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: American Public Health Association
Annual Meeting, Washington, DC. November.
Abstract:
|
Biomarkers:
New directions
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1998
Citation: Boston, MA, April 30.
Abstract:
|
Challenges
and opportunities in delivering medical surveillance to
former workers at US DOE nuclear sites
Author: Ertell, K., Other Author(s): S.
Barnhart, T. Takaro, and K. Durand.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: American Industrial Hygiene Conference.
AIHA and ACGIH. Session on Occupational Medicine.
Atlanta,GA, May 11.
Abstract:
|
Challenges
for health professionals: Protecting workers and
community residents at hazardous waste sites
Author: Buckler G., Other Author(s): and M.
Gochfeld.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1999
Citation: American Occupational Health
Conference,Scientific Session #123, New Orleans, La.
April 30.
Abstract:
|
Clinical
report: Apparent paralytic shellfish poisoning in captive
Herring Gulls fed commercial scallops
Author: Gochfeld, M., Other Author(s): and
J. Burger.
Document Type: CRESP Published Manuscripts
Publication Date: 1998
Citation: Toxicon 36(2): 411-415.
Abstract: This report describes an acute poisoning
event observed in captive herring gull (Larus argentatus)
hicks fed a batch of store-bought scallops. They
developed a characteristic acute svndrome that has not
hitherto been reported in birds and the cause of which
remains to be identified. We suggest that it is a variant
of paralytic shellfish poisoning (PSP) insofar as it was
paralytic and caused by shellfish. However, analyses by
the U.S. Food and Drug Administration to identify known
toxins (saxitoxins. revetoxins, domoic acid) in the
scallops were negative.
|
Data sources
for worker health and safety at hanford. Poster
Author: Takaro, T., Other Author(s): B.
Stover, and S. Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
|
Description
of factors affecting hazardous waste workers' use of
respiratory protective equipment
Author: Salazar, M.K., Other Author(s): T.
Takaro, C. Connon, and K. Ertell.
Document Type: CRESP Published Manuscripts
Publication Date: 1999
Citation: Applied Occupational and Environmental
Hygiene 14(7): 1-9.
Abstract: This article describes the first phase
of a study that was designed to gain an understanding of
hazardous waste workers' attitudes and beliefs about the
use of respiratory protective equipment. Exploratory,
open-ended interviews were conducted among 28 respirator
users at a US Department of Energy facility. Subjects
were asked to describe their knowledge, attitudes, and
beliefs about their risks to hazards at their worksites
and to discuss their use of respiratory protective
equipment. A detailed content analysis of the interviews
resulted in the generation of a taxonomy of issues and
concerns which fell into three general categories: 1)
Knowledge, Beliefs, and Attitudes, 2),Physical and
Psychological Effects, and 3) External Influences.
Knowledge, Beliefs, and Attitudes included Training, Fit
Testing, Medical Clearance, Work Exposures, Respirator
Use, and Vulnerability to Disease. Physical and
Psychological Effects included Somatic/Health Effects,
Personal Comfort, Visual Effects, Fatigue, Communication,
and Anxiety. External Influences included Structural
Environment, Quality and Availability of Equipment, Other
PPES, Co-Worker Influence, Supervisor Influence, and
Organizational Culture. The findings from this study have
important implications to training and education
programs. Effective respiratory protection programs
depend on a knowledge of the factors that affect workers'
use of equipment. This study suggests that efforts to
assure equipment comfort and fit, to assist workers who
see and hear less well as a result of their equipment,
and to develop strategies to allay worker anxiety when
wearing equipment should all be components of a program.
An organizational culture that supports and abets the
appropriate use of equipment is also a critical element
in a successful program. The occurrence of occupational
disease is a major problem at many work sites in this
country. It is estimated that 20 million U.S. workers are
regularly exposed to dusts, gases, fumes, and
radiological substances that can cause airway and other
systemic diseases. Hazardous waste workers are among 7 to
10 million workers who rely on personal protective
equipment (PPE) in the form of respirators as their
primary means of protection from workplace hazards.
Unfortunately, as demonstrated by recent statistics, the
use of respiratory protection has not been wholly
successful. Between 1968 and 1992,100,890 U.S. residents
died from pneumoconiosis resulting from exposures to
asbestos, coal dust, silica, and other agents, the
majority of which occurred as a result of workplace
exposures. Furthermore, nearly 30 percent of adult asthma
and chronic obstructive pulmonary disease ftiay be at
least partially attributable to occupational exposures.
Inhalation of toxic substances can also lead to serious
neurological, renal, hepatic, and other systemic effects.
|
Determining
the need for medical surveillance among former workers at
a US DOE site: Methods and results
Author: Ertell, K., Other Author(s): S.
Barnhart, , T. Takaro, and K. Durand.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: American Industrial Hygience Conference.
American Conference of Governmental Industrial Hygienists
and the American Industrial Hygiene Association. Session
on Occupational Medicine. Atlanta, GA, May 11.
Abstract:
|
Environmental
and ecological risk
Author: Gochfeld, M., Other Author(s): and
J. Burger.
Document Type: CRESP Published Books, Chapters,
and Sections
Publication Date: 1998
Citation: In Maxcy-Rosenau-Last Public Health and
Preventive Medicine, edited by R. B. Wallace and J. M.
Lask, 437-443. Norwalk, CT: Appleton and Lange.
Abstract:
|
Glycophorin
A: A potential bio-marker for the mutagenic effects of
pesticides
Author: Takaro, T.K., Other Author(s): H.
Checkoway, M. Keifer, T. Kavanagh, and W.L. Bigbee.
Document Type: CRESP Submitted Manuscripts
Publication Date: 200X
Citation:
Abstract:
|
Hanford:
Health of the site
Author: Takaro, T., Other Author(s): and A.
Hagopian.
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1997
Citation: First Annual Helath of the Hanford Site
Conference: Current Challenges. Richland, WA, December
3-4.
Abstract:
|
Hazardous
waste management at Department of Energy Sites
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Published Books, Chapters,
and Sections
Publication Date: 1999
Citation: In Protecting Personnel at Hazardous
Waste Sites, edited by W.F. Martin and M. Gochfeld.
Boston: Butterworth-Heineman.
Abstract:
|
Haztrax:
Worker-based recognition of hazards trainer tracking.
Poster
Author: Gochfeld, M., Other Author(s): E.
Samaras, and G. Samaras.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
|
Health of the
Hanford site conference to address key issues
Author: Barnhart, S. Other Author(s):
Document Type: CRESP Published Manuscripts
Publication Date: 1996
Citation: Tri-City Herald, Sunday, November 1,
Section D3.
Abstract:
|
Implications
of uncertainty for establishing protection standards for
beryllium
Author: Takaro, T.K., Other Author(s): R.A.
Ponce, E.M. Faustman, G.S. Omenn, and S.M. Bartell.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: Society for Risk Analysis 1998 Annual
Meeting. Phoenix, AZ, December 6-9.
Abstract:
|
Improving the
evaluation of risk to workers in the budget planning
process at a former US nuclear production site
Author: Takaro, T.K., Other Author(s): K.
Ertell, S.M. Bartell, R.A. Ponce, T. Ewers, E.M.
Faustman, M. Salazar, and S. Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1997
Citation: Annual Meeting of the International
Society for Risk Analysis, Washington, DC, December 7-10.
Abstract:
|
Introduction
and Federal programs
Author: Martin, W.F., Other Author(s): and
M. Gochfeld.
Document Type: CRESP Published Books, Chapters,
and Sections
Publication Date: 1999
Citation: In Protecting personnel at hazardous
waste sites, edited by W.E. Martin and M. Gochfeld,
Boston: Butterworth-Heineman.
Abstract:
|
Lessons in
environmental health in the 20th century
Author: Gochfeld, M., Other Author(s): and
B.D. Goldstein.
Document Type: CRESP Published Manuscripts
Publication Date: 1999
Citation: Annual Review of Public Health 20:
35-53.
Abstract: Environmental health has evolved rapidly
in recent decades, drawing largely on new analytic
technologies, advanced data acquisition and modeling,
mechanistic studies in toxicology, and the conceptual
framework of risk assessment. The latter combines
toxicologic and epidemiologic data with improved
techniques for quantifying exposure, producing estimates
of risks from environmental hazards or conditions to
selected target populations. The public and governments
have become increasingly concerned with environmental
health and quality. The major lessons have been (a)
environmental-health scientists must participate in
policy debates; (b) environmental health problems are
exceedingly complex and require interdisciplinary
research; and (c) environmental health is a global issue.
The globalization of commerce, the untested impact of
international trade agreements, increased migration, and
especially increased population, have profound impact on
the quality as well as availaility of air, water, land
and food. Global atmospheric transport of pollutants and
the effect on atmosphere and climate are two examples of
globalization of environmental health.
|
Low-level
ionizing radiation and human health effects: Perspectives
from studies of Marshall Islanders, U.S. atomic veterans
and Hanford thyroid disease cohorts, and implications of
new NCI fallout data
Author: Checkoway, H., Other Author(s): T.
Hamilton, S. Davis, and T. Takaro.
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1998
Citation: CRESP, UW Health Sciences Building,
Seattle, WA, January 18.
Abstract:
|
Medical
clearance for respirator use: Sensitivity and specificity
of a questionnaire
Author: Pappas, G.P., Other Author(s): T.K.
Takaro, B. Stover, N. Beaudet, M. Salazar, J. Calcagni,
D. Shoop, and S. Barnhart.
Document Type: CRESP Published Manuscripts
Publication Date: 1999
Citation: American Journal of Industrial Medicine
35: 395-400.
Abstract: OSHA regulations require that workers
receive medical clearance prior to respirator use, and
recently, a detailed questionnaire has been provided to
assist with this purpose. However, there are limited
published data on the sensitivity and specificity of
self-administered questionnaires for identifying
individuals who may safely wear a respirator. We tested
474 consecutive workers at a Department of Energy
complex. After completing the self-administered
questionnaire, all workers received a standardized
physician evaluation including interview, physical
examination, and spirometry. The outcomes of the
questionnaire assessment were compared to the outcomes of
physician evaluation. Data for analysis were available
from 413 of workers (87,Yo). All workers received medical
clearance; only 10 workers (2.4 %) received work
restrictions. The questionnaire demonstrated 100%
sensitivity in identifying workers who required work
restrictions, but had specificity of only 19%. Compared
to physician evaluation, the questionnaire had modest
sensitivity to the detection of chronic medical
conditions. These data suggest that the rates of medical
clearance for respirator use are very high, and that a
self-administered questionnaire may be appropriate for
medical clearance in certain settings. It is recommended
that the policy of routine physician evaluation and
spirometry for respirator clearance be re-examined.
|
Medical
surveillance for former Hanford workers: Progress report
Author: Barnhart, S. Other Author(s):
Document Type: CRESP Proceedings
Publication Date: 1999
Citation: In proceedings of the Second Annual
Health of the Hanford Site Conference, 237-241, Richland,
WA. University of Washington, Richland, WA.
Abstract: The project is one that is really
designed to provide medical evaluation for former
workers. This specifically addresses the question, What
do you do about workers at Hanford who may have been
exposed to either physical, chemical, radiological
hazards, and who may benefit from medical surveillance?
Given the size of the Hanford site, there are two former
worker projects which have been funded by the Department
of Energy. One is our project, which is looking at the
nuclear process operators, the non-building and
construction workers; and there's a second one that looks
at building trade workers.
|
Medical
surveillance for hazardous waste workers
Author: Melius, J., Other Author(s): and M.
Gochfeld.
Document Type: CRESP Published Books, Chapters,
and Sections
Publication Date: 1999
Citation: In Protecting Personnel at Hazardous
Waste Sites, edited by W.F. Martin and M. Gochfeld.
Boston: Butterworth-Heineman.
Abstract:
|
Memorandum on
a registry of subcontractor workers: A feasibility
assessment for Savannah River
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation:
Abstract:
|
Metals in
feathers of Bonin Petrel, Christmas Shearwater,
Wedge-tailed Shearwater, and Red-tailed Tropicbird in the
Hawaian Islands, North Pacific
Author: Gochfeld, M., Other Author(s): D.
J. Gochfeld, D. Minton, B. G. Murray Jr., P. Pyle, N.
Seto, D. Smith, and J. Burger.
Document Type: CRESP Published Manuscripts
Publication Date: 1999
Citation: Environmental Monitor. Assess. 59:
343-358.
Abstract: Levels of environmental pollutants are
usually higher in mainland and coastal areas than in
offshore or oceanic islands due to higher inputs from
agricultural and industrial sources. Levels of heavy
metals are usually higher in adult than in young birds,
because they have had longer to accumulate metals in
their tissues, and/or because they may eat larger, more
contaminated, prey. We examined the levels of arsenic,
cadmium, chromium, lead, manganese, mercury, and selenium
in the adults and young of Bonin petrel (Pterodrom
hypoleuc ), Christmas shearwater (Fluffinu nativitati )
and red-tailed tropiebird (Phaetho rubricauda) on Midway
Atoll, and adult wedge-tailed shearwater (Puffinu
pacificu ) on Midway Atoll and on Manana Island (off
Oahu) in the northern Pacific. All birds were analyzed
individually except for Christmas Shearwater chicks where
samples were pooled to obtain sufficient quantities for
analysis. Significant (p <0.05) age-related differences were found for mercury, selenium, manganese and chromium in Bonin petrels, for selenium and mercury in Christmas shearwaters, and for chromium and mercury in Red-tailed Tropicbirds. Lead approached significance for all three species. Adults had higher levels than young except for chromium and manganese in the petrels and arsenic in all three species. There were significant interspecific differences in concentrations of all metals except arsenic for the adults nesting on Midway. Christmas shearwaters had the highest levels of all metals except mercury and chromium. Bonin petrels, the smallest species examined, had mercury levels that were over three times higher than any of the adults of the other three species. For wedge-tailed shearwaters, levels of chromium and lead were significantly higher, and manganese and selenium were lower on Midway than Manana. Knowledge of the foraging ranges and habits of these far-ranging seabirds is inadequately known, but does not currently explain the observed differences among species. We could not find a consistent pattern of differences between the burrow nesting species (Bonin petrel, Wedge-tailed shearwater) and the surface nesting tropicbirds. There was no consistent pairwise correlation between any metals across all species.
|
Methylmercury
and potential exposure
Author: Stern, A., Other Author(s): M.
Gochfeld and J. Burger.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1997
Citation: American Occupational Health Conference,
Boston.
Abstract:
|
Needs
assessment for medical surveillance of former Hanford
workers
Author: Barnhart, S., Other Author(s): T.K.
Takaro, B. Stover, K. Durand, B. Trejo, C. Mack, and K.
Ertell.
Document Type: CRESP Researcher Reports
Publication Date: 1997
Citation: US DOE: Phase I Report, October.
Abstract:
|
New
directions and applications of biomarkers. Poster
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
|
Occupational
medical and emergency services at the Paducah Gaseous
Diffusion Plant
Author: Keller, C., Other Author(s): M.
Gochfeld, S.N. Mohr, W. Hailoo, and L. Kallus.
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation: April.
Abstract:
|
Onsite
(occupational) risk
Author: Takaro, T. Other Author(s):
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1996
Citation: Symposium on Risk. CRESP, Seattle, WA,
May 15.
Abstract:
|
On-site
(occupational) risks
Author: Takaro, T. Other Author(s):
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1996
Citation: University of Washington, Seattle, WA,
May 15.
Abstract:
|
Outreach Task
Group meeting with stakeholders, tribal national
representatives, and federal and state regulators; Review
of OS&H sections of "Improving DOE/EM risk
information: Content and format"
Author: Takaro, T., Other Author(s): and D.
Grace.
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1997
Citation: Richland, WA, April 16.
Abstract:
|
Principles of
Toxicology
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Published Books, Chapters,
and Sections
Publication Date: 1998
Citation: In Maxcy-Rosenau-Last Public Health and
Preventive Medicine, edited by R.B. Wallace and J. M.
Last. Norwalk, Ct: Appleton and Lange.
Abstract:
|
Progress on
medical monitoring for former Hanford production and
non-construction workers
Author: Barnhart, S. Other Author(s):
Document Type: CRESP Proceedings
Publication Date: 1998
Citation: In Proceedings of the First Annual
Health of the Hanford Site Conference: Current
Challenges, 283-287. Richland, WA, December 3-4, 1997.
Abstract:
|
Progress on
Medical Monitoring for Former Hanford Production and
Non-Construction Workers
Author: Barnhart, S. Other Author(s):
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1997
Citation: First Annual Health of the Hanford Site
Conference: Current Challenges, December 3.
Abstract:
|
Protecting
Hazardous Waste Workers
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1998
Citation: Boston, MA, April 28.
Abstract:
|
Protocol for
heat stress induced mRNA response in Hanford tank farm
workers
Author: Takaro, T.K., Other Author(s): S.
Kirchner, T. Kavanagh, K. Anger, B. Cameron, and E.M.
Faustman.
Document Type: CRESP Submitted Manuscripts
Publication Date: 200X
Citation:
Abstract:
|
Report on
proposed site visit to Paducah Gaseous Diffusion Plant to
evaluate workplace hazards and occupational medical
services with a particular focus on subcontractors
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation:
Abstract:
|
Report on
visit to INEL Occupational Medicine Department
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation:
Abstract:
|
Report to
SRS-Operations Office: Occupational Medicine at the
Savannah River Site
Author: Gochfeld, M., Other Author(s): C.
Keller, T. Key, S. Mohr, and P. Warnbach.
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation: June 7.
Abstract:
|
Risk
Estimation and Value-of-Information Analysis for Three
Proposed Genetic Screening Programs for Chronic Beryllium
Disease Prevention
Author: Bartell, S.M., Other Author(s): R.A.
Ponce, T.K. Takaro, R.O. Zerbe, G.S. Omenn, E.M.
Faustman.
Document Type: CRESP Published Manuscripts
Publication Date: 2000
Citation: Risk Analysis 20: 87-99.
Abstract: DOE Site: "Hanford"Document
type is: "CRESP Published Manuscripts"CRESP
Task Group: "Worker safety and health"Status:
"Published"Location of Document:
"CRESP-UW" Abstract: "Genetic differences
(polymorphisms) among members of a population are thought
to influence susceptibility to various environmental
exposures. In practice, however, this information is
rarely incorporated into quantitative risk assessments
and risk management. We describe an analytic framework
for predicting the risk reduction and
value-of-information (VOI) resulting from specific risk
management applications of genetic biomarkers, and we
apply the framework to the example of occupational
chronic beryllium disease (CBD), and immune-mediated
pulmonary granulomatous disease. One described Human
Leukocyte Antigen gene variant, HLA-DPB1*0201, contains a
substitution of glutamate for lysine at position 69 that
appears to have high sensitivity (~94%) but low
specificity (~70%) with respect to CBD among individuals
occupationally exposed to respirable beryllium. The
expected postintervention CBD prevalence rates for using
the genetic variant (1) as a required job placement
screen, (2) as a medical screen for semiannual in place
of annual lymphocyte proliferation testing, or (3) as a
voluntary job placement screen are 0.08%, 0.8%, and 0.6%,
respectively, in a hypothetical cohort with 1% baseline
CBD prevalence. VOI analysis is used to examine the
reduction in total social cost, calculated as the net
value of disease reduction and fianacial expenditures,
expected for proposed CBD intervention programs based on
the genetic susceptibility test. For the example cohort,
the expected net VOI per beryllium worker for genetically
based testing and intervention is $13,000, $1,800,
$5,100, respectively, based on a health valuation of
$1.45 million per CBD case avoided. VOI results for
alternative CBD valuations are also presented. Despite
large parameter uncertainty, probabilistic analysis
predicts generally positive utility for each of the three
evaluated programs when avoidance of a CBD case is valued
at $1 million or higher. Although the utility of a
proposed risk management program may be evaluated solely
in terms of risk reduction and financial costs, decisions
about genetic testing and program implementation must
also consider serious social, legal, and ethical
factors."
|
Risks from
cesium-137 ingestion comparison among approaches
Author: Gochfeld, M., Other Author(s): and
J. Burger.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 200X
Citation: Society of Risk Analysis meetings,
Phoenix, December.
Abstract:
|
Scientific
and engineering challenges in remediation of contaminated
soil and groundwater
Author: Takaro, T., Other Author(s): T.
Engel, and D. Stensel.
Document Type: CRESP Symposia, Workshops, and
Stakeholder Events
Publication Date: 1997
Citation: University of Washington Office of
Research, Seattle, WA, May 29-30.
Abstract:
|
Screening for
beryllium sensitization at Hanford
Author: Takaro, T., Other Author(s): K.
Durand, K. Ertell, L. Newman, and S. Barnhart.
Document Type: CRESP Proceedings
Publication Date: 1998
Citation: In proceedings of The First Annual
Health of the Hanford Site Conference, Round One:
Occupational Health, Richland, WA, 215-252, December 3.
Seattle: University of Washington.
Abstract:
|
Screening for
beryllium sensitization at Hanford
Author: Takaro, T.K., Other Author(s): GT.
Pappas, K. Durand, K. Ertell, L. Newman, and S. Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1997
Citation: First Annual Health of the Hanford Site
Conference, Richland, WA. December 3-4.
Abstract:
|
Screening for
beryllium sensitization at Hanford
Author: Takaro, T., Other Author(s): K.
Ertell, L. Newman, B. Stover, a. Jabbour, R. Ponce, E.
Faustman, T. Karanagh, and S. Barnhart.
Document Type: CRESP Proceedings
Publication Date: 1999
Citation: In proceedings of the Second Annual
Health of the Hanford Site Conference, 275-283. Richland,
WA: University of Washington.
Abstract: Beryllium is now a known hazard for
Hanford workers. In addition to the potential exposure
during remediation efforts today, former workers at
Hanford are also clearly at risk. The data presented
describes the current prevalence of beryllium exposure
and sensitization by the Lymphocyte Proliferation Test
(LPT). Additional aims of the pilot project are to
determine the jobs where beryllium risk was high for
former Hanford workers, determine high risk buildings for
remediation workers, compare two different assay methods
for the measurement of lymphocyte proliferation in hopes
of improving its sensitivity and begin to evaluate
possible genetic predisposition to sensitization or
disease. Formal monitoring programs are underway through
the Building and Construction Trades Former Worker
Program and the University of Washington Former
Production and Non-construction Worker Medical Monitoring
Program. These monitoring programs provide significant
additional data to support the ongoing industrial hygiene
activities at the site. Sentinel cases of beryllium
sensitization and/or disease can provide important
direction to such industrial hygiene exposure
assessments. Additionally we will be assessing the
radiographic findings on chest x-rays, breathing function
via spirometry, and additional clinical information as it
is gathered by the projects.
|
Screening for
beryllium sensitization at Hanford. Poster
Author: Takaro, T., Other Author(s): K.
Ertell, L. Newman, B. Stover, R. Ponce, E. Faustman, T.
Kavanagh, and S. Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
|
Screening
protocol for establishing the prevalence of beryllium
sensitization at Hanford
Author: Takaro, T., Other Author(s): G.
Pappas, L. Newman, K. Ertell, K. Durand, and S. Barnhart.
Document Type: CRESP Submitted Manuscripts
Publication Date: 200X
Citation:
Abstract:
|
Structure and
function of occupational health services at 10 DOE sites.
Poster
Author: Salazar, M.K., Other Author(s): T.
Takaro, K. Ertell, M. Gochfeld, S. O'Neill, and S.
Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
|
Structure and
function of occupational health services at 10 DOE sites.
Poster
Author: Salazar, M.K., Other Author(s): T.K.
Takaro, K. Ertell, M. Gochfeld, S. O'Neill, and S.
Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1999
Citation: Responsive science: Forging regulatory
resolution at DOE sites, Washington, DC, April 12.
Abstract:
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Structure and
function of occupational health services at weapon sites
Author: Salazar, M., Other Author(s): T.
Takaro, K. Ertell, S. Barnhart, M. Gochfeld, S.
O’Neill, and C. Connon.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1997
Citation: The First Annual Health of the Hanford
Site Conference. Session on Occupational Health and
Safety. Richland, WA, December 3-4.
Abstract:
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Structure and
function of occupational health services within selected
Department of Energy sites
Author: Salazar, M.K., Other Author(s): T.
Takaro, K. Ertell, S. Barnhart, M. Gochfeld, S. O'Neill,
and C. Connon.
Document Type: CRESP Proceedings
Publication Date: 1998
Citation: In Proceedings of the First Annual
Health of the Hanford Site Conference: Current
Challenges, 297-311. Richland, WA: University of
Washington.
Abstract: Assuring the health and safety of
workers at United Stated Department of Energy (DOE) sites
is a major DOE goal. While occupational health and safety
services are integral to operations at most of these
sites, the structure and function of service delivery
varies widely among the sites. Because of this, it is
difficult to assess and compare the occupational health
and safety of site workers. Other challenges to health
and safety include the changing DOE mission from
production to clean up, a new generation of workers at
many sites, and extensive use of subcontractors. Much
remains to be learned in order to achieve DOE's goal of
worker health and safety. The purpose of this study was
to evaluate the structure and function of occupational
health and safety services at ten major DOE sites. The
structure consists of the service unit, the personnel who
work in health and safety, health and safety programs,
and policies and procedures related to health and safety
services. The function consists of activities and
processes aimed at protecting workers' health and safety.
These include exposure assessment and other hazard
surveillance activities, data collection, provision of
health services, and the interaction between the various
professionals involved in service provision. The specific
aims were to describe and compare 1) the primary hazards
associated with the site activities; 2) the occupational
safety and health structure including service providers;
and 3) the occupational health and safety function
including occupational health and medical surveillance,
safety training, exposure monitoring, employee assistance
activities and protective equipment utilization. The
study described in this paper is the first part of a two
phased project. This first phase consisted of written
surveys which were intended to provide a broad
description of each of the study sites; the second phase
will consist of telephone interviews which will build on
information from the surveys. In addition to structure
and function, athe second phase will also describe the
financing of occupational health and safety services.
Thus, the ultimate goal of this project is to develop a
comprehensive description of existing DOE occupational
health and safety programs in terms of structurel,
function, and financing, to identify the primary barriers
and facilitators to efficient and cost effective
services, and to make recommendations based on these
findings. It is anticipated that the findings from this
study will provide valuable information that can be used
to guide and direct the continued development and
refinement of comprehensive programs at DOE sites.
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Structure and
function of occupational health services within selected
Department of Energy weapons sites
Author: Salazar, M.K., Other Author(s): T.
Takaro, K. Ertell, M. Gochfeld, S. O'Neill, C. Connor and
S. Barnhart.
Document Type: CRESP Published Manuscripts
Publication Date: 1999
Citation: JOEM 41(12): 1072-1078.
Abstract:
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Structure,
function and financing of occupational health services
across the US DOE Weapons Complex
Author: Salazar, M.K., Other Author(s): T.K.
Takaro, K. Ertell, M. Gochfeld, and S. Barnhart.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: National Waste Management Conference,
Tucson, AZ. March.
Abstract:
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Structure,
function and financing of occupational health services at
ten DOE facilities
Author: Salazar, M., Other Author(s): T.K.
Takaro, M. Gochfeld, K. Ertell, and S. Barnhart.
Document Type: CRESP Proceedings
Publication Date: 1999
Citation: In proceedings of the Second Annual
Health of the Hanford Site Conference, 208-223. Richland,
WA: University of Washington.
Abstract: While occupational health and safety
services are integral to operations at most DOE sites,
the structure, function, and financing of service
delivery varies widely among sites. Because of this, it
is difficult to assess and compare the occupational
health and safety of site workers. Assuring the health
and safety of workers is a major DOE goal. The purpose of
this study was to evaluate the structure, function, and
financing of occupational health services at ten selected
DOE sites. This is a report on the second phase of this
study, which was intended to expand and clarify
information obtained from the Phase I surveys. A quality
assessment model was used as a guiding framework for this
second phase. The next steps in this process will be a
continuation of the data analysis using the quality
assessment model. Ultimately, we expect to describe the
primary barriers and facilitators to efficient and
effective services. The final step will be to make
suggestions and recommendations based on all of these
findings."
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Summary of
contractor occupational medicine provider profiles from
the Paducah Site
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation:
Abstract:
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Susceptibility
biomarkers in the workplace: Historical perspective
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Published Books, Chapters,
and Sections
Publication Date: 1998
Citation: In Medical and Workplace Applications of
Biomarkers, edited by J. Peeters, M. Mendelsohn, J.
Normandy. Washington, DC.: John Henry Press.
Abstract:
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Temporal
trends in metal levels in eggs of the endangered roseate
tern (Sterna dougallii)
Author: Gochfeld, M., Other Author(s): and
J. Burger.
Document Type: CRESP Published Manuscripts
Publication Date: 1998
Citation: Environmental Research 76: 1-7.
Abstract: Female birds sequester certain organic
and inorganic compounds in their eggs which have been
widely used as a bioindicator for examining the body
burdens of contaminants and therefore the temporal and
spatial trends of the contaminants in the environment.
The same analyses can also reflect the status or
vulnerability of the indicator species. Extensive bridge
de-leading activities in the New York Bight (Cape May to
Montauk) in the early 1990s coincided with a long-term
study of the endangered roseate tem (Sterna dougallii) on
Long Island, New York, affording the opportunity to test
the utility of such fish-eating species as bloindicators
of lead contamination, as well as the potential impact on
the bird population itself. In this paper we test the
null hypothesis that there were no temporal trends
between 1989 and 1994 in metal levels in eggs of roseate
tems nesting at Cedar Beach, Long Island, where the birds
have been declining since the late 1980s. We report
levels and trends for cadmium, chromium, manganese,
mercury, and selenium as well as lead in abandoned eggs
collected each year. There were significant interyear
differences for all metals, with 1990 to 1992 generally
having higher levels than 1989 and 1994. The yearly
differences were particularly prominent for lead, where
the 10-fold increase may have been partially due to the
increased removal of leaded paint from bridges in the
early 1990s, leading to increased lead in the aquatic
environment. Cadmium and chromium are also released
during de-leading. The causes for the higher levels in
the other metals in the early 1990s are unclear. Metal
levels in roseate tem eggs are several times higher than
the median reported for most birds, and the possible
impact on the population requires study.
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The challenge
of subcontract workers in environmental management at DOE
Sites. Poster
Author: Gochfeld, M., Other Author(s): G.
Buckler, and S. Mohr.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
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The Hanford
Occupational Health Process: The Development of an
Integrated Health Surveillance, Worker Training and
Hazard Identification and Prevention Program - Three
Papers
Author: Ertell, K. Other Author(s):
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1997
Citation: First Annual Health of the Hanford Site
Conference: Current Challenges, Round Three: Occupational
Health Presentation. Richland, WA, December 4.
Abstract:
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The Hanford
occupational health process: The development of an
integrated health surveillance, worker training and
hazard identification and prevention program - Three
papers
Author: Ertell, K. Other Author(s):
Document Type: CRESP Proceedings
Publication Date: 1998
Citation: In Proceedings of the First Annual
Health of the Hanford Site Conference: Current
Challenges, 312-314. Richland, WA, December 3-4, 1997.
Abstract:
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The registry
for subcontractor workers at SRS. Poster
Author: Gochfeld, M. Other Author(s):
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
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The
structure, function and finance of occupational health
and safety services at Hanford
Author: Takaro, T., Other Author(s): K.
Ertell, M. Salazar, N. Beaudet, B. Stover, A. Hagopian,
G. Omenn, and S. Barnhart.
Document Type: CRESP In Press Manuscripts
Publication Date: 200X
Citation: Journal of Healthcare Quality
Abstract:
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Training
health professionals in protecting communities and
workers from hazardous waste exposures. Poster
Author: Gochfeld, M., Other Author(s): and
G. Buckler.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1998
Citation: CRESP 1998 Annual Meeting, Dingmans
Ferry, Pa, June.
Abstract:
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Uses of risk
data sheets in the DOE budget formulation process
Author: Moore, J., Other Author(s): C.
Drew, and E.M. Faustman.
Document Type: CRESP Presentations, Posters, and
Abstracts
Publication Date: 1996
Citation: Society for Risk Analysis (SRA) and
International Society for Exposure Assessment (ISEA)
Joint Meeting. New Orleans, LA, December 8-11.
Abstract: The Department of Energy Office of
Environmental Management (DOE/EM) recently introduced a
risk-influenced decision tool into its budgetary
decision-making process. The tool calls for a variety of
information to be submitted to headquarters in a standard
format called a Risk Data Sheets were prepared bv DOE
personnel at diverse geographic locations. The
Consortitun for Risk Evaluation with Stakeholder
Participation (CRESP) convened a National Review Panel
that reviewed the quality, completeness and utility of
data submitted, particularly focusing on the risk
aspects. Over 400 of the 1,408 RDS's were reviewed in
some dew. In general, the panel found the process itself
to be valuable because: 1)the aggregate information
addresses issues most relevant to EM, and 2) it is a
transparent, qualitative and iterative process that
presents appropriate information to decision makers.
Moreover, the panel concluded the RDS risk values were
reasonable. However, flaws as to the completeness and
consistency of the data submitted were noted, using the
data compare sites to one another was not recommended,
some activities were not appropriate for ranking using
the risk elements of the RDS, and many Risk Data Sheets
did not conform to the guidance provided.
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What is a
stakeholder anyway
Author: Gochfeld, M., Other Author(s): and
J. Burger.
Document Type: CRESP Researcher Reports
Publication Date: 1996
Citation:
Abstract:
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World Wide
Web tools for collaborative development of a Geographic
Information System Database for the Consortium for Risk
Evaluation with Stakeholder Participation
Author: Moore, R. Other Author(s):
Document Type: CRESP Dissertations or Theses
Completed
Publication Date: 1996
Citation: University of Washington, June 5.
Abstract:
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