In keeping with a congressional mandate (Public Law 104-484) and the Chemical Weapons Convention, the United States is currently destroying its chemical weapons stockpile. The Army must ensure that the chemical demilitarization workforce is protected from the risks of exposure to hazardous chemicals during disposal operations and during and after facility closure. Good industrial practices developed in the chemical and nuclear energy industries and other operations that involve the processing of hazardous materials include workplace monitoring of hazardous species and a systematic occupational health program for monitoring workers' activities and health. In this report, the National Research Council Committee on Review and Evaluation of the Army Chemical Stockpile Disposal Program examines the methods and systems used at JACADS and TOCDF, the two operational facilities, to monitor the concentrations of airborne and condensed-phase chemical agents, agent breakdown products, and other substances of concern. The committee also reviews the occupational health programs at these sites, including their industrial hygiene and occupational medicine components. Finally, it evaluates the nature, quality, and utility of records of workplace chemical monitoring and occupational health programs.

Presents the results of a survey of 1,500 U.S. companies, the 50 largest utilities, and the largest unions. The survey was designed to obtain information about the types of medical monitoring and screening done in the U.S. and the extent of their use. Over 50 charts and tables. Survey instruments included.

A comprehensive guide to the establishment of screening and surveillance programmes as a strategy for protecting the health of workers exposed to respirable crystalline silica containing dust, coalmine dust, and asbestos dust. Addressed to health planners as well as specialists in occupational health, the book covers both the general principles of effective screening and surveillance and the specific approaches, methodologies, tests, and examinations useful for detecting diseases induced by exposure to mineral dust. Recommended approaches and practices reflect the consensus reached by an international group of experts. Background information is provided in the opening chapters, which explain differences in the aims and methods of screening and surveillance programmes, offer advice on the selection of appropriate medical tests, and discuss essential programme components. Against this background, the most extensive part offers detailed guidance concerning which diseases should be monitored and which tests should be performed. All the major diseases associated with mineral dust exposure are reviewed, emphasizing knowledge about causes, pathological characteristics, manifestations, latency period, the advantages of early diagnosis, and the effectiveness of available interventions. On the basis of this review target diseases for screening and surveillance are identified. The next chapter discusses the uses and limitations of each test commonly used to detect diseases related to mineral dust exposure. Tests are discussed in the categories of conventional chest radiography, additional imaging techniques, measures of lung function, and questionnaires. The final chapter sets out recommendations for the periodic screening and health surveillance of workers.

Monitoring for Health Hazards at Work has become an essential companion for students and professionals in occupational hygiene, offering a concise account of the dangers faced in a wide variety of work environments and giving practical, step-by-step guidance to gauge exposure. It includes: Coverage of most major health hazards: airborne dust, fibres, gases, vapours, noise, radiation, and biological agents Accounts of the latest equipment and techniques required to monitor such hazards Full guidance on how to undertake risk assessments Now thoroughly revised and restructured by an eminent new team of authors, the fourth edition brings this valuable handbook right up to date.

The Radiation Exposure Compensation Act (RECA) was set up by Congress in 1990 to compensate people who have been diagnosed with specified cancers and chronic diseases that could have resulted from exposure to nuclear-weapons tests at various U.S. test sites. Eligible claimants include civilian onsite participants, downwinders who lived in areas currently designated by RECA, and uranium workers and ore transporters who meet specified residence or exposure criteria. The Health Resources and Services Administration (HRSA), which oversees the screening, education, and referral services program for RECA populations, asked the National Academies to review its program and assess whether new scientific information could be used to improve its program and determine if additional populations or geographic areas should be covered under RECA. The report recommends Congress should establish a new science-based process using a method called "probability of causation/assigned share" (PC/AS) to determine eligibility for compensation. Because fallout may have been higher for people outside RECA-designated areas, the new PC/AS process should apply to all residents of the continental US, Alaska, Hawaii, and overseas US territories who have been diagnosed with specific RECA-compensable diseases and who may have been exposed, even in utero, to radiation from U.S. nuclear-weapons testing fallout. However, because the risks of radiation-induced disease are generally low at the exposure levels of concern in RECA populations, in most cases it is unlikely that exposure to radioactive fallout was a substantial contributing cause of cancer.