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HARDBACK price:$81.25 add to cart Rights & Permissions Free PDF Access Sign in to download PDF book and chapters Free Resources PDF SUMMARY PDF Report Brief Display this book on your site! Related Titles Radiation Dose Reconstruction for Epidemiologic Uses Assessment of the Scientific Information for the Radiation Exposure Screening and Education Program Other Related Titles A Review of the Dose Reconstruction Program of the Defense Threat Reduction Agency (2003) Board on Radiation Effects Research (BRER) Citation Manager Export the bibliographic data for this book in your chosen format Web Search Builder Use this book's key terms to search within this book, across our collection, or across the Web. Skim This Chapter Skim this chapter and use this chapter's key terms to search within this book. Reference Finder Paste in your own text to find books that relate to your topic. Citation Manager . "VIII. Recommendations." A Review of the Dose Reconstruction Program of the Defense Threat Reduction Agency. Washington, DC: The National Academies Press, 2003. Please select a format: Page 265   E-mail Share on facebook Facebook Share on delicious Delicious Share on stumbleupon Stumble Share on twitter Twitter More Sharing ServicesMore The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy. VIII Recommendations The committee offers a number of recommendations that it believes would, if implemented, improve the dose reconstruction process and the atomic-veterans compensation program in general. Some have been mentioned previously; they are summarized here to provide a complete list. There should be continuing external review and oversight of the atomic-veterans dose reconstruction and compensation programs. An independent advisory board could be established to implement this recommendation. There should be a comprehensive re-evaluation of the methods being used to estimate doses and their uncertainties to establish more credible upper bounds of doses to atomic veterans. A comprehensive manual of standard operating procedures should be developed and maintained. A state-of-the-art program of quality assurance and quality control should be developed and implemented. The principle of benefit of the doubt should be consistently applied in accordance with applicable regulations. Interaction and communication with the atomic veterans should be improved. For example, veterans should be allowed to review the scenario assumptions used in their dose reconstructions before the dose assessments are sent to the Department of Veterans Affairs for claim adjudication. More effective approaches should be established to communicate the meaning of information on radiation risk to the veterans. In addition to presenting general information on radiation risk, information should be communicated to Page 265 Front Matter (R1-R16) Public Summary (1-4) Executive Summary (5-14) I. Introduction (15-43) II. The Committee's Process (44-50) III. The Process of Submitting and Deciding Claims (51-64) IV. Process of Dose Reconstruction in NTPR Program (65-123) V. Committee's Findings Related to NTPR Dose Reconstruction Program (124-230) VI. Findings Related to Other Issues (231-256) VII. Conclusions (257-264) VIII. Recommendations (265-266) References (267-278) Appendix A: Examples of Dose Reconstruction Memoranda From Sample Cases Reviewed by Committee (279-290) Appendix B: Sampled Case Files of Dose Reconstructions Reviewed by Committee (291-301) Appendix C: Names of Invited Speakers and Interactions with Veterans (302-304) Appendix D: Responses to Committee's Questions (305-334) Appendix E: Analysis of Potential Inhalation Doses Due to Blast-Wave Effects at Operation PLUMBBOB, Shot HOOD, and Implications for Dose Reconstructions for Atomic Veterans (335-348) Appendix F: Unit Dose Reconstruction for Task Force Warrior at Operation PLUMBBOB, Shot SMOKY (349-360) Glossary (361-378) List of Abbreviations (379-380) Committee Biographies (381-384) Index (385-399)

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VIII Recommendations The committee offers a number of recommendations that it believes would, if implemented, improve the dose reconstruction process and the atomic-veterans compensation program in general. Some have been mentioned previously; they are summarized here to provide a complete list. There should be continuing external review and oversight of the atomic-veterans dose reconstruction and compensation programs. An independent advisory board could be established to implement this recommendation. There should be a comprehensive re-evaluation of the methods being used to estimate doses and their uncertainties to establish more credible upper bounds of doses to atomic veterans. A comprehensive manual of standard operating procedures should be developed and maintained. A state-of-the-art program of quality assurance and quality control should be developed and implemented. The principle of benefit of the doubt should be consistently applied in accordance with applicable regulations. Interaction and communication with the atomic veterans should be improved. For example, veterans should be allowed to review the scenario assumptions used in their dose reconstructions before the dose assessments are sent to the Department of Veterans Affairs for claim adjudication. More effective approaches should be established to communicate the meaning of information on radiation risk to the veterans. In addition to presenting general information on radiation risk, information should be communicated to

OCR for page 266
veterans who file claims regarding the significance of their doses in relation to their diseases. The community of atomic veterans and their survivors should be advised when methods for calculating doses have changed so that they can ask for updated dose assessments.

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dose reconstruction