Appendix B
Sampled Case Files of Dose Reconstructions Reviewed by Committee



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Appendix B Sampled Case Files of Dose Reconstructions Reviewed by Committee

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Case Number SERVICE SERIES CODE CLAIM FILED? (YEAR IF YES) STATUS OF CLAIM 1 Army GH, B-J NO   2 Army GH, B-J, IVY YES (1980) Not rated - no radiogenic disease 3 Air Force CSTL NO   4 Army GH YES (1992) NP-Denied 5 Air Force GH NO   6 Navy CSTL NO   7 Army U-K YES - 2000 NP-Denied 8 Air Force CSTL YES - 1990 NP-Denied 9 Navy CSTL YES (2) 1978 and 2000 NP-Granted 10 Navy RW YES - 1981 P-Granted 11 Air Force CSTL, TP, RW YES - 1994 NP-Denied 12 Air Force GH YES - 1999 NP-Denied 13 Navy XRDS YES - 1996 P-Granted 14 Army TRIN NO   15 Army TRIN NO   16 Air Force HT I NO   17 Navy XRDS YES - 1993 NP-Denied 18 Navy IVY, CSTL YES - 1990 NP-Denied 19 Army CSTL YES - 1994 NP-Denied 20 Army B-J YES -1990 & 1997 personal; 1991 VA NP-Denied 21 Marine U-K YES - 1990 NP-Denied 22 Army CSTL YES - 1995 NP-Denied 23 Navy B-J YES - 1985 VARO& 1992 VA Not rated-did not respond 24 Navy HT I YES - 1997 NP-Denied 25 Navy HT I YES NP-Denied

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EXTERNAL GAMMA DOSE (rem) UPPER BOUND DOSE (rem) ORGAN DOSE (rem) TYPE OF DISEASE AS BASIS OF CLAIM DATE OF LAST DOSE RECONSTRUCTION 1.4 1.6     Feb-2000 1.2   No calculation Skin cancer Feb-1983 2.6 4.1 CEDE 0.2   Jul-1997 3.5 4.1 No calculation. Skin cancer Jan-1993 3.8 4.4 Thyroid 2.3   Mar-1999 1.6 2.5 EDE 0.2   May-1999 1.3 1.8 Prostate 0 Prostate cancer Sep-2000 2.3   Lung 0.5620; Bone <0.15 Lung cancer Jul-1990 3.2 5.2 Eye 8.7; Thyroid 0.4; Forearm 55.5; Face 30.3; Head 30.3; Neck 30.3; Upper arm 3 0. 1; Back 8.5 Skin cancer, Thyroid cancer, and cataract Dec-2000 3.3 4.6   Blood problem and bone deterioration Mar-1996 5.6 7.9   Heart disease Dec-1994 3 3.7 Lower leg 77.5 Basal cell carcinoma Oct-1999 1.3 3.2 Bladder & Prostate <0.15 Bladder and Prostate Feb-1996 10 20     Oct-1985 2.1 3.8 CEDE <0.15   Sep-1996 1.6 1.8 CEDE 0.2   Aug-1998 2.3 4.5 No calculation Skin cancer Mar-1994 5.7   Lung 0.58; Bone <0.15 Lung and Skin cancers Sep-1990 4.7 7.3   Cataract Jun-1995 0.1 0.1 Prostate <0.1 Lung disease, Prostate cancer, Basal call carcinoma, Kidney problem Oct-1997 4.7 6.8 Colon & Bone <0.15 Colon cancer Aug-1990 1.1 1.3 Colon 0.8 Intestinal cance Dec-1995 0.2   Colon <0.15 Colon cancer Jan-1994 0.5 0.5 Brain <0.1 Brain cancer Jan-1998 1.3 1.5 Forehead 7.1; Lung 0.9 Basal cell carcinoma and lung cancer Oct-2000

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Case Number SERVICE SERIES CODE CLAIM FILED? (YEAR IF YES) STATUS OF CLAIM 26 Navy XRDS YES P-Granted 27 Marine U-K YES -1992 NP-Denied 28 Navy XRDS YES- 1996 NP-Denied 29 Army U-K YES-1985 NP-Denied 30 Army U-K YES NP-Denied 31 Air Force POST HT I YES P-Denied 32 Army CSTL YES - 1994 & 1995 NP-Denied 33 Army H, N YES NP-Denied 34 Navy XRDS YES - 1995 NP-Denied 35 Navy RW YES - 1994 NP-Denied 36 Air Force HT I YES - 1980 NP-Denied 37 Army TP, PB YES - 2000 P-Granted 38 Air Force CSTL YES - 1991 NP-Denied Previously granted for skin cancer based on UV radiation 39 Navy CSTL YES 2000 NP-Denied 40 Army U-K NO   41 Navy XRDS YES - 1987 NP-Denied 42 Navy RW YES - 1996 NP-Denied 43 Army GH YES - 1993 NP-Denied 44 Navy RW NO   45 Navy XRDS YES - 1997 NP-grant 46 Army DOM I YES - 1999 Not rated -Veteran died 47 Army IVY, CSTL YES - 1987 NP-Denied 48 Navy XRDS YES NP-Denied 49 Navy N, XRDS YES - 1999 NP-Denied 50 Air Force TP NO - NA 1993; Congress 1997 Not a participant

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EXTERNAL GAMMA DOSE (rem) UPPER BOUND DOSE (rem) ORGAN DOSE (rem) TYPE OF DISEASE AS BASIS OF CLAIM DATE OF LAST DOSE RECONSTRUCTION 1.8   Bone 0.32   Jan-1989. 3.7 4.5 Lung <0.15 Lung cancer Dec-1992 0.7 1.1 No calculation Hodgkin’s diseases; Skin cancer; Prostate cancer Aug-1996 2.4 3.9 No calculation Skin cancer Oct-1985 3.1 3.4     Dec-1999 0.1 0.1 All <0.1   Nov-1998 1.2 1.4 Colon 0.4 Liver & SI <0.15 Small Intestine cancer Sep-1995 0 0.01 Any 0.0 ? Jun-1997 0.8 2 No calculation Stomach problem Aug-1995 0.8 1.1 No calculation Skin cancer May-1994 0.1   Colon & Bone <0.15 Colon cancer May-1990 1.2 2.1 Red marrow (mult. Myeloma) <0.01 Multiple Myeloma Sep-2000 1.1   Colon 0.29; Bone I <0.15; Lung 0.53 sigmoid colonic cancer, skin cancer Nov-1991 6.8 7.3 Eye 25.5; Prostate <0.1 Cataract; Prostate cancer; moderately differentiated Adenocarcinome Sep-2000 0.1 0.2 Face 0.3; Prostate 0 Skin Cancer mentioned Jul-1999 1.4 1.8 Bladder <0.15 Bladder Sep-1993 0.5 0.6 No calculation Lung disease Aug-1996 3.7 4.4 Colon 0.32 Colon cancer Apr-1994 0.9 1.1 CEDE 0.2   May-1998 2.4 2.8 No calculation   May-1997 0.07 0.1 No calculation Lung/not cancer Apr-1996 2.8   Lung 1.1; Bone <0.15 Lung and Liver cancers Mar-1989 1.2     Ulcer Jun-1993 1.6 2.3 Prostate 0 Prostate cancer Feb-2000 0.1     Eye problem Jul-1997

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Case Number SERVICE SERIES CODE CLAIM FILED? (YEAR IF YES) STATUS OF CLAIM 51 Army U-K NO   52 Air Force HT I YES NP-Denied 53 Navy XRDS YES - 1997 NP-Denied 54 Navy RW NO   55 Army TP, RW NO   56 Army RW NO   57 Navy XRDS NO   58 Air Force RW YES - 1994 NP-Denied 59 Navy XRDS YES - 1987 Not rated -veteran died 60 Air Force GH YES - 1981 Personal NP-Denied 61 Army U-K YES NP-Denied 62 Air Force U-K YES - 1995 NP-Denied 63 Air Force HT I YES - 1996 NP-Denied 64 Navy XRDS NO   65 Navy IVY, WW YES - 1996 NP-Denied 66 Navy XRDS YES NP-Denied 67 Navy PB YES-1995 P-grant 68 Navy CSTL YES-1990 P-grant 69 Navy HT I NO   70 Navy DOM I YES Pending 71 Navy GH YES - 1997 NP-Denied 72 Navy HT I NO   73 Navy XRDS YES (2) 1987, 1988, and 1993 P granted, NP denied 74 Air Force U-K NO   75 Army U-K YES NP-Denied 76 Navy XRDS YES - 1990 NP-Denied 77 Army TP NO   78 Army GH, IVY YES - 1989 NP-Denied 79 Army PB   Not Participant

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EXTERNAL GAMMA DOSE (rem) UPPER BOUND DOSE (rem) ORGAN DOSE (rem) TYPE OF DISEASE AS BASIS OF CLAIM DATE OF LAST DOSE RECONSTRUCTION 2.3 3.1 CEDE <0.01   Feb-2000 1.6 1.8 No calculation   Apr-1997 1.1 1.8 Colon <0.01; Any <0.15 Colon cancer Jan-1997 4.4 5.9   Incurable skin disease mentioned Jul-1995 3.6 4.5   Skin cancer mentioned Dec-1994 4.7 6.4     Mar-1995 0.55 1.2 Colon <0.15   Aug-1993 4.2 5.6 Lung 2.3 Lung cancer Mar-1995 0.81   Colon & Bone <0.15 Colon cancer Nov-1988 3.8 4.4 Spine <0.1   Apr-1999 0 0 No calculation personal remark Lung cancer? Sep-1999 0.001 0.001 No calculation Lung? Jul-1995 1.6 1.8 Prostate <0.15 Prostate cancer Nov-1996 0.7 1.6 Skin 1.6; Eye 1.6; All 0.0   Jan-1999 0.1 0.1 CEDE <0.15 Skin cancer Feb-1997 0.7 1.8 Arms 1.8 Skin cancer Jan-1999 0.1 0.1 Lung & Pancreas <0.1 Lung cancer Apr-1998 5.081   Kidney & Bone <0.15 Kidney cancer Jul-1990 1 1.1 CEDE <0.1   Mar-1999 0   Any 0.0 Skin; Liver Oct-1998 1 1.4 No calculation macular degeneration Nov-1997 0.87 1.1     Jan-1993 2.1 2.7 Lung 1.6; Bone 0.37; Bladder, Pancreas, and Colon <0.15 Lung and Bladder cancers Jan-1989 0.3 0.8     Sep-1999 0.04   No calculation Skin cancer- Oct-1985 0.977   Lung 0.46; Bone <0.15 Lung cancer Apr-1991 6       Jun-1988 3.114   lung 0.79; bone <0.15 Lung cancer May-1989 1.3 1.7     Aug-1999

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Case Number SERVICE SERIES CODE CLAIM FILED? (YEAR IF YES) STATUS OF CLAIM 80 Army U-K YES - 1999 & 2000 P-Granted 81 Army U-K YES - 1992 NP-Denied 82 Army RW, HT I YES P-Granted 83 Army B-J YES - 2000 Pending 84 Army U-K NO   85 Army HT I YES NP-Denied 86 Army U-K YES - 1995 NP-Denied 87 Army U-K YES -1996 NP-Denied 88 Army TP YES 1980 NP-Denied 89 Army U-K YES-1980 NP-Denied 90 Army TP, RW NO   91 Army U-K YES NP-Denied 92 Air Force DOM I NO   93 Army B-J YES - 1995 NP-Denied 94 Army HT I YES-1988? NP-Denied 95 Air Force RW NO   96 Air Force GH YES-1983 & 1998 NP-Denied 97 Air Force HT I NO   98 Army GH, B-J, IVY YES-1988? P-Granted 99 Army U-K YES- 1983 NP-Denied Hiroshima and Nagasaki Cases A Army H YES- 1986   B Army H     C Army Non-participant YES- 1993 and 1997   D Navy H YES-1997   E Navy N YES-1987  

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EXTERNAL GAMMA DOSE (rem) UPPER BOUND DOSE (rem) ORGAN DOSE (rem) TYPE OF DISEASE AS BASIS OF CLAIM DATE OF LAST DOSE RECONSTRUCTION 0.1 0.1 Red marrow and All organs <0.001 multiple Melanoma Sep-2000 3.1 3.4 Colon <0.15 Colon cancers Jun-1992 7.2 8.5   Kidney & Bone cancers May-1996 0 0.1 Kidney & All organs 0.0 Kidney Oct-2000 2.4 3.9 CEDE <0.01 Skin; Thyroid; and hearing problems May-1999 2.1       May-1990 1.35 2.4   Skin cancer May-1996 1.7 3 CEDE <0.15 Skin rash, discolored spots Jan-1997 0.95   Thyroid 0.4; Bone 0.002; Whole Body 0.003 Skin and Nerve disability Aug-1983 2.7   All 0.0 Rectal cancer Jul-1983 4.4 5.9 Heart <0.1   Jul-1998 0.1 0.1 Bladder <0.1 Lung cancer Jan-1998 1.8 1.9     Feb-2001 0.6 1.1 No calculation Melanoma Dec-1995 0.7   Bladder & Bone <0.15 Bladder cancer Feb-1990 0 0     Jul-1992 3.7 4.3 Arm 35; Prostate & Bladder <0.15 Prostate cancer and Skin (melanoma) Aug-1998 1.9 1.9 Eye 2.4; CEDE <0.1   Apr-1999 3.9   Bone & Esophagus <0.15 Esophagus cancer Sep-1988 3.8   No calculation Kidney cancer Mar-1983 0.1   Bone <0.15 Skin cancer Apr-87 0.1 0.1     Feb-96 0.0   Skin (chest) 0 Breast cancer Feb-99 3.9 4.3 Prostate and lymph nodes <0.1 Prostate and lymphoma cancers Jan-98 0.1   Colon 0.4 Colon cancer June-88

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Case Number SERVICE SERIES CODE CLAIM FILED? (YEAR IF YES) STATUS OF CLAIM F Navy H-N     G Marine corps N YES-1999   H Army H YES-2000   I Navy N YES-1989 And 1998   J Marine corps N YES-1985   K Army Non-participant YES- 1995   L Army Non-participant YES-1987   P-presumptive disease (38 CFR 3.309) NP-nonpresumptive disease (38 CFR 3.311) CEDE-committed effective dose equivalent Series Code Series Name GH GREENHOUSE B-J BUSTER-JANGLE IVY IVY CSTL CASTLE U-K UPSHOT-KNOTHOLE RW REDWING TP TEAPOT XRDS CROSSROADS TRIN TRINITY HTI HARDTACK I POST HT I POST HARDTACK I H HIROSHIMA N NAGASAKI PB PLUMBBOB DOM I DOMINIC I WW WIGWAM

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EXTERNAL GAMMA DOSE (rem) UPPER BOUND DOSE (rem) ORGAN DOSE (rem) TYPE OF DISEASE AS BASIS OF CLAIM DATE OF LAST DOSE RECONSTRUCTION 0.0 <1.0     Aug-93 0.0 <0.01 Skin (ear) <0.01 Basal cell carcinoma July-00 <0.001 <0.001     May-01 1.0 1.0   Disability June-98 0.7 0.7 Whole body 0.088 Death/lung cancer Dec-85 0.0     Death/liver cancer Feb-99 0.0   Bone <0.018 Disability/ multiple myeloma Apr-87