With these factors in mind, the committee selected three DOE nuclear operations sites—Hanford, Oak Ridge, and Los Alamos—as a subset of the total DOE sites on which it would focus its attention. In addition to this sampling strategy for site-specific aspects of the program, the committee requested and considered detailed information from the agencies on broad aspects of the program.

In selecting ATSDR products to evaluate, the committee searched through web sites listing ATSDR research products. In addition, all agencies were asked to identify in writing work conducted under the MOU. Further queries were made to determine whether specific studies were conducted under the MOU. In addition to conducting an overview of the types of studies conducted under the MOU, the committee selected certain specific products for closer evaluation.

ATSDR PROGRAM AREAS RELEVANT TO THE MOU

ATSDR produces six principal products as specified in amendments to CERCLA:

  1. Public Health Assessments (PHAs)

  2. Health Studies

  3. Toxicological Profiles

  4. Medical Surveillance

  5. Exposure and Disease Registries

  6. Health Education and Promotion

The committee evaluated the ATSDR DOE-funded program by evaluating ATSDR products listed at the ATSDR web site and through responses to information requests sent to ATSDR (2006) (see Table 3-1). The committee also specifically evaluated selected PHAs at the three committee-selected sites and a health study conducted at one of the sites. Toxicological Profiles developed with DOE funds were also evaluated. The metrics used to evaluate these products included assessment of their appropriateness to the DOE mission and their usefulness in informing the communities surrounding DOE sites of possible health hazards due to past and present activities of DOE.

REVIEW OF SELECTED PUBLIC HEALTH ASSESSMENTS AT THE THREE COMMITTEE-SELECTED SITES

As part of its evaluation of the appropriateness and scientific quality of ATSDR, the committee reviewed selected PHAs at each of the three sites designated in the committee sampling strategy, Hanford, Oak Ridge, and Los Alamos (see sampling strategy in Chapter 1). The ATSDR web site1 lists one PHA at Los

1

See http://www.atsdr.cdc.gov. Last accessed November 2006



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