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1 Introduction
Pages 15-24

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From page 15...
... This effort encompassed a broad array of activities, including uranium mining, milling, and refining; nuclear reactor production and maintenance; chemical processing, and metal machining. Furthermore, maintenance facilities, laboratories, and testing sites were necessary to support this effort, often managed by contractors to the federal government (DOE, 1997)
From page 16...
... , referred to as EEOICPA. ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT In 1996, following congressional directives, DOE established the Former Worker Medical Screening Program (FWP)
From page 17...
... All claims previously filed under the Part D program were transferred to the Division of Energy Employees Occupational Illness Compensation (DEEOIC) , within the DOL Employment and Standards Administration's Office of Workers' Compensation Programs (OWCP)
From page 18...
... . Part E Part E of EEOICPA provides medical coverage and compensation of up to $250,000 for DOE contractors and subcontractors or their eligible survivors and workers also covered by RECA for illnesses resulting from exposure to toxic substances at DOE facilities.
From page 19...
... . SITE EXPOSURE MATRIX DATABASE The SEM database was designed to function as a repository of information about toxic substances present at facilities covered by Part E to "assist claimants and claims examiners by putting toxic substances present at DOE sites and scientifically established illness and disease links information in one convenient location" (DOL, 2012c)
From page 20...
... The database may be queried and filtered based on these fields to help claims examiners and claimants determine potential exposures that may have caused a diagnosed disease in an exposed worker, based on the individual's work history. All links between a toxic substance and possible occupational disease are imported solely from the HazMap database that is published by the National Library of Medicine (NLM)
From page 21...
... review process with re gard to Haz-Map, and the review process used by Haz-Map developer when including information in the Haz-Map database. Haz-Map is an occupational health database about the health effects of exposures to chemicals and biologicals at work; it links jobs and hazardous tasks with occupational diseases and their symptoms.
From page 22...
... Most importantly, with more than 13,000 toxic substance profiles in SEM, the committee did not conduct an exhaustive or comprehensive evaluation of every toxic substance or potential health outcome that may be associated with exposures at an EEOICPA-covered facility. Rather, it sought to give advice on how to improve the substance–disease links contained in the SEM and to provide guidance for a better and more scientifically sound decision-making process using representative examples.
From page 23...
... Chapter 3 discusses SEM in greater detail, including its function and content, the specific health effects recorded in it, how it is updated, and its strengths and weaknesses. The committee also describes its efforts to identify toxic substance–occupational disease links that are missing from the database and highlight some additional information sources that would strengthen the information it provides.
From page 24...
... 2005. The Energy Employees Occupational Illness Compensation Program Act: New legislation to compensate affected employees.


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