-2o

Erythema or other indication of skin damage caused by ionizing
radiation.

o

Clinical results that are considered suspect by the examining
physician.

The followup program is, of course, tailored to the specifics of the

individual case.
Furthermore, a complete termination physical is
required when such an individual leaves DOE or DOE contractor employment.

As a further extenaton of the poltctes embodied
the Vepartment

of

ergy

taouffFertopy a medieal

in MC 0574 and NV/MC 0528,
onnntinat tin

teoany pregent

or totwer employee ot ALHC/HKDA/VOK or tts Coutracturs who las a documented past radiation exposure from nuclear weapons testing above the

current guidelines of 5.0 rem/year or 3.0 rem/quarter for radiation

workers, and who did not receive medical attention comparable to that
now provided to NTS workers.
Additionally, Dr. James Liverman, DOE Acting Assistant Secretary for
Environment, has testified to the Rogers Subcommittee that he was prepared to take "immediate action" on the following efforts:
(1) expansion
of the DOE health and mortality study to all DOE facilities; (2) establishment of a medical followup program for individuals exposed to 5 rem

or more in any one-year period; (3) initiation of studies through the
National Academy of Sciences relating to Desert Rock exposures; and
(4) initiation of studies of workers in the Navy nuclear propulsion
program at naval shipyards and communities surrounding those facilities.
As an extension of our existing policy to protect personnel involved in

radiation-related activities and to minimize possible hazards associated

with such work, we will cooperate fully with Dr. Liverman's staff by
providing any information that we may have on those subjects.

Our policy remains unchanged in cases where an individual alleges that
he has incurred an injury as a result of occupational exposure.
In
such cases, a medical examination is provided.
If a causal relation-

ship between the exposure and the injury is established, compensation

and medical followup are available, without regard to whether the
exposure was negligently caused by the Government or its contractors.
The mechanism for such compensation for an employment-related injury
will vary with the individual's employment statua at the time of
Thus, workman's compennation tn avallable to contractor
exposure.
employees, vetoraata benefita to former servicemen, sane Weche rah ane

ployees Compensation Act relief to civilian Federal employees. Infor=
mation and assistance in following the appropriate procedures is
available to former test related individuals through their former

Select target paragraph3