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<classification authority="sudocs">GA 1.13:RCED-94-47</classification>
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 <subject>Nuclear facility safety</subject>
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 <subject>Health hazards</subject>
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 <subject>Environmental monitoring</subject>
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<titleInfo>
 <title>Health and Safety: DOE&apos;s Implementation of a Comprehensive Health Surveillance Program Is Slow</title>
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<abstract>Workers in the Energy Department&apos;s (DOE) industrial complex are at risk
of exposure to ionizing radiation, potentially toxic chemicals, and
other health hazards.  A 1989 DOE panel recommended that the agency
implement a health surveillance program to systematically collect and
analyze data on workers&apos; health and workplace conditions to detect
illnesses or health trends linked to workplace exposure.  In the 4 years
since, DOE has not fully implemented such a program.  DOE attributes the
delays to technical difficulties and staffing shortages, although GAO
believes that a lack of program planning has also been a contributing
factor.  DOE now projects full program implementation by 1998.  Until a
comprehensive program is developed, DOE will continue a program that
began at the University of Washington in 1983--one that is limited to
analyzing patterns of illnesses and injuries on the basis of information
provided by DOE sites.  A lack of complete reporting of illnesses and
injuries, however, limits the current program&apos;s ability to flag the
occupational diseases, injuries, and premature deaths that threaten
workers.  Expanding the program to additional sites without correcting
these problems will simply make a program with limited effectiveness
larger and will do little to improve the health of DOE workers.</abstract>
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 <topic>Occupational health/safety programs</topic>
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