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1 FORMER WORKER MEDICAL SCREENING PROGRAM SEMI-ANNUAL REPORT Project Name DOE Site Project PI Organization Cooperative Agreement Number Year/Semi-Annual Period Administrative Information Initial Institutional IRB Approval Date Continuing Institutional IRB Approval Date Initial CDOEIRB Approval Date Continuing CDOEIRB Approval Date Project Start Date Screening Start Date Estimated Eligible Population Former Worker Medical Screening Program for the Lar Fuortes University of Iowa College of Public Health DE-FC-6EH6 Federal FY 6, Semi-Annual Reporting Period (S): April 6 - September 6 /9/6 //6 // //6 8// 6//6,6 Page of

2 4 6 INITIAL SCREEN Outreach Information S S TTD Number of Potential Participants Attempted to Contact Directly (initial screen) 9,8 Mass mailings JOTG, Commemoration Event- sent in August 6 (n=89) Indicators of Interest in Initial Screen S S TTD Total Number of Respondents Interested and Eligible (initial screen) 4,79 Number of Respondents Referred to NSSP (initial screen) 8,7 Participation Indicators (initial screen) S S TTD S S TTD S S TTD Total number of individuals received initial screening exam , Through NSSP S S TTD S S TTD Mean/Average Age at Exam (Male) Mean/Average Age at Exam (Female) N/A Age Range (Male) Age Range (Female) N/A Page of

3 46 Lab Studies/Findings (initial screen) Chest X-Rays (initial screen) S S TTD S S TTD S S TTD Total Number of Individuals Tested ,94 Number with Suspected Asbestosis without pleural disease Number with Suspected Asbestosis with pleural disease 7 Number with Suspected Asbestos-related pleural disease Number with Suspected Silicosis Number with Suspected Mixed Dust Pneumoconiosis 9 9 Number with Suspected Pneumoconiosis, not otherwise specified 4 44 Number with Suspicious Lung Nodules, Nodes, Lesions (suspicious for cancer) Pulmonary Function Tests (initial screen) S S TTD S S TTD S S TTD Total Number of Individuals Tested ,946 Number with Restrictive Pattern Number with Obstructive Pattern Number with Mixed Pattern 9 Page of

4 Beryllium Sensitization/Disease Testing (initial screen) S S TTD S S TTD S S TTD Total Number of Individuals Tested ,94 Number of Individuals with Abnormal BeLPT 8 8 Number of Individuals with Abnormal BeLPTs 7 Number of Individuals with Abnormal and + Borderline BeLPTs Audiograms S S TTD S S TTD S S TTD Total Number of Individuals Tested 9 9 Number of Individuals with Noise-induced hearing loss (NIHL) Number of Individuals with Supplemental Definition of Occupational NIHL Follow-up Recommended S S TTD S S TTD S S TTD Potentially occupationally-related follow-up 8 6 Non-occupationally-related follow-up ,49 Page 4 of

5 RESCREEN- (+ yrs since initial exam) Outreach Information S S TTD Number of Potential Participants Attempted to Contact Directly (rescreen-),6 Indicators of Interest in Rescreen- S S TTD Total Number of Respondents Interested and Eligible (rescreen-) 7 8 Number of Respondents Referred to NSSP (rescreen-) Participation Indicators (rescreen-) S S TTD S S TTD S S TTD Total number of individuals received rescreen- exam Through NSSP S S TTD S S TTD Mean/Average Age at Exam (Male) Mean/Average Age at Exam (Female) Age Range (Male) 4 Age Range (Female) Page of

6 6 Lab Studies/Findings (rescreen-) Chest X-Rays (rescreen-) S S TTD S S TTD S S TTD Total Number of Individuals Tested Number with Suspected Asbestosis without pleural disease 4 Number with Suspected Asbestosis with pleural disease Number with Suspected Asbestos-related pleural disease 6 Number with Suspected Silicosis Number with Suspected Mixed Dust Pneumoconiosis 4 4 Number with Suspected Pneumoconiosis, not otherwise specified 7 Number with Suspicious Lung Nodules, Nodes, Lesions (suspicious for cancer) Pulmonary Function Tests (rescreen-) S S TTD S S TTD S S TTD Total Number of Individuals Tested Number with Restrictive Pattern Number with Obstructive Pattern Number with Mixed Pattern Page 6 of

7 Beryllium Sensitization/Disease Testing 6 (rescreen-) S S TTD S S TTD S S TTD 7 Total Number of Individuals Tested 8 Number of Individuals with Abnormal BeLPT Number of Individuals with Abnormal BeLPTs Number of Individuals with Abnormal and + 4 Borderline BeLPTs Follow-up Recommended (rescreen-) S S TTD S S TTD S S TTD 4 Potentially occupationally-related follow-up Non-occupationally-related follow-up Page 7 of

8 RESCREEN- (+ yrs since first rescreen) Outreach Information S S TTD Number of Potential Participants Attempted to Contact Directly (rescreen-) 7 Indicators of Interest in Rescreen- S S TTD Total Number of Respondents Interested and Eligible (rescreen-) 6 8 Number of Respondents Referred to NSSP (rescreen-) 9 Participation Indicators (rescreen-) S S TTD S S TTD S S TTD Total number of individuals received rescreen- exam Through NSSP S S TTD S S TTD 4 Mean/Average Age at Exam (Male) Mean/Average Age at Exam (Female) Age Range (Male) 7 Age Range (Female) Page 8 of

9 Lab Studies/Findings (rescreen-) Chest X-Rays (rescreen-) S S TTD S S TTD S S TTD Total Number of Individuals Tested Number with Suspected Asbestosis without pleural disease 7 7 Number with Suspected Asbestosis with pleural disease 4 Number with Suspected Asbestos-related pleural disease Number with Suspected Silicosis Number with Suspected Mixed Dust Pneumoconiosis Number with Suspected Pneumoconiosis, not otherwise specified 6 Number with Suspicious Lung Nodules, Nodes, Lesions (suspicious for cancer) 7 7 Pulmonary Function Tests (rescreen-) S S TTD S S TTD S S TTD 7 Total Number of Individuals Tested 74 Number with Restrictive Pattern 7 Number with Obstructive Pattern 76 Number with Mixed Pattern Page 9 of

10 78 Beryllium Sensitization/Disease Testing 79 (rescreen-) S S TTD S S TTD S S TTD 8 Total Number of Individuals Tested 8 Number of Individuals with Abnormal BeLPT Number of Individuals with Abnormal BeLPTs Number of Individuals with Abnormal and + 8 Borderline BeLPTs Follow-up Recommended (rescreen-) S S TTD S S TTD S S TTD 87 Potentially occupationally-related follow-up 88 Non-occupationally-related follow-up Page of

11 RESCREEN- (+ yrs since second rescreen) Outreach Information S S TTD Number of Potential Participants Attempted to Contact Directly (rescreen-) 7 86 Indicators of Interest in Rescreen- S S TTD Total Number of Respondents Interested and Eligible (rescreen-) 4 66 Number of Respondents Referred to NSSP (rescreen-) 4 9 Participation Indicators (rescreen-) S S TTD S S TTD S S TTD Total number of individuals received rescreen- exam Through NSSP 6 S S TTD S S TTD 7 Mean/Average Age at Exam (Male) 8 Mean/Average Age at Exam (Female) Age Range (Male) Age Range (Female) Page of

12 Lab Studies/Findings (rescreen-) Chest X-Rays (rescreen-) S S TTD S S TTD S S TTD Total Number of Individuals Tested Number with Suspected Asbestosis without pleural disease Number with Suspected Asbestosis with pleural disease Number with Suspected Asbestos-related pleural disease Number with Suspected Silicosis Number with Suspected Mixed Dust Pneumoconiosis Number with Suspected Pneumoconiosis, not otherwise specified Number with Suspicious Lung Nodules, Nodes, Lesions (suspicious for cancer) 4 Pulmonary Function Tests (rescreen-) S S TTD S S TTD S S TTD 6 Total Number of Individuals Tested 7 Number with Restrictive Pattern 8 Number with Obstructive Pattern 9 Number with Mixed Pattern Page of

13 Beryllium Sensitization/Disease Testing (rescreen-) S S TTD S S TTD S S TTD Total Number of Individuals Tested 4 Number of Individuals with Abnormal BeLPT Number of Individuals with Abnormal BeLPTs Number of Individuals with Abnormal and + 6 Borderline BeLPTs Follow-up Recommended (rescreen-) TTD S S TTD S S TTD 4 Potentially occupationally-related follow-up 4 Non-occupationally-related follow-up Page of

14 4 TOTALS Site- Specific TTD NSSP TTD Total (Sitespecific & NSSP) Initial screen 78,4,987 Rescreen Rescreen Rescreen Total exams,47,9,68 Page 4 of

15 NOTES/COMMENTS/QUALIFIERS D49, D8, D97, D, D7, D, D, D6, D7, D6, D7, D8, D7, D8, D9, D, D: Numbers may not add up to previous semi-annual report due to ongoing data cleaning efforts & data restructuring to accomodate additional data fields through //. C8: It is estimated that over, people worked at or in the vicinity of the.,6 former workers (ALFW) are living with known addresses; 7% of those live outside of Iowa and are referred to the NSSP. Line 4: Refers to the first attempt to contact new participants by mail only. Those who do not respond to the initial invitation mailing (i.e., "non-responders") are sent further follow-up recruitment mailings. D4: Since 6, 9,8 ALFW have received an initial recruitment mailing. Since 7, eleven followup mailings to non-responders have been sent, totaling 4,97 letters. Lines, 9, 44, 97: Refers to participants who responded by mail only. Participants were also contacted by phone and recruited at town hall and commemoration events and scheduled for a screening appointment. Lines -6, -6, 6-69, 6-: 'S' is not updated due to delay in the occ. med doctor reading the CXR films. However, results will eventually be totaled in 'Total to Date.' Lines 68-7, 8-, 8-8, 4-6: 'S' is not updated due to delay in processing time at lab and receiving BeLPT results 4-6 weeks after blood draw. However, results will eventually be totaled in 'Total to Date.' Lines 87, 4, 94: Refers to participants contacted about -year re-screening by mail only. Participants were also contacted by phone and recruited at town hall and commemoration events and scheduled for a screening appointment. 8 8 Page of

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