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Title:
MEETING AT NIH REGARDING PATIENTS INJECTED WITH PLUTONIUM
Subject Terms:
HREX; ETHICS; HEALTH EFFECTS; MEETING; METABOLISM; PATIENTS; PLUTONIUM; PLUTONIUM INJECTION EXPERIMENT; PRESENTATION; PUBLIC INFORMATION; RADIATION PROTECTION STANDARDS
Document Location:
Location - NNSA/NSO Nuclear Testing Archive Address - P.O. Box 98521 City - Las Vegas State - NV Zip - 89193-8521 Phone - (702)794-5106 Fax - (702)862-4240 Email - CIC@NV.DOE.GOV
Document Type:
CONFERENCE
Publication Date:
Declassification Status:
Never classified
Document Pages:
0004
Accession Number:
NV0700060
OpenNet Entry Date:
1994 Aug 27
Description/Abstract:
THIS FOUR-PAGE TYPEWRITTEN DOCUMENT IS ENTITLED, "MEETING AT NIH REGARDING PATIENTS INJECTED WITH PLUTONIUM." NO DATE OR AUTHOR IS PROVIDED, ALTHOUGH THE CONTENTS SUGGEST THAT THE AUTHOR WAS AN AEC STAFF MEMBER. A HANDWRITTEN NOTE AT THE TOP OF THE PAGE INDICATES THAT THE MEETING WAS A "STRICTLY ORAL PRESENTATION." THE MEETING WAS HELD ON MARCH 7, 1974 BETWEEN THE FOLLOWING NATIONAL INSTITUTES OF HEALTH (NIH) AND ATOMIC ENERGY COMMISSION (AEC) STAFF MEMBERS: DR. RONALD W. LAMONT-HAVERS, DEPUTY DIRECTOR OF NATIONAL INSTITUTE OF ARTHRITIS, METABOLISM AND DIGESTIVE DISEASES, AND DR. DONALD T. CHALKLEY, CHIEF OF INSTITUTIONAL RELATIONS BRANCH, DIVISION OF RESEARCH GRANTS, BOTH OF NIH; AND MR. RELATIONS BRANCH, DIVISION OF RESEARCH GRANTS, BOTH OF NIH; AND MR. MARCUS A. ROWDEN, OFFICE OF GENERAL COUNSEL (OGC), AND DRS. LIVERMAN AND MARKS, DIVISION OF BIOMEDICAL AND ENVIRONMENTAL RESEARCH (DBER) OF AEC. THE MEETING WAS HELD SO THAT AEC STAFF COULD "OBTAIN ADVICE FROM NIH ATTENDEES REGARDING APPROPRIATE HANDLING OF THE MATTER OF THE PATIENTS INJECTED WITH PLUTONIUM BETWEEN 1945 AND 1947...". AND TO DISCUSS CURRENT AND FUTURE ACTIONS. THE MAJOR POINTS MADE DURING THIS MEETING WERE: 1. THERE WAS A CONSENSUS THAT ANY FUTURE STUDIES ON THESE PATIENTS WILL REQUIRE APPROVE OF AN INSTITUTIONAL REVIEW (HUMAN USE) COMMITTEE AT EACH PARTICIPATING ORGANIZATION. 2. DISCLOSURE TO THE PATIENTS OR RELATIVES OF THE PATIENTS IS ESSENTIAL, UNLESS THE ATTENDING PHYSICIAN CONSIDERS THE DISCLOSURE SERIOUSLY DETRIMENTAL TO THE PATIENT'S HEALTH. 3. FAST ACTION IS NEEDED SINCE THIS MATTER MAY RECEIVED PUBLICITY AFTER THE INTERNATIONAL CONGRESS OF RADIATION RESEARCH MEETING IN JULY. 4. DR. LAMONT-HAVERS RECOMMENDED THAT NATIONAL ACADEMY OF SCIENCES (NAS) BE ASKED TO PROVIDE A COMMITTEE REVIEW OF THE MATTER AFTER DISCLOSURE AND INSTITUTIONAL REVIEW ARE COMPLETED. NAS WAS SUGGESTED "..BECAUSE OF ITS STANDING AS A PRESTIGIOUS, NEUTRAL AND DISINTERESTED BODY..", AND WOULD LIKELY HAVE WIDE ACCEPTANCE. DR. CHALKLEY PROPOSED A MEDICOLEGAL CLINICAL PATHOLOGIC CONFERENCE (CPA) AS A WAY TO OPEN THE MATTER UP FOR PUBLIC DISCUSSION. THE AEC STAFF FAVORED THE NAS OPTION. 5. ALL AT THIS MEETING AGREED THAT "...PUBLICATION OF SCIENTIFIC REPORTS OF ONGOING STUDIES NOT BE LIMITED BY ALL EFFORTS BE MADE TO SAFEGUARD THE ANONYMITY OF THE PATIENTS." 6. AS A RESULT OF THIS MEETING THE FOLLOWING COURSE OF ACTION WAS PROJECTED: A. THE DIRECTOR OF DBER SHOULD MEET WITH THE DIRECTOR OF ARGONNE NATIONAL LABORATORY (ANL) RADIOLOGICAL AND ENVIRONMENTAL RESEARCH DIVISION AND ANL GENERAL COUNSEL TO INFORM THEM OF "..THE AEC POSITION OF REQUIRING THOROUGH COMPLIANCE IN THIS MATTER WITH ETHICAL CONSIDERATIONS AS PRESCRIBED BY THE (U.S. DEPARTMENT OF HEALTH, EDUCATION AND WELFARE) DHEW GUIDELINES, TO INCLUDE EARLY DISCLOSURE TO THE PATIENTS WITH DUE REGARD FOR THE PHYSICIAN-PATIENT RELATIONSHIP AS DISCUSSED ABOVE AND IMMEDIATE REFERRAL OF THE ISSUE OF CONTINUATION OF THE STUDIES TO THE ANL INSTITUTIONAL REVIEW COMMITTEE..." B. THE DIRECTOR OF DBER SHOULD HAVE IMMEDIATE CONTACT WITH HIGH- LEVEL UNIVERSITY OF ROCHESTER PERSONNEL TO DISCUSS AEC'S ATTITUDES AND ACTIONS AS DISCUSSED ABOVE. C. THE DIRECTOR OF DBER SHOULD IMMEDIATELY CONTACT THE DIRECTOR OF NAS TO DISCUSS THE MATTER. D. THE DIRECTOR OF DBER SHOULD CONDUCT A THOROUGH INVESTIGATION TO OBTAIN AS COMPLETE INFORMATION ABOUT THE EVENTS AND PARTICIPANTS IN THE EARLY AND LATER PART OF THESE STUDIES; CONDUCT AN IN-HOUSE REVIEW BY OGC CONCERNING LIABILITIES THAT MIGHT BE INCURRED BY THE GOVERNMENT; CLOSELY MONITOR THE PROGRESS OF THE ABOVE; AND GIVE DUE CONSIDERATION TO THE ADVISABILITY, TIMING, AND MANNER OF PUBLIC DISCLOSURE OF THIS MATTER.


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