Former Worker Medical Screening Program

1. Former Worker Medical Screening Program Isaf Al-Nabulsi, Ph.D. Program Analyst Office of Former Worker Screening Programs Human Subjects Working Group Meeting November 13, 2009

2. Program Status • Approximately 300,000 former DOE Federal, contractor, and subcontractor employees have been invited to participate; • Over 60,000 have received an initial screening exam; and • Over 8,700 have received a rescreening exam.

3. Current Initiatives • Task Group formed to explore program issues requiring focused attention: • Revised medical screening protocol • Developed surveillance case definitions • Recommended language for results letters • Medical exams have been expanded to include general health assessments. • Launched a multi-approach outreach and awareness campaign: • Interfacing with EFCOG Occupational Medicine Subgroup • Linking with DOL, the Ombudsman’s Office to DOL, NIOSH, and the Ombudsman’s Office to NIOSH • Conducting DOE site visits • Developed program brochure

4. FWP

5. FWP Loss of PIIBackground January 2009 – A password-protected CD containing a roster of current and former employees at DOE’s Idaho facilities workers was lost in shipment between 2 FWP Service Providers. Roster contained: • 59,617 names • Social Security Numbers • Dates of birth • Employers • Hire data

6. Actions Taken FWP Projects: • Each project reported the loss of PII to their respective IRBs. • Notified FWP Program Manager. INL IRB: • Dena Tomahawk notified HSPP Program Manager. INL: • Notified current workers and former workers receiving pensions.

7. Actions Taken by HSS • Notified DOE-Cyber Incident Response Capability (DOE-CIRC) • Established a toll-free hotline to answer questions regarding the incident • Offered to provide free credit monitoring services for one year for those whose names were on the CD • Ordered the suspension of PII transmittals pending the results of an investigation • Provided instructions for the safe transmittal of PII and restarted the program • Worked with the IRS to mail notifications to additional former workers whose addresses were unknown • In conjunction with DOE SC, developed IRB checklist

8. Checklist for IRBs to Use in Verifying that HS Research Protocols are In Compliance with DOE Requirements The following items must be addressed in all protocols: • Keeping PII confidential; • Releasing PII only under a procedure approved by the responsible IRB(s) and DOE, where required; • Using PII only for purposes of this program, assisting participants filing claims under the Energy Employees Occupational Illness Compensation Program (EEOICP), or with the consent of the participant; • Handling and marking documents containing PII as “containing PII or PHI.” • Establishing reasonable administrative, technical, and physical safeguards to prevent unauthorized use or disclosure of PII;

9. Checklist for IRBs to Use in Verifying that HS Research Protocols are In Compliance with DOE Requirements (cont.) • Making no further use or disclosure of the PII except when approved by the responsible IRB(s) and DOE, where applicable, and then only under the following circumstances: (a) in an emergency affecting the health or safety of any individual; (b) for use in another research project under these same conditions and with DOE written authorization; (c) for disclosure to a person authorized by the DOE program office for the purpose of an audit related to the project; (d) when required by law; or (e) with the consent of the participant. • Protecting PII data stored on removable media (CD, DVD, USB Flash Drives, etc.) using encryption products that are Federal Information Processing Standards (FIPS) 140-2 certified; • Using passwords to protect PII used in conjunction with FIPS 140-2 certified encryption that meet the current DOE password requirements cited in DOE Guide 205.3-1; • Sending removable media containing PII, as required, by express overnight service with signature and tracking capability, and shipping hard copy documents double wrapped;

10. Checklist for IRBs to Use in Verifying that HS Research Protocols are In Compliance with DOE Requirements (cont.) • Encrypting data files containing PII that are being sent by e-mail with FIPS 140-2 certified encryption products; • Sending passwords that are used to encrypt data files containing PII separately from the encrypted data file, i.e. separate e-mail, telephone call, separate letter; • Using FIPS 140-2 certified encryption methods for websites established for the submission of information that includes PII; • Using two-factor authentication for logon access control for remote access to systems and databases that contain PII. (Two-factor authentication is contained in the National Institute of Standards and Technology (NIST) Special Publication 800-63 Version 1.0.2 found at: http://csrc.nist.gov/publications/nistpubs/800-63/SP800-63V1_0_2.pdf); • Reporting the loss or suspected loss of PII immediately upon discovery to: 1) the DOE funding office Program Manager; and 2) the applicable IRBs (as designated by the DOE Program Manager). If the DOE Program Manager is unreachable, immediately notify the DOE-CIRC (1-866-941-2472, http://www.doecirc.energy.gov/).

11. Update • Had 4 additional incidents of suspected PII loss. • Continued working with the FWP cooperative agreement holders (CAHs) to identify lessons learned and determine if additional procedures or corrective actions are necessary. • Met with HQ GC and discussed DOE’s liability for the loss of PII/PHI by sub-recipients of CAH. • Have requested ruling from HQ GC as to whether suspected PII/PHI loss by CAH sub-recipients are reportable incidents to DOECIRC. • CAHs will still be required to report incidents to HQ, appropriate IRBs, and participant. • Will finalize “privacy awareness” training that will be made available to the FWP CAHs and their staff.

12. National Day of Remembrance Honoring the Past and Looking to the Future On May 22, the U.S. Senate designated October 30 as National Day of Remembrance for nuclear weapons program workers and uranium miners, millers, and haulers. Congress has encouraged the people of the United States to support and participate in appropriate ceremonies, programs, and other activities to commemorate October 30 as a National Day of Remembrance for past and present workers in America's nuclear weapons program. The Secretary of Energy encouraged each of the DOE sites and laboratories within the DOE complex that support our country’s nuclear weapons program to mark this special day with their own events.

13. Questions?