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Subject: Uranium Mining
Richardson Drives Health
Shift
By Ian Hoffman
Journal Staff Writer
February 13, 2000
The education of Energy Secretary Bill Richardson began at the
knee of uranium widows, telling the former congressman in the lilting
Navajo tongue of miners who died.
Two weeks ago, Richardson's schooling in the Navajo lands played
out as the U.S. government broke decades of denial to report evidence
that radiation and dangerous substances boosted the risk of illness
among 600,000 nuclear-weapons workers.
It was an admission Richardson put in motion months ago, through
hirings, behind-the-scenes lobbying at the White House and a new
worker-health survey that, all told, have set the nation on a path
to compensate ailing cold warriors.
"The entrenched bureaucracy said we won't acknowledge the problem,"
Richardson said in an interview last week. "I say we won the Cold
War, and we shouldn't turn our back on those workers who helped
us win it."
"It's time," he said last July, "to stop spending money litigating
against these workers and focus our efforts on getting them the
help they need."
The government's move to shoulder potentially tens of millions
of dollars in health costs from nuclear weapons production marks
a turning point for the Atomic Age, engineered by a politician elected
from its birthplace.
"He's driven about this, he's very passionate about it. He wants
to get something done before he leaves office," said Richard Miller,
a Washington, D.C.-based policy analyst for the Paper, Allied-Industrial,
Chemical and Energy Union.
Richardson's move, Miller is convinced, "is not based on optics"
-- D.C. beltway-speak for political acts richer in image enhancement
than substance. "He's sincere. This particular crusade was not poll-tested
and focus-grouped."
Physicians warned U.S. weapons executives from the late 1940s
that workers were being exposed to health-threatening doses of radiation,
toxic metals and chemicals. The Atomic Energy Commission sealed
those warnings in classified documents. Later, its successor agencies
relied on the inherent uncertainties of epidemiology to reject evidence
that some weapons workers were dying early because of exposures
on the job.
"The government had a policy that basically said no one's been
hurt and therefore we have no reason to look for the evidence,"
said Robert Alvarez, a former senior policy adviser in the Energy
Department.
Rejecting clues to work-related disease was in some ways easy:
Many health studies found U.S. weapons workers were often much healthier
than the rest of the United States, despite daily work exposure
to radiation and a host of toxins.
One of the largest such studies came out of Los Alamos National
Laboratory in 1994. Lab epidemiologist Laurie Wiggs and colleagues
tracked 15,727 white males who had worked at the lab since the start
of the Manhattan Project in 1943. Roughly a fifth had died by the
end of 1990. No fatal disease or other cause of death was higher
for those workers than for white males in the overall U.S. population,
the study found. In fact, LANL's workers showed a pronounced "mortality
deficit."
But here's the rub: LANL employees tend to be better paid, more
educated and better insured, with greater access to health care
-- plus, they're working. The larger U.S. white male population
includes the ailing, the elderly and unemployed. The two populations
are so different as to make comparisons valuable only for detecting
the most obvious spikes in fatal disease.
"The lab always likes to cite the fact that, in their work force,
no cause of death is higher than in the general population," said
Ken Silver, a public-health researcher and Los Alamos worker-compensation
advocate. "Well, of course ... But comparison to white males in
the general population really isn't of interest."
Yet Wiggs and colleagues also found something else in their study
-- a statistical tie between rising radiation exposures and rising
death rates for five types of cancer: chronic lymphocytic leukemia,
Hodgkin's disease and cancers of the kidney, brain and esophagus.
An earlier unpublished study of LANL subcontract workers found three
cases of a rare bone cancer that can be associated with radiation.
Radiation has not been implicated as a cause of chronic lymphocytic
leukemia or Hodgkin's disease, Wiggs said, and its linkage to the
other three cancers is not well proven. However, radiation exposure
is widely accepted as increasing human risk for brain cancer.
Even so, Wiggs said, "there's by no means a clear link to causality."
In epidemiology, she said, "it's very difficult to establish clearcut
causality. At the very best, you're talking about a probability."
That would take a more finely tuned study that the U.S. Department
of Energy never did. The National Institutes of Health took over
studies of DOE weapons workers in the early 1990s.
That switch was fueled in part by "Dead Reckoning: A Critical
Review of the Department of Energy's Epidemiologic Research," a
study published in 1992 by Physicians for Social Responsibility,
a national nuclear-disarmament and environmental group.
The authors charged the DOE with a massive conflict of interest
and indicted its health studies as "full of attempts to deny and
manipulate," said study co-author H. Jack Geiger, a professor of
community health at the City University of New York.
"There was such a consistent pattern of an unusual way of looking
at things that you have to ask the question: What was there to hide?
Why would somebody do it this way?" Geiger said. "You could infer
that these studies were done in this way with deniability in mind."
A leading contributor to "Dead Reckoning" was David Michaels,
an epidemiologist and Geiger colleague at CUNY. He took a leave
of absence a year ago to become Richardson's assistant secretary
for environment, safety and health.
The stage was set for a culture change, political and technical,
inside the Energy Department. Dozens of health studies would be
scrutinized with an eye to detecting health risks, rather than dismissing
them.
"I think his work is outstanding," Richardson said of Michaels
last week.
"I said, 'David, I want to be sure we can prove this.' And he
went after this like a gorilla."
Richardson himself had pushed legislation to compensate uranium
miners in 1990 after hearing Navajos describe illness and death
among their miners.
"I found that there probably was a causal link," he said. "I felt
if I could ever do something about radiation exposure I would."
By early 1999, Richardson had toured DOE's weapons sites and everywhere
run into small, largely unorganized groups of workers who believed
their jobs had made them ill. Newspaper stories about their illnesses
cropped up in Tennessee, Colorado, Washington and, most notably,
Paducah, Ky., where the Washington Post found that weapons executives
intentionally hid from Paducah's workers the fact that they were
handling plutonium-contaminated uranium. And the DOE acknowledged
conclusive evidence that hundreds of its workers had contracted
an incurable lung disease from exposure to beryllium, a gray, light
metal used in nuclear weapons.
As the White House and Congress agreed on legislation to compensate
beryllium workers, Richardson persuaded President Clinton to order
a sweeping study of job-related illness in the weapons complex and
possible ways to compensate other ailing workers.
The study is due out in March. Early drafts report that workers
are at increased risk of illness from radiation and chemical exposures
at work. Congress may demand harder evidence, but Richardson already
is convinced.
"I expect this process will show that our (liability) should go
beyond beryllium and go to radiation-based cancer," Richardson said.
"I was persuaded just by my experiences with the Navajos and by
people at our sites who said all they wanted was their day in court."
Copyright Albuquerque Journal
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