1. Radiological Health Advisory Board Meeting MAY 12, 2010

2. Call to order – Diane Helentjaris, M.D., M.H.P., Deputy Director Office of Epidemiology Call to order – Diane Helentjaris, M.D., M.H.P., Deputy Director Office of Epidemiology Welcome and introduction – Kerri Hall, M.D., M.S. Director Office of Epidemiology Welcome and introduction – Kerri Hall, M.D., M.S. Director Office of Epidemiology Introduction of members Introduction of members Approval of agenda Approval of agenda Approval of November 4, 2009 minutes Approval of November 4, 2009 minutes Rule making activities Rule making activities Program updates Program updates Agenda

3. Agenda (cont) Facilitated discussion (CT dosage, LLW, tritium, uranium, etc.) Les Foldesi Facilitated discussion (CT dosage, LLW, tritium, uranium, etc.) Les Foldesi Old business Old business Opportunity for public comments Opportunity for public comments New business New business Next meeting Next meeting Adjournment Adjournment Tour of Perfexion Gamma Knife Tour of Perfexion Gamma Knife

4. Division news Rule Making Activities 12VAC5-481 X-Ray revisions 12VAC5-481 X-Ray revisions NOIRA approved by the Board of Health on April 23, 2010. NOIRA approved by the Board of Health on April 23, 2010. Revision to include definition of misadministration Revision to include definition of misadministration 12VAC5-481 RADMAT revisions 12VAC5-481 RADMAT revisions During 2011 the radioactive materials portion needs to be amended. During 2011 the radioactive materials portion needs to be amended. This revision will include removing all references to 10 CFR This revision will include removing all references to 10 CFR

5. X-ray CT scanners and patient exposures X-ray CT scanners and patient exposures Emergency Preparedness- FEMA exercise July Emergency Preparedness- FEMA exercise July Planning guidance NUREG 0654 Supplement- for public comment Planning guidance NUREG 0654 Supplement- for public comment

6. Public Request for Information about Radon Year Calls / emails Web hits 2008 75 / month 638 / month 2009 73 / month 836 / month 2010 83 / month 1012 / month

7. Primary Nature of the Requests What are the dangers of radon? What are the dangers of radon? What is a source of test kits? What is a source of test kits? What does my test results mean? What does my test results mean? Can you provide the name of a qualified contractor? Can you provide the name of a qualified contractor? Is radon a concern where I live? Is radon a concern where I live? Is my kids school safe? Is my kids school safe? What are the real estate transactions and state radon requirements? What are the real estate transactions and state radon requirements?

8. Environmental Monitoring of Nuclear Facilities in Virginia

9. Radioactive Materials Program Licensing: 559 actions performed Licensing: 559 actions performed Inspections: 85 performed Inspections: 85 performed Incidents: Incidents: 5 in 2009 (1 damaged portable gauge, 1 medical event, 2 lost sources, 1 lost I-125 shipment) 5 in 2009 (1 damaged portable gauge, 1 medical event, 2 lost sources, 1 lost I-125 shipment) 4 in 2010 (3 portable gauges run over and 1 lost portable gauge) 4 in 2010 (3 portable gauges run over and 1 lost portable gauge)

10. Radioactive Materials Program (cont) Scrap yard Alarms: We are regularly responding to scrap facilities where radiation detectors alarm. We have taken possession of military pieces of equipment containing Ra-226. In 2009 the US Navy picked up all and disposed of all pieces we had collected. Scrap yard Alarms: We are regularly responding to scrap facilities where radiation detectors alarm. We have taken possession of military pieces of equipment containing Ra-226. In 2009 the US Navy picked up all and disposed of all pieces we had collected.

11. Radioactive Materials Program (cont) Integrated Material Inspection Program (IMPEP) Integrated Material Inspection Program (IMPEP) The NRC regularly inspects the Agreement State programs to ensure compatibility and program status The NRC regularly inspects the Agreement State programs to ensure compatibility and program status Virginias IMPEP is scheduled for October, 2010. Virginias IMPEP is scheduled for October, 2010. The NRC performed an orientation meeting on January 20, 2010. The NRC performed an orientation meeting on January 20, 2010.

12. Other issues Uranium mining & milling studies Uranium mining & milling studies Low-level radioactive waste compact- Supreme Court case Low-level radioactive waste compact- Supreme Court case

13. Facilitated Discussion CT Scanners CT Scanners NCRP Report- increased exposure to public NCRP Report- increased exposure to public CT brain perfusion studies- epilation and erythema CT brain perfusion studies- epilation and erythema NY Times articles describe machine failure leading to patient injury. NY Times articles describe machine failure leading to patient injury.

14. Facilitated Discussion Causes Causes Staff not keeping pace with the technology Staff not keeping pace with the technology Staff not familiar with the DLP meter Staff not familiar with the DLP meter Staff does not know the significance of projected dose displayed by software Staff does not know the significance of projected dose displayed by software Staff does not know the affect of using AEC Staff does not know the affect of using AEC Other factors Other factors What can VDH do to minimize patient exposures? Image Gently? What can VDH do to minimize patient exposures? Image Gently?

15. Facilitated Discussion Are there any issues in your profession or agency that you feel that the Radiation Advisory Board can address? LLW LLW Uranium mining & milling Uranium mining & milling Tritium in the environment Tritium in the environment Nuclear Medicine production/shortage Nuclear Medicine production/shortage