Minutes Radiation Advisory Board Meeting May 25, 2011 Perimeter Center, Conference Center, Board Room 3 9960 Mayland Drive Richmond, VA Members Present: Stanley H. Benedict, Ph.D., Karen Cole Dameron, DDS, Frances West Porter, James R. Thornton, Bing Nguyen, M.D. and Sebastiana Gagliano Springmann, DDS Members Absent: Andrew C. Boone, Jr., Panos P. Fatouros, Ph.D., Drexel Nelson Harris and Edway R. Johnson Ex Officio Members Present: Keri Hall, M.D., M.S., Director, Office of Epidemiology representing, Karen Remley, M.D., M.B.A., FAAP, State Health Commissioner; Courtney M. Malveaux, Commissioner, Department of Labor and Industry; Charles Broadus, DVM, , representing Matt Lohr, Commissioner, Department of Agriculture and Consumer Services Greg Britt, representing Michael Cline, Emergency Coordinator, Department of Emergency Management and Leslie Romanchik, representing David K. Paylor, Director, Department of Environmental Quality and Tom Grose, representing John T. Wells, Director, Virginia Institute of Marine Science Staff Present: Maureen Dempsey, M.D., Deputy Commissioner for Public Health, Leslie Foldesi, Director, Division of Radiological Health Program, Stan Orchel and Mike Welling Division of Radiological Health and Ron Graham, Department of Labor and Industry; Visitor Present: Terry Eastman Call to Order Dr. Keri Hall called the meeting to order at 10:00 a.m. All attendees present were acknowledged with a brief introduction. Dr. Hall asked if there were any additional items to be included on the agenda as presented; none were added, and Mr. Thornton moved the adoption of the agenda, second by Dr. Dameron, and the agenda was approved. Dr. Hall informed the Board that the meeting of November 10, 2010 did not have a quorum, so the minutes of the previous meeting held on May 12, 210 could not be approved. Our Assistant Attorney General was consulted regarding new board members voting on approval of meeting minutes for a meeting that they did not attend. The guidance provided indicated that it is appropriate for board members to vote on approving minutes for meetings that they had not attended. Mr. Thornton moved the motion for approval of the minutes for the May 12, 2010 meeting and second by Dr. Benedict. The minutes were approved as presented. Radiation Advisory Board Meeting Meeting Notes – May 25, 2011 Page 1 Mr. Thornton moved the motion for approval of the minutes for the November 10, 2010 meeting and second by Dr. Benedict. The minutes were approved as presented. Report from the Division of Radiological Health, VDH- Leslie Foldesi, Division Director Les Foldesi provided an overview of the Division’s activities and topics, specifically rule-making, Emergency Preparedness and Environmental Monitoring. With respect to rule-making, the agency published a Notice of Regulatory Action to amend the Radiation Protection Regulations to adopt model regulations for diagnostic and therapeutic X-ray machines. The proposed regulation is under management review. The fee schedule for radioactive materials is in executive review. The State Health Commissioner acting on behalf of the Board of Health approved the proposed fee schedule for the Fast Track process. The proposed fee schedule includes provisions for reducing the fees for many licensees that received a small business fee reduction under the Nuclear Regulatory Commission. Stan Orchel provided an overview of the X-ray Machine Program and Mike Welling provided an overview of the Radioactive Materials Licensing and Inspection Program. Staff fielded questions regarding the regulation of uranium milling facilities and mining, X-ray machine inspections and locations of environmental samples collected. Old Business There was no old business brought before the meeting. Opportunity for Public comments Terry Eastman, who has a private consultant service, stated that the Radiological Technologists are not using technique charts as required by Radiation Protection Regulations adopted in 2006. Further commenting that Radiological Technologists are the health professionals most likely applying radiation to patients.. Mr. Eastman also cited the New York Times articles regarding over exposure of radiation to patients and maintains the use of technique charts would prevent patient exposure and reduce the number of re-takes. Mr. Eastman was also concerned that a Radiological Technologist was not appointed to the Radiation Advisory Board. New Business Dr. Hall requested from the membership any new issues that they would like to bring to the agency’s attention; however, she wanted to discuss the need for By-Laws for the Advisory Board, which may provide guidance for situations as not having a quorum. Discussion Mr. Thornton indicted that he likes the notion of By-laws for the Board. He noted that the technical qualifications of the Board raised the level of expertise and the staff’s presentation provided a grounded basis of the program’s activity for the Board. Dr. Benedict asked if there is a template and Dr. Hall indicated that the agency would provide one. Dr. Dameron suggested that a person who assisted on another board that she sits on may be helpful. Dr. Hall stated that the agency’s legislative liaison would be consulted in the development of the By-laws and offer a draft to the Board members for their review. Ms. Porter expressed concern that the Board meets only twice a year and approval of Bylaws could take some time. Dr. Dempsey mentioned that conducting meetings via email will need to be investigated. Mr. Thornton had indicated a concern when a member can speak on behalf of the Board. Radiation Advisory Board Meeting Meeting Notes – May 25, 2011 Page 2 Dr. Benedict moved the motion for creation of By-laws and Charter for the Radiation Advisory Board and second by Dr. Dameron. The motion was approved. Mr. Thornton asked about a target date for the By-laws. Mr. Broadus asked if the Radiation Advisory Board was going to be eliminated. Dr. Dempsey indicated that all advisory boards are under review. Dr. Nguyen asked what program activities and policies that the Radiation Advisory Board should review. The Board was provided a copy of the section from the Code of Virginia which describes the membership and role of the Radiation Advisory Board. Dr. Benedict asked if the agency regulates lasers. Staff indicated that the state does not regulate non ionizing radiation devices such as lasers, MRI, ultrasound and microwave ovens . Dr. Nguyen asked for a copy of Federal Emergency Management Agency (FEMA) findings on the next evaluated nuclear power plant exercise. Dr. Benedict requested whether the staff could provide information regarding radiological incidents or mis-administrations so the Board can review for lesson learned. His suggestion was that the Board be updated on these events as a regular basis to review possible steps that the Board could recommend to prevent future similar events. Dr. Hall indicated the Board will need to weigh the role of the Board versus scope of clinical practice when addressing issues as it’s important to differentiate between the two.. Next meeting Tentatively set for November 16, 2011. Adjournment at 11:45 am Radiation Advisory Board Meeting Meeting Notes – May 25, 2011 Page 3