Document Zn3gMQ9GDbB1LMmvyaVY5gJqO

CHEMICAL MANUFACTURERS ASSOCIATION , Vinyl Chloride Panel Research Coordinators Record of Meeting DATE: TIME: PLACE: November 5, 1993 10:30 a.m. - 1:00 p.m. CMA Offices Washington, D.C. List of Attendees: Greg Bond Frank Borrelli Bob Grahek Mark Gruenwald James Knaak Dave Penney Dow Chemical Georgia Gulf GEON Borden Occidental Chemical Vista Bob Ondocsin Has Shah CMA CMA 1.0 Dr. Greg Bond was elected Chairman for today's 2.0 The VCRC identified as its objective to discuss difficulties of updating the Vinyl Chloride Panel sponsored study entitled, "An Update of An Epidemiologic Study of Vinyl Chloride Workers, 1942-1982". 3.0 Dr. Has Shah reviewed the CMA Vinyl Chloride Research Coordinator activities since the receipt of the 1986 Final Report, "An Update of An Epidemiologic Study of Vinyl Chloride Workers, 1942-1982". These activities included conducting in 1989 a feasibility survey for the reassessment of liver cancer among vinyl chloride workers that were reported in the 1986 final report. After considerable efforts by an independent contractor, it was determined that a reassessment is not feasible because of difficulties encountered in obtaining slides, tissue blocks, histopathology reports and other pertinent information from hospitals and/or reviewing pathologists. Subsequent to the 1986 final report, Wong et. al. in 1991 published an article in the American Journal of Industrial Medicine based upon the 1986 final report. The VCRC identified several concerns regarding the interpretation of the final report data in the Wong et. al. publication and wrote a letter to the Editor of the American Journal of Industrial Medicine. Dr. Wong responded to the Letter to the Editor. Both the Letter to the Editor and Dr. Wong's response were published in the journal this year. h $ " oUl o l\> ROM VCRC November 5, 1993 Page 2 4.0 The Research Coordinators discussed the following issues to help them in deciding if an update of the previously completed epidemiology study should be undertaken: What additional information can be gained by updating the study? The additional mortality information by following the 1942-1972 cohort from 1983 to 1992 may help resolve the issue of non-angiosarcoma liver tumors and brain tumors as causes of deaths in the vinyl chloride exposed cohort. There was a general feeling that an update would be useful to resolve these issues. Will the raw data from the 1986 study be available to CMA? Dr. Shah expressed a feeling that the information that was provided by companies to the contractor will be available to companies; however, the death certificate information will not be available to CMA or even the company where the employee worked due to medical confidentiality issues. All data currently are in possession of ENSR. Dr. Bond will prepare a list of questions to be asked of ENSR to ascertain the availability of data either to CMA or the companies. Dr. Bond will forward the questions to Dr. Shah by January IS, 1994. Dr. Shah will discuss the questions with ENSR prior to the next VCRC meeting, If the existing epidemiology study is updated, should the study cohort be expanded to include workers who worked in vinyl chloride or related plants from 1973-1992? VCRC members decided that the current cohort cannot be expanded because that would confound the original study design. Also, a separate study on workers employed in vinyl chloride and related plants from 1973 onward is not feasible at this time because the cohort size and employment duration may not be large enough to generate adequate mortality information for a statistically-sound study. The VCRC agreed to revisit the issue of a new cohort study in one year. Are there any recent vinyl chloride epidemiology studies either completed or in progress? No VCRC member was aware of any recent studies; however, Dr. Shah will conduct a literature review to identify any recent studies. Dr. Shah will conduct this review prior to the next VCRC meeting. If a further 10-year update of the CMA sponsored vinyl chloride epidemiology study is to be undertaken, are all necessary data in place to begin such an update? R&S 150503 ROM VCRC November 5, 1993 Page 3 Dr. Bond will check with the National Death Index office on when all 1992 death certificates may be available from states. Usually, there is a 2 to 2.5 year lag period between the time of death and the time when the death certificates would be available from the states for research purposes. Dr. Bond will forward the lag period information to Dr. Shah by January 15, 1993. 5.0 The VCRC agreed to meet in March/April 1994 to review progress of all action items resulting from today's meeting and decide on a course of action. 6.0 The VCRC developed a budget of $24,000 for 1994 for administrative and consultant services. Consultant services would include ENSR's work to respond to CMA inquiries regarding the availability of data from the previously completed study. Dr. Shah will send a commitment form for $3,000 per company to VCRC members. 7.0 The meeting adjourned at approximately 1:00 p.m. Subject to Approval November 15, 1993 Hasmukh C. Shah, Ph.D. Manager, Vinyl Chloride Panel R&S150504