ML021720092
| ML021720092 | |
| Person / Time | |
|---|---|
| Site: | Vermont Yankee File:NorthStar Vermont Yankee icon.png |
| Issue date: | 01/31/2002 |
| From: | Carney J State of VT, Dept of Health |
| To: | Gibson K NRC/NRR/DIPM |
| Milligan P DIPM/IEHB/EPHP 415-2223 | |
| References | |
| Download: ML021720092 (7) | |
Text
Vermont Department of Health Office of the Commissioner Agency ofHuman Services January 31, 2002 Kathy Halvey Gibson, Chief Emergency Preparedness and Healthy Physics Section U.S. Nuclear Regulatory Commission Washington, DC 20555
Dear Ms Gibson:
On November 29, 2001 Governor Howard Dean wrote to NRC Chairman Richard Meserve to express Vermont's interest in making potassium iodide (KI) available to people who live near Vermont Yankee Nuclear Power Station.
As requested by NRC, enclosed is Vermont's proposed plan overview for use of KI by the general public. Simply put, Vermont's plan will allow individuals who live or work in the six towns that comprise the Emergency Planning Zone to keep one dose per person of KI in their homes-after receiving information on risks and benefits, proper dosage, medical contraindications and the importance of following emergency directives such as evacuation or sheltering. This plan also includes the option of pre-distribution to hospitals, nursing homes, schools and licensed day cares that are located in the emergency planning zone. In addition, the state will keep the remainder as an emergency stockpile in the area.
With this plan, and based on current population estimates (also enclosed), I am formally requesting that the State of Vermont receive two full doses (i.e. 130mg dose x 2) of KI for 46,378 people, for a total of 92,756 individual doses.
I would appreciate it if you would contact me at 802-863-7280 regarding logistical arrangements and next steps. Specifically, I would like to know whether all doses will be in the 130mg size, or if some portion will be in the 65mg size. We request that KI tablets be supplied in individual dose packs, if at all possible. We would also like to know when to expect shipment.
108 Cherry Street - PO Box 70 - Burlington,VT 05402-0070 TEL 802-863-7280 FAX 802-865-7754
Ship to address is Vermont Department of Health, 108 Cherry Street, Suite 201, Burlington, VT 05402, ATTN: Dr. Jan K. Carney, MD.
S' e rely K. Carney, MD, MPH o ommissioner of Health cc:
Howard Dean, MD, Governor Richard Meserve, Chairman, Nuclear Regulatory Commission Daniel C. McElhinney, Regional Assistance Committee Chair, FEMA, Region I Enc:
State of Vermont Plan Overview: Distribution of Potassium Iodide to the General Public Potassium Iodide Population Estimate
Potassium Iodide (KI) Population Estimate G
I
_H
'A A
B C
I D
E F
1 CATEGORY Estimates Brattleboro I Dummerston Guilford Halifax Vernon 2 RESIDENT POPULATION (2000) 12,005 1,915 1 2,046 782 2,141 1 3
4TRANS IEN-NT-60 ULATION 10,218 690 418 120 874 5 NON-EPZ WORKFORCE-.
6,0031 26 20 3
471 6'
I.
7 VISITORS 4,216.
664 398 117 4Q3 8
Hotel, Motel, B&B Population**
1,063 25 I 0 I 10 0
9 Campgrounds 1522 258 0
0.0 10 Seasonal Residents**-....
1201 1921 205i 78 214' 11 Non-Overnight Visitors***
1,801_
189 193 i
, 189 12
,_..i 13 CHILDREN NOT AT HOME
'4,178 296
.281 97 269 14 Public Schools 2,716 2151.
281 i.
97 242 15 Private Schools & Chi-id Caresa 1-,367 391
... 0
-0 27 161 Summer Camps 95 42 0}
0 0
17 1 18 INSTITUTIONAL CONTINGENCY****
479 0
0..
190 0
19 2 0 21 TOTALS 22 26,880 2,901 2,745 1,189...
3,284 23" O6VERALLCONTINGENCY 24 5,376 580
- 5491 238 657 25 POPULATION TOTALS IL
~.
26 32,256 3,481 3,294 1,427 3,941 27 TABLETS INDIVIDUALLY WRAPPED IN FOIL NEEDED 28
____7L 29 -
- Marlboro is geographically in the ten mile EPZ and is currently considering participation in the program.
30
- "Seasonal residents is estimated at a peak of ten percent.
.J 31 Hotel rooms were estimated. (For example Brattleboro was 425 rooms at 2.5 people at peak times.)
32 ***Day time visitors Resident population times a factor(0.15 for Brattleboro)......
[-
33 ""Precautionary Transfer plans for the institutions may have residents and staff separated from their KI supply 341 (Brattleboro has 958 institution beds *mes 0.5).
Marlboro*
978
... 257.1 36 221 25 0
98 98 415 90 325 "0
1,650 330 1,980
_. 92,756 EPZ KI Population Estimate2.xls 1/31/02 TOTAL "19,867 12,576 6,559 6,018 1,123 410 1,987 2,499 5,536 3,641 1,758 137 669 38,648 7,730 46,378
State of Vermont Plan Overview Distribution of Potassium Iodide (KI) to the General Public I.
AUTHORITY:
Title 18 of Vermint Statutes Annotated provides the Commissioner of Health with the authority necessary to recommend the ingestion of Potassium Iodide (KI) in the event of a public health emergency.
II.
RESPONSIBILITY:
It will be the responsibility of the State of Vermont to carry out the provisions of this plan so that every citizen located within the 10-mile Emergency Planning Zone of the Vermont Yankee Nuclear Power Reactor has the opportunity to receive KI prior to a radiological event. It is also the responsibility of the State to maintain adequate stockpiles of IC in close proximity to the EPZ for use in the event of a radiological emergency by those persons who either do not have their own KI or who can not access their own KI.
Ill.
DECISION CRITERIA:
The State of Vermont Health Services Coordinator (Commissioner of Health) will follow the U.S. Food & Drug recommended dosage as shown below. As a practical matter, it may not be possible to assess the risk of thyroid exposure from inhaled radioiodines at the time of an emergency. Lacking specific predicted thyroid exposure, the Health Services Coordinator may recommend use of KI to persons known to have exposure to radioiodines at an unknown concentration.
IV.
ELLIGIBILITY CRITERIA:
Risk Group KI Dose
- of 130 mg
- of 65 mg (Milligrams)
Tablets Tablets 18 to 40 years 130 1
2 Pregnant or lactating women, 65 1/22 1
Also over 3 through 18 years Over 1 month through 3 years 32
/2 Birth through 1 month 16 1/8 1/4 V.
DISTRIBUTION METHOD:
Potassium Iodide will be distributed in the following manner:
- 1. People who live or work within the EPZ will be offered the opportunity to obtain their own personal dosage of KI. This will be accomplished through outreach and education efforts by the Department of Health, in concert with locally stationed public health nurses.
- 2. Within, and just outside of, the EPZ, Offsite Response Organizations (ORO's) will be utilized to store sufficient quantities of KI. In the event of a radiological emergency, these ORO's will be utilized for mass distribution of KI. ORO's will be sited in local fire departments, police barracks and other centrally located and easily secured structures.
- 3. Special population segments will be provided with their own specific distribution systems located within, or near, their respective setting(s). Such populations as those served in hospitals, nursing homes, schools, child and/or adult care facilities will be provided KI in this manner.
VI.
PROCEDURE FOR DETERMINING THE QUANTITY OF KI NEEDED:
The State of Vermont has utilized the following procedure to determine the number of doses needed.
- a. Total number of residents within the EPZ; plus
- b. Estimated transient population; plus
- c. The number of school-age children; plus
- d. A factor of 2 (allowable Federal request)
VII.
PROCEDURE FOR ENSURING THAT THE SUPPLY IS ADEQUATE FOR THE POPULATION WITHIN THE EPZ.
The procedure for determining the quantity of KI (above) will involve the use of the latest EPZ planning and population numbers. These numbers will be obtained from the Vermont Department of Emergency Management and verified by the towns within the EPZ. Estimates of the total population, resident and transient, is attached. The State of Vermont is currently requesting two doses for 46,378 individuals for a total of 92,756 individual doses.
VIII. OFFSITE RESPONSE ORGANIZATION PROCEDURES:
Standard pharmacological procedures will be developed by the State of Vermont for the purpose of ensuring the safe and proper storage, monitoring, safeguarding, dispensation and disposal of KI stocks sufficient to meet the anticipated need. Additionally, the procedures will be put in place for tracking of who received KI, when, and in what quantity. Additionally, the ORO will maintain necessary waivers from liability as determined by the Vermont Department of Health and the Vermont Attorney General's Office.
These procedures will ensure that KI supplies are within the expiration date indicated on the KI containers and that there is appropriate documentation extending the shelf life, where applicable.
IX.
METHOD OF ALERTING AND NOTIFYING THE GENERAL PUBLIC OF THE DECISIGN TO RECOMMEND THE INGESTION OF KIL The Vermont Alert and Notification system currently used to alert and notify the public of a radiological emergency within the EPZ will be utilized for the purpose of KI ingestion. This system includes, but is not limited to, the use of sirens, radio & television announcements and local emergency response networks.
New Emergency Alert System messages specific to KI ingestion will be developed.
New Health Advisories will be developed for the same purpose.
New public education materials to include brochures, calendars, newspaper inserts, telephone book inserts, as well as other outreach venues, will be developed and distributed.
These materials will, at a minimum, include the following information:
groups and location of people advised to take KI reason for taking KI Dosage and time period within which KI should be taken Where Ki can be obtained and under what circumstances it can be obtained Possible side effects and appropriate warnings Other information as deemed appropriate.
HOWARD DEAN, M.D.
Governor State of Vermont OFFICE OF THE GOVERNOR Montpelier 05609 Tel.: (802) 828-3333 Fax: (802) 828.3339 TDD: (802) 828-3345 November 29, 2001 Richard Meserve, Chairman Nuclear Regulatory Commission OWFN 11555 Rockville Pike Rockville, Maryland 20852
Dear Mr. Meserve:
I am writing to express Vermont's interest in making potassium iodide (KI) available in a safe and effective way to people who reside in the zone surrounding Vermont Yankee. I understand that following the events of September 11 the Nuclear Regulatory Commission, Food and Drug Administration, and Federal Emergency Management Agency have all been working collaboratively to update recommendations regarding KI. Vermont has already begun working on a plan to make KI available to residents who wish to have it. This plan would be incorporated as adjunct to our overall radiological emergency response plan.
We believe it is critical to emphasize that the use of KI is not a substitute for evacuation.
It is simply one more protective measure we can provide in addition to evacuating, sheltering, and controlling contaminated food.
I envision that Vermont's final plan will allow individuals to keep KI in their homes after receiving full information on the risks and benefits, proper dosage, medical contraindications, and the importance of following emergency preparedness and response directives. Special education and appropriate follow-up would be provided to pregnant women and infants. The plan would also provide for emergency distribution of KI at our reception center.
I hereby request your assistance in implementing Vermont's plan as it is finalized and incorporated as an adjunct to the Vermont Radiological Emergency Plan.
Sincerely, Howard Dean, M.D.
Governor Printed on 100% Processed Chlorine Free Paper