ML20082C962
| ML20082C962 | |
| Person / Time | |
|---|---|
| Site: | Shoreham File:Long Island Lighting Company icon.png |
| Issue date: | 11/18/1983 |
| From: | Harris D SUFFOLK COUNTY, NY |
| To: | |
| Shared Package | |
| ML20082C880 | List: |
| References | |
| ISSUANCES-OL-3, NUDOCS 8311220271 | |
| Download: ML20082C962 (28) | |
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m se UNITED STATES OF AMERICA NUCLEAR REGULATORY COMMISSION De fore the Atomic Safety and Licensing Board
)
In the Matter of )
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LONG ISLAND LIGHTING COMPANY ) Docket No. 50-322-OL-3
) (Emergency Planning)
(Shoreham Nuclear Power Station, )
Unit 1) )
)
)
DIRECT TESTIMONY OF DAVID HARRIS ON BEHALF OF SUFFOLK COUNTY REGARDING CONTENTION 25 -- ROLE CONFLICT Q. Please state your name and occupation.
A. My name is David Harris. I am the Commissioner of Health Services for Suffolk County, New York.
Q. Please summarize briefly your professional back-ground.
A. I have been Commissioner of the Suffolk County Department of Health Services since 1977. From 1975 to 1977, I was Deputy Commissioner of Health Services for Suffolk County.
I was Associate Director of the Mount Sinai Hospital from 1971 to 1975 and prior to that I was associated with the New York City Department of Health where I was Deputy Commissioner of Health from 1969 to 1971.
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I am board certified in the medical specialities of pediatrics and preventive medicine. I am also Professor of Community and Preventive Medicine and Pediatrico, State Univer-sity of New York at Stony Brook. In addition, I hold academic appointments at Columbia University School of Public Health, at the New School for Social Research in New York City and at C.W.
Post. I am a member of the New York State Advisory Council on Substance Abuse, a member of the New York State Mental Hygiene i Planning Council, and the immediate past president of the New York State Public Health Association. A copy of my professional qualifications is Attachment I hereto.
O. What is the purpose of this testimony?
A. The purpose of this testimony is to address Emergency Planning Contention 25, in particular, part 25.E, which states:
The LILCO Plan fails to take into account the role conflict that is likely to be ex-perienced by (a) the non-LILCO personnel who, under the LILCO Plan, are expected to drive ambulances or rescue vehicles and to provide the necessary medical and paramedical support services in the buses, ambulances, railroad cars and airplanes to be used in evacuating special facilities and handicapped persons at home; or (b)
Long Island Railroad (LIRR) personnel, private airplane crews and employees of an unnamed lumber company who, under the LILCO Plan, are expected to perform substantial and essential roles in the proposed evacua-tion of special facilities and the handicapped. (See Appendix A, at IV-185 to 192). A substantial number of such individuals will attend to the safety of
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their own families prior to, or in lieu of reporting to perform emergency services.
Without such personnel, the following actions could not and would not be imple-mented:
- 1. evacuation of special facilities:
- 2. evacuation of handicapped persons at home; and
- 3. transport of contaminated injured persons, or persons injured during an evacuation, to hospitals for treat-ment.
The concept of role conflict, the likelihood that the emergency workers relied on by LILCO will experience such con flict , and the likelihood that large numbers of such workers will resolve the conflict in favor of their family responsibilities rather than those responsibilities assigned to them by LILCO are addressed in the Contention 25 Testimony of Drs. Kai Erikson, James H. Johnson, Jr., and Stephen Cole. My testimony will focus on the impact of emergency worker unavailability on the implementation of LI1CO's proposed pro-tective actions for hospitals, special facilities, and handicapped persons at home.
O. Have you reviewed the LILCO Transition Plan?
A. Yes, particularly those portions pertinent to protec-tive actions for hospitals, special facilities and handicapped persons at home.
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! Q. Please describe the types of workers who are relied upon in that Plan for implementation of protective actions for hospitals, special facilities and handicapped persons in the EPZ.
A. There are two categories of such workers: those ex-plicitly identified in the LILCO Plan; and those additional workers, not explicitly identified in the Plan, who are also essential to the implementation of LILCO's proposed protective actions. I will discuss the proposed protective actions in de-tail in my testimony on Contentions 24, 61, 72 and 73.
Nonetheless, a brief summary of the LILCO proposals is neces-sary background to the following discussion of the impact of worker unavailability on implementation of the LILCO Plan.
There are three hospitals and 21 nursing homes and special health care facilities in or very nea: the 10-mile EPZ. (Ap-pendix A at II-18 to 19; II-28 to 29; IV-166 to 167; IV-172 to
! 177; and OPIP 3.6.5). If an accident situation requires, LILCO proposes to assist with the evacuation of the three hospitals and eight of the nursing homes and special health care facilities. These evacuations, according to the LILCO Plan, will be by ambulance, bus, van and airplane or helicop-I ter, either directly to relocation centers or so-called "recep-tion hospitals," or to Long Island Railroad ("LIRR") stations
O e where patients will be loaded onto trains, transported out of the EPZ, and then picked up by ambulances and vans and taken to reception hospitals. (Appendix A at IV-172 through IV-180).
The emergency workers explicitly recognized by LILCO as being necessary to implement these proposals are ambulance and van drivers, LIRR personnel, private airplane or helicopter crews, and employees of some unidentified lumber company.
(Id.) In one place LILCO estimates that 110 ambulance drivers j are needed. (See Plan at Figure 2.1.1). However, this number is clearly an underestimate, since elsewhere in the Plan, LILCO estimates that 414 van trips, 56 ambulance trips, and four bus i trips are necessary to evacuate just the 1200 patients estimat-ed by LILCO to be in the eight special facilities LILCO will assist and the 450 handicapped persons estimated by LILCO to be residing in the EPZ. (Appendix A at II-28 and IV-178). No estimate is provided of the sizeable additional number of vans and ambulances that would be necessary to evacuate the approxi-mately 630 patients in the hospitals in the EPZ. (See Appendix '
A at IV-172 through IV-180).
Revision 2 of the LILCO Plan indicates that movement of patients from special facilities will be accomplished by six private ambulance services (Five Counties Ambulance Service, Peconic Ambulance, Medibus, Stat Equipment Corp., Weir Metro,
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I and Medi Cab) as well as unidentified " volunteers within 20 miles of the SNPS. " (Plan at 2.2-4). Peconic Ambulance employs only 28 emergency medical technicians, 14 of which are available fulltime from 8 a.m. to 5 p.m.; only eight are on call from 5 p.m. to 8 a.m. heir Metro employs 16 emergency medical technicians and 12 drivers; all 16 technicians are available from 6 a.m. to 6 p.m., only six are available from 6 p.m. to 6 a.m. Medi Cab employs only nine drivers, and no med-ical technicians; it provides service only from 7 a.m. to 5 1
p.m. Although I have been unable to determine the staffing of l
Five Counties Ambulance Service, its letter indicating that it may in the future enter into a contract with LILCO states that it would only make available up to four ambulances and two ambulettes. (Plan at App. B-33). Similar letters from Medibus and Stat Equipment Corp., state that the numbers of vehicles they might provide will be " determined by contract. " (Plan, at App. B-36 and 37). Thus, LILCO has not even come close to ar-ranging for the availability of ambulance personnel and medical technicians that would be necessary to accomplish its proposed
, evacuation of special facilities. (See also Suffolk County Testimony on Contention 24 -- Lack of Agreements. )
Furthermore, LILCO provides no estimate of the number of LIRR, airline, helicopter, or lumber company personnel who
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would be necessary to provide and operate all the necessary vehicles, and to provide lumber, remove the seats, and convert the LIRR trains to transport patients on mattresses. Clearly,
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a substantial number of such persons would be required.
The second category of workers -- those not explicitly I
identified by LILCO -- are just as essential, if not more, than
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l the workers discussed above. They are all the medical and paramedical personnel, administrators and other staff members of hospitals and special facilities, who would have to be ac-tively involved in the entire evacuation process.
O. Why is the second group of workers so essential?
A. Again, this is something I will address in greater i
detail in my testimony on Contentions 24, 61, 72 and 73. Let me briefly summarize here. First, there are 14 special
- facilities in or very near the EPZ that I know of that are not included among the eight Which LILCO acknowledges need assis-tance in evacuating. The facilities Which are not among the eight listed by LILCO are three homes operated by the Associa-tion for the Help of Retarded Children, two residential homes operated by the United Cerebral Palsy Foundation, the Millcrest Rest Home, the Lane Home, the Grimes Home, the Moore Home, the 1
! Lincoln Rest Home, and the Stockton Residence. (Appendix A at IV-166, IV-167, IV-176, IV-177; and OPIP 3.6.5 at Section 9
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O e 5+2.2 1) According to the LILCO Plan, these facilities will l receive no h ilp from LILCO in evacuating their residents. In addition, the Maryhaven Center of Hope will have to perform al-most all the work necessary to move its approximately 500 clients. LILCO will provide Maryhaven with only one bus. (Ap-pendix A at II-18, II-19.) And, although the Sunrest Nursing Home and the Sunrest Health Related Facility are identified by LILCO as being within the 10-mile EPZ (Appendix A at II-12 and Figure 5; OPIP 3.6.5, Attachment 2), Appendix A states that LILCO will not assist in the evacuation of the two Sunrest facilities. (Appendix A at II-28 to 29 and IV-178). Presuma-bly, then, these facilities also are expected to move their own patients without help from LILCO. I estimate that there are approximately 800 patients at these 14 facilities.
Under the LILCO Plan, the evacuation of these 14 facilities is expected to be accomplished by the staffs of the facilities -- no assistance is to be provided by LILCO. Thus, the availability of the professional and nonprofessicnal staffs of these 14 facilities is absolutely essential if the residents of the facilities are to be protected under the LILCO Plan.
Second, the proposed evacuation of ill, disabled, and handicapped individuals represents a massive undtrtaking, one that is far more involved than simply moving wheelchairs or
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mattresses from one location to another. Patients must be removed from environments designed and equipped to provide care for the ill or disabled, and moved to hallways, buses, vans and railroad cars that are not so equipped or designed. Patients must be " packaged" for travel, necessary equipment and supplies obtained, and many would have to be constantly monitored and cared for. Critical patients would need portable life support s yst ems ; others would need monitoring equipment, intravenous equipment, and various traction and immobilizing arrangements.
Even non-critical, wheelchair, or ambulatory patients would need assistance during an evacuation, since position changes, administering medication, and other types of attention would likely be required. Moreover, in many cases the trauma in-volved in moving patients would result in their requiring even more attention than they would in their hospital rooms or at home.
It is clear, therefore, that knowledgeable and trained medical and paramedical personnel would have to be involved in the pre-evacuation as well as the actual evacuation process.
t Patients would have to be accompanied -- on buses, ambulances, 1
vans and trains -- by qualified medical personnel.1/ The LILCO 1/ L I LCO, at least obliquely, has acknowledged this necessi-ty. In a proposed agreement which LILCO apparently sent to the LIRR, LILCO " agrees, " among other things, "to (Footnote cont'd next page)
Plan makes no provision for such personnel, apparently instead assuming that the staf f s of hospitals and special facilities, and ambulance drivers will be available to fulfill all these positions.
Similarly, the medical and support staffs of hospitals and special facilities would be essential in order to implement a protective action of sheltering under the LILCO Plan. (This will be addressed further in my testimony on Contention 61).
I note, however, that the LILCO Plan states:
The Sheltering option may be recom-mended as an effective option for individuals who could not be safely evacu-ated. This would include individuals who have been designated medically unable to withstand the physical stress of an evacua-tion, as well as those individuals who require constant, sophisticated medical at-tention.
(Plan at 3.6-5). Clearly, the implementation of this proposed protective action for critically ill individuals admittedly requiring constant medical attention, will require the avail-ability of substantial portions of the medical facilities' (Footnote cont'd from previous page) provide individuals specialized in emergency medical servi :ea to care for the patients" from hospitals to be evacuated by the LIRR. (See Attachment 2 hereto). LILCO does not state where it intends to obtain these specially trained individuals. It should also be noted that the LIRR has not accepted LILCO's proposal. (See LIRR re '
sponse to Elaine D. Robinson, also part of Attachment 2).
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trained medical staffs. Assuming such individuals were available and willing to remain behind in the EPZ to care for patients being sheltered, those individuals of course could not also be relied upon to accompany and care for the evacuating patients.
l I want to point out an additional aspect of this matter.
i The hospitals and special facilities in general are not heavily staffed. Indeed, there generally is considered to be a short-
! age of qualified personnel. If any diminution of staffing occurs due to role conflict, the already difficult tasks in-volved in implementing protective actions will clearly be ren-l dered impossible.
l Fu r thermore , hospitals and other facilities are regularly
- staffed very lightly for many periods of the day -- especially l
between 7 p.m. and 7 a.m. To obtain personnel necessary to evacuate or shelter at those hours, the facility staff members will need to leave their homes and families and travel to the facilities. Any role conflict will clearly have the potential of discouraging necessary personnel from reporting.
Q. In your opinion, will the medical personnel and facil-ity support staffs that you have indicated would be necessary to implement protective actions for hospitals, special facilities and the handicapped, be likely to experience role
i con fl ict , as that term has been defined in the testimony of l l
Drs. Erikson and Johnson on Contention 257 A. Yes, and I believe that substantial numbers of these ,
individuals would resolve the conflict by attending to their f amily responsibilities prior to, or in lieu of, perfo rming duties associated with evacuation of special facilities.
O. On what do you base that opinion?
A. I base it on several facts. Firsi, medical personnel and people on the staffs of hospitals and special facilities have families just like anyone else. I know of no reason why they would behave any differently from other people in dealing with the role conflict dilemma that would be presented in the event of a Shoreham accident. Accordingly, I believe the con-clusions of Drs. Erikson, Johnson and Cole with respect to the problem of role conflict among those people LILCO expects to perform emergency tasks, as set forth in their testimony on contention 25, are equally applicable to medical and other support personnel.
Second, as pointed out by Drs. Erikson and Johnson, role conflict, and the resulting unavailability of necessary medical personnel, was actually experienced during the accident at Three Mile Island. (See Testimony of Drs. Erikson and Johnson on Contention 25).
Third, the County surveys conducted of volunteer firemen and school bus drivers provide further basis to believe that a substantial number of necessary medical and other personnel would not be promptly available in the event of a Shoreham emergency. (See testimony of Cole and Erikson and Johnson on Contention 25). Members of the groups surveyed are in many ways similar to ambulance drivers, medical personnel, and staff members at special facilities. For exmnple, volunteer firemen provide an important service to the community, just like the staff of a hospital, or an ambulance crew. And, volunteer firemen are very dedicated, on a completely voluntary basis, to performing a sometimes life-threatening job. The point is that they are a group which one would expect to respond to duty to the community before duty to family and self much more readily than the general population. That is precisely.the point that i
is frequently made about health care personnel when one asks whether their " professionalism" would overcome role conflict.
However, the County's survey indicates that a substantial number of the highly dedicated volunteer firemen who are willing to face grave danger in the line of duty would care for their families prior to reporting to perform a role in a Shoreham emergency. In my opinion, the professionalism of individuals on the staffs of hospitals and nursing homes would
have only a similarly limited effect in preventing or reducing role conflict.
Fourth, I think it is important to look at the recent ex-ample of reaction to Auto Immune Deficiency Syndrome (" AIDS").
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In some cases, medical personnel have refused to treat AIDS victims out of fear for their own safety. In my opinion, that i refusal is relevant to the likely behavior of health care professionals in the face of a radiological accident at l
Shoreham. The reason is that health care professionals know what happens to people who develop AIDS, just as they are '.ike-ly to know what happens to people who receive excessive amounts of radiation. Just as some health care professionals refuse to care for AIDS patients because they are not certain that they are adequately protecced from exposure to AIDS, the staffs of hospitals and nursing homes will know that their presence or the presence of their families in the EPZ during an emergency at Shoreham involves the risk of exposure to radiation. This will be especially true of those health care professionals who are asked to remain in the EPZ to care for patients left behind in evacuated hospitals. Under this provision of the LILCO Plan, medical personnel who know the effects of radiation expo-sure are expected by LILCO to remain in the path of a radioac-tive plume and risk that exposure. In my opinion, substantial
i numbers of health care personnel will choose to avoid the risk to them and their families and accordingly will attend to the safety of themselves and their families prior to, or instead of, reporting to assist with protective actions at special facilities.
My concern regarding whether health care professionals will report for or remain at work during the Shoreham emergency has been strengthened recently. Members of my staff contacted the administrators of all the facilities relied upon by LILCO in its Plan as part of a study to determine how administrators believed their staffs would respond in the event of an emergen-cy at Shoreham. The administrators of the following facilities 1
all stated that the staff members of their facilities would be unlikely to report 3r remain on duty to perform the functions that would be necesaary in order to implement the LILCO propos-als: Oak Hollow Nursjng Center, Crest Hall Health Related Fa-cility, Sunrest Nursing Facility, Sunrest Health Related Facil-ity, Riverhead Nursing Home, Riverhead Health Related Facility, John T. Mather Memorial Hospital, St. Charles Hospital, and the Suf folk County Home and Infirmary. The views of these adminis-trators with whom I work closely reinforce my view that role conflict among medical personnel is a serious concern.
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l Q. What is your conclusion concerning Contention 25.E7 l
A. In my opinion, role conflict is a critical problem with respect to health care facilities. Under the LILCO Plan, the staffs of those facilities (as well as ambulance personnel and employees of the LIRR, a lumber company, and others), are expected to do almost all the work necessary to protect their patients. As I have discussed, the work necessary is overwhelming in scope. Consequently, the facill. ties could not j afford to lose any of their workers due to role conflict. If 4
they did, it would be impossible to implement the LILCO Plan as applied to hospitals and special facilities.
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1 ATTACHMENT 1 I ,
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ATTACHMENT 1 l
CURRICULUM VITAE i NAME & ADDRESS: David darris Date of Birth: June 3, 1932 438 k'oodbury Road 11743 Huntington, N.Y.
Tel. (516) 367-9226
- EDUCATION: Cornell University, Ithaca, New York l 1949-1952 - No degree i
New York University School of Medicine 1952-1956 - M.D. degree Columbia University School of Public Health
& Administrative Medicine 1964-1965 - M.P.H. degree SPECIALTY American Board of Pediatrics - December 1961 CERTIFICATIONS: American Board of Preventive Medicine - June 1969 MEDICAL LICENS3: New York, 1957 (#80968) 4 INTERNSHIP & Strarght Pediatric Internship i RESIDENCY TPAINING: University Hospitals of Cleveland Cleveland, Ohio, July 1956 - July 1957 Pediatric Residency United States Naval Hcspital Bethesda, Maryland, July 1958 - August 1960
, Public Health Residency New York Ci'.y Department of Health December 1963 - December 1966 POSITIONS HELD: Comunissioner of Health Services Suf folk County, New York March 1977 - Present
- Deputy Commissioner of Health Services Suffolk County, New York l
August 1975 - February 1977 Associate Director, The Mount Sinai Hospital 100th Street & Fifth Avenue, New York July 1971 - August 1975 Deputy Commissioner New York City Department of Health July 1969 - July 1971 Assistant Commissioner, Maternal & Child Health Services New York City Department of Health July 1967 - June 1969 In 1958 Dr. Harris completed a course in atomic, biological and chemical war-fare given at the Naval Base at Treasure Island, San Francisco,~ Cal.
Dr. Harris was a member of the Advisory Board of Sandia Laboratories, N.M. in the '70s.
POSITION'S HELD: Director, Bureau of Handicapped Children New York City Department of Health June 1965 - July 1967 ACADEMIC APPOINTMENTS:
Professor of Community & Preventive Medicine State University of New York at Stony Brook 1975 - Present Professor of Pediatrics State University of New York at Stony Brook 1981 - Present Lecturer in Public Health Columbta University School of Pubite Health July 1972 - Present j j
Adjunct Professor New School for Social Research 1978 - Present Adjunct Professor C. W. Post Center of Long Island University 1978 - Present Associate Professor of Administrative Medicine The Mount Sinai School of Medicine July 1971 - August 1975 Asststant Professor of Pediatrics The Mount Sinai School of Medicine July 1971 - August 1975 Adjunct Assistant Professor, Public Health Practices Columbia University School of Public Health and Administrative Medicine, July 1971 - June 1972 Assistant Clinical Professor of Pediatrics Albert Einstein College of Medtcine July 1967 - July 1971 Clinical Instructor in Pediatrics Albert Einstein College of Medicine June 1965 - July 1967 MRLITARY SERVICE: United States Navy (Medical Corps)
July 1957 - July 1964 Rank: Lieutenant Commander PROFESSIONAL SOCIETIES:
Fellow, American College of Preventive Medicine Fellow, American Academy of Pediatrics Fellow, American Public Health Association Fellow, New York Academy of Medicine HONORARY SOCIETIES: Phi Beta Kappa, Cornell University,1952 Alpha Omega Alpha, New York University School of Medicine, 1956, 2.
AWARDS: Recipient of 1979 Health Care Administration Award for Excellence in Management, Leadership and Public Service - Department of Health Care and Fublic Administration, C. W. Post Recipient of Certificate of Merit Long Island Region, hew York State Public Health Association OTHER PROFESSIONAL ACTIVITIES & OFFICES: New York State Public Health Association President, 1981 American Academy of Pediatrics Vice-Chairman, District II, Chapter 3, 1970-1971 Chairman, District II, Chapter 3, 1971-1972 New York Academy of Medicine Committee on Public Health,1972-Present Ccamittee on Medical Education, 1969-1971 Secretary, Pediatri-c Section, 1970 American Public Health Association Governing Council, 1973-1975 Editorial Advisory Board, The Nations's Health, 1971-1976 Editor, Maternal & Child Health Section Newsletter, 1968-1971 Consultant, Professional Examination Service in the the field of Maternal & Child Health American College of Preventive Medicine Secretary-Treasurer, 1976-1978 White House Conference on Children Consultant, 1970 Medical & Health Research Association of New York City, Inc.
Member, Board of Directors, 1975 - Present New York State Commission on Health Education &
Illness Prevention, 1978-1981 New York State Advisory Council on Substance Abuse 1978-Present New York State Council en Health Care Financing Member, Technical Advisory Group, 1982 New York State Mental Hygiene Planning Council,1982 Citizens Committee for Children Consultant, 1974-1975 The Hermann Biggs Society Executive Committee, 1974-1975 National Foundation - March of Dimes, Greater New York Chapter, Executive Committee, 1972-1975 Chairman, Professional Advisory Committee 1972-1975 1.
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l OTEER PROFESSIONAL Public Health Association of New York City ACTIVITIES & OFFICES: Board of Directors, 1972-1975 Planned Parenthood of New York City Medical Advisory Committee, 1969-1974 Mayor's Task Force on Child Abuse (New York City),
1969-1975 Visitation Committee, New York City, Juvenile Centers, 1971 - 1972 New York Service for Orthopedically Handicapped Professional Advisory Committee, 1966 - 1971 Project Head Start (New York City), Medical Advisory
- Committee, 1969 Joint Legislative Committee on Child Care Needs of the State of New York, Advisory Council,1969 Mayor's Committee on Retardation (New York City) 1966-1968 Adelphi University School of Business Administration Advisory Board, 1977-Present Columbic University School of Public Health Alumni Association, President, 1979-1980 SCIENTIFIC PAPERS & Harris, David and Cone. Thomas E. "Escherichia Freundii PUBLICATIONS: Meningitis", Journal of Pediatrics, Vol. 56, No. 6, pp. 774-777, June 1960.
Harris, David; Pearson, Howard A. and Avery, Cordon B.
" Total Body Irradiation", Proc. Children's Hospital of D.C. , vol. XVII, No. 6, pp.145-146, June 1961.
Boies, Lawrence R., and Harris, David. "Nasopharyngeal Dermoid of the Newborn", Laryngoscope, Vol. LXXV, No.
5, pp. 763-767, May 1965.
The Modern Medical Encyclopedia. Western Publishing Co., New York, Specsal Consultant Editor, 1965.
The Modern Medical Encyclopedia of Infant-Child Care.
Western Publishing Co., New York, Associate Editor, 1966 l Harris, David, "The Development of Nurse-Midwifery in New York City", Bulletin, American College of Nurse-Midwifery, Vo XIV, pp. 4-12, February 1969.
Blackman, Norman S.; Blumenthal, Sol; Brownell, Katherine D.; Wolfson, Jean and Harris, David.
" Cardiac Screening by Computerized Auscultation",
American Journal of Public Health, Vol. 59, No. 7, pp.
1177-1187, July 1969.
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SCIENTlflC PAPERS & O'llare, Donna and Harris, David. "The Impact of PUBLICATIONS Medicaid on Handicapped Chtidren", presented at the
- American Public Health Association's Annual Meeting, 1969.
Mayer, Shirley A.; Crossi, Margaret and Harris, David.
"Eptdemtology of Burns in Children", presented at the American Public Health Association's Annual Meeting, 1970.
Harris, David. " Utilization of Nurse Specialist: The Viewpoint of a Public Health Physician", presented at the American Public Health Association's Annual Meeting, 1970.
Harris, David; Daily, Edwin and Lang, Dorothea. " Nurse-Midwifery in New York City", American Journal of -
Public Health, Vol. 61 No.1, pp. 64-77, January 1971.
Bergner, Lawrence; Mayer, Shirley A., and Harris, David.
" Falls from Heights: A Childhood Epidemic in Urban Areas", American Journal of Public Health, Vol. 61, No. 1, pp. 90-96, January 1971.
Harris, David. " Current Problems in Maternal and Child Health", New Jersey Public Health News, Vol. 52, No.
1, pp. 5-10 J anuary 1971 Pakter, Jean; Harris, David and Nelson, Frieda.
" Surveillance of the Abortion Program in New York City: Preliminary Report", Clinical Obstetrics and CynecoloEy, Vol.14, No.1, pp. 262-291, March 1971.
Pakter, Jean; Harris, David and Nelson, Frieda.
" Abortion in New York City: The Ftrst Six Months",
presented at the t.nnual Meeting of the Population Association of America, April 24, 1971.
Harris, David. " Developing Urban Health Services for Mothers and Children", presented at the Second Annual Maternal and Child Health Colloquium The University of Michigan, School of Public Health, Ann Arbor, Michigan, April 30, 1971.
Pakter, Jean; Harris, David and Nelson, Frieda.
" Surveillance of the Abortion Program in New York City", Bulletin of the New York Academy of Medicine, Vol. 47, No. 8, pp. 853-874, August 1971.
Lane, Michael F.; Barbarite, Robert V.; Bergner, Lawrence and Harris, David. " Child Resistant Medicine Containers: Experience in the Home", American Journal of Public Health, Vol. 61, No. 9, pp.1861-1868, September 1971.
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SCIENTIFIC PAPERS & Calafiore, Dorothy C.; Cohen, Arlan A.; Hayes., Carl C. ;
PUBLICATIONS Lowrimore, Gene R.; 1reson, Robert G.; Harris, David; Camp, Maurice; Morrow, Sarah and Peacock, Peter B.
" Acute Respiratory Disease Risk and Urban Air Pollution", presented at the American Public Health Association's Annual Meeting, 1971.
Harris, David; 0' Hare, Donna; Pakter, Jean and Nelson, Frieda. " Legal Abortion 1970-1971: The New York City Experience", American Journal of Public Health, Vol.
63, No. 5, pp. 409-481, May 1973.
Harris, David; Imperato, Pascal and Oken, Barry. " Dog Bites: An Unrecognized Epidemic", presented at The American Medical Association's Annual Meeting, June 25, 1974
- Harris, David; Imperato Pascal and Oken, Ba ry. " Dog Bites in New York City", presented at the Urban Annual Symposium, University of Texas, School of Public Health, September 26, 1974 Harris, David; Imperato, Pascal and Oken, Barry. " Dog Bites: An Unrecognized Epidemic", Bulletin of the New York Academy of Medicine, Vol. 50, No. 9, pp.
981-1000, October 1974.
Harris, David. " Health Services for Women", presented at Seminar on Women's Health Issues, Suffolk County Community College, October 1975.
Harris, David and McLaughlin, Mary C. " Integrating Alcohol, Drug Abuse and Mental Health at the Point of Services", presented at The New York Council on Alcoholism, Inc. , Conference on Coordination of Services, Guidelines for National Health Insurance as it affects Services, December 1975.
McLaughlin, Mary C. and Harris, David. "The Single Health Agency...A Viable Concept", New York State Journal of Medicine, Vol. 77, No. 7, June 1977.
Harris, David; Nicols, Joseph J.; Stark, Renee and Hill, Kenneth. "The Dental Working Environment and the Risk of Mercury Exposure: A Case Report and a Survey",
presented at the American Public Health Association Annual Meeting, October 21, 1976.
Zaki, Mahfouz H.; Miller, George S.; Sheppard, Robert J.; Harris, David and McLaughlin, Mary C. "An Extensive Salmonella Typhimurium Outbreak Probably Waterbourne", presented at The American Public Health Association Annual Meeting, October 21, 1976; in press American Waterworks Association Journal.
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SCIENTIPIC PAPERS & Harris, David. " Prevention as a Public Health Policy",
PUBLICATIONS Nassau County Medical Center Proceedings, Vol. 5, No.
2, 1978.
Harris, David; Nicols, Joseph J.; Stark, Renee and Hill, Kenneth. "The Dental Working Environment and the Risk of Mercury Exposure," Journal of the American Dental Association, Vol. 97, November 1978.
Kim, S.; Cutrgis , S.; Harris, D. ; Keelan, T.; Mayer, M. ,
and Zaki, M. "Q Fever - New York", Morbidity and Mortality Weekly Report , Vol. 27, No. 35, pp. 321-322, September 1, 1978.
Zaki, Mahfouz H.; Harris, David, and Moran, Dennis.
" Trace Organics in Drinking Water: An Emerging Public Health Problem", presented at the American Public Health Association Annual Meeting, November 6, 1979.
Harris, David. "If Children Benefit So Much From Prevention, Why Aren't We Doing More Of It?",
presented at the 26th Annual Meeting of the American College of Preventive Medicine, the 36th Annual Meeting of the Association of Teachers of Preventive Medicine and the 107th Annual Meeting of the American Public Health Association (jointly held) November 4, 1979. <
Rugg, Victor; McLaughlin, Christopher; Bruno, Daniel and Harris, David. "Self-Help Professional Collaborative Groups with Methadone Maintenance Patients",
presented at the New York State Drug Conference, March 25, 1981.
Harris, David. "The Genetic Revolution - A Social and Ethical Challenge", presented at the Conference on Medical Genetics for the Practitioner, Stony Brook, April 8, 1981.
Harris, David; Vann, Albert and Wrightson, Karolyn.
"Toward a Healthy State: The Report of the State Commission on Health Education and Illness Prevention", New York State Journal of Medicine, Vol. 81, No. 12, pp. 1798-1801, November 1981.
Harris, David. "The Public Health Officer's Response to Environmental Crises", presented at the joint meeting of The American College of Preventive Medicine and The Association of Teachers of Preventive Medicine, November 15, 1982.
Zaki, Mahfouz H., Moran, Dennis and Harris, David.
" Pesticides in Groundwater: The Aldicarb Story in Suffolk County", American Journal of Public Health December 1982.
Harris, David, Baird, Greg, Clyburn, Steven A., and Mara, Joy R. " Developing A Teenage Pregnancy Program the Community Will Acce t", Health Education, pp. 17-20, May/ June 198 l
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AGREEMENT BETWEEN '
THE LONG ISLAND' RAILROAD a' g
LONG ISLAND LIGHTING COMPANY ON EMERGENCY PLANNING In order to provide for efficient and timely implementation of protective actions should they ever be required at the Shoreham Nuclear Power Station, the Long Island Railroad (LIRR) and Long Island Lighting Company (LILCO) hereby agree to the following -
undertakings: ,
A) The LIRR will respond to a request from LILCO for assist-ance iu evacuating hospital patients from John T. Mather Memorial Hospital and St. Charles Hospital.
B) At LILCO's request, the LIRR will prepare acconnodations '
on trains to receive bedridden hospital patients and trans-port them to the Northport V.A. Hospital.
In consideration of the foregoing commitments by the LIRR, LILCO agrees:
A) To provide training to the active members of the LI'RR in respect to the performance of the undertakings set forth in'this Agreement. This training will be reinforced by periodic drills to maintain a proficient crew of volunteer personnel in the LIRR.
B) To provide individuals specialized in emergency medical services to care for the patients.
C) "In consideration of the foregoing,Long Island Lighting Company (LILCO) hereby agrees for itself and its agents, servants, employees, contractors, and invitees, that it and they will indemnify and hold Long Island Railroad
- (LIRR) and LIRR's officers, directors, employees, agents, and servants, harmless and forever indemnify it and them, for or against any liability penalties, losses, damages, claims, expenses, suits, judgments, liens and incumbrances, or any or all of them, arising out of or in anyway connected with 'his agreement or the exercises or use by LILCO or its agents, . servants, employees, contractors, or invitees of the rights granted hereunder, and whenever made or in-curred including any and all liabilities imposed by law and/or contract and/or custom, upon LIRR or its officers, directors, employees, agents, and servants, or any or all of them whether or not to be ' claimed or proven that there was negligence or breach'of statutory duty or both on LIRR's
(.. part or on the part of LIRR's officers, directors,. employees, agents, and servants or any or all of them: and in any 4
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I case LIRR shall have the right to demand and LILCO '
.hereby undertakes to defend any and all claims and suits, whether justified or not, provide only that the claim or suit shall be against LIRR or its offi-l cers, directors, employees, agents, or servants."
' "LILCO hereby certifies to LIRR that for the entire period of this agreement LILCO will maintain in effect t insurance coverage (including self-insurance)in an
' aggregrate amount sufficient to meet our obligations '
under the preceding paragraph.
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'l For the Long Island Railroad DATE NAM.E TITLE For Long Island Lighting Company .
' NAME DATE \'
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Membere of the Sement Rechord Rewich' Cheemen Lawrence R. Bailey The Long Island %~cL*":~"
Rail Road c w. ' :-
Simehen Berger Dend W. Stewn . ..
Jama ca Stat.on Jama.ca. New York 11435 Phone 212 JAma ca 6 0900 Jene L Sutcher '.
Herbert J. Lheet John F. McAlevey Roney Menschel October 27, 1983 conoioneine s.dem.sn Erietett Robert F.Wegner.Jr.
Rotort 7.Womwor Alfred L Werner Anonandta Zetion Dowd Z. Newn Derector Pubhc AHarts Esecutowe Doetter .
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Ms. Elaine D. Robinson Long Island Lighting Company 100 E. Old Country Road Hicksville, NY 11801 .
Dear Ms. Robinson:
We have received your proposed agreement between the .
Long Island Rail Road and Long Island Lighting Company on Emergency, Planning.
. The LIRR is unable to comment on or enter into an agreement until such time as we have been fully able to assess the proposal and any impact it may have on our financial or physical requireIments.
Such a review is currently ~ underway. We will advise you as to the results of our findings.
Sincerely,
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- ) g.(/) .w. X.i Al andb6 Zetlin NJ M'd.,
Director-Public Affairs
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