Request for Information on Waste Halogenated Anesthetic Agents: Isoflurane, Desflurane, and Sevoflurane, 8859-8860 [06-1542]

Download as PDF Federal Register / Vol. 71, No. 34 / Tuesday, February 21, 2006 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the National Coordinator; American Health Information Community Chronic Care Workgroup Meeting Office of the National Coordinator; American Health Information Community Consumer Empowerment Workgroup Meeting ACTION: ACTION: Announcement of meeting. Announcement of meeting. SUMMARY: This notice announces the third meeting of the American Health Information Community Chronic Care Workgroup in accordance with the Federal Advisory Committee Act (Pub. L. 92–463, 5 U.S.C., App.) DATES: March 22, 2006 from 1 p.m. to 5 p.m. ADDRESSES: Hubert H. Humphrey Building (200 Independence Ave., SW., Washington, DC 20201), Conference Room 705A. FOR FURTHER INFORMATION CONTACT: https://www.hhs.gov/healthit. SUPPLEMENTARY INFORMATION: A web address for the meeting will be available at: https://www.hhs.gov/healthit. SUMMARY: This notice announces the third meeting of the American Health Information Community Consumer Empowerment Workgroup in accordance with the Federal Advisory Committee Act (Pub. L. 92–463, 5 U.S.C., App.) DATES: March 20, 2006 from 1 p.m. to 5 p.m. ADDRESSES: Hubert H. Humphrey Building (200 Independence Ave., SW., Washington, DC 20201), Conference Room 705A. FOR FURTHER INFORMATION CONTACT: https://www.hhs.gov/healthit. SUPPLEMENTARY INFORMATION: A Web address for the meeting will be available at: https://www.hhs.gov/healthit. Dated: February 10, 2006. Dana Haza, Office of Programs and Coordination, Office of the National Coordinator. [FR Doc. 06–1552 Filed 2–17–06; 8:45am] Dated: February 10, 2006. Dana Haza, Office of Programs and Coordination, Office of the National Coordinator. [FR Doc. 06–1554 Filed 2–17–06 8:45am] BILLING CODE 4150–24–M BILLING CODE 4150–24–M DEPARTMENT OF HEALTH AND HUMAN SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the National Coordinator; American Health Information Community Biosurveillance Workgroup Meeting Centers for Disease Control and Prevention rmajette on PROD1PC67 with NOTICES1 SUMMARY: This notice announces the third meeting of the American Health Information Community Biosurveillance Workgroup in accordance with the Federal Advisory Committee Act (Pub. L. 92–463, 5 U.S.C., App.) DATES: March 23, 2006 from 1 p.m. to 5 p.m. ADDRESSES: Hubert H. Humphrey Building (200 Independence Ave., SW., Washington, DC 20201), Conference Room 800. FOR FURTHER INFORMATION CONTACT: https://www.hhs.gov/healthit. SUPPLEMENTARY INFORMATION: A Web address for the meeting will be available at: https://www.hhs.gov/healthit. Dated: February 10, 2006. Dana Haza, Office of Programs and Coordination, Office of the National Coordinator. [FR Doc. 06–1553 Filed 2–17–05; 8:45am] BILLING CODE 4150–24–M VerDate Aug<31>2005 13:48 Feb 17, 2006 Jkt 208001 Board of Scientific Counselors, National Institute for Occupational Safety and Health In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), the Centers for Disease Control and Prevention (CDC) announces the following committee meeting: Name: Board of Scientific Counselors (BSC), National Institute for Occupational Safety and Health (NIOSH). Time and Date: 9 a.m.–3 p.m., March 30, 2006. Place: Holiday Inn Capitol, 550 C Street, SW., Washington, DC 20024. Status: Open to the public, limited only by the space available. The meeting room accommodates approximately 50 people. Purpose: The Secretary, Department of Health and Human Services, the Assistant Secretary for Health, and by delegation the Director, CDC, are authorized under Sections 301 and 308 PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 8859 of the Public Health Service Act to conduct directly or by grants or contracts, research, experiments, and demonstrations relating to occupational safety and health and to mine health. The BSC shall provide guidance to the Director, NIOSH on research and prevention programs. Specifically, the board shall provide guidance on the institute’s research activities related to developing and evaluating hypotheses, systematically documenting findings and disseminating results. The board shall evaluate the degree to which the activities of NIOSH: (1) Conform to appropriate scientific standards, (2) address current, relevant needs, and (3) produce intended results. Matters to be Discussed: Agenda items include a report from the Director, NIOSH; progress report by BSC working group on the health hazard evaluation program; update on revisions to the National Occupational Research Agenda; Research to Practice Strategic Plan; and closing remarks. Agenda items are subject to change as priorities dictate. For Further Information Contact: Roger Rosa, Executive Secretary, BSC, NIOSH, CDC, 200 Independence Avenue, SW., Room 715H, Washington, DC 20201, telephone (202) 205–7856, fax (202) 260–4464. The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities for both CDC and the Agency for Toxic Substances and Disease Registry. Dated: February 14, 2006. Alvin Hall, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. 06–1543 Filed 2–17–06; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Request for Information on Waste Halogenated Anesthetic Agents: Isoflurane, Desflurane, and Sevoflurane SUMMARY: NIOSH intends to review and evaluate toxicity data for the halogenated anesthetic agents of isoflurane, desflurane, and sevoflurane. The current NIOSH recommended exposure limit (REL) of 2 parts per million (ppm) as a 60-minute ceiling for E:\FR\FM\21FEN1.SGM 21FEN1 8860 Federal Register / Vol. 71, No. 34 / Tuesday, February 21, 2006 / Notices the halogenated gases (chloroform, trichloroethylene, halothane, methoxyflurane, fluroxene, and enflurane) was established in 1977 [NIOSH 1977]. The halogenated anesthetic agents, isoflurane, desflurane, and sevoflurane, were subsequently introduced and are not included in the 1977 NIOSH recommendation. Isoflurane, desflurane, and sevoflurane are commonly used for anesthesia in modern hospitals; however, no occupational exposure limits exist for these agents. NIOSH is requesting: (1) Comments and information relevant to the evaluation of health risks associated with occupational exposure to isoflurane, desflurane, and sevoflurane, (2) reports or other data that demonstrate adverse health effects in workers exposed to isoflurane, desflurane, and sevoflurane, and (3) information pertinent to establishing a REL for isoflurane, desflurane, and sevoflurane. Comments should be transmitted to the NIOSH Docket Office, M/S C–34, Robert A. Taft Laboratories, 4676 Columbia Parkway, Cincinnati, Ohio 45226, telephone 513/533–8303, fax: 513/533–8285. Comments may also be submitted directly through the Web site (https:// www.cdc.gov/niosh/review/public/ Waste-Anesthetic-Gases/), by e-mail to nioshdocket@cdc.gov, or by fax to 513/ 533–8285. E-mail attachments should be formatted as Microsoft Word. Comments concerning this notice must be received on or before April 18, 2006 and should reference docket number NIOSH–064. All information received in response to this notice will be available for public examination and copying at the NIOSH Docket Office, Room 111, 4676 Columbia Parkway, Cincinnati, Ohio 45226. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Henryka Nagy, Ph.D., M/S C–32, Robert A. Taft Laboratories, 4676 Columbia Parkway, Cincinnati, Ohio 45226, telephone 513/533–8369, e-mail HUB1@cdc.gov. During patient anesthetization, small amounts of anesthetic gases can escape from the anesthetic delivery system and the patient’s respiratory system. Waste anesthetic gases may become a source of harmful exposures for operating room personnel. Anesthesiologists, veterinarians, dentists, anesthetic nurses, operating room nurses, surgeons, operating room technicians, and other operating room personnel are at risk of exposure to waste anesthetic gases. A concern about rmajette on PROD1PC67 with NOTICES1 SUPPLEMENTARY INFORMATION: VerDate Aug<31>2005 13:48 Feb 17, 2006 Jkt 208001 harm to the reproductive system, central nervous system, liver, and kidneys prompted NIOSH to develop RELs for waste anesthetic gases [NIOSH 1977]. In 1977, the current NIOSH REL of 2 parts per million (ppm) as a 60-minute ceiling was established for the halogenated gases chloroform, trichloroethylene, halothane, methoxyflurane, fluroxene, and enflurane [NIOSH 1977]. Isoflurane, desflurane, and sevoflurane were subsequently introduced and are not included in the 1977 NIOSH recommendation. NIOSH has not yet developed RELs for isoflurane, desflurane, and sevoflurane. Furthermore, the Occupational Safety and Health Administration (OSHA) has no permissible exposure limits (PELs) for these agents. The Netherlands’ 1998 Dutch Expert Committee on Occupational Standards (DECOS) derived an occupational exposure limit of 20 ppm for enflurane on the basis of reproductive toxicologic data [DECOS 1998]. For isoflurane (an isomer of enflurane), DECOS also recommended an occupational exposure limit of 20 ppm on the basis of assumed structurerelated activity [DECOS 1998]. No epidemiologic studies are available on the health effects of the halogenated agents, isoflurane, desflurane, and sevoflurane. NIOSH seeks to obtain materials, including published and unpublished reports and research findings, to evaluate the possible health risks of occupational exposure to these gases. Examples of requested information include, but are not limited to, the following: (1) Identification of industries or occupations in which exposures to isoflurane, desflurane, or sevoflurane may occur; (2) trends in production and use of isoflurane, desflurane, or sevoflurane over the past 10 years; (3) descriptions of procedures with a potential for exposure to isoflurane, desflurane, or sevoflurane; (4) current occupational exposure concentrations of isoflurane, desflurane, or sevoflurane in various types of occupational scenarios and, if available, data to document these concentrations (5) case reports or other health data that demonstrate adverse health effects in workers exposed to isoflurane, desflurane, or sevoflurane, or animal data (published or peer-reviewed data are preferred); (6) descriptions of work practices and engineering controls used to reduce or prevent workplace exposure; (7) educational materials for worker safety or training on the safe handling of these halogenated agents; (8) data pertaining to the technical feasibility of establishing a more PO 00000 Frm 00028 Fmt 4703 Sfmt 4703 protective REL for isoflurane, desflurane, and sevoflurane. NIOSH will use this information to determine the need for developing recommendations for reducing occupational exposure to isoflurane, desflurane, and sevoflurane. References: DECOS [1998]. Enflurane, isoflurane and cyclopropane: healthbased recommended occupational exposure limits. Report of the Dutch Expert Committee on Occupational Standards, a committee of the Health Council of the Netherlands. NIOSH [1977]. Criteria for a recommended standard * * * occupational exposure to waste anesthetic gases and vapors. Cincinnati, OH: U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, National Institute for Occupational Safety and Health, DHEW (NIOSH) Publication No. 77–140. The Director, Management Analysis and Services Office has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities for both CDC and the Agency for Toxic Substances and Disease Registry. Dated: February 14, 2006. Alvin Hall, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. 06–1542 Filed 2–17–06; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. 2005N–0488] Animal Drug User Fee Act; Public Meeting; Cancellation AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is canceling the meeting on the Animal Drug User Fee Act scheduled for February 24, 2006. This meeting was announced in the Federal Register of December 28, 2005 (70 FR 76851). FDA will continue to seek public comments relative to the program’s overall performance and reauthorization as directed by Congress. FDA will publish another notice in the Federal Register announcing any plans for rescheduling the public meeting. DATES: Written comments may be submitted at any time. E:\FR\FM\21FEN1.SGM 21FEN1

Agencies

[Federal Register Volume 71, Number 34 (Tuesday, February 21, 2006)]
[Notices]
[Pages 8859-8860]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-1542]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Request for Information on Waste Halogenated Anesthetic Agents: 
Isoflurane, Desflurane, and Sevoflurane

SUMMARY: NIOSH intends to review and evaluate toxicity data for the 
halogenated anesthetic agents of isoflurane, desflurane, and 
sevoflurane.
    The current NIOSH recommended exposure limit (REL) of 2 parts per 
million (ppm) as a 60-minute ceiling for

[[Page 8860]]

the halogenated gases (chloroform, trichloroethylene, halothane, 
methoxyflurane, fluroxene, and enflurane) was established in 1977 
[NIOSH 1977]. The halogenated anesthetic agents, isoflurane, 
desflurane, and sevoflurane, were subsequently introduced and are not 
included in the 1977 NIOSH recommendation. Isoflurane, desflurane, and 
sevoflurane are commonly used for anesthesia in modern hospitals; 
however, no occupational exposure limits exist for these agents. NIOSH 
is requesting: (1) Comments and information relevant to the evaluation 
of health risks associated with occupational exposure to isoflurane, 
desflurane, and sevoflurane, (2) reports or other data that demonstrate 
adverse health effects in workers exposed to isoflurane, desflurane, 
and sevoflurane, and (3) information pertinent to establishing a REL 
for isoflurane, desflurane, and sevoflurane.

ADDRESSES: Comments should be transmitted to the NIOSH Docket Office, 
M/S C-34, Robert A. Taft Laboratories, 4676 Columbia Parkway, 
Cincinnati, Ohio 45226, telephone 513/533-8303, fax: 513/533-8285.
    Comments may also be submitted directly through the Web site 
(https://www.cdc.gov/niosh/review/public/Waste-Anesthetic-Gases/), by e-
mail to nioshdocket@cdc.gov, or by fax to 513/533-8285. E-mail 
attachments should be formatted as Microsoft Word. Comments concerning 
this notice must be received on or before April 18, 2006 and should 
reference docket number NIOSH-064.
    All information received in response to this notice will be 
available for public examination and copying at the NIOSH Docket 
Office, Room 111, 4676 Columbia Parkway, Cincinnati, Ohio 45226.

FOR FURTHER INFORMATION CONTACT: Henryka Nagy, Ph.D., M/S C-32, Robert 
A. Taft Laboratories, 4676 Columbia Parkway, Cincinnati, Ohio 45226, 
telephone 513/533-8369, e-mail HUB1@cdc.gov.

SUPPLEMENTARY INFORMATION: During patient anesthetization, small 
amounts of anesthetic gases can escape from the anesthetic delivery 
system and the patient's respiratory system. Waste anesthetic gases may 
become a source of harmful exposures for operating room personnel.
    Anesthesiologists, veterinarians, dentists, anesthetic nurses, 
operating room nurses, surgeons, operating room technicians, and other 
operating room personnel are at risk of exposure to waste anesthetic 
gases. A concern about harm to the reproductive system, central nervous 
system, liver, and kidneys prompted NIOSH to develop RELs for waste 
anesthetic gases [NIOSH 1977]. In 1977, the current NIOSH REL of 2 
parts per million (ppm) as a 60-minute ceiling was established for the 
halogenated gases chloroform, trichloroethylene, halothane, 
methoxyflurane, fluroxene, and enflurane [NIOSH 1977]. Isoflurane, 
desflurane, and sevoflurane were subsequently introduced and are not 
included in the 1977 NIOSH recommendation.
    NIOSH has not yet developed RELs for isoflurane, desflurane, and 
sevoflurane. Furthermore, the Occupational Safety and Health 
Administration (OSHA) has no permissible exposure limits (PELs) for 
these agents. The Netherlands' 1998 Dutch Expert Committee on 
Occupational Standards (DECOS) derived an occupational exposure limit 
of 20 ppm for enflurane on the basis of reproductive toxicologic data 
[DECOS 1998]. For isoflurane (an isomer of enflurane), DECOS also 
recommended an occupational exposure limit of 20 ppm on the basis of 
assumed structure-related activity [DECOS 1998]. No epidemiologic 
studies are available on the health effects of the halogenated agents, 
isoflurane, desflurane, and sevoflurane.
    NIOSH seeks to obtain materials, including published and 
unpublished reports and research findings, to evaluate the possible 
health risks of occupational exposure to these gases. Examples of 
requested information include, but are not limited to, the following: 
(1) Identification of industries or occupations in which exposures to 
isoflurane, desflurane, or sevoflurane may occur; (2) trends in 
production and use of isoflurane, desflurane, or sevoflurane over the 
past 10 years; (3) descriptions of procedures with a potential for 
exposure to isoflurane, desflurane, or sevoflurane; (4) current 
occupational exposure concentrations of isoflurane, desflurane, or 
sevoflurane in various types of occupational scenarios and, if 
available, data to document these concentrations (5) case reports or 
other health data that demonstrate adverse health effects in workers 
exposed to isoflurane, desflurane, or sevoflurane, or animal data 
(published or peer-reviewed data are preferred); (6) descriptions of 
work practices and engineering controls used to reduce or prevent 
workplace exposure; (7) educational materials for worker safety or 
training on the safe handling of these halogenated agents; (8) data 
pertaining to the technical feasibility of establishing a more 
protective REL for isoflurane, desflurane, and sevoflurane.
    NIOSH will use this information to determine the need for 
developing recommendations for reducing occupational exposure to 
isoflurane, desflurane, and sevoflurane.
    References: DECOS [1998]. Enflurane, isoflurane and cyclopropane: 
health-based recommended occupational exposure limits. Report of the 
Dutch Expert Committee on Occupational Standards, a committee of the 
Health Council of the Netherlands.
    NIOSH [1977]. Criteria for a recommended standard * * * 
occupational exposure to waste anesthetic gases and vapors. Cincinnati, 
OH: U.S. Department of Health, Education, and Welfare, Public Health 
Service, Center for Disease Control, National Institute for 
Occupational Safety and Health, DHEW (NIOSH) Publication No. 77-140.
    The Director, Management Analysis and Services Office has been 
delegated the authority to sign Federal Register notices pertaining to 
announcements of meetings and other committee management activities for 
both CDC and the Agency for Toxic Substances and Disease Registry.

    Dated: February 14, 2006.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease 
Control and Prevention.
[FR Doc. 06-1542 Filed 2-17-06; 8:45 am]
BILLING CODE 4163-18-P
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