International Labour Office (ILO) Reference Radiographs, 18427-18429 [2015-07814]
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18427
Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices
group practice; group practice employer
identification number; names and DEA
registration numbers of group
practitioners; purpose of notification
new, immediate, or renewal;
certification of qualifying criteria for
treatment and management of opiate
dependent patients; certification of
capacity to refer patients for appropriate
counseling and other appropriate
ancillary services; certification of
maximum patient load, certification to
use only those drug products that meet
the criteria in the law. The form also
notifies practitioners of Privacy Act
considerations, and permits
practitioners to expressly consent to
disclose limited information to the
SAMHSA Buprenorphine Physician
Locator.
Since July 2002, SAMHSA has
received over 25,000 notifications and
has certified almost 27,000 physicians.
Fifty-none percent of the notifications
were submitted by mail or by facsimile,
with approximately forty-one percent
submitted through the Web based online
Number of
respondents
Purpose of submission
system. Approximately 60 percent of the
certified physicians have consented to
disclosure on the SAMHSA
Buprenorphine Physician Locator.
Respondents may submit the form
electronically, through a dedicated Web
page that SAMHSA will establish for the
purpose, as well as via U.S. mail.
There are no changes to the forms and
burden hours.
The following table summarizes the
estimated annual burden for the use of
this form.
Responses
per
respondent
Burden per
response
(hour)
Total burden
(hours)
Initial Application for Waiver ............................................................................
Notification to Prescribe Immediately ..............................................................
Notice to Treat up to 100 patients ...................................................................
1,500
50
500
1
1
1
.083
.083
.040
125
4
20
Total ..........................................................................................................
2,050
........................
........................
149
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 2–1057, One Choke Cherry Road,
Rockville, MD 20857 or email her a
copy at summer.king@samhsa.hhs.gov.
Written comments should be received
by June 5, 2015.
Summer King,
Statistician.
[FR Doc. 2015–07727 Filed 4–3–15; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[Docket Number CDC–2015–0008; NIOSH–
282]
International Labour Office (ILO)
Reference Radiographs
National Institute for
Occupational Safety and Health
(NIOSH) of the Centers for Disease
Control and Prevention (CDC),
Department of Health and Human
Services (HHS).
ACTION: Request for information and
comment.
AGENCY:
tkelley on DSK4VPTVN1PROD with NOTICES
Electronic or written comments
must be received by June 5, 2015.
DATES:
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18:14 Apr 03, 2015
Jkt 235001
You may submit comments,
identified by CDC–2015–0008 and
docket number NIOSH–282, by any of
the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: National Institute for
Occupational Safety and Health, NIOSH
Docket Office, 1090 Tusculum Avenue,
MS C–34, Cincinnati, OH 45226–1998.
ADDRESSES:
The National Institute for
Occupational Safety and Health
(NIOSH) of the Centers for Disease and
Prevention is collaborating with the
Labour Inspection, Labour
Administration and Occupational Safety
and Health Branch of the International
Labour Office (ILO) in developing a set
of digital reference radiographs for the
ILO International Classification of
SUMMARY:
Radiographs of Pneumoconiosis (ILO
Classification). The current ILO
Classification depends on 22 standard
reference radiographs that are used to
formally identify and characterize
pneumoconiosis and related pulmonary
abnormalities arising from occupational
exposure. The original standards were
based on film radiography, but the
advent of digital radiography has led to
the need for reference standards based
on digitally-acquired images. NIOSH is
assisting the ILO in the process of
identifying such digital images.
For this purpose, NIOSH is requesting
trained users of the ILO Classification
(e.g., NIOSH B-Readers [1] and other
such experts) to submit comments
regarding any of the current standard
reference images that are felt to be
deficient and for which improvements
could be made. The current structure
and format of the ILO Classification is
to remain unchanged at the present
time. NIOSH is not soliciting comments
on the ILO Classification itself.
Comments received on the ILO
Classification will be considered
irrelevant to the purpose of this docket.
PO 00000
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Fmt 4703
Sfmt 4703
Instructions: All information received
in response to this notice must include
the agency name and docket number
(CDC–2015–0008; NIOSH–282). All
relevant comments received will be
posted without change to
www.regulations.gov, including any
personal information provided. All
electronic comments should be
formatted as Microsoft Word. For access
to the docket to read background
documents or comments received, go to
www.regulations.gov. All information
received in response to this notice will
also be available for public examination
and copying at the NIOSH Docket
Office, 1150 Tusculum Avenue, Room
155, Cincinnati, OH 45226.
FOR FURTHER INFORMATION CONTACT:
Michael Attfield, 1095 Willowdale
Road, Morgantown, WV 26505–2888,
telephone (304) 285–5737 (this is not a
toll free number).
SUPPLEMENTARY INFORMATION:
Table of Contents
• Background
• Information Needs
• References
Background: Chest radiographs (XRays) provide critical medical
information for the assessment of the
pneumoconioses and related disorders
in individuals, for example, those
caused by inhaling coal, silica, and
asbestos dusts [2]. Prior to 1950, the
information evident on a radiograph
could only be interpreted qualitatively.
However in 1950, the International
Labour Office (ILO) established a more
quantitative system whereby the various
parenchymal and pleural changes could
be formally recognized and categorized.
E:\FR\FM\06APN1.SGM
06APN1
tkelley on DSK4VPTVN1PROD with NOTICES
18428
Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices
The quantitative system is not intended
for the medical diagnosis of the
pneumoconioses and related
occupational diseases, but has proved
invaluable for the accurate and reliable
identification and characterization of
such diseases and disorders in many
scientific and administrative
applications, including research into
disease causation, evaluation of risk in
terms of dust exposure, disease
surveillance, disease prevention, and
worker compensation. The ILO has
periodically held meetings of experts
with the intent of improving and
refining the original classification
scheme. The current edition is the
International Classification of
Radiographs of Pneumoconiosis,
Revised Edition 2011 [3].
The ILO Classification, as of the 2000
revision, consists of 22 standard
reference radiographic films. These
films were selected to demonstrate a
variety of types and severities of lung
abnormalities that frequently arise from
occupational dust exposure. Proper use
of the classification involves a visual
comparison of the test subject’s X-Ray
film side-by-side with the standards.
The test subject is assigned the
classification pertaining to the standard
radiograph or radiographs to which it is
most similar in appearance, i.e.,
Category 0/0, 1/1, 2/2, or 3/3; and the
types p/p, q/q, r/r, s/s, t/t, or u/u, where
applicable. The person undertaking the
classification, typically a physician
formally trained in the use of the ILO
Classification, completes a data entry
sheet where they record their
classifications of each of the various
abnormalities. In addition, ancillary
information on the quality of the
radiograph and the presence of other
medical findings is noted.
The ILO classification was developed
and used for over 50 years solely in
conjunction with film radiography. In
recent years radiographic technology
has advanced to digital imaging. This
poses severe problems for the use of the
ILO Classification since the test
subject’s image must be viewed on a
computer terminal screen while the
standards can only be seen on a separate
film viewing box. This results in the
process being extremely cumbersome,
while intrinsic differences in the
appearance of film versus digital images
interfere with the proper assessment of
abnormality. To minimize these
problems, the ILO released a set of
digitized images in 2011. These images
are digitized views of the existing film
images, obtained by formally scanning
each film to a digital file image.
While digitizing the current standard
reference films removed the need to
VerDate Sep<11>2014
18:14 Apr 03, 2015
Jkt 235001
employ a light box, as both images
could now be viewed on the same
computerized image display system
alongside that showing the subject’s
radiograph, it did not eliminate the
problems arising from different inherent
appearances between the original film
and the digital test images, since those
still remained in the digitized versions.
Ultimately, the best means to remove
the potentially interfering visual
differences from the comparison
between the digitally-acquired chest
radiographic image and the reference
image is to select new digitally-acquired
reference images.
NIOSH is collaborating with and
assisting the ILO in identifying a set of
22 digital images, each of which is
intended to mimic as closely as possible
the type and severity of abnormality
evident on each of the current standard
films/digitized images. There is no
intention to modify or alter the
underlying structure or format of the
existing ILO Classification. The final
outcome of this exercise will simply be
an additional set of standard reference
images, derived from digitally-acquired
images.
In pursuing this objective both NIOSH
and the ILO are aware that users of the
classification may feel that one or more
of the existing standard references do
not optimally demonstrate the specified
parenchymal or pleural findings.
Appendix C of the manual that
accompanies the ILO Classification [2]
provides comments on each of the
current standard radiographs.
Comments range from issues of quality
(e.g., unsharp, overexposed), excluded
regions (e.g., costrophenic angles), and
other factors. In addition, there is no
category 1/1 s/s standard as there
should be. Instead a 1/1 s/t is used.
Moreover, only single quadrant views
are available for all of the u/u type small
opacity severities when individual full
chest image standards would be better.
To the extent possible, it is hoped to
correct these known issues during the
identification of new digital images.
In addition to the published issues,
regular users of the ILO Classification
may feel that certain of the standard
reference radiographs are sub-optimal in
some way or another. For example,
perhaps the appearances of a particular
standard are generally felt to be at
variance with its formally-designated
degree of abnormality. In addition, there
may be other factors where there are
opportunities for improvement.
NIOSH and the ILO, in selecting the
new digital standard images, wish to
correct any technical issues affecting the
current standard reference radiographs.
To be able to do this, they require access
PO 00000
Frm 00077
Fmt 4703
Sfmt 4703
to information on perceived problems
with the current standards. This docket
is a request for information from
interested parties on perceived issues
with any of the current standards. This
request in no way involves comment on
the structure and content of the ILO
Classification per se. NIOSH and the
ILO will summarize the comments
received on each of the standard
radiographs, and employ that
information in the derivation of the new
digital standard reference radiographs.
Information Needs: NIOSH is seeking
additional data and information to
ensure that generally perceived
technical issues affecting any of the
current ILO Classification standard
radiographs are addressed in the
development of a set of digital standard
radiographs. Information is particularly
needed for:
(1) The standard reference title to
which your submitted comments apply.
For small opacities please state ‘small
opacities’ and the profusion (0/0, 1/1,
2/2, or 3/3, and the type (p/p, q/q, r/r,
s/s, t/t, or u/u, where applicable) for
which you are supplying comments. For
large opacities please state ‘large
opacities’ and the stage (A, B, C). For
pleural abnormalities, please state
‘pleural’.
(2) For radiographs concerning small
opacities, please note whether the
standard radiograph shows appearances
consistent with its designated profusion,
and if not, what profusion you believe
it shows.
(3) For radiographs concerning small
opacities, please note whether the
standard radiograph shows appearances
consistent with its designated type, and
if not, what type you believe it shows.
(4) For large opacities, please note
whether the standard radiograph shows
appearances consistent with its
designated stage, and if not, what stage
you believe it shows.
(5) For the composite radiograph
showing pleural abnormalities, please
note your concerns with each segment.
(6) For all, please note any problems
associated with other factors that impact
its optimal reliability as a standard,
indicate their effect on classification,
and suggest a solution for improvement.
References
1. NIOSH [2012]. Chest Radiography:
The NIOSH B Reader Program.
https://www.cdc.gov/niosh/topics/
chestradiography/breader.html.
2. NIOSH [2011]. Chest Radiography:
Evaluating Occupational Lung
Disorders. https://www.cdc.gov/
niosh/topics/chestradiography/
default.html.
E:\FR\FM\06APN1.SGM
06APN1
Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices
3. ILO [2011]. The ILO International
Classification of Radiographs of
Pneumoconioses. https://
www.ilo.org/safework/info/WCMS_
108548/lang--en/index.htm.
Dated: March 30, 2015.
John Howard,
Director, National Institute for Occupational
Safety and Health, Centers for Disease Control
and Prevention.
[FR Doc. 2015–07814 Filed 4–3–15; 8:45 am]
BILLING CODE 4163–19–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting of the Advisory Group on
Prevention, Health Promotion, and
Integrative and Public Health
Office of the Surgeon General
of the United States Public Health
Service, Office of the Assistant Secretary
for Health, Office of the Secretary,
Department of Health and Human
Services.
ACTION: Notice.
AGENCY:
In accordance with section
10(a) of the Federal Advisory Committee
Act, Public Law 92–463, as amended (5
U.S.C. App.), notice is hereby given that
a meeting is scheduled to be held for the
Advisory Group on Prevention, Health
Promotion, and Integrative and Public
Health (the ‘‘Advisory Group’’). The
meeting will be open to the public.
Information about the Advisory Group
and the agenda for this meeting can be
obtained by accessing the following
Web site: https://www.surgeon
general.gov/initiatives/prevention/
advisorygrp/.
DATES: The meeting will be held on
April 20, 2015 from 2:00 p.m. to 3:30
p.m. EST.
ADDRESSES: The meeting will be held
via teleconference. Teleconference
information will be published closer to
the meeting date at: https://www.
surgeongeneral.gov/initiatives/
prevention/advisorygrp/.
FOR FURTHER INFORMATION CONTACT:
Office of the Surgeon General, 200
Independence Ave. SW., Washington,
DC 20201; 202–205–9517;
prevention.council@hhs.gov.
SUPPLEMENTARY INFORMATION: The
Advisory Group is a non-discretionary
federal advisory committee that was
initially established under Executive
Order 13544, dated June 10, 2010, to
comply with the statutes under section
4001 of the Patient Protection and
Affordable Care Act, Pub. L. 111–148.
The Advisory Group was established to
assist in carrying out the mission of the
tkelley on DSK4VPTVN1PROD with NOTICES
SUMMARY:
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18:14 Apr 03, 2015
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National Prevention, Health Promotion,
and Public Health Council (the
Council). The Advisory Group provides
recommendations and advice to the
Council.
The Advisory Group was terminated
on September 30, 2012, by E. O. 13591,
dated November 23, 2011. Authority for
the Advisory Group to be re-established
was given under E. O. 13631, dated
December 7, 2012. Authority for the
Advisory Group to continue to operate
until September 30, 2015 was given
under Executive Order 13652, dated
September 30, 2013.
It is authorized for the Advisory
Group to consist of not more than 25
non-federal members. The Advisory
Group currently has 21 members who
were appointed by the President. The
membership includes a diverse group of
licensed health professionals, including
integrative health practitioners who
have expertise in (1) worksite health
promotion; (2) community services,
including community health centers; (3)
preventive medicine; (4) health
coaching; (5) public health education;
(6) geriatrics; and (7) rehabilitation
medicine.
The meeting will be held in order to
review and approve recommendations
developed by the Recommendation
Drafting Sub-Committee of the Advisory
Group. These recommendations are
directed towards the Council, the
Surgeon General, the Administration,
and other entities.
Members of the public have the
opportunity to attend the meeting and/
or provide comments to the Advisory
Group on April 20, 2015. Public
comment will be limited to 3 minutes
per speaker. Individuals who wish to
attend the meeting and/or provide
comments must register by 12:00 p.m.
EST on April 13, 2015. In order to
register, individuals must send their full
name and affiliation via email to
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Individuals planning to attend the
meeting who need special assistance
and/or accommodations, i.e., sign
language interpretation or other
reasonable accommodations, should
indicate so when they register. Members
of the public who wish to have
materials distributed to the Advisory
Group members at this scheduled
meeting should submit those materials
when they register.
PO 00000
18429
Dated: March 25, 2015.
Corinne M. Graffunder,
Designated Federal Officer, Advisory Group
on Prevention, Health Promotion, and
Integrative and Public Health, Office of the
Surgeon General.
[FR Doc. 2015–07744 Filed 4–3–15; 8:45 am]
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National Institutes of Health
Eunice Kennedy Shriver National
Institute of Child Health and Human
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Pursuant to section 10(d) of the
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Date: April 30, 2015.
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[FR Doc. 2015–07742 Filed 4–3–15; 8:45 am]
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]]>Agencies
[Federal Register Volume 80, Number 65 (Monday, April 6, 2015)]
[Notices]
[Pages 18427-18429]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-07814]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Docket Number CDC-2015-0008; NIOSH-282]
International Labour Office (ILO) Reference Radiographs
AGENCY: National Institute for Occupational Safety and Health (NIOSH)
of the Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Request for information and comment.
-----------------------------------------------------------------------
SUMMARY: The National Institute for Occupational Safety and Health
(NIOSH) of the Centers for Disease and Prevention is collaborating with
the Labour Inspection, Labour Administration and Occupational Safety
and Health Branch of the International Labour Office (ILO) in
developing a set of digital reference radiographs for the ILO
International Classification of Radiographs of Pneumoconiosis (ILO
Classification). The current ILO Classification depends on 22 standard
reference radiographs that are used to formally identify and
characterize pneumoconiosis and related pulmonary abnormalities arising
from occupational exposure. The original standards were based on film
radiography, but the advent of digital radiography has led to the need
for reference standards based on digitally-acquired images. NIOSH is
assisting the ILO in the process of identifying such digital images.
For this purpose, NIOSH is requesting trained users of the ILO
Classification (e.g., NIOSH B-Readers [1] and other such experts) to
submit comments regarding any of the current standard reference images
that are felt to be deficient and for which improvements could be made.
The current structure and format of the ILO Classification is to remain
unchanged at the present time. NIOSH is not soliciting comments on the
ILO Classification itself. Comments received on the ILO Classification
will be considered irrelevant to the purpose of this docket.
DATES: Electronic or written comments must be received by June 5, 2015.
ADDRESSES: You may submit comments, identified by CDC-2015-0008 and
docket number NIOSH-282, by any of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
Mail: National Institute for Occupational Safety and
Health, NIOSH Docket Office, 1090 Tusculum Avenue, MS C-34, Cincinnati,
OH 45226-1998.
Instructions: All information received in response to this notice
must include the agency name and docket number (CDC-2015-0008; NIOSH-
282). All relevant comments received will be posted without change to
www.regulations.gov, including any personal information provided. All
electronic comments should be formatted as Microsoft Word. For access
to the docket to read background documents or comments received, go to
www.regulations.gov. All information received in response to this
notice will also be available for public examination and copying at the
NIOSH Docket Office, 1150 Tusculum Avenue, Room 155, Cincinnati, OH
45226.
FOR FURTHER INFORMATION CONTACT: Michael Attfield, 1095 Willowdale
Road, Morgantown, WV 26505-2888, telephone (304) 285-5737 (this is not
a toll free number).
SUPPLEMENTARY INFORMATION:
Table of Contents
Background
Information Needs
References
Background: Chest radiographs (X-Rays) provide critical medical
information for the assessment of the pneumoconioses and related
disorders in individuals, for example, those caused by inhaling coal,
silica, and asbestos dusts [2]. Prior to 1950, the information evident
on a radiograph could only be interpreted qualitatively. However in
1950, the International Labour Office (ILO) established a more
quantitative system whereby the various parenchymal and pleural changes
could be formally recognized and categorized.
[[Page 18428]]
The quantitative system is not intended for the medical diagnosis of
the pneumoconioses and related occupational diseases, but has proved
invaluable for the accurate and reliable identification and
characterization of such diseases and disorders in many scientific and
administrative applications, including research into disease causation,
evaluation of risk in terms of dust exposure, disease surveillance,
disease prevention, and worker compensation. The ILO has periodically
held meetings of experts with the intent of improving and refining the
original classification scheme. The current edition is the
International Classification of Radiographs of Pneumoconiosis, Revised
Edition 2011 [3].
The ILO Classification, as of the 2000 revision, consists of 22
standard reference radiographic films. These films were selected to
demonstrate a variety of types and severities of lung abnormalities
that frequently arise from occupational dust exposure. Proper use of
the classification involves a visual comparison of the test subject's
X-Ray film side-by-side with the standards. The test subject is
assigned the classification pertaining to the standard radiograph or
radiographs to which it is most similar in appearance, i.e., Category
0/0, 1/1, 2/2, or 3/3; and the types p/p, q/q, r/r, s/s, t/t, or u/u,
where applicable. The person undertaking the classification, typically
a physician formally trained in the use of the ILO Classification,
completes a data entry sheet where they record their classifications of
each of the various abnormalities. In addition, ancillary information
on the quality of the radiograph and the presence of other medical
findings is noted.
The ILO classification was developed and used for over 50 years
solely in conjunction with film radiography. In recent years
radiographic technology has advanced to digital imaging. This poses
severe problems for the use of the ILO Classification since the test
subject's image must be viewed on a computer terminal screen while the
standards can only be seen on a separate film viewing box. This results
in the process being extremely cumbersome, while intrinsic differences
in the appearance of film versus digital images interfere with the
proper assessment of abnormality. To minimize these problems, the ILO
released a set of digitized images in 2011. These images are digitized
views of the existing film images, obtained by formally scanning each
film to a digital file image.
While digitizing the current standard reference films removed the
need to employ a light box, as both images could now be viewed on the
same computerized image display system alongside that showing the
subject's radiograph, it did not eliminate the problems arising from
different inherent appearances between the original film and the
digital test images, since those still remained in the digitized
versions. Ultimately, the best means to remove the potentially
interfering visual differences from the comparison between the
digitally-acquired chest radiographic image and the reference image is
to select new digitally-acquired reference images.
NIOSH is collaborating with and assisting the ILO in identifying a
set of 22 digital images, each of which is intended to mimic as closely
as possible the type and severity of abnormality evident on each of the
current standard films/digitized images. There is no intention to
modify or alter the underlying structure or format of the existing ILO
Classification. The final outcome of this exercise will simply be an
additional set of standard reference images, derived from digitally-
acquired images.
In pursuing this objective both NIOSH and the ILO are aware that
users of the classification may feel that one or more of the existing
standard references do not optimally demonstrate the specified
parenchymal or pleural findings. Appendix C of the manual that
accompanies the ILO Classification [2] provides comments on each of the
current standard radiographs. Comments range from issues of quality
(e.g., unsharp, overexposed), excluded regions (e.g., costrophenic
angles), and other factors. In addition, there is no category 1/1 s/s
standard as there should be. Instead a 1/1 s/t is used. Moreover, only
single quadrant views are available for all of the u/u type small
opacity severities when individual full chest image standards would be
better. To the extent possible, it is hoped to correct these known
issues during the identification of new digital images.
In addition to the published issues, regular users of the ILO
Classification may feel that certain of the standard reference
radiographs are sub-optimal in some way or another. For example,
perhaps the appearances of a particular standard are generally felt to
be at variance with its formally-designated degree of abnormality. In
addition, there may be other factors where there are opportunities for
improvement.
NIOSH and the ILO, in selecting the new digital standard images,
wish to correct any technical issues affecting the current standard
reference radiographs. To be able to do this, they require access to
information on perceived problems with the current standards. This
docket is a request for information from interested parties on
perceived issues with any of the current standards. This request in no
way involves comment on the structure and content of the ILO
Classification per se. NIOSH and the ILO will summarize the comments
received on each of the standard radiographs, and employ that
information in the derivation of the new digital standard reference
radiographs.
Information Needs: NIOSH is seeking additional data and information
to ensure that generally perceived technical issues affecting any of
the current ILO Classification standard radiographs are addressed in
the development of a set of digital standard radiographs. Information
is particularly needed for:
(1) The standard reference title to which your submitted comments
apply. For small opacities please state `small opacities' and the
profusion (0/0, 1/1, 2/2, or 3/3, and the type (p/p, q/q, r/r, s/s, t/
t, or u/u, where applicable) for which you are supplying comments. For
large opacities please state `large opacities' and the stage (A, B, C).
For pleural abnormalities, please state `pleural'.
(2) For radiographs concerning small opacities, please note whether
the standard radiograph shows appearances consistent with its
designated profusion, and if not, what profusion you believe it shows.
(3) For radiographs concerning small opacities, please note whether
the standard radiograph shows appearances consistent with its
designated type, and if not, what type you believe it shows.
(4) For large opacities, please note whether the standard
radiograph shows appearances consistent with its designated stage, and
if not, what stage you believe it shows.
(5) For the composite radiograph showing pleural abnormalities,
please note your concerns with each segment.
(6) For all, please note any problems associated with other factors
that impact its optimal reliability as a standard, indicate their
effect on classification, and suggest a solution for improvement.
References
1. NIOSH [2012]. Chest Radiography: The NIOSH B Reader Program. https://www.cdc.gov/niosh/topics/chestradiography/breader.html.
2. NIOSH [2011]. Chest Radiography: Evaluating Occupational Lung
Disorders. https://www.cdc.gov/niosh/topics/chestradiography/default.html.
[[Page 18429]]
3. ILO [2011]. The ILO International Classification of Radiographs of
Pneumoconioses. https://www.ilo.org/safework/info/WCMS_108548/lang_en/
index.htm.
Dated: March 30, 2015.
John Howard,
Director, National Institute for Occupational Safety and Health,
Centers for Disease Control and Prevention.
[FR Doc. 2015-07814 Filed 4-3-15; 8:45 am]
BILLING CODE 4163-19-P
