Legislature(2011 - 2012)CAPITOL 106

03/22/2011 03:00 PM House HEALTH & SOCIAL SERVICES


Download Mp3. <- Right click and save file as

Audio Topic
03:04:53 PM Start
03:05:35 PM Presentation: the Potential Threat to Alaskans from Japan's Radiation
03:50:01 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                         March 22, 2011                                                                                         
                           3:04 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Wes Keller, Chair                                                                                                
Representative Alan Dick, Vice Chair                                                                                            
Representative Bob Herron                                                                                                       
Representative Paul Seaton                                                                                                      
Representative Beth Kerttula                                                                                                    
Representative Bob Miller                                                                                                       
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Charisse Millett                                                                                                 
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
PRESENTATION: THE POTENTIAL THREAT TO ALASKANS FROM JAPAN'S                                                                     
RADIATION                                                                                                                       
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
JOE MCLAUGHLIN, MD, MPH, Chief and State Epidemiologist                                                                         
Section of Epidemiology                                                                                                         
Division of Public Health                                                                                                       
Department of Health and Social Services (DHSS)                                                                                 
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Conducted a presentation and answered                                                                    
questions on the potential threat to Alaskans from Japan's                                                                      
radiation.                                                                                                                      
                                                                                                                                
KRISTIN RYAN, Director                                                                                                          
Division of Environmental Health                                                                                                
Department of Environmental Conservation (DEC)                                                                                  
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified and answered questions during the                                                              
presentation of the potential threat to Alaskans from Japan's                                                                   
radiation.                                                                                                                      
                                                                                                                                
DR. BERNARD JILLY, Director                                                                                                     
Public Health Laboratories                                                                                                      
Division of Public Health                                                                                                       
Department of Health and Social Services                                                                                        
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified and  answered questions during the                                                             
presentation  of the  potential threat  to Alaskans  from Japan's                                                               
radiation.                                                                                                                      
                                                                                                                                
CHRIS LABORDE, Emergency Program Manager                                                                                        
Division of Public Health                                                                                                       
Department of Health and Social Services                                                                                        
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified and  answered questions during the                                                             
presentation  of the  potential threat  to Alaskans  from Japan's                                                               
radiation.                                                                                                                      
                                                                                                                                
BRYAN FISHER, Operations Manager                                                                                                
Division of Homeland Security/Emergency Management                                                                              
Department of Military & Veterans' Affairs (DMVA)                                                                               
Ft. Richardson, Alaska                                                                                                          
POSITION  STATEMENT:   Testified during  the presentation  of the                                                             
potential threat to Alaskans from Japan's radiation.                                                                            
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:04:53 PM                                                                                                                    
                                                                                                                                
CHAIR  WES KELLER  called the  House Health  and Social  Services                                                             
Standing   Committee    meeting   to    order   at    3:04   p.m.                                                               
Representatives Keller, Miller, Dick,  and Seaton were present at                                                               
the call to  order.  Representatives Kerttula  and Herron arrived                                                               
as the meeting was in progress.                                                                                                 
                                                                                                                                
3:05:35 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER reflected on the nuclear crisis in Japan.                                                                          
                                                                                                                                
^Presentation:  The Potential  Threat  to  Alaskans from  Japan's                                                               
Radiation                                                                                                                       
  Presentation: The Potential Threat to Alaskans from Japan's                                                               
                           Radiation                                                                                        
                                                                                                                              
3:07:53 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER announced  that the only order of  business would be                                                               
a presentation on  the potential threat to  Alaskans from Japan's                                                               
radiation.                                                                                                                      
                                                                                                                                
3:08:13 PM                                                                                                                    
                                                                                                                                
JOE MCLAUGHLIN, MD, MPH, Chief  and State Epidemiologist, Section                                                               
of Epidemiology, Division of Public  Health, Department of Health                                                               
and  Social   Services  (DHSS),  presented  a   brief  PowerPoint                                                               
entitled  "The  Japanese  Nuclear  Crisis:   What  it  Means  for                                                               
Alaska" [Included in members' packets]  and directed attention to                                                               
slide 1,  "Implications for  Alaska."  He  stated the  three main                                                               
points to remember:  there  is no immediate or anticipated threat                                                               
for  harmful  levels  of  radiation  to  reach  Alaska;  Alaska's                                                               
seafood  is  unlikely  to  be  affected;  this  is  an  important                                                               
reminder that all  Alaskans should assemble a  home emergency kit                                                               
and a family response plan.                                                                                                     
                                                                                                                                
DR. MCLAUGHLIN moved on to slide  2, "Public Health Response to a                                                               
Radiation Emergency,"  and said that  some of the  primary duties                                                               
of the  Division of Public Health  were to inform the  public and                                                               
health care  providers with  a situational  update and  to supply                                                               
the tools  necessary to  reduce the  risk of  radiation exposure.                                                               
He  spoke  of the  duty  to  protect  the public  from  radiation                                                               
exposure with  shelter, evacuation  recommendations, distribution                                                               
of  radiation  medications,  and restriction  of  consumption  of                                                               
contaminated food.  He declared  a responsibility to decrease the                                                               
psychological  effects of  radiation  exposure and  to perform  a                                                               
long term follow up for exposed persons.                                                                                        
                                                                                                                                
3:10:30 PM                                                                                                                    
                                                                                                                                
DR.   MCLAUGHLIN   directed   attention   to   slide   3,   "DHSS                                                               
Communication Response,"  and shared  that DHSS had  responded to                                                               
media  requests,  and issued  press  releases,  messages, and  an                                                               
Epidemiology Bulletin.   He declared that  the principal messages                                                               
were:  no anticipated threat  to the health of Alaskans; Alaskans                                                               
should   not  be   taking   potassium   iodide;  monitoring   and                                                               
communication  was ongoing  with local  and state  partners; and,                                                               
all Alaskans should be prepared for emergencies.                                                                                
                                                                                                                                
3:11:39 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN, addressing  slide 4, "What can Alaskans  do to be                                                               
prepared for an  emergency?" stated that a  home emergency supply                                                               
kit, a vehicle emergency supply  kit, a family response plan, and                                                               
practice of the plan were all necessary.                                                                                        
                                                                                                                                
3:12:01 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN  directed attention to slide  5, "Alaska Radiation                                                               
Monitoring"  and  declared   that  Alaska's  monitoring  stations                                                               
continued  to show  normal background  levels of  radiation.   He                                                               
listed  the  five   monitoring  stations,  Anchorage,  Fairbanks,                                                               
Juneau, Dutch  Harbor, and Nome.   He  shared that the  DHSS home                                                               
page had more available data.                                                                                                   
                                                                                                                                
3:13:01 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN,  referencing slide 6, "Food  Supply," shared that                                                               
the  food supply  was closely  monitored with  increased targeted                                                               
sampling at  the border.   He noted that  less than 4  percent of                                                               
U.S. imported  food came  from Japan.   He reported  that current                                                               
models indicated that U.S. fishing waters would remain safe.                                                                    
                                                                                                                                
3:13:46 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN analyzed  slide 7, a table on  Exposure (rem) with                                                               
Notes and  Effects, and pointed  to the various  exposure amounts                                                               
that individuals  experienced on  a regular  basis.   He compared                                                               
that  the maximum  radiation reported  at  the main  gate of  the                                                               
Fukushima Daiichi  power plant  on March 15  was still  less than                                                               
exposure amounts for  acute health effects.  He  detailed some of                                                               
the effects of higher exposure.                                                                                                 
                                                                                                                                
3:15:48 PM                                                                                                                    
                                                                                                                                
DR.  MCLAUGHLIN summarized  slide 8,  "Availability of  Radiation                                                               
Medications,"   and  stated   that  radiation   medications  were                                                               
included  in  the  Strategic National  Stockpile,  but  that  the                                                               
Centers  for  Disease Control  and  Prevention  (CDC) would  only                                                               
deploy these  if there was a  "credible threat."  He  stated that                                                               
"no public  health risks are  expected from this disaster  in the                                                               
United States."                                                                                                                 
                                                                                                                                
3:16:57 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN  reviewed slide 9, "Summary,"  and reiterated that                                                               
there was no anticipated threat  of harmful radiation exposure to                                                               
Alaskans  at  this time;  Alaska's  seafood  was unlikely  to  be                                                               
affected;  and, all  Alaskans should  be prepared  for disasters.                                                               
He  stated  that  more  information was  available  on  the  DHSS                                                               
website.                                                                                                                        
                                                                                                                                
3:17:23 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLER asked for  a conversion of millisieverts to                                                               
rads or rems.                                                                                                                   
                                                                                                                                
DR. MCLAUGHLIN replied that one  sievert was equal to one hundred                                                               
rem, which  was also equal  to one thousand millisieverts  or one                                                               
million microsieverts.                                                                                                          
                                                                                                                                
3:18:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MILLER,  reflecting  that radiation  exposure  on                                                               
March 15  was 40  rem at  the Fukushima  Daiichi power  plant and                                                               
0.00008 rem in Tokyo, asked about the wind direction that day.                                                                  
                                                                                                                                
3:18:57 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN replied that he did not know.                                                                                    
                                                                                                                                
3:19:21 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MILLER asked,  as  the level  of catastrophe  was                                                               
related to wind  and altitude, what altitude was  attained by the                                                               
radiation in the Fukushima Daiichi power plant disaster.                                                                        
                                                                                                                                
3:19:30 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN  stated that  the Environmental  Protection Agency                                                               
(EPA) clarified  the difference between the  nuclear disasters in                                                               
Japan and Chernobyl.  He  detailed that Chernobyl had included "a                                                               
massive  explosion and  a  fire  that raged  for  10  days."   He                                                               
explained  that the  heat pushed  the  radioactive material  high                                                               
into the jet stream.   He stressed that this was  not the case in                                                               
Japan.                                                                                                                          
                                                                                                                                
3:20:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON,  clarifying   that  the  conversion  from                                                               
millisievert to rem  only entailed moving a  decimal point, asked                                                               
if the radioactive  measurement was for absolute  exposure or for                                                               
time duration.                                                                                                                  
                                                                                                                                
3:21:49 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN  explained that each of  the exposure measurements                                                               
on the graph differed.                                                                                                          
                                                                                                                                
REPRESENTATIVE  SEATON asked  how the  exposure of  5-50 rem  was                                                               
measured.                                                                                                                       
                                                                                                                                
DR.  MCLAUGHLIN replied  that  this would  be  an acute  exposure                                                               
event, and would occur over a very short period of time.                                                                        
                                                                                                                                
3:23:20 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  asked about  the time  of exposure  at the                                                               
main gate of the power plant.                                                                                                   
                                                                                                                                
DR. MCLAUGHLIN replied that the measurement was per hour.                                                                       
                                                                                                                                
3:23:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE DICK  asked if a flight  to Europe and a  chest x-                                                               
ray had comparable exposure amounts.                                                                                            
                                                                                                                                
3:24:11 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN said that the  radiation from one flight was quite                                                               
a bit less than a chest x-ray.                                                                                                  
                                                                                                                                
3:24:46 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLER asked  about the potency and  shelf life of                                                               
the potassium iodide in the strategic stockpile.                                                                                
                                                                                                                                
3:24:58 PM                                                                                                                    
                                                                                                                                
DR.  MCLAUGHLIN replied  that the  shelf life  was an  average of                                                               
seven years and its potency was for a daily dosage of 130 m/g.                                                                  
                                                                                                                                
REPRESENTATIVE  MILLER questioned  whether the  optimal ingestion                                                               
would be prior to exposure to radiation.                                                                                        
                                                                                                                                
DR. MCLAUGHLIN replied that the  optimal window for ingestion was                                                               
between 2  hours prior  and 4  hours after  exposure.   He stated                                                               
that the protective efficacy diminished  after 4 hours.  He noted                                                               
that potassium  iodide protected the thyroid  gland from exposure                                                               
to  radioactive  iodine,   whereas  other  medications  prevented                                                               
absorption of radiation.                                                                                                        
                                                                                                                                
3:26:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLER  asked if cesium  had been detected  in the                                                               
air near the Fukushima Daiichi power plant.                                                                                     
                                                                                                                                
DR. MCLAUGHLIN agreed.                                                                                                          
                                                                                                                                
3:27:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  asked about  the danger  to any  U.S. food                                                               
supplies outside the fishing waters.                                                                                            
                                                                                                                                
3:27:57 PM                                                                                                                    
                                                                                                                                
KRISTIN  RYAN,   Director,  Division  of   Environmental  Health,                                                               
Department of Environmental Conservation  (DEC), replied that DEC                                                               
was working closely  with the Food and  Drug Administration (FDA)                                                               
to monitor  food from Japan.   She stated that a  random sampling                                                               
program already existed at the ports of entry.                                                                                  
                                                                                                                                
3:28:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  asked if  there was  concern for  the food                                                               
supply closer to the reactor in Japan.                                                                                          
                                                                                                                                
MS. RYAN replied that Japan  was monitoring milk near the nuclear                                                               
facilities,  and advising  people  not to  consume anything  with                                                               
elevated levels of radiation.                                                                                                   
                                                                                                                                
3:29:50 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KERTTULA asked  if this  would have  a long  term                                                               
effect on marine mammals.                                                                                                       
                                                                                                                                
3:30:24 PM                                                                                                                    
                                                                                                                                
DR.   BERNARD  JILLY,   Director,  Public   Health  Laboratories,                                                               
Division  of  Public  Health, Department  of  Health  and  Social                                                               
Services,  said that  accumulation of  radioactivity depended  on                                                               
the half life of  the material.  He said the  half life of iodine                                                               
was eight  hours, whereas the half  life of cesium was  more than                                                               
30 years.   He allowed  that there was a  theoretical possibility                                                               
of "some  build-up in some  marine mammals."   He pointed  to the                                                               
dilution  factor  of  the  ocean  as a  factor  for  keeping  the                                                               
probability very low.                                                                                                           
                                                                                                                                
3:32:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLER asked where the cesium was coming from.                                                                   
                                                                                                                                
DR. MCLAUGHLIN  explained that fission occurred  when radioactive                                                               
uranium or  plutonium was used  in a  nuclear power plant.   This                                                               
process  caused the  atom to  split  into a  heavier and  lighter                                                               
molecule, iodine 131 and cesium.                                                                                                
                                                                                                                                
3:33:34 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER asked  where Alaska  medication was  stockpiled and                                                               
what was the procedure for distribution.                                                                                        
                                                                                                                                
3:33:57 PM                                                                                                                    
                                                                                                                                
CHRIS  LABORDE, Emergency  Program  Manager,  Division of  Public                                                               
Health,  Department  of Health  and  Social  Services, said  that                                                               
there was an Alaska strategic  national stockpile plan to receive                                                               
and  distribute   any  medical  countermeasures,  which   was  in                                                               
conjunction with  CDC.   She pointed out  that upon  any credible                                                               
threat, Alaska would receive the  stockpile of medications within                                                               
12 hours.   The plan would  allow the stockpile to  be warehoused                                                               
in  Alaska,  and   then  distributed  to  all   the  health  care                                                               
facilities  in  Alaska.   She  mentioned  that each  health  care                                                               
facility also had a distribution plan for its population base.                                                                  
                                                                                                                                
3:35:46 PM                                                                                                                    
                                                                                                                                
MS. LABORDE,  in response to Chair  Keller, said that it  was not                                                               
known  where the  stockpile  was kept,  or how  much  was in  the                                                               
stockpile.  She  relayed that it was brought into  Anchorage by a                                                               
normal transport  process, unless  an emergency  demanded support                                                               
from the Coast Guard or the National Guard.                                                                                     
                                                                                                                                
REPRESENTATIVE MILLER, noting that  the Aleutian Islands could be                                                               
in the wind  pattern from Japan, commented on  the difficulty for                                                               
quick transport to a remote location.                                                                                           
                                                                                                                                
3:36:56 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER  asked for  more  information  about the  radiation                                                               
monitoring equipment.                                                                                                           
                                                                                                                                
3:37:20 PM                                                                                                                    
                                                                                                                                
DR.  JILLY, in  response to  Chair Keller,  confirmed that  fixed                                                               
monitors  were  in Juneau,  Anchorage,  and  Fairbanks, and  that                                                               
portable devices were in Nome,  Dutch Harbor, and a second device                                                               
in Juneau.   He mentioned that these units were  on loan from the                                                               
Environmental Protection Agency (EPA) and  were part of a program                                                               
for radiological issues.                                                                                                        
                                                                                                                                
3:38:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MILLER asked  about the  distinction between  the                                                               
types of radiation  monitoring, and if there were  other types of                                                               
radiation for concern.                                                                                                          
                                                                                                                                
3:39:11 PM                                                                                                                    
                                                                                                                                
DR. JILLY, in  response, established that there  were three types                                                               
of  radiation:   alpha,  beta, and  gamma.   He  said that  alpha                                                               
radiation was  the nucleus  of the  atom, and,  as it  had little                                                               
penetration capability, could  be stopped with a  sheet of paper.                                                               
He  noted  that the  only  true  concern  would be  for  internal                                                               
ingestion.    He declared  that  beta  radiation, free  electrons                                                               
ejected from the atom, had  different energy levels which did not                                                               
directly correlate into  rem.  He confirmed  that gamma radiation                                                               
was pure  energy similar to light  or x-ray energy.   Gamma had a                                                               
capacity for deep penetration.   He explained that the monitoring                                                               
devices measured  beta and  gamma radiation.   He  mentioned that                                                               
the devices contained a filter  which captured the radiation, and                                                               
allowed  for in  depth  analysis  of alpha,  beta,  and gamma  to                                                               
determine the source of the radiation.                                                                                          
                                                                                                                                
3:41:26 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLER  asked for the  worst case scenario,  as he                                                               
ascertained a response time of at least five days.                                                                              
                                                                                                                                
3:42:34 PM                                                                                                                    
                                                                                                                                
DR. MCLAUGHLIN discussed  a worst case scenario  for a Chernobyl-                                                               
type event  in Japan.   He pointed  out a difference  between the                                                               
two  power plants,  as  the  Japanese power  plant  had six  inch                                                               
stainless  steel  protective  casings  and a  layer  of  concrete                                                               
around the  reactor, which Chernobyl  did not have.   He reported                                                               
that the time for a radiation  plume to reach Alaska would depend                                                               
on  the  altitude  of  that  plume, and  the  wind  strength  and                                                               
direction.  He detailed that  there would be an immediate request                                                               
to the strategic  stockpile, even before any  monitoring data was                                                               
received.   He  stated  that  there would  be  a  plan for  rapid                                                               
distribution  of the  medications  and for  emergency shelter  or                                                               
evacuation.  He  stressed that this would all  be initiated prior                                                               
to any monitoring  data from the five EPA stations.   He reported                                                               
that the data was received and tracked on a real time basis.                                                                    
                                                                                                                                
3:45:28 PM                                                                                                                    
                                                                                                                                
MS. LABORDE added that work was coordinated with CDC.                                                                           
                                                                                                                                
3:46:18 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER asked for any  projected effect on the nations close                                                               
to Japan.                                                                                                                       
                                                                                                                                
3:46:52 PM                                                                                                                    
                                                                                                                                
BRYAN   FISHER,   Operations   Manager,  Division   of   Homeland                                                               
Security/Emergency   Management,   Department   of   Military   &                                                               
Veterans' Affairs (DMVA), in response  to Chair Keller, said that                                                               
the prevailing winds  were blowing toward the  east and northeast                                                               
and that  there was no  specific information on effects  to other                                                               
countries.   He added  that there  were other  monitoring sources                                                               
outside Alaska, especially within Japan.   He shared that EPA had                                                               
stated that  it would be "a  couple of days before  anything made                                                               
its way to landfall in  Alaska."  He reflected that establishment                                                               
of  a  unified command  between  DHSS,  DMVA, and  Department  of                                                               
Environmental  Conservation (DEC)  would be  instituted if  there                                                               
was a  threat to Alaska.   He stated that the  primary objectives                                                               
would be to get the message  out for sheltering and evacuation to                                                               
the public  and the communities  in the  direct path.   He shared                                                               
that  this teleconference  system  for  discussion and  technical                                                               
guidance had just been implemented during the tsunami threat.                                                                   
                                                                                                                                
3:49:24 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER  reflected that  this  emergency  had provided  the                                                               
opportunity for a drill to evaluate the systems.                                                                                
                                                                                                                                
3:50:01 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 3:50 p.m.                                                                                                          

Document Name Date/Time Subjects
DHSS Radiation Briefing Juneau 3 22 11 FINAL.ppt HHSS 3/22/2011 3:00:00 PM
Briefing doc on Fukushima Nuclear Planet 2011.pdf HHSS 3/22/2011 3:00:00 PM
Small Scale Modular Nuclear Power; option for AK.pdf HHSS 3/22/2011 3:00:00 PM