We recommend that the membership of the Recombinant 
Advisory Committee be expanded to include a greater proportion 
of representatives of the public interest and individuals with 
knowledge in public policy and technological impact on society. 
The decisions made by the RAC extend beyond strict technological 
assessments. They involve the social impact of a vast technology 
and therefore should have members representing all aspects of 
its decision-making functions. 
We also recommend that the Institutional Biohazard 
Committees expand their membership to include representatives 
of the State or equivalent local Health Department as well as a 
member of the laboratory workers engaged in the recombinant 
DNA research. 
The Proposed Revised Guidelines leave the system of 
medical surveillance up to the discretion of the individual 
institutions. The nature and extent of the medical surveillance 
system is left vague. We recommend that a biohazards officer be 
appointed at each institution, not just for institutions engaged 
in P3 and P4 level work as required in the Proposed Revised:' 
Guidelines, and with the cooperation of the institutional 
biohazard committee develop specific medical monitoring and 
record-keeping plans. The medical surveillance plan should 
include full medical histories, periodic medical checkups 
and samples taken of blood serum, intestinal flora or, 
depending on the agent being worked with, whatever is most 
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