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Coalition 
A sharing of these powers would help to ensure broader perspectives in 
crucial decision-making for the technology. 
RECOMMENDATIONS : The following changes and additions to the proposed 
revised Guidelines will increase protection of the 
health of the worker and the public. 
I. InduAtnJjU Regulation 
The NTH Guidelines should be extended to include industry 
on a mandated basis. 
il . E nviAo run zrvtat Monitoring 
Existing mechanisms for environmental monitoring should be 
required, and programs to develop necessary mechanisms be 
instituted . 
III. Biolog4.aU Monitoring and Medical SuAvcittance. 
1. All laboratories conducting recombinant DNA research 
should be required to keep official OSHA health and safety 
log forms. 
2. National standards for medical surveillance programs 
specific for each class of organisms and group of experiments 
should be developed and promulgated, in consultation with the 
Advisory Committee (to be reconstituted as described below) . 
3. Medical surveillance should be required for all workers 
potentially exposed to recombinant DNA material, and when 
appropriate, their families. 
4. Ongoing epidemiologic and bio-statistical analysis of 
the morbidity data should be required as it is accumulated at 
this central registry. In this manner, trends can be detected 
early on. 
IV. dlonkeA Education 
The guidelines should specify clearly the required components 
of training and of biohazard education. Further, they should 
delineateboth acute and chronic, known and suspected effects 
of exposure to the specific host-vector system involved. This 
educational program must be made available to all potentially 
exposed workers. 
[A-333] 
