Recommendation	Status *	Synopses of Agency Actions
No. 9	A	Require periodic collection of spirometry & questionnaire data.	R
	B	NIOSH should share medical surveillance results w/MSHA.	C	Information being provided under an informal agreement with NIOSH.
	C	NIOSH should develop plan to determine which cases require followup.	O	Held staff-level discussions with NIOSH representatives re: Agency response.
	D	MSHA examine effectiveness of controls at mines w/new cases.	O	Initiated staff-level discussions of possible response strategies.
	E	Miners w/abnormal results may benefit from	O
		-- secondary prevention efforts and	O	Held staff-level discussions with NIOSH representatives re: Agency response.
		-- appropriate education re: nature of miningrelated lung diseases.	C	Initiated 'Silica Awareness Campaign' & distributed hazard information cards. [11/94]
	F	Extend medical testing of u.g. miners to surface miners.	O	Initiated rulemaking. [8/97]
No. 10	A	NIOSH oversee medical exams to achieve 85% participation rate.	O	Drafted directive re: Participation in periodic medical examination program. [6/97]
				Developed proposed media plan to promote participation in medical exams. [6/97]
	B	Frequency of periodic medical exams per NIOSH Criteria Document.	O	Held staff-level discussions with NIOSH representatives re: Agency response. [6/97]
	C	NIOSH should specify performance standards for medical tests, collect & analyze medical results, identify & investigate w/MSHA "hot spots."	O	Held staff-level discussions with NIOSH representatives re: Agency response. [7/97]
	D	MSHA should mandate operator medical examination programs.	C	Required by regulation in 42 CFR Part 37
				Drafted directive re: Inspection procedures for assessing compliance w/ regulations.
	E	MSHA should supply exposure & employment data to NIOSH.	C	Instituted process for annual download of required data by NIOSH. [7/97]
	F	Mine operators should pay for mandated medical testing.	C	Required for u.g. miners by sec. 203 (c) of the Mine Act.
	G	Improve miner participation by easier access to exams, effectiveness, education, timely notification of results, & maintain confidentiality.	O	To improve miner participation, notification of periodic medical exams mailed directly to miners’ residence by NIOSH.
	H	Promote the development of effective & accurate exposure classification.	O	Held staff-level discussions with NIOSH representatives re: Agency response.
	I	NIOSH should develop program to track & test former miners.	O	Held staff-level discussions with NIOSH representatives re: Agency response.
No. 11	A	Part 90 program should be evaluated to determine its effectiveness.	O	Held staff-level discussions with NIOSH representatives re: Agency response.
	B	Results of evaluation should be presented to an advisory committee.	O	Agency decision pending outcome of program evaluation.
No. 14	A	Protect construction workers, contract drillers & other workers.	O	Issued directive re: Sampling of contractors, construction sites and other employees.
	B	Expand medical surveillance & prevention research to contract workers.	P	Developed strategies for protecting the health of contractor employees.
	C	Assist OSHA to bring similar attention to exploratory drillers.	O	Established initial OSHA contacts.

* Status Codes:
C	- Effort(s) to address recommendation completed.
P	- Effort(s) completed but review & approval pending.
O	- Effort(s) ongoing.
R	- Requires rulmaking.