97-14700. Medical Screening for NSF-Sponsored Personnel Traveling to Antarctica  

  • [Federal Register Volume 62, Number 111 (Tuesday, June 10, 1997)]
    [Rules and Regulations]
    [Pages 31521-31523]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 97-14700]
    
    
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    NATIONAL SCIENCE FOUNDATION
    
    45 CFR Part 675
    
    
    Medical Screening for NSF-Sponsored Personnel Traveling to 
    Antarctica
    
    AGENCY: National Science Foundation.
    
    ACTION: Final Rule with request for comments.
    
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    SUMMARY: The National Science Foundation (NSF), as operator and manager 
    of the United States Antarctic Program (USAP), is assuming from the 
    Department of the Navy the responsibility for medical screening of all 
    persons who travel to Antarctica under the auspices of the USAP. This 
    rule sets forth the procedures, patterned on the current Navy 
    procedures, that the USAP will use in performing the medical screening.
    
    DATES: This rule is effective July 10, 1997. Comments, however, are 
    welcome at any time and will be considered in making future revisions 
    or modifications to the rule.
    
    ADDRESSES: All comments should be addressed to: Harry Mahar, Safety and 
    Health Officer, at Office of Polar Programs, Room 755, National Science 
    Foundation, 4201 Wilson Blvd., Arlington, VA 22230.
    
    FOR FURTHER INFORMATION CONTACT:
    Harry Mahar by telephone at (703) 306-1032 (not a toll-free number) or 
    by electronic mail at hmahar@nsf.gov through the INTERNET.
    
    SUPPLEMENTARY INFORMATION: Presidential Memorandum no. 6646 (February 
    5, 1982) sets forth the National Science Foundation's overall 
    management responsibilities for the entire United States national 
    program in Antarctica. That Memorandum instructed the NSF to maintain 
    the United States Antarctic Program (USAP) as an active and influential 
    presence in Antarctica designed to support the range of U.S. antarctic 
    interests. It directed the NSF to draw upon the capabilities of other 
    government agencies, on a cost-reimbursable basis, and commercial 
    support entities in meeting its managerial role in a cost-effective 
    manner.
        The NSF has utilized the Department of the Navy, as the Executive 
    Agent of the Department of Defense, to provide operational and logistic 
    support to the USAP, as described in an interagency
    
    [[Page 31522]]
    
    Memorandum of Agreement dated October 3, 1985. That Memorandum of 
    Agreement stipulated that the Navy would, among other services, 
    medically screen all USAP personnel for travel to Antarctica and 
    provide medical and dental services to USAP participants while deployed 
    there.
        In conducting medical screening, the USAP uses criteria set forth 
    in the U.S. Navy's Manual of the Medical Department/Bureau of Medicine 
    and Surgery (Article 15-64), a Navy regulation, which was established 
    over its forty year presence in Antarctica. The criteria reflect the 
    demands of the harsh Antarctic environment. Depending on assignment, 
    personnel may be working at terrestrial elevations as high as 12,000 
    feet (3,600 meters) and at temperatures as low as -123 deg.F 
    (-86 deg.C) and may be isolated for up to nine months. Moreover, 
    medical facilities in Antarctica are limited, and may be distant or 
    inaccessible from working or research sites. In medical emergencies, 
    timely evacuation to more comprehensive medical facilities off the 
    Antarctic continent may be impossible depending upon the location and 
    time of deployment. Rigorous screening criteria are therefore necessary 
    to identify individuals who are physically qualified and 
    psychologically adapted for assignment or travel to Antarctica.
        Over the last several years, the Navy's involvement with the USAP 
    has been reduced by mutual agreement, and many of the functions 
    historically provided by the Navy are being transferred to other 
    governmental and private sector entities. The medical care function, 
    including the medical screening of USAP participants, will be 
    transferred from the Navy to civilian contract support on October 1, 
    1997. During the transition, the NSF will continue to utilize the same 
    screening criteria previously established for the USAP.
        The NSF is publishing this final rule to prevent any discontinuity 
    in the medical screening process during the transition period. Because 
    this rule preserves the status quo and has no effect on any individual 
    beyond those already covered by the existing Navy regulation, it is 
    being issued in final form.
    
    Determinations
    
        I have determined under the criteria set forth in Executive Order 
    12866 that this rule is not a significant regulatory action requiring 
    review by the Office of Information and Regulatory Affairs. In 
    addition, this rule is excepted from the Administrative Procedure Act, 
    5 U.S.C. 553(a)(2), because it ``relat[es] to loans, grants [or] 
    benefits,'' and is related to NSF's internal management of the USAP. 
    Therefore, the APA does not require publication of a proposed rule for 
    public comment. The Regulatory Flexibility Act also does not apply to 
    this regulation because this regulation was not required to be 
    promulgated as a proposed rule by the Administrative Procedure Act 
    (APA), 5 U.S.C. 553, or by any other law. Consequently, no Regulatory 
    Flexibility Analysis has been or will be prepared. I have reviewed this 
    rule in light of Section 2 of Executive Order 12778 and certify for the 
    National Science Foundation that this rule meets the applicable 
    standards provided in sections 2(a) and 2(b) of that order. Finally, I 
    have determined that this rule does not require Congressional review 
    before taking effect pursuant to 5 U.S.C. 804(3)(B) because it involves 
    NSF's internal management of the USAP.
    
        Dated: May 13, 1997.
    Lawrence Rudolph,
    General Counsel.
    
    List of Subjects in 45 CFR Part 675
    
        Antarctica, Government employees, Health and safety, Scientists.
    
        For the reasons set forth in the preamble, 45 CFR Chapter VI is 
    amended by adding part 675 to read as follows:
    
    PART 675--MEDICAL CLEARANCE PROCESS FOR DEPLOYMENT TO ANTARCTICA
    
    Sec.
    675.1  Purpose and authority.
    675.2  Medical examinations.
    675.3  Medical clearance criteria.
    675.4  Waiver process.
    
        Authority: 42 U.S.C. 1870.
    
    
    Sec. 675.1  Purpose and authority.
    
        (a) This part sets forth the procedures for medical screening to 
    determine whether candidates for participation in the United States 
    Antarctic Program (USAP) are physically qualified and psychologically 
    adapted for assignment or travel to Antarctica. Medical screening 
    examinations are necessary to determine the presence of any physical or 
    psychological conditions that would threaten the health or safety of 
    the candidate or other USAP participants or that could not be 
    effectively treated by the limited medical care capabilities in 
    Antarctica.
        (b) Presidential Memorandum No. 6646 (February 5, 1982) (available 
    from the National Science Foundation, Office of Polar Programs, Room 
    755, 4201 Wilson Blvd., Arlington, VA 22230) sets forth the National 
    Science Foundation's overall management responsibilities for the entire 
    United States national program in Antarctica.
    
    
    Sec. 675.2  Medical examinations.
    
        (a) Any individual seeking to travel to Antarctica under 
    sponsorship of the United States Antarctic Program must undergo a 
    medical and dental examination to determine whether the individual is 
    physically qualified for deployment to Antarctica.
        (b) The medical and dental examinations may be conducted by a 
    qualified licensed physician or dentist of the candidate's choosing, or 
    designated by the employing organization, following instructions 
    provided by the USAP. The medical examinations shall include a medical 
    history, physical examination and appropriate clinical tests which 
    address major organ systems for medical conditions inconsistent with 
    safe deployment to Antarctica.
        (c) The candidate's physician/dentist will submit the required 
    medical information on the appropriate USAP-provided forms to a USAP-
    designated physician who will determine whether the individual is 
    qualified for deployment to Antarctica based upon Medical Clearance 
    Criteria established by the USAP. All information requested on the 
    forms shall be provided.
        (d) Candidates who anticipate spending the austral winter in 
    Antarctica (when evacuation may be impossible) are subject to 
    additional evaluation, including a determination of psychological 
    adaptability for such an isolated assignment. Psychological evaluations 
    of ``winter-over'' candidates shall be performed by a qualified team of 
    USAP-designated physicians/clinical psychologists.
    
    
    Sec. 675.3   Medical clearance criteria.
    
        (a) The USAP shall establish Medical Clearance Criteria for 
    determining eligibility for deployment to Antarctica. (See Medical 
    Standards for Antarctic Deployment available from the National Science 
    Foundation, Office of Polar Programs, Room 755.09 4201 Wilson Blvd., 
    Arlington, VA 22230).
        The criteria will include examination of the following major organ 
    systems:
        (1) Lungs and chest wall.
        (2) Heart and vascular system.
        (3) Abdominal organs and gastrointestinal system.
        (4) Endocrine or metabolic system.
        (5) Genitalia and urinary system.
        (6) Musculoskeletal.
        (7) Skin and cellular tissues.
        (8) Neurological Disorders.
        (9) Psychiatric or psychological.
        (10) Dental.
    
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        (b) The USAP may review and revise the Medical Clearance Criteria 
    periodically as appropriate.
    
    
    Sec. 675.4   Waiver process.
    
        (a) If an individual is found not physically qualified for 
    deployment to Antarctica, the USAP's contractor will inform the 
    individual of the determination and of the administrative waiver 
    process, and will provide a waiver application package to the 
    individual upon request.
        (b) The waiver applicant should send the completed waiver 
    application package to the USAP's contractor which will forward the 
    package to NSF's Office of Polar Programs for review and a 
    determination on the appropriateness of a waiver. In making the waiver 
    determination, the Office of Polar Programs may consult with other 
    qualified medical personnel and may require waiver applicants to take 
    further medical examinations or to furnish additional medical 
    documentation in support of the waiver application.
        (c) The Director, Office of Polar Programs (or designee) will make 
    a final determination, in the exercise of his or her discretion, on the 
    appropriateness of a waiver on a case-by-case basis.
        (d) Individuals for whom a waiver is determined to be appropriate 
    are eligible for deployment to Antarctica subject to any necessary 
    limitations/restrictions identified by the Director, Office of Polar 
    Programs, or designee.
    
    [FR Doc. 97-14700 Filed 6-9-97; 8:45 am]
    BILLING CODE 7555-01-M
    
    
    

Document Information

Effective Date:
7/10/1997
Published:
06/10/1997
Department:
National Science Foundation
Entry Type:
Rule
Action:
Final Rule with request for comments.
Document Number:
97-14700
Dates:
This rule is effective July 10, 1997. Comments, however, are welcome at any time and will be considered in making future revisions or modifications to the rule.
Pages:
31521-31523 (3 pages)
PDF File:
97-14700.pdf
CFR: (4)
45 CFR 675.1
45 CFR 675.2
45 CFR 675.3
45 CFR 675.4