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Home Energy Professionals Certifications ISO/IEC 17024: 2021 Policies and Procedures Manual

The U.S. Department of Energy (DOE) enlisted its National Renewable Energy Laboratory (NREL) to coordinate the development of a framework for new certifications in the weatherization and home performance industry. The Home Energy Professional certifications support DOE's Weatherization Assistance Program (WAP) and the broader residential home performance industry through the credentialing process of defined job task analysis for energy auditors and quality control inspectors. The HEP certifications are not intended to supplant or infringe upon any existing industry-recognized credentials, however, the WAP and the home performance industry have utilized the advanced HEP certifications to promote quality work and standardized job task analysis since 2010. On an ongoing basis, NREL brings industry practitioners and subject matter experts together to develop, review, and revise the certification schemes in accordance with the International Organization for Standardization (ISO)/International Electrotechnical Commission (IEC) 17024 standard, "Conformity assessment - General requirements for bodies operating certification of persons" (ISO/IEC 17024). This handbook covers the policies and procedures for the process of developing, maintaining, and validating the certification schemes. Each policy and procedure includes the relevant ISO/IEC 17024 section at the beginning.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Nuclear Safety [Vol. 32, No. 4, October-December 1991]

Nuclear Safety is a review journal that covers significant developments in the field of nuclear safety. Its scope includes the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials, and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated. Table of Contents for this issue follows. GENERAL SAFETY CONSIDERATIONS: 477 Report on the International Symposium on the Use of Probabilistic Safety Assessment for Operational Safety—PSA '91, S. Chakraborty and M. Khatib-Rahbar; 488 Good Relationships Are Pivotal in Nuclear Data Bases, A. S. Heger and B. V. Koen; 494 Technical Note: The Interagency Nuclear Safety Review Panel's Evaluation of the Ulysses Space Mission, J. A. Sholtis, Jr., D. A. Huff, L. B. Gray, N. P. Klug, and R. O. Winchester; ACCIDENT ANALYSIS: 502 The Severe Accident Analysis Program for the Savannah River Nuclear Production Reactors, M. L. Hyder; CONTROL AND INSTRUMENTATION: 511 A Framework for Selecting Suitable Control Technologies for Nuclear Power Plant Systems, R. A. Kisner; DESIGN FEATURES: 521 Containments for Gas-Cooled Power Reactors History and Status, P.W. Williams; ENVIRONMENTAL EFFECTS: 537 Indoor Radon: A Natural Risk, N. H. Harley and J.H. Harley; On the Importance of the Atmospheric Parameters in the Fission Products Distribution of a Severe Reactor Accident, M. C. Barla and A. R. Bayulken; Book Review: Health Effects of Exposure to Low Levels of Ionizing Radiation BEIR V, C. R. Richmond; WASTE AND SPENT FUEL MANAGEMENT: 555 Activities Related to Waste and Spent Fuel Management, M. D. Muhlheim and E. G. Silver OPERATING EXPERIENCES: 567 Effects of Component Aging on the Westhinghouse Control Rod Drive System, K. Sullivan and W. Gunther; 577 Reactor Shutdown Experience, Compiled by J. W. Cletcher, 580 Selected Safety-Related Events, Compiled by G. A. Murphy; 582 Operating U 8 Power Reactors, Compiled by M. D. Muhlheim and E. G. Silver, RECENT DEVELOPMENTS: 596 General Administrative Activities, Compiled by M. D. Muhlheim and E. G. Silver; 610 Reports, Standards, and Safety Guides, D. S. Queener; 614 Proposed Rule Changes as of June 30, 1991; ANNOUNCEMENTS: 520 Workshop on PC PRAISE: A Probabilistic Fracture Mechanics Personal Computer Code for Nuclear Power Plant Piping Reliability Assessment; 536 Fifth Workshop on Nuclear Power Plant Containment Integrity; 624 New OECD "International Information System on Occupational Exposure (ISOE)"; 625 Harvard School of Public Health Announces Short Courses; 625 Eighth Power Plant Dynamics, Control and Testing Symposium; 626 Second Training Course on Off-Site Emergency Planning and Response for Nuclear Accidents; 618 The Authors; 622 Reviewers of Nuclear Safety, Vol 32.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Nuclear Safety [Vol. 32, No. 4, October-December 1991]

Nuclear Safety is a review journal that covers significant developments in the field of nuclear safety. Its scope includes the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials, and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated. Table of Contents for this issue follows. GENERAL SAFETY CONSIDERATIONS: 477 Report on the International Symposium on the Use of Probabilistic Safety Assessment for Operational Safety—PSA '91, S. Chakraborty and M. Khatib-Rahbar; 488 Good Relationships Are Pivotal in Nuclear Data Bases, A. S. Heger and B. V. Koen; 494 Technical Note: The Interagency Nuclear Safety Review Panel's Evaluation of the Ulysses Space Mission, J. A. Sholtis, Jr., D. A. Huff, L. B. Gray, N. P. Klug, and R. O. Winchester; ACCIDENT ANALYSIS: 502 The Severe Accident Analysis Program for the Savannah River Nuclear Production Reactors, M. L. Hyder; CONTROL AND INSTRUMENTATION: 511 A Framework for Selecting Suitable Control Technologies for Nuclear Power Plant Systems, R. A. Kisner; DESIGN FEATURES: 521 Containments for Gas-Cooled Power Reactors History and Status, P.W. Williams; ENVIRONMENTAL EFFECTS: 537 Indoor Radon: A Natural Risk, N. H. Harley and J.H. Harley; On the Importance of the Atmospheric Parameters in the Fission Products Distribution of a Severe Reactor Accident, M. C. Barla and A. R. Bayulken; Book Review: Health Effects of Exposure to Low Levels of Ionizing Radiation BEIR V, C. R. Richmond; WASTE AND SPENT FUEL MANAGEMENT: 555 Activities Related to Waste and Spent Fuel Management, M. D. Muhlheim and E. G. Silver OPERATING EXPERIENCES: 567 Effects of Component Aging on the Westhinghouse Control Rod Drive System, K. Sullivan and W. Gunther; 577 Reactor Shutdown Experience, Compiled by J. W. Cletcher, 580 Selected Safety-Related Events, Compiled by G. A. Murphy; 582 Operating U 8 Power Reactors, Compiled by M. D. Muhlheim and E. G. Silver, RECENT DEVELOPMENTS: 596 General Administrative Activities, Compiled by M. D. Muhlheim and E. G. Silver; 610 Reports, Standards, and Safety Guides, D. S. Queener; 614 Proposed Rule Changes as of June 30, 1991; ANNOUNCEMENTS: 520 Workshop on PC PRAISE: A Probabilistic Fracture Mechanics Personal Computer Code for Nuclear Power Plant Piping Reliability Assessment; 536 Fifth Workshop on Nuclear Power Plant Containment Integrity; 624 New OECD "International Information System on Occupational Exposure (ISOE)"; 625 Harvard School of Public Health Announces Short Courses; 625 Eighth Power Plant Dynamics, Control and Testing Symposium; 626 Second Training Course on Off-Site Emergency Planning and Response for Nuclear Accidents; 618 The Authors; 622 Reviewers of Nuclear Safety, Vol 32.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Explainable Artificial Intelligence Recommendation System by Leveraging the Semantics of Adverse Childhood Experiences: Proof-of-Concept Prototype Development

The study of adverse childhood experiences and their consequences has emerged over the past 20 years. Although the conclusions from these studies are available, the same is not true of the data. Accordingly, it is a complex problem to build a training set and develop machine-learning models from these studies. Classic machine learning and artificial intelligence techniques cannot provide a full scientific understanding of the inner workings of the underlying models. This raises credibility issues due to the lack of transparency and generalizability. Explainable artificial intelligence is an emerging approach for promoting credibility, accountability, and trust in mission-critical areas such as medicine by combining machine-learning approaches with explanatory techniques that explicitly show what the decision criteria are and why (or how) they have been established. Hence, thinking about how machine learning could benefit from knowledge graphs that combine “common sense” knowledge as well as semantic reasoning and causality models is a potential solution to this problem. In this study, we aimed to leverage explainable artificial intelligence, and propose a proof-of-concept prototype for a knowledge-driven evidence-based recommendation system to improve mental health surveillance. We used concepts from an ontology that we have developed to build and train a question-answering agent using the Google DialogFlow engine. In addition to the question-answering agent, the initial prototype includes knowledge graph generation and recommendation components that leverage third-party graph technology. To showcase the framework functionalities, we here present a prototype design and demonstrate the main features through four use case scenarios motivated by an initiative currently implemented at a children’s hospital in Memphis, Tennessee. Ongoing development of the prototype requires implementing an optimization algorithm of the recommendations, incorporating a privacy layer through a personal health library, and conducting a clinical trial to assess both usability and usefulness of the implementation. This semantic-driven explainable artificial intelligence prototype can enhance health care practitioners’ ability to provide explanations for the decisions they make.

adverse childhood experiences↗

Technical Assistance for Characterization Studies of Personal Protection Equipment (PPE) (Final CTAP Report)

Sandia National Laboratories (SNL) conducted an independent assessment of three different certified N95 respirators for the State of New Mexico Department of Homeland Security and Emergency Management. The testing conducted under this effort mimicked traditional NIOSH certification testing methodologies, where possible (NIOSH 2019). This included the use of a commercially available off-the-shelf (COTS) instrument typically used in industry for N95 respirator certification (ATI 2018). The COTS system, an Air Techniques International 100Xs automated filter tester, was used for all the testing reported in this document. It is important to note that SNL is NOT a certification laboratory, and all quantitative results are for informational purposes only. Additional technical information of N95-related efforts conducted by this team may be found in: Omana et al. (2020a), Omana et al. (2020b), Celina et al. (2020)

42 ENGINEERING↗

A comprehensive framework to assess elemental mercury in the Department of Energy: A descriptive analysis

Objective: This study investigated the relationship between personal breathing zone air samples and associated biological monitoring urine samples collected in the U.S. Department of Energy Operations. Methods: We performed standard descriptive analyses of the air sample and BEI monitoring data. We also provide a list of direct-reading instruments used in mercury field assessments. Results: A total of 2,330 air samples and 265 BEI data were analyzed. These data were grouped into 16 job titles, excluding categories with fewer than 10 samples, which resulted in 11 job titles. Conclusions: We conclude that industrial hygiene airborne sample data alone may not provide a complete assessment in exposure determination. We suggested the necessity of incorporating biological monitoring to determine the exposure.

60 APPLIED LIFE SCIENCES↗

A Prospective Trial Demonstrating the Benefit of Personalized Selection Of Breath-Hold Technique for Upper-Abdominal Radiation Therapy Using the Active Breathing Coordinator

For upper abdominal tumors, our institutional-standard motion reduction method is the expiration breath-hold (EBH) technique, using Active Breathing Coordinator (ABC). However, an individual patient's breath-hold (BH) reproducibility (R{sub BH}) may be improved in deep inspiration or inspiration breath-hold (DIBH or IBH). This trial compared the tumor position R{sub BH}, stability (S{sub BH}), and breath-hold time (T{sub BH}) of 3 BH methods, using ABC, to personalize the selection of technique, by using a preplanning screening assessment.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Measured indoor PM2.5, black carbon, and oxidative potential before and after replacing gas with induction cooking in asthmatic households

Cooking is a major source of fine particulate matter (PM) in homes and evidence to date is inconclusive about the impact of cooking fuel on measures of residential PM exposure. The Cooking Energy and Ventilation Impacts on Children's Asthma (CEVICA) study measured cooking frequency, range hood use, indoor air quality (IAQ) and respiratory health indicators of children with asthma living in homes with gas stoves in California's San Joaquin Valley. Intensive measurements occurred over three 2-week intensive periods: at baseline and at the end of two consecutive 3-month study phases. Participants were randomly assigned to have their gas stoves replaced with electric induction at the start of Phase 1 or Phase 2. As part of the IAQ assessment, we collected particulate matter on Teflon filters using ultrasonic personal air samplers (UPAS). The filters were analyzed to quantify time-integrated PM 2.5 mass concentration, black carbon (BC) oxidative potential (OP). OP was measured using the SLF-OH assay, an acellular chemical assay that quantifies production of OH radicals in simulated lung fluid (SLF). Across all comparisons, PM 2.5 mass tended to be higher during gas cooking than induction electric cooking, although only one transition (Baseline to Phase 1) was statistically discernible at p<0.05. BC and mass-normalized OP showed no measurable differences across stove types or across phases. These preliminary findings suggest that stove fuel alone may not be the dominant determinant of indoor PM 2.5 concentrations in this sample, as previous studies have reported that indoor PM 2.5 during cooking can also be influenced by factors such as cooking practices, food and oil type, kitchen ventilation, and outdoor infiltration.

Lin, Zhuoying↗

Assessing the nature of large language models: A caution against anthropocentrism.

Generative AI models garnered a large amount of public attention and speculation with the release of OpenAI’s chatbot, ChatGPT in November of 2022. At least two opinion camps exist – one that is excited about the possibilities these models offer for fundamental changes to human tasks, and another that is highly concerned about the power these models seem to have – especially since the release of GPT-4, which was trained on multimodal data and has ~1.7 trillion (T) parameters. We evaluated some concerns regarding these models’ power by assessing GPT-3.5 using standard, normed, and validated cognitive and personality measures. These measures come from the tradition of psychometrics in experimental psychology and have a long history of providing valuable insights and predictive distinctions in humans. For this seedling project, we developed a battery of tests that allowed us to estimate the boundaries of some of these models’ capabilities, how stable those capabilities are over a short period of time, and how they compare to humans.

97 MATHEMATICS AND COMPUTING↗

Assessing the nature of large language models: A caution against anthropocentrism

Generative AI models garnered a large amount of public attention and speculation with the release of OpenAI’s chatbot, ChatGPT in November of 2022. At least two opinion camps exist – one that is excited about the possibilities these models offer for fundamental changes to human tasks, and another that is highly concerned about the power these models seem to have – especially since the release of GPT-4, which was trained on multimodal data and has ~1.7 trillion (T) parameters. We evaluated some concerns regarding these models’ power by assessing GPT 3.5 using standard, normed, and validated cognitive and personality measures. These measures come from the tradition of psychometrics in experimental psychology and have a long history of providing valuable insights and predictive distinctions in humans. For this seedling project, we developed a battery of tests that allowed us to estimate the boundaries of some of these models’ capabilities, how stable those capabilities are over a short period of time, and how they compare to humans.

97 MATHEMATICS AND COMPUTING↗

Industrial Energy Management During a Pandemic: Lessons Learned from DOE Better Plants Program Partners

The COVID-19 pandemic is causing many challenges for manufacturers, especially those that depend on workers whose jobs cannot be performed remotely. This has detrimentally impacted the energy management workforce, energy support system performance, as well as operations and supply chains.This article discusses four primary challenges for industrial energy management caused by the pandemic, strained budget for energy projects, increased energy intensity caused by low production rates and other safety practices, limited access to energy systems, and the lost knowledge and experience of senior staff. This article also proposes some potential solutions for these challenges that include implementing no- and low-cost energy conservation measures, adopting alternative financing options, improving shutdown procedures, reducing baseloads, creating an effective online energy-monitoring system, performing virtual energy assessments, building a robust EnMS, and attending online and in-person training events.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

System Model Calculations for the Active Trenches of the Low-Level Burial Grounds, Hanford Site, Washington

Two lined trenches (Trench 31 and 34) located within the 200 West Low-Level Burial Ground (LLBG) area of the U.S. Department of Energy’s (DOE) Hanford Site are designated for permanent disposal of low-level radioactive waste (LLW) and mixed low-level radioactive waste (MLLW). In accordance with DOE O 435.1, Radioactive Waste Management, radioactive waste shall be managed and disposed in a manner that is protective of worker, public health and safety, and the environment. DOE O 435.1 requires a site-specific radiological performance assessment (PA) that includes calculations of potential releases and subsequent doses to members of the public for a period of 1,000 years after closure of a low-level waste (LLW) disposal facility. The purpose of this environmental calculation file (ECF) is to document the various dose calculations performed to support DOE’s LLBG PA. The dose assessments are performed to evaluate the potential exposure of an all-pathway representative person to radionuclide contaminants of potential concern (COPCs) that may be released from the LLBG Trenches 31 and 34 to the point of calculation (POC) located at the outer edge of a 100 m buffer zone surrounding the trench boundary. This ECF uses inputs from other ECFs and their associated model package reports (MPRs) supporting the LLBG PA. The five major objectives of this ECF are to present the results of the following: (1) Deterministic dose assessments for both groundwater and atmospheric exposure scenarios; (2) Radon-222 (Rn-222) flux emanating at the surface from the disposed wastes; (3) Uncertainty analyses of the groundwater pathway annual dose due to uncertainty in input parameters; (4) Sensitivity analyses of the input parameters that could potentially impact the fate and transport of the contaminants and doses; (5) Doses arising from inadvertent intruder exposure scenarios.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Smart Ventilation for Advanced California Homes

This project investigated smart ventilation approaches to minimize energy use for providing indoor air quality (IAQ) in high performance new California homes. Evaluation criteria included annual ventilation-related energy, peak energy and time-of-use savings, and the indoor air quality relative to a minimally code-compliant ventilation system. The simulations used CONTAM’s air flow and contaminant transport model, combined with the EnergyPlus building loads model. House types representing the default California Energy Code compliance homes were investigated for four California climate zones, covering a wide range of climate types. Both single and multi-zone smart ventilation controls were investigated. Contaminant sources included contaminants emitted continuously and varying with time, temperature and relative humidity, episodic emissions from occupant activities and outdoor particles. Single-zone ventilation controls that varied ventilation depending on outdoor temperatures were able to consistently save half of ventilation-related energy without compromising long-term IAQ. Ventilation strategies that tracked occupancy were less successful, because this work included generic contaminants with constant background emission rates. Energy performance for occupancy controls improved with a one-hour pre-occupancy flush out strategy. The addition of zoning ventilation controls did not offer significant IAQ to energy improvements compared to non-zonal versions of the same ventilation system type. The best controls had HVAC energy savings of 10-20%, with individual cases reaching up to 40% savings. However, these savings cannot be achieved without worsening personal exposures for at least one contaminant. A metric is needed to assess the competing changes in exposure to different contaminants in order to determine the net-health impacts of a control strategy. Controls that directly sensed contaminants and controlled them to acceptable levels showed that the California OEHHA limit for formaldehyde completely dominates system performance, with homes not able to meet the limit even with continuous operation of a fan sized to twice the current code minimum.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

The key role of the ferroptosis mechanism in neurological diseases and prospects for targeted therapy

Neurological disorders represent a major global health concern owing to their intricate pathological processes. Ferroptosis, defined as a form of cell death that is reliant on iron, has been closely linked to various neurological conditions. The fundamental process underlying ferroptosis is defined by the excessive buildup of iron ions, which initiates lipid peroxidation processes leading to cellular demise. Neurons, as highly metabolically active cells, are susceptible to oxidative stress, and imbalances in iron metabolism can directly initiate the ferroptosis process. In neurodegenerative disorders like Alzheimer’s disease and Parkinson’s disease, ferroptosis driven by iron accumulation represents a fundamental pathological connection. Although the connection between ferroptosis and neurological diseases is clear, clinical application still faces challenges, such as precise regulation of iron metabolism, development of specific drugs, and assessment of efficacy. The limited comprehension of the ferroptosis mechanism hinders the development of personalized treatment approaches. Consequently, subsequent investigations must tackle these obstacles to facilitate the clinical application of ferroptosis-associated therapies in neurological disorders. This article provides a comprehensive overview of the most recent advancements regarding the underlying mechanisms of ferroptosis. Subsequently, the study investigates the mechanistic contributions of ferroptosis within the nervous system. In conclusion, we evaluate and deliberate on targeted therapeutic strategies associated with ferroptosis and neurological disorders.

Xie, Chenyu↗

Comparative life cycle assessment of remote potable water supply for the Department of Defense

The Department of Defense (DOD) and other agencies, including relief organizations, require potable water for remote missions around the globe. As part of recent initiative by the U.S. Federal government through Executive Order 14057, the DOD has been instructed to investigate the sustainability of operations and practices within the context of climate change. One such practice that needs to be addressed is the procurement of potable water, an essential requirement of any remote mission or location. Currently, there are three primary means of procuring potable water at remote locations: bottled water, on-site purification, or tie-in to existing, local infrastructure. The first two operations are often considered the most secure options, but have sustainability concerns. The purpose of this study is to compare the environmental impacts of bottled water procurement versus on-site treatment via a mobile Reverse Osmosis Water Purification Unit (ROWPU), which uses multiple levels of filtration to make potable water from a local source. A cradle-to-gate assessment was developed for both systems to compare different options for potable water supply. An in person inventory was paired with data taken from the Ecoinvent 3.8 database to directly compare the two systems. The two systems are compared on a 5-year timeline to analyze the environmental impact of repeated bottled water transport versus diesel generator-fueled on-site treatment. Across all impact categories, the results indicate that high energy costs of the reverse osmosis process have significantly less impact on the environment than the repetitive transport and procurement of bottled water. The results of the study have important implications for advancing sustainable operations for remote communities or temporary settlements.

54 ENVIRONMENTAL SCIENCES↗

Hanford Site Composite Analysis: Dose Sensitivity Analyses

This environmental calculation file (ECF) documents the methodologies, assumptions, and results of five analyses that evaluate parameter changes to the revised Hanford Site Composite Analysis (CA) (DOE-RL-2019-52, Composite Analysis for Low-Level Waste Disposal in the Hanford Site Central Plateau). Specifically, this ECF describes the impact on total dose and analyte-specific doses for five sensitivity cases where changes to the following exposure-related parameters were implemented – (1) inventory, (2) recharge rate, (3) external dose conversion factors (DCFs) based on Federal Guidance Report (FGR) No. 15 in (EPA-402-R-19-002, Federal Guidance Report No. 15, External Exposure to Radionuclides in Air, Water, and Soil) instead of FGR No. 12 (EPA 402-R-93-081, Federal Guidance Report No. 12, External Exposure to Radionuclides in Air, Water, and Soil) for groundwater pathway scenario; (4) use of mean instead of 95th percentile intake assumptions for groundwater pathway scenario; and (5) consideration of limited sources based on U.S. Department of Energy (DOE) owned waste sites regulated under DOE O 435.1, Radioactive Waste Management. It should be noted that dose assessments for both base and sensitivity cases are based on the all-pathways representative person groundwater exposure scenario presented in DOE/RL-2022-52, Composite Analysis for Low-Level Waste Disposal in the Hanford Site Central Plateau.

54 ENVIRONMENTAL SCIENCES↗

Technical Background and Validation Report on the Residential Water Inhalation Risk Calculator Presented in the Risk Assessment Information System

Indoor air quality (IAQ) is critical for human health. Poor IAQ is linked to respiratory issues, cardiovascular diseases, and cancer. Indoor pollutants are emitted by typical household items such as cleaning products, personal care items, building materials, and tap water - an understudied volatile organic compound (VOC) source. This document presents the Residential Water Inhalation Risk Calculator (RWIRC), which estimates daily VOC exposure concentrations from various household water uses, such as showering and dishwashing, to assess exposure risks for the most vulnerable occupant. Integrated into the Risk Assessment Information System (RAIS) and sponsored by the US Department of Energy (DOE), the calculator divides a house into three compartments: shower, bathroom, and other spaces, accounting for daily water usage patterns and calculating VOC concentrations. Exposure data generated using the calculator can assist health assessors in estimating excess lifetime cancer risk (ELCR) and hazard index (HI) from VOC inhalation. Unlike traditional exposure models that utilize Andelman’s constant, the RWIRC continuously assesses variability in VOC concentrations and environmental conditions using differential equations to track VOC concentrations and air exchange between compartments. The calculator also provides unique volatilization fractions for each chemical and appliance, enhancing accuracy of the exposure concentration estimation. The RWIRC is accessible online and allows users to customize parameters (i.e., number of bathrooms, water temperature, and exhaust fan conditions) and input VOC characteristics (i.e., tap water and ambient air concentrations). This document provides a step-by-step guide on implementing the calculator. It also provides comparisons with the ATSDR-SHOWER calculator, using eight VOCs with varying physicochemical properties to reveal differences in algorithms and output concentrations. Simulations also assess how bathroom door positions and exhaust fan usage affect VOC exposure. The calculator results can enhance EPA risk screening levels for inhalation exposure to VOCs from tap water, offering a sophisticated tool for assessing inhalation risks and improving public health protection.

54 ENVIRONMENTAL SCIENCES↗

Relationship between Telework Experience and Presenteeism during COVID-19 Pandemic, United States, March–November 2020

Persons with COVID-19–like illnesses are advised to stay home to reduce the spread of SARS-CoV-2. We assessed relationships between telework experience and COVID-19 illness with work attendance when ill. Adults experiencing fever, cough, or loss of taste or smell who sought healthcare or COVID-19 testing in the United States during March–November 2020 were enrolled. Adults with telework experience before illness were more likely to work at all (onsite or remotely) during illness (87.8%) than those with no telework experience (49.9%) (adjusted odds ratio 5.48, 95% CI 3.40–8.83). COVID-19 case-patients were less likely to work onsite (22.1%) than were persons with other acute respiratory illnesses (37.3%) (adjusted odds ratio 0.36, 95% CI 0.24–0.53). Among COVID-19 case-patients with telework experience, only 6.5% worked onsite during illness. Telework experience before illness gave mildly ill workers the option to work and improved compliance with public health recommendations to stay home during illness.

60 APPLIED LIFE SCIENCES↗