How is probability of causation calculated under EEOICPA (The Act)?
NIOSH developed a computer program that is used by DOL to determine the probability of causation. The computer program, known as NIOSH-IREP, uses cancer risk models developed primarily by the National Cancer Institute (NCI) to estimate the probability of causation under The Act. The risk models take into account the energy employee’s cancer type, year of birth, year of cancer diagnosis, exposure information (years of exposure, radiation type, and dose). Smoking history is taken into account for lung cancer cases. Ethnicity is taken into account for skin cancer cases. Under Subtitle B of The Act, exposures to other occupational, environmental, or dietary carcinogens are not currently taken into consideration for the probability of causation calculation.