In 2020 a group of U.S. healthcare leaders formed the National Organization to Prevent Hospital-Acquired Pneumonia (NOHAP) to issue a call to action to address non–ventilator-associated hospital-acquired pneumonia (NVHAP). NVHAP is one of the most common and morbid healthcare-associated infections, but it is not tracked, reported, or actively prevented by most hospitals. This national call to action includes (1) launching a national healthcare conversation about NVHAP prevention; (2) adding NVHAP prevention measures to education for patients, healthcare professionals, and students; (3) challenging healthcare systems and insurers to implement and support NVHAP prevention; and (4) encouraging researchers to develop new strategies for NVHAP surveillance and prevention. The purpose of this document is to outline research needs to support the NVHAP call to action. Primary needs include the development of better models to estimate the economic cost of NVHAP, to elucidate the pathophysiology of NVHAP and identify the most promising pathways for prevention, to develop objective and efficient surveillance methods to track NVHAP, to rigorously test the impact of prevention strategies proposed to prevent NVHAP, and to identify the policy levers that will best engage hospitals in NVHAP surveillance and prevention. A joint task force developed this document including stakeholders from the Veterans’ Health Administration (VHA), the U.S. Centers for Disease Control and Prevention (CDC), The Joint Commission, the American Dental Association, the Patient Safety Movement Foundation, Oral Health Nursing Education and Practice (OHNEP), Teaching Oral-Systemic Health (TOSH), industry partners and academia.

At the Savannah River Site (SRS) we are currently finalizing the design for a multi-system vitrification process that will be installed in the F-Canyon Multi-Purpose Process Facility (MPPF), an existing highly shielded, remotely operated facility. Authorization to proceed beyond the preliminary design based on the recommendation of a Formal Design Review Board was requested in May of 1999.

The Savannah River Technology Center (SRTC) Process Development Group has been conducting research and developing a process to identify equipment design bases and process operating parameters since 1996. The goal of the project is to stabilize a tank of ∼11,000 liters of nitric acid solution containing valuable isotopes of americium (Am) and curium (Cm). Vitrification has been selected as the most attractive alternative for stabilization and provides the opportunity for recovery and eventual reuse of the actinides. The final glass form will be placed in interim storage awaiting a disposition by the Department of Energy. This paper presents a brief history of the stabilization program and an overview of the entire Am/Cm stabilization process. This paper also provides details of a specific processing issue related to drain tube pluggage (devitrification) that was encountered during the development of the baseline batch vitrification process, and the remedy employed to reduce the potential for further drain tube pluggage.