Radiation Protection and Your National Council on Radiation Protection and Measurements (NCRP)

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Mid-Atlantic States Radiation Conference September 20, 2018 Radiation Protection and Your National Council on Radiation Protection and Measurements (NCRP) Kathryn D. Held, Ph.D. National Council on Radiation Protection and Measurements Massachusetts General Hospital/Harvard Medical School 1

NCRP A Council of 100 Radiation Professionals 1929: U.S. Advisory Committee on X-Ray and Radium Protection 1946: U.S. National Committee on Radiation Protection 1964: National Council on Radiation Protection and Measurements chartered by Congress (Public Law 88-376 ) 2

Advice, Reports, Research 3

Seven Program Area Committees (PACs) and Two Council Committees (CCs) PAC 1 - Epidemiology & Biology PAC 2 - Operational Radiation Safety PAC 3 - Security & Safety PAC 4 - Medicine PAC 5 - Environment & Waste PAC 6 - Dosimetry & Measurements PAC 7 - Risk Communication & Outreach Scientific Committees under PACs CC-1 Radiation Protection Guidance for the US (Report no.180; 2018) CC-2 Meeting the Needs of the Nation for Radiation Protection (WARP: Where Are the Radiation Professionals?) 4

14 (more or less) Active Committees Under PACs SC 1-24P2 Radiation Exposures in Space/CNS Effects SC 1-26 Integrating Radiation Biology and Epidemiology for Low Dose Risks SC 2-7 Radiation Safety of Sealed Radioactive Sources (Report 182; 2018) SC 2-8 Operational Radiation Safety Program SC 3-1P2 Implementation of Guidance for Radiation Responder Dosimetry SC 4-5 Radiation Protection in Dentistry SC 4-7 Evaluating and Communicating Risks for Human Studies SC 4-8 Improving Patient Dose Utilization in CT SC 4-9 Medical Exposures of Patients in the US SC 4-10 Error Prevention in Radiation Safety SC 5-2 Radiation Protection for NORM/TENORM SC 6-9 US Radiation Workers & Atomic Vets Dose Assessment (Report 178; 2018) SC 6-11 Medical Worker Dosimetry SC 6-12 Brain Dosimetry for Internal Radionuclides 5

Recently Completed Committees (2017-2018) SC 2-6 Radiation Safety Aspects of Nanotechnology SC 3-1 Guidance for Emergency Responder Dosimetry SC 1-25 Recent Epidemiologic Studies and Implications for LNT SC 1-20 Biological Effectiveness of Low-LET Radiations 6

Committees Coming Soon SC 1-27 Sex Differences in Lung Cancer (with Relevance to Astronauts) SC 6-10 Doses to Air Crew 7

Highlighting Selected Committees 8

CC-1/Report no. 180: Radiation Protection Guidance for the United States (will be available soon) K.R. Kase, Co-Chair D.A. Cool, Co-Chair A. Ansari F.A. Mettler, Jr. J.D. Boice, Jr. D.L. Miller J.T. Bushberg R.J. Preston L.T. Dauer G.E. Woloschak D.R. Fisher J.E. Till, Liaison P.A. Fleming S.J. Adelstein, Consultant K.A. Higley R.L. Anderson, Consultant R.N. Hyer M. Boyd, Consultant W.E. Irwin M. Rosenstein, Staff Consultant Thanks to CDC & NRC for financial support 9

CC 2: Meeting the Needs of the Nation for Radiation Protection WARP W.D. Newhauser (Med Phys), Co-Chair J.P. Williams (Rad Bio), Co-Chair Preparing Commentary Writing Team Leaders: Edward I. Bluth (Med) Michael A. Noska (HP) Sergei Tolmachev (Chem) Lawrence Townsend (N Engr) Lydia Zablotska (Epi) Thanks to CDC for funding 10

SC 1-25: Recent Epidemiologic Studies and Implications for the Linear-Nonthreshold Model Thanks to NRC for financial support R.E. Shore, Chair L.T. Dauer, Co-Chair H.L. Beck E.A. Caffrey S. Davis H.A. Grogan R.N. Hyer F.A. Mettler, Jr. R.J. Preston J.E. Till R. Wakeford L. Walsh R. Vetter, Staff Consultant Conclusion: Based on current epidemiologic data, no notably different alternative to the LNT model appears more practical and prudent for radiation protection purposes. 11

SC 3-1: (1) Guidance for Emergency Responder Dosimetry and (2) Implementation Guidance for Responder Dosimetry in an Emergency S. V. Musolino A. Salame-Alfie Co-Chairs Thanks to DHS, CDC, and NYC for financial support 12

SC 5-2: Radiation Protection for NORM & TENORM from Oil & Gas Recovery WE Kennedy, Chair D Allard M Barrie P Egidi G Forsee R Johnson A Lombardo R McBurney J Frazier Thanks to CRCPD and CDC for financial support 13

Radiation Exposure in the US Total Average Exposure per Person in US: 6.2 msv/yr (2x higher than 25 years earlier) Exposures from medical procedures increased 6- fold in ~25 years From NCRP Report No. 160, 2009 14

SC 4-9: Medical Exposure of Patients in the United States 85 2011 F.A. Mettler, Chair M. Mahesh, Co-Chair Thanks to CDC for funding 15

SC 1-24 Continuation: Radiation Exposures in Space and the Potential for CNS Effects Phase II Report Human Exploration Research Analog (HERA), JSC Les Braby Jacob Raber Thanks to NASA for funding 16

Radiation Effects on Dendritic Spines of Neurons Correlates with Behavior Changes (from Puspitisari, Held, et al., unpublished) (from Parihar et al. 2015) 17

Going to Mars Alzheimer s? Can Epidemiology Studies Help? 18

NCRP Annual Meetings 19

Armin Ansari & Adela Salame-Alfie, Co-Chairs 20

D Frush L Dauer, Co-Chairs Proceedings to be published in Health Physics, early 2019 21

2019 Annual Meeting: April 1-2, 2019 NCRP at Ninety: Our Best Answers to Frequently Asked Questions Fred A. Mettler, Jr., Chair, & Jerrold T. Bushberg & Richard J. Vetter, Co-Chairs See You There!

Other NCRP Activities Research Million Person Study (MPS, MWS) Partnerships (to name a few) CRCPD Image Gently Alliance Health Physics Society ICRP UNSCEAR IRPA 23

National Study of One Million U.S. Radiation Workers and Veterans Robert Oppenheimer, General Leslie Groves, Enrico Fermi, Hans Bethe, Theodore Hall GAO Report on Low Dose Radiation Needs, 2017 Low-Dose Radiation Research Act of 2018 HR 4675 HR 589 DOE OS shall carry out a low-dose radiation research program Manhattan Project 360,000 Atomic Veterans 115,000 Nuclear Utility Workers 150,000 Industrial Radiographers 115,000 Medical & other >250,000 Funding from DOE, DOD, NRC, NASA 24

Summary NCRP chartered by US Congress to provide independent scientific advice on matters related to radiation protection and measurements. Numerous documents on topics such as dose to lens of the eye, nanotechnology, emergency preparedness, dosimetry for epidemiology, LNT and low dose effects, space radiation, medical radiation, etc. Other activities include annual meetings, research, partnerships with numerous organizations. 25

Sponsors (Past & Present) 26

Acknowledgments Dr. John Boice, Staff at NCRP and Members of NCRP PACs and SCs THANK YOU 27