Konstantin Kotenko and Sergey Shinkarev

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Comparative analysis of the countermeasures to mitigate exposure of the public to radioiodine following the Chernobyl and Fukushima accidents. Assessment of doses to the thyroid Konstantin Kotenko and Sergey Shinkarev State Research Center - Burnasyan Federal Medical Biophysical Center, Federal Medical Biological Agency, Moscow, Russia

Strategy before Chernobyl (1/3) Two main documents: Standards of Radiation Safety (SRS-76); (established the dose limits to the workers and the public) Criteria for decision making on measures. (established the radiological criteria to introduce countermeasures in the early phase)

Strategy before Chernobyl (2/3) Parameter Exposure level A B Whole-body dose from external exposure, Gy 0.25 0.75 Absorbed dose to thyroid from intake of radioiodines, Gy 0.25-0.30 2.5 Time-integrated concentration of 131 I in ground-level air, kbq s L -1 children 1,480 14,800 adults 2,590 25,900 Total integrated intake of 131 I with foodstuffs, kbq 55.5 555 Max concentration of 131 I in fresh milk, kbq L -1 or in daily diet, kbq d -1 3.7 37 Ground deposition density of 131 I on pasture, kbq m -2 25.9 259

Strategy before Chernobyl (3/3) Countermeasures in the early phase: - sheltering; - evacuation; - intake of stable iodine to block the thyroid. Dosage of KI pills were recommended at that time: - adults and children over 2 years old 250 mg of KI; - children up to 2 years old 40 mg of KI.

Chernobyl: countermeasures (1/3) Sheltering Was not applied anywhere except for a part of the residents of Pripyat town, located 4 km from the damaged reactor.

Chernobyl: countermeasures (2/3) Evacuation in 1986 Populations About 116,000 people (24,700 Belarusians, 91,400 Ukrainians, and 186 Russians). Dates Pripyat town April 27, 1986 Villages from the 10-km zone May 2-3 Villages from the 30-km zone May 3-7 Villages outside the 30-km zone May-September

Chernobyl: countermeasures (3/3) Administration of stable iodine Pripyat town - on April 26-27, 1986. Belarusian part of the 30-km zone on May 1-4 Ukrainian part of the 30-km zone on May 2-7 Outside the 30-km zone from middle of May through August Remark: Intake of stable iodine for the residents of Pripyat was effective. For the other populations it was too late and ineffective.

Fukushima: countermeasures (1/4) March 11, 20:50 evacuation of residents within the 2-km zone of F1; March 11, 21:23 evacuation of residents within the 3-km zone of F1 (6,000 people); March 12, 5:44 evacuation of residents within the 10-km zone of F1; March 12, 17:39 evacuation of residents within the 10-km zone of F2; March 12, 18:25 evacuation of residents within the 20-km zone of F1 (85,000 people).

Fukushima: countermeasures (2/4) March 15 directive to the residents in the area (20-30 km radius) to shelter (stay inside); March 15 directive to the residents to intake of stable iodine during evacuation; March 25 directive to the residents to deliberately evacuate in the area (20-30 km radius). April 21 directive of the prime-minister: around F1 to set up de facto exclusion zone for 20 km radius around F2 to reduce evacuation zone from 10 km to 8 km radius

Fukushima: countermeasures (3/4) April 22 a directive to the public in the 20-30-km area to shelter (stay inside) has been confirmed to set up a deliberate evacuation area (red line) and an evacuation-prepared area (yellow line)

Fukushima: countermeasures (4/4) Deliberate evacuation area: a reference level of the range (20-100) msv in case of emergency exposure according to the ICRP and IAEA has been considered; the total estimated dose during the first year will exceed 20 msv. Evacuation-prepared area in case of emergency: there is no control over the accidental reactors, in case of deterioration of the radiation conditions to stay inside or to evacuate on their owns.

Chernobyl: dose to thyroid (1/3) Monitoring of the 131 I thyroidal content for the public Territories, populations and dates: Belarus 200,000 residents. May 5 through June 1986 Ukraine 150,000 residents. May 5 through June Russia 45,000 residents. May 15 through June

Chernobyl: dose to thyroid (2/3) Individual doses derived from direct thyroid measurements for the Belarusian residents (Savkin and Shinkarev, 2007) Area Agegroup Thyroid dose, Gy <0.3 0.3-2.5 >2.5 Evacuated villages from three southern raions of Gomel Oblast Non-evacuated villages of three southern raions of Gomel Oblast Contaminated territories of Mogilev Oblast 0-3y 5.6% 39.8% 54.6% Adults 32.5% 60.0% 7.5% 0-3y 14.5% 55.8% 29.8% Adults 65.3% 33.7% 0.9% 0-3y 61.1% 37.1% 1.9% Adults 94.0% 6.0% 0.02%

Chernobyl: dose to thyroid (3/3) Average thyroid dose (Gy) for the children (0-17y) in the Belarusian and Ukrainian settlements based on thyroid measurements (Jacob et al, 2006)

Fukushima: dose to thyroid (1/2) Thyroid measurements Fukushima prefecture on March 26-30, 2011. 1080 children aged up to 15y. From three settlements: Iitate village, Kawamata town, Iwaki city. Hirosaki city on April 12-16. 62 evacuated people of various ages. From Tsushima district of Namie Town and coastal area of Minami Soma City.

Fukushima: dose to thyroid (2/2) According to the WHO report on Preliminary dose estimation (2012) 1 settlement (Namie town) (100-200) mgy; Fukushima prefecture (excepting Namie town) (10-100) mgy; In prefectures neighboring Fukushima (1-10) mgy; All other Japanese prefectures (1-10) mgy; The main contributors to thyroid dose inhalation and ingestion intakes and external exposure from fallout

Chernobyl vs Fukushima: dose to thyroid (1/2) A large-scale monitoring of the thyroidal radioiodine content of the public following the Chernobyl accident the basis for reliable estimate of individual thyroid doses for measured people and for developing realistic radioecological models to assess thyroid doses to unmeasured people. A small number of direct thyroid measurements following the Fukushima accident allows for using them only to validate the radioecological models of thyroid dose reconstruction.

Chernobyl vs Fukushima: dose to thyroid (2/2) Measurements of the 131 I thyroidal content: Chernobyl more than 400,000 residents Fukushima less than 2,000 residents Dominant pathway of 131 I: Chernobyl ingestion intake with fresh cows milk Fukushima inhalation intake Range of dose to the thyroid: Chernobyl up to 50,000 mgy Fukushima up to a few hundred mgy

Lessons (1/6) The strategy on the introduction, implementation, and withdrawal of countermeasures is driven by relevant national radiological criteria.

Lessons (2/6) Early notification of the people and immediate introduction of emergency plans are extremely important.

Lessons (3/6) Large-scale monitoring of thyroidal iodine content among the public is a solid basis for reliable estimates of thyroid doses. Early start of those measurements allows their use for adjusting the time and scale of countermeasures.

Lessons (4/6) Timely implementation of urgent countermeasures in the early phase of a radiological emergency is the most effective means to avert radiation doses to the population. Effectiveness of the countermeasures (in terms of cost per unit of averted dose) following the Chernobyl accident Countermeasures USD per 1 man-sv Area, time External exposure Sheltering 0.02-1 Pripyat, April 26-27, 1986 Relocation 130,000-500,000 Contaminated areas, 1990 Internal exposure Iodine prophylaxis 0.02-0.1 April-May, 1986 Restriction of consumption of food 13,800-120,000 Bryansk Oblast, Russia, 1989

Lessons (5/6) Preventing of ingestion intake of radioiodines by the public (Fukushima accident) is a strong measure for mitigation of the exposure to the thyroid that might have been several orders of higher if an ingestion intake had not been precluded (Chernobyl accident).

Lessons (6/6) In the intermediate and late phases of the accident the decision on the selection of specific countermeasures should be based on cost-benefit analysis while taking into account the public perception and acceptance of those strategies.

Thank you for your attention!