Radiological Protection Countermeasures after TEPCO Fukushima NPP Accident -Who should play the role of risk communication-

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Radiological Protection Countermeasures after TEPCO Fukushima NPP Accident -Who should play the role of risk communication- Yasuhito Sasaki, M.D., Ph.D. Japan Radioisotope Association 26 th, Nov. 2011 at 11:30-11:50 Lecture Hall, Science Council of Japan, Tokyo

Contents 1. International Framework of Radiological Protection and Management 2. The 2007 Recommendation of the International Commission on Radiological Protection(ICRP) 3. Responses to Release of Radioactive Substances Reference: Quantities and Units used for Radiological Protection

Applications of Radiation and Radioisotopes Radiation Medicine Diagnosis(discovery of X ray, 1895), Therapy (discovery of Radium, 1898) Nuclear Medicine (discovery of radioactivity, 1896) Research in Life Sciences Industrial Use Application in Agriculture and Fishery

Radiation is a double-edged sword 1895 E.Grubbe describes x-ray dermatitis W. Fuchs publishes advice for protection of hands Golden rules of radiation protection: Time, Distance Shielding Protection of Workers (Professional Exposures)

1928 The Birth of ICRP (IXRPC) At the 2 nd International Congress of Radiology(ICR) The International X ray and Radium Protection Committee was established Chairman: Rolf Sievert

However, Things Changed Accelerators, Reactors, Fallout from nuclear weapon testing Managements of Radiation Exposures of the General Public UNSCEAR (United Nations Scientific Committee on Effects of Atomic Radiation) established in 1955 IAEA was established in 1957 IXRPC was renamed as XCRP in 1950 Excess leukemia and later solid cancers observed in A-bomb survivors Stochastic Effects (cancer and hereditary effects) was recognized

International Framework of Radiological Protection and Regulation Research (radiation effects) Statistical Materials (sources and exposures) UNSCEAR Reports ICRP Recommendations IAEA Standards National Regulations

Two Types of Radiological Effects Dose-Effect Relation tissue reaction Frequency cancer risk 100 threshold 1000 dose

Changes of Radiological Protection Standards Past Protection of workers in medicine protection of human avoid deterministic effects practical advices All workers assume environments are protected recognize stochastic effects dose limitation Present All exposures protection of environments(nonhuman biota) avoid deterministic effects, minimize stochastic effects optimization constraints and reference levels

Recent Recommendations of ICRP (translation by JRIA) Publ. 103 The 2007 Recommendations of the International Commission on Radiological Protection Publ. 109 Application of the Commission s Recommendations to the People in the Emergency Exposure Situation Publ. 111 Application of the Commission s Recommendations to the Protection of People Living in Long-term Contaminated Areas after a Nuclear Accident or a Radiation Emergency Publ. 96 Protecting People against Radiation Exposure in the Event of a Radiological Attack

System of RP of Humans based on the 2007 ICRP Recommendations Planned 3 Types of Exposure Situations Emergency Exposure Situations Existing 3 Categories of Exposures Occupational Exposures Public Exposures Medical Exposures of Patients (ICRP Publ.103)

Principles of Radiological Protection Justification Optimization as low as reasonably achievable (ALARA) Individual Dose limit Dose Limit does not apply to medical exposure of patients

Recommended dose limits in planned exposure situations Type of Limit Occupational Public Effective dose 20mSv per year, averaged over defined periods of 5 years 1mSv in a year Annual equivalent dose in: Lens of the eye 150mSv 15mSv Skin 500mSv 50mSv Hands and feet 500mSv -

The dose constraints and reference levels used in the Commission s system of protection Type of situation Occupational exposure Public exposure Medical exposure Planned exposure Dose limit Dose constraint Dose limit Dose constraint Diagnostic reference level (Dose constraint) Emergency exposure Reference level Reference level N.A. Existing exposure N.A. * Reference level N.A. *Exposures resulting from long-term remediation operations or from protracted employment in affected areas should be treated as part of planned occupational exposure, even though the source of radiation is existing.

3 Bands to be used for Optimisation of protection msv acute or annual dose Greater than 20 to 100 Greater than 1 to 20 1 or less Example Reference level set for the highest planned residual dose from a radiological emergency Constraints set for occupational exposure in planned situation Reference level set for the residual dose from existing exposure situation Constraints set for public exposure in planned situation

Response to Emergency Exposure Situation Aims of protection : Avoidance of severe deterministic effects Initial response : Reference levels for workers in rescue and early response actions Reference levels for members of the public Choose appropriate reference level within the band of 20-100 msv recovery phase existing exposure situation Choose appropriate reference level within the band of 1-20 msv

Managements of Aftermath of Radioactive Contamination Measurements of level of contamination: evacuation, off-limit, decontamination Estimation of level of human exposures Estimation of health effects caused by the exposures Rapid and rational plan and implementation of countermeasures Transdisciplinary cooperation and stake holder involvements

Establishment of Modern Science Coinage of scientist by W. Hewell in 1843 ---ist is a person dedicated to a specific narrow area like pianist vs musician

Changes of Knowledge Producing Modes Mode 1. Mode 2. Curiosity driven research Mission oriented R&D Closed circle of specialists Disciplinary Peer review Interaction between specialists and citizens Transdisciplinary Stake holder involvement

Various Trials Proposals to mass media how to communicate with members of the public in regard to radiation and its health effects, especially low dose radiation effects and its protection. Lectures for mass media : frame work of radiological protection in ICRP recommendations Panel discussions open to the general public Outreach through HP Mini-meeting and chatting at nursery schools located in slightly contaminated areas such as Kashiwa and Nagareyama cities.

Speciality + Transparency = Trust Interpreter Communicator Comprehension

Reference materials

Sex averaging to obtain the effective dose Radionuclide Intake & External Exposure Male phantom Absorbed doses, D Equivalent Doses, H M T M T W R Female phantom Absorbed doses, D Equivalent doses, H F T F T Reference Female Sex-averaged equivalent doses, H T W T Reference Person Effective dose, E

Equivalent dose H T,R =Σw R D T,R R unit:sv

Effective dose E=Σw T H T =Σw T Σw R D T T T R unit:sv

Recommended tissue weighting factors Tissue W T ΣW T Bone-marrow(red), Colon, Lung Stomach, Breast, Remainder tissues* 0.12 0.72 Gonads 0.08 0.08 Bladder, Oesophagus, Liver, Thyroid 0.04 0.16 Bone surface, Brain, Salivary glands, Skin 0.01 0.04 Total 1.00 * Remainder tissues: Adrenals, Extrathoracic(ET)region, Gall bladder, Heart, Kidneys, Lymphatic nodes, Muscle, Oral mucosa, Pancreas, Prostate( ), Small intestine, Spleen, Thymus, Uterus/cervix( )

Use of Effective Dose Should be used for prospective panning for radiological protection Should not be used for retrospective risk assessment of specific individuals who were exposed to radiation Should not be used for epidemiological studies