Supplementary Information. Renseignements supplémentaires. Exposé oral. Oral Presentation. Presentation from Jerry Cuttler

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CMD 18-H6.35A File / dossier: 6.01.07 Date: 2018-05-22 Edocs: 5541801 Supplementary Information Oral Presentation Presentation from Jerry Cuttler Renseignements supplémentaires Exposé oral Présentation de Jerry Cuttler In the Matter of À l égard de Ontario Power Generation Inc., Pickering Nuclear Generating Station Ontario Power Generation Inc., centrale nucléaire de Pickering Request for a ten-year renewal of its Nuclear Power Reactor Operating Licence for the Pickering Nuclear Generating Station Demande de renouvellement, pour une période de dix ans, de son permis d exploitation d un réacteur nucléaire de puissance à la centrale nucléaire de Pickering Commission Public Hearing Part 2 Audience publique de la Commission Partie 2 June 2018 Juin 2018

CNSC Public Hearing Part 2 Pickering, Ontario, June 25-29, 2018 OPG application for renewal of operating licence for Pickering NGS Intervenor Presentation Part A: Licence renewal application Part B: Health effects of radiation by Jerry M. Cuttler, D.Sc., P.Eng. Vaughan, Ontario June 26, 2018

Part A: Review of documents and presentations OPG application for renewal of operating licence OPG CMD submission: Request for 10-year licence CNSC Staff CMD submission: A licence renewal OPG presentation, Public Hearing Part 1 CNSC Staff presentation, Public Hearing Part 1 Commission members questions and the responses 2

Part A: Intervenor conclusions OPG application and CMDs are of high quality and detailed. Public Hearing presentations were effective and convincing. Pickering NGS design very safe; many barriers against release. Plant in good condition; well managed; CNSC is very watchful. Pressure tube fracture in 1983 showed calandria tube can take full HTS pressure. No public or worker safety concern. 3-inch pipe failure in 1994. No release of radioactive material. With on-going maintenance and pressure tube monitoring, Pickering NGS could operate safely beyond 2024. 3

Part A: Intervenor recommendations CNSC to approve of OPG application for 10-year licence. OPG to apply for licence to operate Pickering NGS beyond 2024, if economic conditions become favourable. 4

Part B: Health effects of radiation exposures X-rays and nuclear radiation used in medicine since 1896 --- for more than 120 years. Low doses treated many illnesses: cancers, infections, wounds, asthma, inflammations. Tolerance dose limit of 2 msv/day in 1924 for rad protection. U.S. National Academy of Sciences started radiation scare in 1956 for political purpose of stopping atomic bomb testing. LNT model to calculate risk of radiation-induced cancer. No evidence presented to support the change from tolerance dose limit to ALARA. All government regulators accepted it without reviewing facts. 5

Stimulation dose-response model vs. LNT model Threshold or 6

Part B: Modern understanding of radiation effects Aerobic metabolism (breathing air) produces reactive oxygen species (ROS) that damage biomolecules-dna at very high rate Organisms have many very powerful protection systems that: 1) produce antioxidants to prevent damage, 2) repair damage 3) kill/remove unrepaired cells, toxins 4) immune system kills cancer cells and pathogens 5) replace cells, restore health. Low level radiation: a million times lower damage rate than naturally-produced ROS. Low radiation dose stimulates the protection systems. Small burst of hits/ros causes beneficial health effects. Large dose inhibits protection, causing harmful effects. The thresholds for onset of harm are known. 7

Hiroshima leukemia threshold at 500 msv (50 rem) J-curve, not LNT model Threshold 8

γ-radiation dose-rate threshold > 700 mgy/year 9

Chernobyl NPP Workers April 26 th 1986 134 workers were treated for acute radiation syndrome 28 of them died within 3 months (doses: 2 to 16 Gy) 106 remained alive. 22 died over 19 years; their mortality = 1.09% per year It s lower than average mortality rate = 1.4% (in 2000). Their cancer mortality was 26% (in 2001), about the same as normal cancer incidence in Central Europe. No evidence of radiation-induced delayed effects. 10

Chernobyl NPP Residents April 26 th 1986 116,000 residents were evacuated, within 30 km radius. Their average dose was 17 mgy, which is very low. Many suffered post-traumatic stress; many early deaths due to fear of health effects, i.e., risk of cancer. Screening for thyroid cancer. Average dose to thyroid gland = 1.4 Gy for 2,400 children 0 to 3 years old. Hyperthyroid patients receive average 300 MBq of I-131, which delivers 300 Gy dose to thyroid gland; no cancers. Screening results in large overdiagnosis of natural occult thyroid cancer nodules. These nodules are rarely fatal. Unnecessary thyroidectomies are harmful. 11

Fukushima-Dai-ichi NPP March 11 th 2011 Plant worker doses did not exceed 700 msv/y limit (1924). 300,000 residents evacuated due to ICRP limit 1 to 20 msv/y. By 2012 March 31 st, 1632 died of disaster-induced stress, aggravation of existing illnesses; > 95% were > 60 years old. Highest total dose 1 st year = 235 msv; < 260 msv in Ramsar. Precautionary evacuation did not prevent harm. Resulted in 1632 premature deaths and extreme hardship. More than 70,000 are still evacuated. Returning residents are fearful of health effects. 12

91 µsv/h x 8766 h/y = 798 msv/y ~ natural HBRAs 13

Cumulative dose City of Ramsar, Iran up to 260 msv/year 14

Part B: Intervenor conclusions Regulators accepted tolerance dose of 2 msv/day in 1924. Antinuclear political activity led to LNT model, ALARA in 1956. Fear of cancer cut dose limit from 700 down to 10 msv/year. Now have biological explanations for low-dose stimulation of protection systems against high natural oxidative DNA damage. Nuclear regulators should return to dose thresholds and limits: 500 mgy acute and 700 mgy per year instead of LNT and ALARA Nuclear accidents do not harm residents; no evacuation needed Low doses should not be regulated; they are beneficial. Should study radiation-induced longevity instead of cancer. Fear blocks important applications of low-dose treatments. 15

Low-dose therapy to prevent cancer recurrence 150 mgy x twice per week x 5 weeks = 1500 mgy 16

Alzheimer s dementia patient in hospice. Three CT X-ray scans of brain in July Aug 2015. Quick recovery of appetite, cognition Also Parkinson s patient recovers after CT scan. No pills needed to control tremors. 17

Part B: Intervenor recommendations Nuclear regulators should examine the biological and medical evidence and study the mechanisms. Discuss this information in international meetings. Canadian authorities should find a way to inform Canadians about the real effects of ionizing radiation on their health. Then revise the radiation protection regulations. 18