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      Minimal Internal Radiation Exposure in Residents Living South of the Fukushima Daiichi Nuclear Power Plant Disaster

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          Abstract

          Following the Fukushima nuclear power plant disaster, assessment of internal radiation exposure was indispensable to predict radiation-related health threats to residents of neighboring areas. Although many evaluations of internal radiation in residents living north and west of the crippled Fukushima nuclear power plant are available, there is little information on residents living in areas south of the plant, which were similarly affected by radio-contamination from the disaster. To assess the internal radio-contamination in residents living in affected areas to the south of the plant or who were evacuated into Iwaki city, a whole body counter (WBC) screening program of internal radio-contamination was performed on visitors to the Jyoban hospital in Iwaki city, which experienced less contamination than southern areas adjacent to the nuclear plant. The study included 9,206 volunteer subjects, of whom 6,446 were schoolchildren aged 4–15 years. Measurements began one year after the incident and were carried out over the course of two years. Early in the screening period only two schoolchildren showed Cs-137 levels that were over the detection limit (250 Bq/body), although their Cs-134 levels were below the detection limit (220 Bq/body). Among the 2,760 adults tested, 35 (1.3%) had detectable internal radio-contamination, but only for Cs-137 (range: 250 Bq/body to 859 Bq/body), and not Cs-134. Of these 35 subjects, nearly all (34/35) showed elevated Cs-137 levels only during the first year of the screening. With the exception of potassium 40, no other radionuclides were detected during the screening period. The maximum annual effective dose calculated from the detected Cs-137 levels was 0.029 and 0.028 mSv/year for the schoolchildren and adults, respectively, which is far below the 1 mSv/year limit set by the government of Japan. Although the data for radiation exposure during the most critical first year after the incident are unavailable due to a lack of systemic measurements, the present results suggest that internal radio-contamination levels more than one year after the incident were minimal for residents living south of the crippled Fukushima nuclear plant, and that the annual additional effective doses derived from internal Cs contamination were negligible. Thus, internal radio-contamination of residents living in southern radio-contaminated areas appears to be generally well controlled.

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          Cancer risks attributable to low doses of ionizing radiation: assessing what we really know.

          High doses of ionizing radiation clearly produce deleterious consequences in humans, including, but not exclusively, cancer induction. At very low radiation doses the situation is much less clear, but the risks of low-dose radiation are of societal importance in relation to issues as varied as screening tests for cancer, the future of nuclear power, occupational radiation exposure, frequent-flyer risks, manned space exploration, and radiological terrorism. We review the difficulties involved in quantifying the risks of low-dose radiation and address two specific questions. First, what is the lowest dose of x- or gamma-radiation for which good evidence exists of increased cancer risks in humans? The epidemiological data suggest that it is approximately 10-50 mSv for an acute exposure and approximately 50-100 mSv for a protracted exposure. Second, what is the most appropriate way to extrapolate such cancer risk estimates to still lower doses? Given that it is supported by experimentally grounded, quantifiable, biophysical arguments, a linear extrapolation of cancer risks from intermediate to very low doses currently appears to be the most appropriate methodology. This linearity assumption is not necessarily the most conservative approach, and it is likely that it will result in an underestimate of some radiation-induced cancer risks and an overestimate of others.
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            Studies of the mortality of atomic bomb survivors, Report 14, 1950-2003: an overview of cancer and noncancer diseases.

            This is the 14th report in a series of periodic general reports on mortality in the Life Span Study (LSS) cohort of atomic bomb survivors followed by the Radiation Effects Research Foundation to investigate the late health effects of the radiation from the atomic bombs. During the period 1950-2003, 58% of the 86,611 LSS cohort members with DS02 dose estimates have died. The 6 years of additional follow-up since the previous report provide substantially more information at longer periods after radiation exposure (17% more cancer deaths), especially among those under age 10 at exposure (58% more deaths). Poisson regression methods were used to investigate the magnitude of the radiation-associated risks, the shape of the dose response, and effect modification by gender, age at exposure, and attained age. The risk of all causes of death was positively associated with radiation dose. Importantly, for solid cancers the additive radiation risk (i.e., excess cancer cases per 10(4) person-years per Gy) continues to increase throughout life with a linear dose-response relationship. The sex-averaged excess relative risk per Gy was 0.42 [95% confidence interval (CI): 0.32, 0.53] for all solid cancer at age 70 years after exposure at age 30 based on a linear model. The risk increased by about 29% per decade decrease in age at exposure (95% CI: 17%, 41%). The estimated lowest dose range with a significant ERR for all solid cancer was 0 to 0.20 Gy, and a formal dose-threshold analysis indicated no threshold; i.e., zero dose was the best estimate of the threshold. The risk of cancer mortality increased significantly for most major sites, including stomach, lung, liver, colon, breast, gallbladder, esophagus, bladder and ovary, whereas rectum, pancreas, uterus, prostate and kidney parenchyma did not have significantly increased risks. An increased risk of non-neoplastic diseases including the circulatory, respiratory and digestive systems was observed, but whether these are causal relationships requires further investigation. There was no evidence of a radiation effect for infectious or external causes of death.
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              2011 Fukushima Dai-ichi nuclear power plant accident: summary of regional radioactive deposition monitoring results.

              After the Great East Japan Earthquake and resulting Tsunami on March 11, 2011, serious accident of the Fukushima Dai-ichi Nuclear Power Plant has been occurred. Huge amounts of radionuclides were released in atmosphere and ocean. Japanese prefectural governments have carried out environmental radioactivity monitoring; external dose rate, radioactivity measurements in environmental samples and others. Since March 18, 2011, daily and monthly deposition samples were collected in 45 stations covering Japanese Islands and radionuclides in the deposition samples were determined. We summarize radioactive deposition data reported by Japanese Government and study the depositional behaviors of the Fukushima-derived radionuclides. The results revealed that Fukushima-derived radioactive cloud dominantly affected in the central and eastern part of Honshu-Island, although it affected all of Japanese land area and also western North Pacific. The temporal change of the Fukushima-derived (137)Cs revealed that the apparent atmospheric residence time of the Fukushima-derived (137)Cs in sites within 300 km from the Fukushima Dai-ichi NPPis about 10 d. Copyright © 2011 Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                20 October 2015
                2015
                : 10
                : 10
                : e0140482
                Affiliations
                [1 ]Jyoban Hospital, Tokiwa Foundation, Iwaki, Fukushima, Japan
                [2 ]Department of Radiation Protection, Soma Central Hospital, Soma, Fukushima, Japan
                [3 ]Division of Social Communication System for Advanced Clinical Research, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo, Japan
                [4 ]Department of Radiation Protection, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan
                [5 ]Department of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan
                [6 ]Department of Physics, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
                University of South Carolina, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: M. Tokiwa HS. Performed the experiments: JA JM TT HS. Analyzed the data: JA SK M. Tsubokura M. Tokiwa HS. Contributed reagents/materials/analysis tools: KA SS RH. Wrote the paper: SK M. Tsubokura HS.

                Article
                PONE-D-15-25668
                10.1371/journal.pone.0140482
                4618064
                26484532
                15a1dfb3-3437-44cc-9f11-0f8cc6b8ea95
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 12 June 2015
                : 25 September 2015
                Page count
                Figures: 4, Tables: 0, Pages: 10
                Funding
                This work was supported by a Japan Health Foundation Grant to M. Tsubokura (#145100000258), which is for his broad research activity and not limited to this study.
                Categories
                Research Article
                Custom metadata
                Due to patient identifying information, data are available from the Ethics Committee in the Jyoban hospital for researchers who meet the criteria for access to confidential data.

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