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      Individual external doses below the lowest reference level of 1 mSv per year five years after the 2011 Fukushima nuclear accident among all children in Soma City, Fukushima: A retrospective observational study

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          Abstract

          After the 2011 Fukushima Daiichi nuclear power plant accident, little information has been available on individual doses from external exposure among residents living in radioactively contaminated areas near the nuclear plant; in the present study we evaluated yearly changes in the doses from external exposure after the accident and the effects of decontamination on external exposure. This study considered all children less than 16 years of age in Soma City, Fukushima who participated in annual voluntary external exposure screening programs during the five years after the accident (n = 5,363). In total, 14,405 screening results were collected. The median participant age was eight years. The geometric mean levels of annual additional doses from external exposure attributable to the Fukushima accident, decreased each year: 0.60 mSv (range: not detectable (ND)–4.29 mSv), 0.37 mSv (range: ND–3.61 mSv), 0.22 mSv (range: ND–1.44 mSv), 0.20 mSv (range: ND–1.87 mSv), and 0.17 mSv (range: ND–0.85 mSv) in 2011, 2012, 2013, 2014, and 2015, respectively. The proportion of residents with annual additional doses from external exposure of more than 1 mSv dropped from 15.6% in 2011 to zero in 2015. Doses from external exposure decreased more rapidly than those estimated from only physical decay, even in areas without decontamination (which were halved in 395 days from November 15, 2011), presumably due to the weathering effects. While the ratios of geometric mean doses immediately after decontamination to before were slightly lower than those during the same time in areas without decontamination, annual additional doses reduced by decontamination were small (0.04–0.24 mSv in the year of immediately after decontamination was completed). The results of this study showed that the levels of external exposure among Soma residents less than 16 years of age decreased during the five years after the Fukushima Daiichi nuclear power plant accident. Decontamination had only limited and temporal effects on reducing individual external doses.

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          Internal radiation exposure after the Fukushima nuclear power plant disaster.

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            The Fukushima Health Management Survey: estimation of external doses to residents in Fukushima Prefecture

            The Fukushima Health Management Survey (including the Basic Survey for external dose estimation and four detailed surveys) was launched after the Fukushima Dai-ichi Nuclear Power Plant accident. The Basic Survey consists of a questionnaire that asks Fukushima Prefecture residents about their behavior in the first four months after the accident; and responses to the questionnaire have been returned from many residents. The individual external doses are estimated by using digitized behavior data and a computer program that included daily gamma ray dose rate maps drawn after the accident. The individual external doses of 421,394 residents for the first four months (excluding radiation workers) had a distribution as follows: 62.0%, <1 mSv; 94.0%, <2 mSv; 99.4%, <3 mSv. The arithmetic mean and maximum for the individual external doses were 0.8 and 25 mSv, respectively. While most dose estimation studies were based on typical scenarios of evacuation and time spent inside/outside, the Basic Survey estimated doses considering individually different personal behaviors. Thus, doses for some individuals who did not follow typical scenarios could be revealed. Even considering such extreme cases, the estimated external doses were generally low and no discernible increased incidence of radiation-related health effects is expected.
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              Internal radiocesium contamination of adults and children in Fukushima 7 to 20 months after the Fukushima NPP accident as measured by extensive whole-body-counter surveys

              The Fukushima Dai-ichi NPP accident contaminated the soil of densely-populated regions in Fukushima Prefecture with radioactive cesium, which poses significant risks of internal and external exposure to the residents. If we apply the knowledge of post-Chernobyl accident studies, internal exposures in excess of a few mSv/y would be expected to be frequent in Fukushima. Extensive whole-body-counter surveys (n = 32,811) carried out at the Hirata Central Hospital between October, 2011 and November, 2012, however show that the internal exposure levels of residents are much lower than estimated. In particular, the first sampling-bias-free assessment of the internal exposure of children in the town of Miharu, Fukushima, shows that the 137Cs body burdens of all children (n = 1,383, ages 6–15, covering 95% of children enrolled in town-operated schools) were below the detection limit of 300 Bq/body in the fall of 2012. These results are not conclusive for the prefecture as a whole, but are consistent with results obtained from other municipalities in the prefecture, and with prefectural data.
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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
                24 February 2017
                2017
                : 12
                : 2
                : e0172305
                Affiliations
                [1 ]Department of Radiation Protection, Soma Central Hospital, Soma, Fukushima, Japan
                [2 ]Department of Health Risk Communication, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
                [3 ]Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan
                [4 ]Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, Norfolk Place, London, United Kingdom
                [5 ]Department of Internal Medicine, Soma Central Hospital, Soma, Fukushima, Japan
                [6 ]Department of Health Informatics, School of Public Health, Kyoto University, Kyoto, Kyoto, Japan
                [7 ]Global Public Health Unit, School of Social and Political Science, University of Edinburgh, Edinburgh, United Kingdom
                [8 ]Research Institute of Innovative Medicine, Tokiwa Foundation, Iwaki, Fukushima, Japan
                [9 ]Medical Governance Research Institute, Minato-ku, Tokyo, Japan
                Northwestern University Feinberg School of Medicine, UNITED STATES
                Author notes

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

                • Conceptualization: MT.

                • Data curation: SN TM YN.

                • Formal analysis: MM.

                • Funding acquisition: MM MK.

                • Investigation: MT MM.

                • Methodology: MT MM.

                • Project administration: MT SK MK.

                • Resources: MK.

                • Software: MM SN.

                • Supervision: MK.

                • Validation: MT MM.

                • Visualization: MM SN.

                • Writing – original draft: MT MM CL.

                • Writing – review & editing: MT MM SN TM YN CL SK MK.

                Author information
                http://orcid.org/0000-0001-8027-202X
                Article
                PONE-D-16-45201
                10.1371/journal.pone.0172305
                5325236
                28235009
                57286c8d-c410-4146-9266-d44f9330805e
                © 2017 Tsubokura et al

                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
                : 14 November 2016
                : 2 February 2017
                Page count
                Figures: 4, Tables: 2, Pages: 16
                Funding
                Funded by: Japan Society for the Promotion of Science (JP)
                Award ID: JP16H05894
                Award Recipient :
                Funded by: Japan Society for the Promotion of Science (JP)
                Award ID: JP24223002
                Award Recipient :
                This work was supported by JSPS KAKENHI [grant numbers JP24223002, JP16H05894].
                Categories
                Research Article
                Engineering and Technology
                Nuclear Engineering
                Nuclear Decontamination
                Medicine and Health Sciences
                Pharmaceutics
                Dose Prediction Methods
                Physical Sciences
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                Nuclear Physics
                Nuclear Power
                Biology and Life Sciences
                Biophysics
                Dosimetry
                Physical Sciences
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                Biophysics
                Dosimetry
                Physical Sciences
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                Nuclear Physics
                Nuclear Decay
                Physical Sciences
                Chemistry
                Radiochemistry
                Nuclear Decay
                Biology and Life Sciences
                Ecology
                Ecological Metrics
                Ecology and Environmental Sciences
                Ecology
                Ecological Metrics
                Physical Sciences
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                Radiology and Imaging
                Radiation Exposure
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