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Health Risks of Ionizing Radiation: - Clark University

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1<br />

INTRODUCTION<br />

1.1 Goals<br />

The health risks <strong>of</strong> exposure to low levels <strong>of</strong><br />

ionizing radiation are disputed within the scientific<br />

community. <strong>Risks</strong> associated with exposure to high<br />

levels <strong>of</strong> radiation are widely accepted and well<br />

documented based primarily on the studies <strong>of</strong> the<br />

atomic bomb survivors in Nagasaki and Hiroshima.<br />

Some feel that the best way to estimate risk for lowlevel<br />

exposures is to extrapolate from higher doses,<br />

although there is some clear evidence <strong>of</strong> low-dose<br />

risk. In this overview we have attempted to give an<br />

unbiased summary <strong>of</strong> the available research with<br />

an emphasis on the lower doses. The strengths and<br />

weaknesses <strong>of</strong> the studies are explained in order<br />

to help assess the variety <strong>of</strong> sometimes conflicting<br />

evidence.<br />

Not every epidemiological study that has ever<br />

been done on the risks <strong>of</strong> radiation is included in<br />

this overview. The body <strong>of</strong> research is simply too<br />

great for us to have collected and read every study.<br />

We attempted to collect studies generally considered<br />

to be key for the various sources <strong>of</strong> exposure and<br />

to exhaust our own capabilities to collect as many<br />

studies as possible. Our search methodology<br />

included the use <strong>of</strong> the PubMed search engine<br />

and smaller follow-up searches through the end <strong>of</strong><br />

2003. Another source <strong>of</strong> epidemiologic data is the<br />

DOE Office <strong>of</strong> Environment, Safety and <strong>Health</strong>’s<br />

“Comprehensive Epidemiologic Data Resource” 1 ,<br />

which provides data sets and studies relating to<br />

worker health at DOE facilities, populations residing<br />

near DOE sites, atomic bomb survivors, and radium<br />

1 http://cedr.lbl.gov<br />

2 www.lowdose.org<br />

1<br />

dial painters. In light <strong>of</strong> the ongoing generation <strong>of</strong><br />

relevant information we have decided to consider<br />

our overview a work in progress and plan to release<br />

supplements <strong>of</strong> this initial review in the future.<br />

Our intended audience is not necessarily one that<br />

has been scientifically trained and so scientific terms<br />

will be discussed and defined in a glossary found at<br />

the end <strong>of</strong> the overview. The two following terms<br />

from our title defined the scope <strong>of</strong> our overview:<br />

<strong>Ionizing</strong> radiation refers to radiation that has<br />

enough energy to remove an electron from a neutral<br />

atom or molecule, creating a free radical. <strong>Ionizing</strong><br />

radiation is capable <strong>of</strong> creating DNA damage that<br />

can lead to cancer. <strong>Radiation</strong>s from sources such as<br />

power lines, cell phones, and traffic radars are all<br />

classified as non-ionizing radiation because they<br />

are not capable <strong>of</strong> removing an electron. There is<br />

ongoing research concerning health effects <strong>of</strong> nonionizing<br />

radiation but it will not be covered in this<br />

overview.<br />

Low dose. Although we have collected studies<br />

<strong>of</strong> a wide range <strong>of</strong> exposures we should define a low<br />

dose as a reference point for the reader. Generally<br />

speaking, a dose is low relative to doses where<br />

the evidence <strong>of</strong> a health risk is more robust. The<br />

Department <strong>of</strong> Energy’s (DOE) Low Dose <strong>Radiation</strong><br />

Research Program 2 has the fuzzy definition <strong>of</strong> any<br />

dose not documented to show significant health risks;<br />

they generally consider a low dose to be below 10<br />

rem or 0.1 Sieverts (Sv). The <strong>Health</strong> Physics Society<br />

recommends that exposures below 0.1 Sv only be<br />

evaluated qualitatively as the risks are too small to<br />

be observed. For the purposes <strong>of</strong> our overview we<br />

have considered doses below 0.1 Sv to be low.

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