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Health Risks of Ionizing Radiation: - Clark University

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ii Contents<br />

Thorotrast ............................................................................................................. 24<br />

3.3 Radiotherapy for non-cancer disease .......................................................................... 24<br />

Tuberculosis ......................................................................................................... 25<br />

Ankylosingspondylitis ......................................................................................... 25<br />

Hyperthyroidism .................................................................................................. 26<br />

Radiotherapy for other non-cancer diseases ........................................................ 26<br />

Radiotherapy for non-cancer disease in children ................................................. 26<br />

3.4 Radiotherapy for cancer ............................................................................................. 28<br />

Radiotherapy for childhood cancer ...................................................................... 29<br />

3.5 In utero exposures ....................................................................................................... 29<br />

3.6 Parental exposures ...................................................................................................... 30<br />

3.7 Radiologists’ occupational exposures ......................................................................... 31<br />

3.8 Conclusions ................................................................................................................ 31<br />

4. ATOMIC BOMB SURVIVORS ........................................................................................ 43<br />

4.1 Introduction ................................................................................................................ 43<br />

RERF research ..................................................................................................... 43<br />

Doses .................................................................................................................... 44<br />

Uncertainties ........................................................................................................ 45<br />

4.2 Cancer mortality ......................................................................................................... 45<br />

4.3 Noncancer mortality ................................................................................................... 48<br />

4.4.1 Solid cancer incidence ................................................................................................ 48<br />

4.4.2 Incidence <strong>of</strong> leukemia and related cancers ................................................................. 49<br />

4.5 Incidence <strong>of</strong> noncancer disease .................................................................................. 50<br />

4.6 Preconception and prenatal exposures ........................................................................ 51<br />

4.7 Discussion ................................................................................................................... 52<br />

Age, time and gender ........................................................................................... 52<br />

Dose-response curves ........................................................................................... 52<br />

Applicability to other contexts ............................................................................. 53<br />

5. NUCLEAR WEAPONS TESTING .................................................................................. 58<br />

5.1 Military personnel ...................................................................................................... 58<br />

5.2 Semipalatinsk Test Site downwinders ........................................................................ 59<br />

5.3 Nevada Test Site downwinders ................................................................................... 60<br />

Leukemia .............................................................................................................. 60<br />

Thyroid disease .................................................................................................... 61<br />

5.4 South Pacific testing ................................................................................................... 63<br />

5.5 <strong>Health</strong> effects in Scandinavia ..................................................................................... 63<br />

5.6 Discussion ................................................................................................................... 63<br />

6. RADIATION WORKERS ................................................................................................. 70<br />

6.1 Introduction ................................................................................................................ 70<br />

Exposure limits .................................................................................................... 70<br />

Assessing risks ..................................................................................................... 72<br />

6.2 US facilities ................................................................................................................ 73<br />

Hanford ................................................................................................................ 73<br />

Oak Ridge ............................................................................................................ 75<br />

Oak Ridge and age at exposure ............................................................................ 76<br />

Rocketdyne .......................................................................................................... 77

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