The Health Effects of Radiation

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    The True Health Effects of Radiation

    Presented by Y. C. Luan

    on behalf of 14 authors from :

    Nuclear Science and Technology Association

    NBC contamination prevention Society

    and three Universities

    Presented in Moscow/Russia (July 2004)

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    Abstract

    . Health effects of radiation depend on the

    circumstances and the dose-rate of radiation

    being received.

    . Radiation can be classified into acute

    radiation and chronic exposure radiation.

    . Health effects of acute and chronic exposure

    radiation are contradicting each other.

    . Acute radiation is mostly harmful to people,

    but chronic radiation is always beneficial to

    people.

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    Introduction-1

    1. The health effects of radiation depend on the

    circumstances or dose rate of radiation being received.

    2. Acute radiation is radiation received instantaneously:

    a high dose rate in a short period of time.

    3. Chronic radiation is the radiation received continuously:

    a low dose rate during a long time.

    4. Chronic radiation, although it is feared as much as acute

    radiation, is actually beneficial to people.

    5. Chronic radiation was repetitively observed to be always

    beneficial to humans in the incident of Co-60

    contaminated apartments in Taiwan.

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    Introduction-2

    6. Health effects of acute and chronic radiation are

    entirely different: 86,572 atomic bomb survivors in

    Japan had a 5.4% increase in cancer mortality in 40

    years; but 10,000 irradiated residents in Taiwan had a97% decrease in cancer mortality.

    7. 31 Chernobyl firemen and workers received acute

    radiation from fission products and died; workers and

    public outside of plant were benefited when fissionproducts diluted and decayed to chronic radiation.

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    Introduction-3

    8. The chronic radiation such as experienced in Taiwan,

    might be used in the prevention of cancers and

    hereditary diseases.9. Traditional radiation protection should be revised for

    promoting the useful health effects of nuclear energy.

    10. The fear of chronic radiation should be abolished, and

    the spending of billions dollars for radiation protectionagainst chronic radiation should be saved.

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    The health effects of acute radiation

    1. Deterministic effects (short term effects) : acute radiation can

    cause radiation sickness and death.

    2. Stochastic effects (delayed effects) : acute radiation can

    increase cancer mortality as described in ICRP-60.3. The LNT hypothesis is based on the theory that any level of

    exposure to radiation is harmful, and that the effects of high

    doses of radiation can be extrapolated to low doses of

    radiation, based on LNT model.

    4. The LNT model of ICRP is simple, logical, and conservative,

    making possible calculations for governing radiation

    protection.

    5. But the LNT model is not appropriate for doses < 100 mSv.

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    The health effects of chronic radiation

    1. Radiation from natural background is chronic radiation.

    2. Radiation received by workers, and occasionally by public

    from the nuclear power plants, is also chronic radiation.

    3. Chronic radiation with doses received in a short lapse of time

    (a few weeks) lower than 100 mSv, is less harmful

    physiologically and pathologically than the same dose of

    acute radiation.

    4. Dr. Sternglass and many other scientists have claimed since

    the 1960s that chronic radiation accumulated over time have

    similar or even more harmful effects than acute radiation.

    5. Chronic radiation is thus often feared by people.

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    The controversy of radiation health effects-1

    1. LNT model was mainly derived from the leukemia

    deaths at high doses of acute radiation: 905 leukemias

    observed among 86,572 Hiroshima survivors (1%) :- with dose >1 Sv, leukemia mortality increased 5 times.

    - with dose >2 Sv, leukemia mortality increased 14 times;

    cohort of 2,819 survivors (3.2% of total 86,572)

    - A cohort of 32,915 (44.5% of total 86,572 survivors)

    having received a dose in 5 mSv-100 mSv range, had

    no excess, and even a decrease, in leukemia mortality.

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    The controversy of radiation health effects-2

    2. The Hiroshima survivors that received doses < 100 mSv, had

    no excess cancer deaths. This shows that the LNT model does

    not apply to low dose acute radiation < 100 mSv.

    3. Preston et al, 2003 RERF report, had more data, but no new

    results obtained.

    4. Dr Sohei Kondo, professor emeritus of Osaka University,

    asserted low acute radiation from atomic explosion could

    reduce the cancer mortality, and increase life span.

    5. Both ANS and HPS had statements stating that 50 mSv/y or

    100 mSv/life should not be taken in consideration to evaluate

    the individual radiation risk.

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    A radiological incident in Taiwan revealed chronic

    radiation is always beneficial to humans-1

    1. Epidemiological studies of people in the higher natural

    background radiation areas in Kerala (India), Yangjing

    (China) and Mountain States in USA, had lower cancer

    deaths. And higher doses received by nuclear workers in

    many countries result in lower cancer deaths. These results

    are still not accepted until today by the regulatory

    communities as human data proving that chronic radiation

    is beneficial to people.

    2. The Co-60 contaminated apartments incident, which

    occurred 20 years ago in Taiwan, did not show harmful

    effects to people, but only showed it was beneficial to them.

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    A radiological incident in Taiwan revealed chronic

    radiation is always beneficial to humans-2

    3. A Co-60 source was mixed in metal scrap, melted and

    drawn into steel bars which were used in the construction

    of 1700 apartments for about 10,000 residents in 1982-84.

    The first apartment was discovered in 1992, its residents

    were irradiated at least for 9 years, the other ones up to 20

    years. The annual dose in the first year 1983 was from

    about 50 mSv/y, high up to 600 mSv/y. The total averaged

    dose was starting at 0.4 Sv, and high up to 6 Sv.

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    A radiological incident in Taiwan revealed chronic

    radiation is always beneficial to humans-3

    4. The total doses cumulated in 20 years were higher than theaverage doses received by the atomic bomb survivors in Japan,

    and the Russian recovery workers in Chernobyl accident. If

    LNT model is appropriate for chronic radiation, the excessivedoses could induce at least 35 excess leukemia and 35 solid

    cancer deaths in 20 years. Actually no such deaths were

    observed. On the contrary, the spontaneous cancer deaths of the

    residents should have been about 232 in 20 years based on the

    vital statistics in Taiwan, but only 7 were observed (3% of the232 that could be expected), as shown in the following curve

    plotted by Luan et al since 1983.

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    A radiological incident in Taiwan revealed chronic

    radiation is always beneficial to humans-4

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    A radiological incident in Taiwan revealed chronicradiation is always beneficial to humans-5

    5. It was also observed that radiation could reduce hereditary

    malfunctions of the descendants of the residents: 46 based

    on LNT and 21 on congenital, but in reality reduced to 3

    (6.5% of the general public).

    6. No harmful health effects chronic radiation were observed

    in cytogenetic analysis.

    7. As the doses received from the natural background and the

    peaceful uses of nuclear energy are seldom bigger than the

    doses received in the Co-60 incident, it means that chronic

    radiation is usually always beneficial to humans.

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    A radiological incident in Taiwan revealed chronicradiation is always beneficial to humans-6

    8. The beneficial health effects of radiation observed in the

    Taiwan incident was coincidental to the theory of Dr. T.D.

    Luckey and his complete Dose-Response Curve: 100

    mSv/y is optimum to human health, and 10 Sv/y is still in

    the hormetic range if received in a continuous manner.

    9. The fact that chronic radiation is always beneficial to

    humans was discovered by a group of independent and

    knowledgeable scientists their reports were published in

    many international conferences and journals.

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    Most radiation is chronic radiation andbeneficial to humans

    1. In nuclear power plants, and related facilities, usually

    equipped with safety design and shielding, nuclear

    workers and public can receive only chronic radiation.2. The doses of chronic radiation received by nuclear

    workers and the public would be never higher than 50

    mSv/y, therefore it is always beneficial to them.

    3. Populations living in the high natural backgroundradiation areas always have lower cancer mortality.

    4. Beneficial effects of chronic radiation should be accepted

    by scientists, communities and regulation authorities.

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    Out of control radioactive source is still risky

    1. The health effects of chronic radiation from Co-60 incident

    in Taiwan were repetitively observed beneficial to humans,

    but incidents during which Co-60, Cs-137 or other isotope

    sources come out of control can nevertheless be harmfulby causing acute radiation, and they even could kill people.

    2. There were quite a few people killed in out of control

    incidents in Mexico, China, Brazil, and in Thailand.

    3. A big out of control incident of Co-60 occurred in Mexico1984, but no people were killed and the contaminated steel

    bars shipped to USA were shortly identified and recovered.

    4. The out of control incident in Taiwan was a unique case to

    show the true health effects of radiation.

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    The health effects of radiation from theChernobyl accident-1

    1. The Chernobyl accident was the source of both acute

    radiation and chronic radiation,

    2. The Chernobyl accident was described to be acatastrophe, and it frightened people everywhere in the

    world; but it was also a good opportunity to observe the

    health effects of both chronic and acute radiation.

    3. The meltdown of highly radioactive fission productsreleased high doses of radioactivity abruptly into the

    reactor hall. As a result, 31 firemen and workers received

    high doses of acute radiation in a short time, similar to

    the acute radiation received by Hiroshima bomb victims.

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    The health effects of radiation from theChernobyl accident-2

    4. The radiation received in Chernobyl accident continued

    over a longer period of time than Hiroshima and

    consisted of not only gamma, but also beta and alpha.

    The dose rate was about 1 Gy/hr on April 26, 1986, highenough to kill people.

    5. When fission products dispersed and deposited on large

    areas of ground, highly diluted in space and decayed over

    time to one tenth every seven-fold time lapses, it woulddecrease to about 1%, 10 mGy/hr, only 49 hours later .

    6. So that, within a few days after the accident, the initially

    dangerous (on site) acute radiation from fission products

    became chronic radiation, and beneficial to the public

    (off site) and even to recovery workers (on site).

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    The chronic radiation from the accident isharmless-1

    1. 200,000 Russian workers were engaged in the

    decontamination process and received an average dose

    of about 100 mSv, followed-up by the International

    Chernobyl Project (ICP) under the supervision of theIAEA and WHO.

    2. The ICP predicted 150 leukemia deaths in the ten years

    after the accident, based on LNT model. But none of

    such results were observed and reported in the decadeafter Chernobyl, at the conference co-sponsored by the

    EC, IAEA and WHO, held in Vienna in 1996 7

    3. There were also no such results described in UNSCEAR

    2000 annual report to the General Assembly.

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    The chronic radiation from the accident isharmless-2

    4. These reports meant that emergency workers and the

    evacuated public suffer no excess solid cancer deaths,

    though they had received quite increased amounts ofradiation.

    5. A severe nuclear accident like Chernobyl could only harm

    only few workers in the reactor hall. It could not harm

    workers and the public outside the power plant.6. Both reports indicated highly increased numbers of

    thyroid cancer incidences observed among the children,

    but no proper control cohort for exact comparison of

    thyroid cancer deaths of the children under the ages of 18.

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    Most radiation from accident is chronicradiation and beneficial to people-1

    1. Russian specialists from the National Science and

    Medical Academy followed the health results of the

    workers with their own RNMDR system, and thesummary report sent to IAEA as a letter to the IAEA

    BULLETIN editor ( IAEA BULLETIN 42/4/2000). They

    found that cancer deaths among the emergency workers

    were statistically lower than the control group of the

    general public: 48 leukose cases verified among the

    180.000 emergency workers in 14 years (1986-2000).

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    Most radiation from accident is chronicradiation and beneficial to people-2

    2. Assuming Russian workers in working age had the same

    spontaneous leukemia mortality of the Japanese of the same

    age (the cancer of total population is usually found similar

    for males in the ages of 20-50), the spontaneous leukemia

    deaths of the workers should have been about 118

    (180,000/86,572x162 x14/40 =118). Only 48 were observed.

    3. And assuming they had a similar cancer mortality as the

    population in Taiwan: 200 persons/100,000 person-years(ages in 34-64), and leukemia in about 2.6% of all cancers,

    The Russian workers number of leukemia should be at least

    131 (200/100,000 x 180,000 x 0.026 x 14 = 131). But only 48

    were observed.

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    Most radiation from accident is chronicradiation and beneficial to people-3

    4. Even if all 48 cases of leukoses meant leukemia death, it

    would still be lower than expected for Russian workers.

    5. The lower cancer death rate described in the Russian

    paper was attributed to the healthy worker effect and

    better medical care.

    6. What do healthy worker effect and better medical

    care mean ? If these could be clarified as not dominant,

    or the cancer deaths of the workers were statisticallysignificant, it could be concluded that the chronic

    radiation from Chernobyl accident is beneficial to the

    emergency workers, and to public in the fallout areas in

    the world.

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    Follow-up study of Chernobyl workers revealed

    chronic radiation also beneficial-1

    1. 65,905 emergency workers with external doses averaged

    in 100 mSv were followed by the Russian Academy of

    Medical Science and reported in 2001 HPJ.

    2. The report indicated that the death rate of Chernobylworkers was 0.6-0.9, lower than the general public death

    rate of 0.82.

    3. The cancer mortality of the workers in 1998 was 110

    persons /100,000 person-years, and the total cancerdeaths were 515 observed in 8 years (1991-1998).

    4. There was no comparison with Russian public reported.

    Assuming the workers had same cancer deaths as the

    Japanese, the cancer deaths should be about 1102

    (65,905 / 86,572 x 7244 x 8 / 40 = 1102)

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    Follow-up study of Chernobyl workers revealed

    chronic radiation might be also beneficial-2

    5. Assuming the workers ( in ages of about 36-66) have the

    same spontaneous cancer mortality as the general

    Taiwan population, i.e. 200 persons/100,000 person-

    year, the cancer deaths of the workers should have beenabout 1054 ( 200 /100,000 x 65,905 x8 =1054)

    6. 515 cancer deaths among 4995 total deaths in 8 years,

    was only 10%, seemed too low, compared with most

    countries of about 25 %. It should be over 1000.7. Peter Fong predicated in his paper to the Chernobyl

    conference after one decade in 1996: 3,000,000 cancer

    deaths might be prevented (not officially disclosed).

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    Follow-up study of Chernobyl workers revealed

    chronic radiation might be also beneficial-3

    8. The study by the Russian Medical Academy indicated

    also the lower mortality might be attributed to

    the Healthy worker effects and the incomplete data

    collection. If these uncertainty factors could be

    clarified as not dominant, the health effects of chronic

    radiation from accidents should be globally recognized.

    9. A nuclear accident might be only harmful to the workersinside the reactor hall, but beneficial to the workers and

    public outside the reactor. The public should therefore

    not fear nuclear accidents.

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    Conclusion and remarks-1

    1. Chronic radiation differs from acute radiation and was

    always beneficial to humans in the Taiwan observations.

    2. The cancer mortality induced to humans by acute

    radiation is hard to discern from the spontaneous

    cancers, which are often in big number and have long

    latent period; but people have a high cancer death rate,

    so as the chronic radiation could strongly protect from it,

    it could be easily identified in an epidemiological study.3. The incident of the Co-60 contamination has incidentally

    indicated that chronic radiation could effectively prevent

    against cancers, somewhat like a vaccine.

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    Conclusion and remarks-2

    4. There was no evidence indicating that hereditary defects

    could be caused by acute radiation; but chronic exposure

    to radiation could prevent the defects.

    5. The beneficial health effects of chronic radiation

    observed in Taiwan was limited to the low LET gamma

    radiation to whole body exposure. High LET radiation

    from radioactive material or internal contamination of

    Alpha and Beta also have beneficial effects observed inanimal tests.

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    Conclusion and remarks-3

    6. Atomic bomb explosion in Japan produced also big

    quantity of radioactive substances (fission products), but

    evaporated immediately to the stratosphere, and became

    global fallout, then gradually deposited on the ground in

    the world, which is also known as chronic radiation, and

    beneficial to people.

    7. Dr Peter Fong ever studied the fallout from the US

    atmosphere nuclear tests which did not increase but

    prevent millions of cancer deaths of Americans.

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    Conclusion and remarks-4

    8. Chronic radiation exposure to the workers and the public

    from nuclear power plants is similar to the radiation

    exposure to the residents in the Co-60 contamination in

    Taiwan, only in smaller doses, so that it is surely alsobeneficial to them.

    9. People receive the natural background radiation every

    day, and people in higher natural background areas often

    receive higher doses than the nuclear workers, so thatnatural radiation is essential to human beings.

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    Conclusion and remarks-5

    10. The public in the vicinity of nuclear power plants, should

    not fear radiation, but welcome it, even in case of

    accident.

    11. Governmental radiation protection measures should not

    be strictly conducted based on LNT model, and nuclear

    energy should be considered as the safest energy.

    12. A nuclear accident could occasionally occur, only its

    acute radiation could harm a few workers, and theycould be avoided with some reasonable procedure.

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    Conclusion and remarks-6

    13. Cancer deaths and hereditary defects are disastrous and

    miserable sicknesses, it is now known that it could be

    prevented by chronic radiation in proper doses.

    14. Numerous animal tests in many countries indicate that

    dose rates > 1mSv/hr were beneficial to the animals. And

    authors in our study have purposely tested the health of

    mice with dose rates >1 mSv/hr which showed also

    healthy results to mice.

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    Conclusion and remarks-7

    15. The incident of Co-60 contamination in Taiwan showed

    that many residents living in 1 mSv/hr apartments in

    1983 are still healthy.

    16. This paper tentatively suggests

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    Conclusion and remarks-8

    18. Many studies indicated beneficial health effects of

    chronic radiation could be useful in cancer therapies,

    enhancement of immune system, activation of gene p53,

    against diabetes, AIDS, for pain relief, etc. Such studiesare valuable to human beings, should be further studied.

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    Recommendation-1

    1. The findings in the Co-60 incident could be regarded as

    more important than the findings obtained in the atomic

    bomb explosion in Japan, but they need more studies by

    the international scientists and communities, especiallyon the mechanism of the beneficial effects, and

    communicate the entire world of the results to the

    medical and nuclear energy applications.

    2. From the experiences obtained from the incident of Co-60 contamination, and the beneficial effects observed in

    the Chernobyl accident, the conventional radiation

    protection should be revised for elevating application of

    nuclear energy.

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    Recommendation-2

    3. This paper tentatively recommended the 1mSv/hr and

    1 Sv/y as the acceptable hourly and annual dose rate limit

    for the nuclear energy workers and the public. The 50

    mSv as the optimum annual doses to people,

    4. The emergency plans for the nuclear reactor accidents

    and for out of control of radioactive sources of course

    should be also revised.

    5. As cancers and hereditary defects are miserable sicknesses,the medical scientists and communities should design

    appropriate radiation irradiators, and use the optimized

    doses in preventing these miserable sicknesses

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    Profile of the authors (I)

    W.L. Chen

    Ph. D.

    Director, Department of Medical Radiation Technology,National Yang-ming University; Head, RadiationProtection Department of AEC, and former Head, HealthPhysics Division of INER

    Y.C. LuanSenior Scientist and Manager of Radiation Protection,NUSTA; consultant to NBC Society, and former Manager,Radioactive Waste Management Plant and Manager,Cobalt-60 Irradiation Plant of INER, AEC

    M.C. Shieh

    Ph. D.

    General Secretary, NUSTA; Professor of National Chung-Kung University, and former Manager, UraniumConversion Project of INER, AEC

    S.T. Chen

    MS

    Senior Scientist and Head, Nuclear Reactor Engineering,NUSTA, and former Director, Nuclear EngineeringDivision of INER, AEC

    H.T. Kung

    MS

    Senior Scientist and Nuclear Material Manager, NUSTA,and former Manager, Nuclear Fuel Fabrication Plant ofINER, AEC

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    Profile of the authors (II)

    K.L. Soong

    Ph. D.

    Senior Scientist, NUSTA, and former Senior Scientist andLeading Scientist, Geology and Mineralogy ResearchProject of INER, AEC

    Y. C. Yeh

    Ph. D.

    Secretary General, Chinese Nuclear Society; Senior

    Scientist, NUSTA, and former Director, Analysis Center ofINER, AEC

    T.S. Chou

    Ph. D.

    Head, Radiation Research Group, NBC Society; Professorof Feng Chia University, and former Head, ChemicalEngineering Division of INER, AEC

    S. H. MongMS

    Head, Protection Research Group, NBC Society; former

    NBC consultant to Saudi Arabia, and Commandant, ArmyNBC School, Taiwan

    J.T. Wu

    M.D.

    Biology Consultant, NBC Protection Society, Taiwan;Professor of Pathology, School of Medicine, University ofUtah, USA, and Medical Director, Special Chemistry andReagent Development Laboratory at ARUP

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    Profile of the authors (III)

    C.P. Sun

    Ph. D.

    Board member of NBC Protection Society, and AssociatedProfessor of Social Risk Analysis, National Chiao-TungUniversity.

    W.P. Deng

    Ph. D.

    Associated Professor, Biological Material Institute, Taipei

    Medical University. And former Associated Professor,Graduate Institute of Biological Material, HarvardUniversity, USA.

    F.M. Wu

    Ph. D.

    Professor of Pathology and Director of Animal TestingCenter, College of Medicine, National Taiwan University,Taipei

    M.L. ShenPh. D

    Professor, Biometry Division, Department of Agronomy,National Taiwan University, Taipei