Radiation and Waste Safety Infrastructure in ASIA & PACIFIC Ahmad Al Khatibeh Section Head, Regulatory Infrastructure and Transport Safety Section Division of Radiation and Waste Safety Department of Nuclear Safety and Security 23 March 2016 Index END • Background; • Practices with Sources of Ionizing Radiation Exposure and the need for Radiation Safety; • Radiation Safety Approach by Six Thematic Safety Areas (TSA) , ASIA&PACIFIC Status; • RASIMS 23 March 2016 2 REGIONS END Background 23 March 2016 REGIONS IAEA SAFETY STANDARDS Fundamentals END Underlying principles (aimed at politicians and regulatory bodies) Specific obligations and responsibilities Requirements (“shall”) Guides Recommendations to support requirements (“should”) 23 March 2016 www-pub.iaea.org/MTCD/publications/SeriesMain.asp REGIONS IAEA’S RADIATION SAFETY STANDARDS END IAEA Safety Standards are not legally binding on Member States but may be adopted by them, at their own discretion IAEA Safety Standards are binding on IAEA in relation to its own operations and to operations assisted by the IAEA; and Member States receiving IAEA assistance are obliged to apply IAEA Safety Standards Board of Governors have specifically requested that TC projects involving radiation sources should only be submitted for approval if the country has achieved a certain minimum level of radiation safety 23 March 2016 REGIONS Legal Nature of the IAEA Safety Standards Office Legal Affairs OLA (2010) END INFCIRC/267, which provide in paragraph A.1(h) that “the IAEA’s Safety Standards and Measures SHALL be applied , were relevant , to operations making use of Technical Assistance provided” 23 March 2016 6 REGIONS Assistance in Application of Safety Standards END Agency Assistance in Radiation Safety (1970- 2009) Field 9. Number of Countries Receiving Assistance 140 1986 Chernobyl 120 125 102 100 1979 Three Mile Island 80 1994 Model Projects 78 Rapat Missions 60 2005 Regional Projects 40 40 Regional Projects 24 20 0 Proactive Passive 1979 1989 1999 2009 2011 Years Agency assistance on radiation safety since 1979 Source: TC- WONG, Sin May 23 March 2016 REGIONS END Practices with Sources of Ionizing Radiation Exposure and the need for Radiation Safety 23 March 2016 REGIONS Uses of radiation in industry: Non-destructive testing using industrial radiography END Car industry e.g: testing airbags Aero industry e.g: testing airframes Testing pipelines & bridges Electronic industry e.g: testing circuit boards 23 March 2016 REGIONS Uses of radiation cancer treatment END Radioactive sources temporarily or permanently in/on the body (brachytherapy) Treatment with radiation beam (teletherapy) By 2009 - estimated number of new cancer cases per year : 15,000,000 (2/3 in developing countries) source: United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) 23 March 2016 REGIONS Uses of radiation in nuclear medicine END Currently around 30 million nuclear medicine examinations take place in 70 countries per year 23 March 2016 REGIONS Uses of radiation in x-ray diagnosis END 23 March 2016 REGIONS Uses of radiation: Oil-well logging END 23 March 2016 REGIONS Uses of radiation: Sterilization END e.g.: irradiators used to extend shelf-life of food, sterilize medical products, blood etc. 23 March 2016 REGIONS EFFECTS OF IONIZING RADIATION END • Deterministic • Existence of dose threshold (under this dose, the effect is not observable). • Effect severity increase with dose. • Stochastic • No threshold. • Probability of the effect increases with dose. • Severity is considered maximum (equivalent to fatal event). 23 March 2016 REGIONS Accidents involving industrial radiography END • Source not retracted (jammed and/or disconnected) • Source retracted but not locked in the device 23 March 2016 REGIONS Active Use: Accidents involving industrial irradiators: El Salvador, 1989 END Workers over-ride safety systems and enter the irradiation room when source rack is unshielded and manipulate it 23 March 2016 REGIONS Incorrect repair of accelerator (Spain) END 27 patients were treated using electrons with the faulty equipment Of the 27 patients 15 died as a consequence of overexposure – Radiation injuries of the lung and spinal cord 23 March 2016 REGIONS Loss of control: Accidents in Industrial radiography, END Small size of source Ir-192 source used for industrial radiography became detached from the camera. 23 March 2016 REGIONS Loss of control: teletherapy source, Goiania, Brazil (1987) 1985:Private radiotherapy clinic closed down END 1987: teletherapy head stolen Unit dismantled, Cs-137 source capsule ruptured causing major contamination, 4 deaths, buildings demolished and costs US$20 million => 50.9 TBq (1375 Ci) caesium-137 teletherapy machine left in abandoned clinic 23 March 2016 REGIONS Who has been exposed ? END • Workers industrial radiography irradiators (radioactive sources and accelerators) • Public orphan sources • Patients misadministration of radio-pharmaceuticals miscalibration/miscalculation of dose for radiotherapy brachytherapy sources left in patient overexposure during interventional procedures 23 March 2016 REGIONS How can IAEA help? END Radiation Safety Approach by Six Thematic Safety Areas (TSA) 23 March 2016 REGIONS Radiation and Waste Safety Infrastructure Areas END Thematic Safety Areas (TSA) : • • • • • • • TSA 1: Regulatory Framework TSA 2: Occupational Radiation Protection TSA 3: Patient Radiation Protection TSA 4: Public Radiation Protection TSA 5: Emergency Preparedness and Response TSA 6: Education and Training TSA7 Transport (New) 23 March 2016 REGIONS Quantitative Assessment of Progress Performance Indicators (PIs) END • Each TSA is composed of various elements derived from IAEA Safety Standards • The progress made in each element by a State is assigned a Performance Indicator between 0 (no progress) and 3 (good progress) Country Status PI = 3 3 PI = 0 or 1 Pefomance Indicators PI = 2 2 1 23 March 2016 Remediation Decommissioning Disposal Storage Clearance Regime Predisposal management General Safety provision WM & Decom framework National Waste Policy Recycling Control Chronic Exposures Control Foodstuffs Environmental Monitoring Control Discharges Non RWM framework 0 25 REGIONS National Regulatory Infrastructure (TSA 1) National Regulatory Infrastructure (TSA 1) END Focuses on establishing an independent and functional regulatory infrastructure in a Member State (MS) so that it meets IAEA Safety Standards. It include 14 Elements: 1. Legislation, 2. 3. 4. 5. 6. 7. Regulations and Guidance, Regulatory Body Establishment and independence Regulatory Body Staffing and Training Regulatory Body Funding Coordination and Cooperation and the National Level International Cooperation 8. 9. 10. 11. 12. 13. 14. Notification and National Register of Radiation Sources Authorization Safety and Security of Radiation Sources Inspection Enforcement Information management Quality Management 23 March 2016 REGIONS TSA 1 Status Asia & Pacific 2009-2012 END 2009 2012 Statu s 25% low Progress 16% low Progress 40% Medium Progress 53% Medium Progress 35% High Progress 31% High Progress 23 March 2016 REGIONS TSA 1 Status by Element 2012 END 23 March 2016 29 REGIONS TSA 1 – Asia & the Pacific: Main Needs END TSA1 elements % of MS with PI= 0 or PI = 1 Legislation 28% Regulations 34% RB structure/ Effective independence 28% RB staffing 34% RB Funding 34% Co-ordination and co-operation 34% International co-operation 38% Notification and Register 28% Authorization 28% Safety and Security 34% Inspection 38% Enforcement 59% Information Management 53% Quality Management 69% 23 March 2016 30 REGIONS TSA 1 – Asia & the Pacific: Main Needs END • A national system of radiation safety legislation has been established in most of the countries. • In most of the countries the current legislative framework provides the basis for the safety and security of radioactive sources. • Availability of qualified staff to undertake the regulatory activities. Main needs: • Registry of sources, inspection and authorization 30% • Lack or Weak Enforcement system 59% 23 March 2016 31 REGIONS Occupational Radiation Protection (TSA 2) Occupational Radiation Protection (TSA 2) END To establish and develop a national programme for ORP in compliance with the requirements of the BSS and relevant safety guides; Elements of TSA 2 include among others : 1. Individual monitoring for external radiation sources 2. Individual monitoring for intake radionuclides 3. Workplace monitoring 4. Service providers 23 March 2016 REGIONS TSA 2 Status Asia & Pacific 2009-2012 END 2009 2012 35% low Progress 30% low Progress 55% Medium Progress 60% Medium Progress 10% High Progress 10% High Progress 23 March 2016 REGIONS TSA 2 Status by Element END 23 March 2016 35 REGIONS TSA 2 – Asia & the Pacific: Main needs END TSA2 elements % of MS with PI=0 or PI = 1 Regulatory Infrastructure 31% Individual External Monitoring 31% Individual Intake Monitoring 75% Workplace Monitoring 50% Services Providers 50% End-users 63% Natural sources 84% 23 March 2016 36 REGIONS TSA 2 – Asia & the Pacific: Main needs END • Most of the countries have an external monitoring system in place , however still 31% of the MSs in which this system should be established; • Limitations concerning facilities for monitoring of internal exposure 75%; • Limitations concerning facilities for monitoring in almost 50% of the countries; workplace • Radiation protection activities due to natural sources should be addressed 84%; 23 March 2016 37 REGIONS Radiological Protection of Patients and Protection in Medical Exposure (TSA 3) Radiological Protection of Patients (RPP) Thematic Safety Area (TSA) 3 • • END to enhance radiological protection of patients and the control of exposures in diagnostic and interventional radiology, radiotherapy and nuclear medicine; to build capacity and develop technical capabilities for quality assurance (QA) programmes for radiation protection in medicine; •Radiation protection of patients in: • diagnostic & interventional radiology • radiotherapy • nuclear medicine •Quality assurance 23 March 2016 REGIONS TSA 3 Status Asia & Pacific 2009-2012 END 2009 2012 51% low Progress 50% low Progress 43% Medium Progress 6% High Progress 44% Medium Progress 6% High Progress 23 March 2016 REGIONS TSA3 Status by Element 2012 END 23 March 2016 41 REGIONS TSA 3 - Asia & the Pacific: Main needs END TSA3 elements % of MS with PI=0 or PI = 1 Regulations 34 Diagnostic Radiology - Experts and RP training 75 Diagnostic Radiology - Optimization 75 Optimization in Radiography & Fluoroscopy 88 Optimization in Mammography 78 Optimization in CT 75 Interventional Procedures - Experts and RP training 88 Interventional Radiology - Optimization 94 Nuclear Medicine - Experts and RP training 53 Nuclear Medicine - Optimization 63 Radiotherapy - Experts and RP training 47 Radiotherapy - Optimization 44 23 March 2016 42 REGIONS TSA 3 - Asia & the Pacific: Main needs END • Lack or weak implementation of quality assurance programmes in diagnostic radiology. • Lack of qualified experts and training in diagnostic radiology. • Lack of qualified experts and training in diagnostic radiology and optimization programmes in Interventional Radiology. • Establishment of patient dosimetry in hospitals is missing in many countries 23 March 2016 43 REGIONS Public & Environmental Radiological Protection (TSA 4) (including Waste Safety) Division of Radiation, Waste and Transport Safety Public Radiological Protection END Includes mainly: • Optimization and limitation of public exposure. • Environmental monitoring. • Safety of radioactive waste management. 23 March 2016 REGIONS TSA 4 Status Asia & Pacific 2009-2012 END 2009 2012 37% low Progress 37% low Progress 60% Medium Progress 3% High Progress 60% Medium Progress 3% High Progress 23 March 2016 REGIONS TSA 4 Status for each element 2012 END 23 March 2016 47 REGIONS TSA 4 - Asia & the Pacific: Main Needs END TSA4 elements % of MS with PI=0 or PI = 1 Regulatory framework 41 Control Discharges 72 Environmental Monitoring 66 Control Foodstuffs 38 Control Chronic Exposures 84 Recycling 78 National Waste Policy 69 Waste management and Deco 59 General Safety provision 56 Predisposal management 72 Clearance Regime 78 Storage 63 Disposal 81 Decommissioning 97 Remediation 97 41% 72% 66% 38% 84% 78% 69% 59% 56% 72% 78% 63% 81% 97% 97% 23 March 2016 48 REGIONS TSA 4 - Asia & the Pacific: Main Needs END • In many countries existing regulations only partially consider the requirements for public exposure established in the BSS. • In many countries adequate criteria for discharges are not defined, but regulatory activities and provisions made by the operators appear to ensure a reasonable standard of protection . • Lack of National Strategy for Waste Management • Lack of radioactivity control for recycling • Limited national storage or disposal facilities 23 March 2016 49 REGIONS Emergency Preparedness and Response (EPR) TSA 5 Incident and Emergency Centre (IEC) IEC Mission Statement END Global Focal Point for International Preparedness and Response to Nuclear and Radiological Safety or Security related Incidents, Emergencies, Threats or Events of Media Interest 23 March 2016 REGIONS Elements of TSA 5 in the Framework of EPR END ME 14: Infrastructure ME 1: Basic responsibilities ME 2: Assessment of threats ME 13: Mitigating the the non-radiological consequences ME 3: Emergency management ME 12: Longer term protective actions ME 4: Identifying, notifying and activating ME 11: Keeping the public informed MAIN ELEMENTS ME 5: Mitigatory actions ME 6: Urgent protective action ME 10: Medical response ME 9: Assessing the initial phase ME 8: Protecting emergency workers ME 7: Information response 23 March 2016 REGIONS TSA 5 Status Asia & Pacific 2009-2012 END 2009 2012 38% low Progress 38% low Progress 53% Medium Progress 9% High Progress 53% Medium Progress 9% High Progress 23 March 2016 REGIONS Status by Element END 23 March 2016 54 REGIONS Education and Training (TSA 6) Division of Radiation, Waste and Transport Safety Education and Training (E & T) Thematic Safety Area 6 END Building Capability through Education and Training (E & T) in radiation, transport & waste safety in the Member States (MS)to reach Self Sustainability The objectives include: •To support the target countries in their effort to attain a core number of managers, qualified experts, trainers and specialists in radiation protection; and •to develop adequate expertise and skills required for sustainable national radiation protection infrastructure. 23 March 2016 REGIONS TSA 6 (Education and Training in Radiation and Waste Safety) END • TSA 6 Regional Project – currently used mainly to support Post Graduate Education Course (PGEC) in radiation protection and the safety of radiation sources. • Future emphasis should focus on assisting States to develop national strategies to support sustainable E&T programmes at the national level. – New elements for TSA 6 are being developed • PGEC support must also continue 23 March 2016 57 REGIONS RASIMS END Radiation Safety Information Management System RASIMS 23 March 2016 58 REGIONS RASIMS END • What is RASIMS? • RASIMS is a webbased platform that enables Member States and the IAEA Secretariat to jointly collect, analyse and view information regarding the national infrastructure for radiation and waste safety. 23 March 2016 http://rasims.iaea.org 59 REGIONS RASIMS Includes Regional and National Information and Performance Data 23 March 2016 END 60 REGIONS RASIMS Coordinators in ASIA & PACIFIC END Bangladesh Mr Nuon MONOROM Thailand Malaysia Indonesia Ms Aayda A. AL SHEHHI Dr Afkar AL FARSI United Arab Emirates Oman Ms Firoozeh NAZERI Ms Bushra NASIM Iran Pakistan Mrs Rawaa JAMEL BASHIR Mr Thanh Luong DANG Vietnam Dr Corazon C.BERNIDO Iraq Eng. Ashraf GHASSAB Mr Sunthorn KOMOLSUK Ms. Monalija KOSTOR Mr Yus Rusdian AKHMAD Philippine s Note Verbal: 21-04 -2011 Al KHATIBEH, Ahmad (A.Al-Khatibeh@iaea.org) Syria Lebanon Cambodia Dr Riad SHWEIKAN Dr Youssef ASSAFIRI Md. Mahbubur Rahman Mr Khaledn Abdullah AlAhmed Yemen Jordan 23 March 2016 REGIONS Summary END IAEA are helping Member States to: Establish and maintain effective National Radiation Safety Infrastructures Adopt and apply the International Safety Standards in all TSAs Implement the Code of Conduct Develop sustainable education and training Increase safety culture and awareness – public, political 23 March 2016 But…Government commitment is needed REGIONS NSRW - summary END Working for, and with, Member States to establish a global safety regime that ensures the protection of workers, patients, the public and the environment from the adverse effects of ionizing radiation http://wwwns.iaea.org/home/rtws.asp 23 March 2016 REGIONS END Thank You for your Attention 23 March 2016 64 REGIONS