Peter the Great St. Petersburg Polytechnic University Higher School of Technosphere Security Natkha Sergey Oroeva Arina PROTECTION AND DECONTAMINATION OF PERSONNEL TUTORIAL Saint-Petersburg 2022 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ CONTENTS ABBREVIATIONS .........................................................................................................................5 INTRODUCTION ...........................................................................................................................6 1. Personnel exposure pathways ..................................................................................................7 1.1. Harmful and dangerous industrial factors .................................................................... 7 1.2. Formation of harmful and dangerous factors at individual industries, facilities and enterprises ............................................................................................................................. 11 1.2.1. Mining and processing of uranium ores ..................................................................11 1.2.2. Chemical processing of uranium and its enrichment...............................................11 1.2.3. Production of fuel elements and fuel assemblies based on uranium .......................14 1.2.4. Production of power-grade uranium from highly enriched weapons-grade uranium (HEU-LEU technology) ........................................................................................................14 1.2.5. Nuclear reactors .......................................................................................................15 1.2.6. Radiochemical production .......................................................................................15 1.2.7. Plutonium production ..............................................................................................15 1.2.8. Disposal of nuclear weapons ...................................................................................16 1.2.9. Dismantlement of nuclear submarines, surface ships with nuclear power plants and rehabilitation of contaminated territories ..............................................................................16 1.2.10. 2. Methods of protection against external and internal radiation exposure ...............................19 2.1. Protection against external radiation exposure .......................................................... 19 2.2. Protection against internal radiation exposure ........................................................... 22 2.3. Protection public in emergency exposure situation ................................................... 22 2.3.1. Iodine blocking of the thyroid gland (ITB) .............................................................24 2.3.2. Evacuation ...............................................................................................................24 2.3.3. Shelter ......................................................................................................................25 2.3.4. Resettlement ............................................................................................................26 2.3.5. Prevention of accidental ingestion of radionuclides into the body by ingestion .....26 2.3.6. Decontamination people ..........................................................................................26 2.3.7. Limiting the consumption of food, milk and drinking water ..................................27 2.4. 3. Elimination of consequences of radiation accidents ............................................16 Identification and medical care of exposed persons .................................................. 27 2.4.1. Serious medical consequences.................................................................................27 2.4.2. Emergency medical examination, consultations and treatment ..............................29 2.4.3. Medical supervision .................................................................................................29 2.5. Protection of international trade and commercial interests........................................ 29 2.6. Termination or relaxation of response measures ....................................................... 29 Personal protective equipment...............................................................................................31 3.1. The history of the creation of personal protective equipment ................................... 31 3.2. Purpose of personal protective equipment ................................................................. 32 2 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 3.3. Classification of personal protective equipment ........................................................ 33 3.4. Concepts of use personal protective equipment ........................................................ 35 3.5. Respiratory protective devices ................................................................................... 35 3.5.1. Protective Concepts .................................................................................................35 3.5.2. Components of a Respirator ....................................................................................36 3.5.3. Self-Contained Breathable Gas Styles .....................................................................42 3.5.4. Tethered Supplied Breathable Gas Systems ............................................................42 3.5.5. Air-Purifying (Negative-Pressure) Respirators .......................................................43 3.5.6. Powered Air-Purifying Respirators .........................................................................44 3.5.7. Emerging Concepts and Issues ................................................................................46 3.6. 3.6.1. Components .............................................................................................................47 3.6.2. Ensembles of personal protective equipment ..........................................................48 3.6.3. Emerging Concepts .................................................................................................53 3.7. 4. Future Concepts to Improve Performance in Use ...................................................... 57 Decontamination Technic ......................................................................................................59 4.1. Decontamination basis ............................................................................................... 60 4.1.1. Sources of Radionuclide Contaminants...................................................................60 4.1.2. Behavior Characteristics of Radionuclides..............................................................60 4.1.3. Surface Contamination Mechanism ........................................................................61 4.2. 5. Dermal Protective Equipment (Clothing) .................................................................. 47 Recent Decontamination Technologies ..................................................................... 62 4.2.1. Physical-Mechanical Methods.................................................................................63 4.2.2. Chemical Methods ...................................................................................................67 4.2.3. Electrochemical Method ..........................................................................................70 Decontamination in the radiological accident case ...............................................................72 5.1. Decontamination of settlements................................................................................. 72 5.1.1. Recommended decontamination technologies ........................................................74 5.1.2. Justification and Optimization .................................................................................75 5.2. Decontamination of people and personnel ................................................................. 75 5.2.1. Harmful effects of emergency radiation exposure skin ...........................................76 5.2.2. General protective actions in case of radioactive contamination ............................77 5.3. Contamination Control .............................................................................................. 81 5.3.1. Contamination Control Practices .............................................................................81 5.3.2. Contamination Control of Exposed People .............................................................81 5.3.3. General Guidelines for Operation of a Controlled Contamination Area .................82 5.3.4. Factors influencing decontamination efficiency......................................................83 5.4. Impact of Responder Management Strategies on Public Experiences and Behaviour During Decontamination ...................................................................................................... 83 5.4.1. Getting People to Agree to Undergo Decontamination ...........................................83 3 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 5.4.2. Helping People to Undergo Decontamination Quickly and Efficiently ..................84 5.4.3. Encouraging People to Cooperate with Each Other During Decontamination .......85 5.4.4. Making People Feel Less Anxious ..........................................................................86 5.4.5. Understanding the Needs of Vulnerable Groups .....................................................86 5.4.6. Recommendations for Optimising Management of Mass Decontamination...........87 CONCLUSION .............................................................................................................................88 References .....................................................................................................................................89 4 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ ABBREVIATIONS APE APR CBRN CHTS DF DR DRF DPE EPE EPA ICPD ICRP ITB HVT NFC NPP OIL PAPR PAZ PPE RO RPE REE SCBA SNF TVT TMI UPZ WHO – Air-Purifying Element – Air-Purifying Respirator – Chemical, Biological, Radiological and Nuclear Agents – Chemical Hazards and Toxic Substances – Decontamination Factor – Decontamination Reduction – Decontamination Reduction Factor – Dermal protective equipment – Eyes Protective Equipment – U.S. Environmental Protection Agency – Ingestion and Commodities Planning Distance – International Commission on Radiation Protection – Iodine Thyroid Blocking – half value thickness – Nuclear Fuel Cycle – Nuclear Power Plant – Operational Intervention Level – Powered Air Purifying Respirator – Precautionary Action Zone – Personal Protective Equipment – Respiratory Organs – Respiratory Protective Equipment – Rare Earth Elements – Self-Contained Breathing Apparatus – Spent Nuclear Fuel – Tenth Value Thickness – Three Mile Island (USA) – Urgent Protective Action Planning Zone – World Health Organization SYMBOLS Bq Ci Gy eV PACpers Sv – Becquerel – Curie – Gray – electron Voult – Permissible Activity Concentration for Personnel – Sievert 5 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ INTRODUCTION In the general set of measures aimed at preventing the radiation impact on the public and emergency workers of harmful and hazardous accident factors, as well as objects using nuclear energy and enterprises included in this field of activity, the most important place is given to the organization and implementation of a system of individual human protection. The effectiveness of the use of personal protective equipment (PPE) largely depends on their correct selection and operation. When choosing PPE, it is necessary to take into account the specific conditions of an emergency process, the type, intensity and duration of radiation exposure of the public and worker to harmful and hazardous factors. The relevance of the use of PPE is especially increasing during emergency rescue operations. Only the correct use of PPE can provide the maximum protective effect from their use. To do this, employees of organizations and enterprises should have information about modern, highly effective, physiologically acceptable personal protective equipment. 6 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 1. Personnel exposure pathways 1.1. Harmful and dangerous industrial factors The most important factor of harmful and dangerous impact on the personnel of the nuclear industry, reflecting its specifics, is radiation . This factor almost always manifests itself in two forms: exposure to external ionizing radiation; exposure to radioactive substances, which also form doses of external exposure and at the same time can get inside the body and be a source of internal exposure. Since many radioactive substances are both chemically toxic and aggressive, the chemical impact factor is inextricably linked with the radiation factor, and they must be considered together. Other influence factors (mechanical, temperature, electromagnetic, etc.) are also, of course, present in the nuclear industry, but they are not specific to it. Radioactive and chemically toxic substances can enter the body in three ways: through the respiratory system (inhalation route of entry); through the skin (percutaneous route of entry); through the mouth, gastrointestinal tract (oral route of intake). With inhalation intake, rapid absorption of toxic substances into the blood is possible and manifestations of both acute poisoning and their chronic effects. With percutaneous intake, certain substances slowly penetrate into the body (for example, metals, their oxides), while other substances can be very quickly absorbed through intact skin and cause skin damage (for example, uranium hexafluoride, hydrogen fluoride). Through the wound and burn surfaces, the absorption of radioactive substances can go much faster. Air pollution with radioactive substances. The oral route of entry of harmful and hazardous substances into the body is quite rare and, as a rule, is the cause of violations of labor protection and safety regulations, as well as simple hygiene standards. At the same time, smoking can contribute to a sharp increase in the penetration of harmful substances into the body due to contact contamination of the lips, as well as ingestion of saliva and changes in the pattern of deposition of harmful substances in the lungs. The oral route of entry is also characteristic of substances that are actively included in the food chain. For example, radioactive iodine along the chain "grass - cow - milk" can enter the body in large quantities (see Fig. 1.1). Figure 1.1. All relevant exposure pathways. Radioactive and chemically toxic substances can be in a condensed state (solid or liquid) or in gas or vapor, as well as in aerosol (particles smaller than 50 microns) and cluster (particles smaller than 50 m). Gas – at ordinary (room) temperature, it cannot be condensed by compression. For protection against gases, insulating PPE, gas masks and chemisorption overalls are used. Tritium 7 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ is one example of a gas that is very difficult to protect against with personal protective equipment due to its high penetrating power. Steam - form substances that can be simultaneously in liquid (or solid) and gaseous phases at ordinary (room) temperature. At ordinary temperatures, steam can condense when compressed. Vapor protection is provided by filtering PPE by sorption, chemisorption or insulating PPE. Aerosol - a particle in the air with a liquid or solid dispersed phase with a size of 0.002 to 50 microns. The lower limit of the range (0.002 μm = 2 nm ) is determined by the ability of molecules to repel from the surface, and the upper limit of the range (50 μm) is determined by the rate of particle settling on a horizontal surface - particles larger than 50 μm settle very quickly and cannot stay for a long time without wind blowing in the air). Protection against aerosols can be carried out both by filtering the air or gas polluted by them, and by isolating the respiratory organs and skin from the polluted environment. A cluster is a particle in which the number of molecules (atoms) on its surface is commensurate with the number of molecules (atoms) inside the particle itself. These particles ranging in size from 2 to 40 nm have properties that differ significantly from the properties of the condensed phase of solid and liquid substances and the properties of more coarsely dispersed aerosols. Nanoparticles were previously defined as particles with one of the linear dimensions less than 50 or less than 100 nm. Currently, in international and domestic practice, it is customary to call nanoparticles particles that have one of the linear dimensions less than 100 nm . But it is cluster particles smaller than 50 nm that are the most dangerous. The ways of formation of radioactive nanoparticles with cluster sizes from 0.002 to 0.02 µm are as follows: The phenomenon of aggregate returns. When an alpha particle is emitted towards the depth of the material, the atoms adjacent to the decayed atom receive recoil energy and having formed a single conglomerate, break away from the surface and form a cluster particle. In the case of 235U, the particles formed have a diameter of about 0.005 µm and contain about 104 atoms. In the same way, fine aerosols of other highly toxic alpha emitters can appear: 210 Po, 238, 239Pu, etc. Decay of inert radioactive gases. This produces aerosols with an average size of about 0.05 µm. In uranium mines, the daughter decay products of radon are associated with particles with a size of 0.001-0.04 microns. Hydrolysis of volatile fluorides, organometallic compounds and decomposition of iron pentacarbonyl. The resulting aerodisperse system consists of particles with an average size of 0.02 μm. The radiation hazard of radioactive substances that have entered the respiratory tract depends on the type of radiation emitted, the dispersion and chemical nature of the particles themselves, in particular, on their solubility. The choice of PPE of the respiratory organs (RO) should be carried out taking into account the peculiarities of the formation and filtration of various aerodisperse systems. It should be noted the extremely high toxicity of radioactive aerosols of many radionuclides, the permissible weight concentrations of which in the air of the working area are thousands and millions of times less than for the most toxic non-radioactive substances. Single aerosol particles of these substances with a size of about 1 micron, located in 1 m3 of air, can create an excess of permissible concentrations of tens of times or more than permissible activity concentration for personnel (PACpers) of polonium. Therefore, to protect against radioactive aerosols, it is necessary to use only highly effective PPE of the highest degrees of protection. Dispersion of radioactive and other toxic aerosols is very important when assessing their danger, monitoring their content in the breathing zone and air of the working zone, and when choosing PPE for RO. 8 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Coarse aerosols larger than 5 microns are retained in the upper respiratory tract (nasopharynx, bronchi and trachea). Particles ranging in size from 0.1÷1.0 microns are deposited, as a rule, in the bronchioles. In this case, particles smaller than 5 microns can enter the alveoli, but mainly particles with a diameter of 0.1 microns are deposited there. Moreover, more than 50% of insoluble aerosol particles that enter the alveoli remain there forever. Molecules of gases and vapours, penetrating into the lungs, can enter the bloodstream due to gas exchange and then to various depositing organs, or can be removed from the body with exhaled air. Thus, when harmful substances enter the human respiratory organs, the total delay and their distribution in the body depend on the dispersion and physicochemical nature of the particles. At a filtration rate of 1 cm/s, particles with a size of 0.15÷0.17 µm are most likely to penetrate through the air-purifying materials. At peak filtration rates through PPE RO reaching 10 cm/s, the most penetrating nanoparticles have a size of 0.03÷0.04 µm. When working on open technological equipment (replacing containers, repairing valves and plugs, etc.), directly in the breathing zone of workers, nanoparticles of cluster sizes from 0.002 are formed that are most difficult to catch with the help of aerosol filters and PPE, as well as poorly analyzed using air-purifying filters, up to 0.02 µm. Micropores of activated carbon, which effectively absorb vapors of toxic substances, have a size of 0.001 to 0.002 microns with an upper limit of 0.003 microns. In mesopores, sorption proceeds much worse. Therefore, particles of cluster sizes are worse than vapors of toxic substances, are retained by anti-gas and anti -gas and aerosol filters. Considering the above, in order to ensure reliable respiratory protection of personnel performing work on the opened process equipment, local exhausts should be equipped at the place of such work, and the personnel should be provided with hose insulating PPE RO. If, according to the results of special studies of working conditions, it is shown that when performing the above or similar operations, the concentration of radioactive and other toxic aerosols, clusters and vapours does not exceed 100 permissible values, then instead of insulating PPE RO, high-performance filtering PPE RO of the 3rd protection class can be used in in accordance with the new Russian standards introduced from 01.01.2003. Numerous studies have found a direct relationship between air pollution levels, indoor surfaces and equipment. The quantitative characteristic of this relationship depends on a number of parameters: physical and chemical properties of surfaces and radioactive contamination, type and intensity of impact on the surface, etc. To protect the respiratory organs from harmful substances, filtering and insulating means of personal respiratory protection (PPE RO) are used. Contamination of surfaces of premises and equipment. Contamination of surfaces of premises and equipment with radioactive substances is dangerous as a source of skin contamination, as a source of external exposure and as a secondary source of air pollution. Protection of the skin from radioactive contamination is achieved through the use of basic and additional overalls, insulating suits, hand protection, safety shoes, dermatological products. Welding work. At all enterprises of the State Corporation "Rosatom" a large number of works on welding and cutting of metal are carried out. In this case, a large amount of welding aerosols and gas-vapor products are formed. Welding aerosols and gas-vapor products are of particular danger when welding and cutting metals contaminated with radioactive substances. The composition of gas-vapor products formed during welding depends on many factors, but it usually includes the following substances: HF, SiF4, NO2, HCl, O3, SO3, CO, various chlorine-containing organic substances, and others that are effectively sorbed on fine (from 0.001 to 1.0 µm) welding aerosols, which significantly increases the toxicity of the latter. External gamma radiation. When carrying out repair, dismantling and emergency recovery work at the enterprises of the nuclear industry and energy, it becomes necessary for personnel to stay in gamma radiation fields that create the radiation power of the human body above the permissible value. The greatest contribution to the dose rate of gamma radiation is made by such 9 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ fission products as 95Zr, 95Nb, 103Ru, 106Ru, 137Cs, 140Ba, 140La. Of the activation products, 22Na, 24 Na, 60Co, 59Fe should be noted. The energies of the main gamma lines of these radionuclides are in the range of 0.31.6 MeV. To protect personnel from external gamma radiation, some developers have attempted to create personal protective equipment, however, the available data on the attenuation factor of gamma radiation with an energy of more than 100 keV by various materials indicate the futility of such developments. Protection of personnel from external gamma radiation can be ensured by reducing the duration of work (“time protection”), performing work using remote devices (“protection by distance”), as well as using protective walls, screens, booths, mats, etc. External neutron radiation. An analysis of the possibility of creating PPE from external neutron radiation leads to a similar conclusion. The neutron shielding material must contain hydrogen or another light substance – to slow down fast and intermediate neutrons in elastic scattering, heavy elements – to slow down fast neutrons in the process of inelastic scattering and attenuate captured gamma radiation, as well as elements with a high ability absorption of thermal neutrons. One of the best is a composition based on polyethylene with the addition of about 20% lead. This material has a density of 3 g/cm3 and provides three times protection against fission neutron radiation with a protective layer thickness of about 10 cm. This means that a suit made of this material, protecting only three times, will weigh more than 300 kg. External beta radiation. PPE can provide effective protection against external beta radiation. The totality of calculated and experimental data indicates that the dose absorbed by the radiosensitive layer of the skin and caused by beta radiation, when measuring the thickness of the protective material in units of density surfaces (for example, g/cm2), is practically independent of the type of material. But it must be taken into account that the absorption of beta particles in the protective material gives rise to hard bremsstrahlung, the output of which increases with the growth of the atomic number of the material. Therefore, it is advisable to make PPE for protection against beta radiation from materials based on elements with a small atomic number. These are the majority of polymeric materials. The thickness of the protective material should be between 0.3 and 0.7 g/cm2, depending on the energy of the beta radiation, which corresponds to a protective suit weight of approximately 718 kg. External alpha radiation and irradiation with photons with energies less than 100 keV. Since the range of alpha particles in tissue -equivalent materials does not exceed 50 microns, and in air – 5 cm, external exposure to alpha particles does not pose a serious danger. Irradiation with low-energy photons (gamma and X-ray radiation with energies below 100 keV) is a significant factor in radiation exposure, and in the absence of harder components of the photon radiation spectrum, polymeric materials containing rare earth elements (REE), lead, barium, tin, tungsten, etc. The use of REE-filled materials is very promising for the protection of medical personnel and patients during X-ray examinations due to the high efficiency of REE and lower toxicity compared to lead traditionally used for these purposes. However, the use of such materials when working with fissile isotopes is limited due to the possible ingress of REE into processed products, which is unacceptable, since they are "neutron poisons", i.e. substances that actively absorb neutrons. The use of uranium for protection against soft photons is impractical due to the significant gamma radiation of uranium decay products, which create doses of gamma radiation that exceed the allowable. PPE to protect the lens of the eye. Currently, in most production areas, there is no need to protect the lens of the eye from beta and gamma radiation. According to the ICRP Publication 103, “the dose limit for facial skin irradiation ensures that the lens dose limit from beta particles is not exceeded.” Therefore, at present, during normal operation of the equipment, special protection of the skin and the lens of the eye is not needed. The situation will fundamentally change after the introduction in Russia of new radiation safety standards that take into account the new limits of eye lens doses recommended in the IAEA 10 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Basic Safety Standard (2011): the equivalent dose in the lens of the eye is 20 mSv per year, averaged over five consecutive years (100 mSv for 5 years), and 50 mSv for any single year. In this case, the lens of the eye becomes a kind of "critical organ" that limits the exposure of personnel. Therefore, you will have to use special PPE to protect the lens of the eye from radiation (shields or glasses). The calculation of the optimal thickness of the material for protection against beta radiation showed that the optimal material thickness is 0.40.5 g/cm2. Such a material provides a protection factor in the range of 10 to 40, depending on the composition of the beta-active nuclides present in the radiation source. At the same time, it is necessary to introduce additives that effectively attenuate photon radiation in the specified energy range into the layer of transparent polymeric material of the shield or goggles that protect against beta radiation, located closer to the eyes. In the photon energy range from 0.01 to 0.06 MeV, the most effective are some rare earth elements, tin, tungsten, barium and lead. Create glasses or shields that protect the lens of the eye from gamma radiation with an energy of more than 0.1 MeV is impossible due to the large mass of the required protective layer. 1.2. Formation of harmful and dangerous factors at individual industries, facilities and enterprises Enterprises of the nuclear fuel cycle and the nuclear weapons complex are inextricably linked with the raw material base and, first of all, with the uranium industry: uranium mining and its primary processing. 1.2.1. Mining and processing of uranium ores Uranium is the eighth most abundant metal in the earth's crust and is found in varying amounts in almost all natural objects. It belongs to bioelements and is a part of organs and tissues of animals and humans. In the exploration, mining and processing of uranium ores, along with unfavorable microclimatic conditions, noise, vibration, rock dust and other factors inherent in mining enterprises, harmful and dangerous specific factors due to the special nature of the extracted radioactive minerals are important. The sources of radiation impact factors in uranium mines are: radionuclides that are part of mine dust suspended in the air (uranium, radium, polonium and other radionuclides of natural origin); radioactive gas radon and its daughter decay products in the mine air in the form of cluster compounds and aerosol particles; external gamma and beta radiation; contamination of surfaces and water with radioactive substances. In this case, the main danger is determined by the impact of radon and its short-lived decay products, and when the concentration of uranium in the rock is more than 0.3% - by external radiation. However, freshly purified uranium compounds do not contain radium or its derivatives. When mining and processing uranium ores, acids and other chemically toxic and aggressive substances are also used in large volumes. 1.2.2. Chemical processing of uranium and its enrichment Chemical processing of uranium and its enrichment in uranium-235 in terms of the formation of occupational hazard factors are not only radiation hazardous. First of all, this is a large large-scale chemical industry, where there is a combined effect on workers of chemical and radiation factors, both during the daily professional activities of a person, and in the event of emergencies, when chemical exposure is decisive in individual industries. These primarily include the production of fluorine, hydrogen fluoride and uranium hexafluoride (UF6) - sublimation plants, the production of uranium enriched in the uranium-235 isotope - separation plants, as well as the 11 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ initial sites for the production of fuel assembly, the production of processing irradiated nuclear fuel by gas fluoride and etc. At the enterprises of the nuclear materials industry, large contingents of people come into contact with chemical compounds that are in various states of aggregation: gaseous (UF6, MoF6, WF6, F2, HF, ClF3, freons, metal carbonyls, diethylzinc, etc.); powdered (UF4, UO2F2, UO2(NO3)2 6H2O, U3O8), etc. At sublimation and separation plants, the main occupational hazard factor is uranium hexafluoride (UF6) and its hydrolysis products, primarily hydrogen fluoride. The technological process of obtaining UF6 at the sublimation plant and enriched uranium in the uranium-235 isotope at the separation plant is carried out in vacuum mode, except for the areas of liquid UF6 overflow, where the devices are operated under pressure. Therefore, the equipment used has a high degree of reliability and tightness. At the same time, the technological process is not a closed continuous process and, under normal operation, is accompanied by the opening of the internal volumes of equipment (cylinders, containers, etc.) and adjacent sections of communications during the operations of disconnecting and connecting containers, accompanied by the entry of highly volatile UF6 into the working area and other fluorine compounds. The technological process is a source of formation of the radiation-chemical environment during normal operation of the equipment and a source of increased chemical hazard in case of possible accidents, accompanied by the release of UF6 into the air of the working area. The features of the technological processes of sublimation and separation production indicate a significant likelihood of leakage of gaseous uranium hexafluoride into the air of the working zone (especially during its synthesis), as well as in the event of emergency depressurization of containers. There are also possible violations of the technological regime, safety regulations, as a result of which gaseous fluoride compounds can enter the air of the working area, which can cause acute intoxication of people. In this case, the severity of the lesion depends mainly on the concentration of fluorine ion that has entered the body and the route of its intake (inhalation, percutaneous). The absorption of fluorine ion through the skin is sufficient to cause a general systemic injury in an emergency and lead to death if appropriate measures are not taken. When in contact with air, uranium hexafluoride, as a rule, loses the properties of a solid or liquid substance and passes into a vapor state with an evaporation rate that depends on the conditions of its release into the air of the working zone. Gaseous uranium hexafluoride has a high chemical activity. It is hydrolysed by air moisture to form a fine aerosol of uranyl fluoride and gaseous hydrogen fluoride, which can be adsorbed on aerosol particles. UF6 + 2H2O = UO2F2 + 4HF (1.1) It has been proven that 90% of gaseous uranium hexafluoride is hydrolysed with a halflife of about 2 seconds. The remaining 10% of the total amount is characterized by several halflife components ranging from tens of seconds to several days. The composition of air pollution by products of uranium hexafluoride hydrolysis depends on the volume of the room, the amount of gas released into the air, its outflow rate, air temperature and humidity. The long-lived fraction is a clustered state, i.e. uranium hexafluoride clusters are formed in the air, each of which contains no more than 105 molecules, and the particle size does not exceed 0.01 microns. These particles have a high penetrating power. For the studied industries, it was found that the gas/aerosol ratio ranges from 1% to 90%, with an average contribution of UF6 gas to the volumetric activity of air in the separation and sublimation industries - 40% and 60%, respectively. Due to its high mobility and chemical activity, the UF6 compound in molecular form is sorbed in the human upper respiratory tract, and cluster and aerosol particles penetrate much deeper into the lungs. 12 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ All this leads to the deposition in the lungs proper of about 20% of the inhaled activity during long-term exposure. The amount of hydrogen fluoride formed at the initial moment of the UF6 release is zero, but by 10-20 minutes it is about 5% by weight of the uranium concentration. Uranium and fluorine ion can enter the body in three ways: inhalation, percutaneous and oral. A decisive influence on a person, when the respiratory organs are protected by a gas mask, is exerted by the percutaneous route of fluorine ion intake. Far from the source of release, the inhalation intake of uranium is mainly due to aerosol particles. When a person is near the source at the time of release, for example, when connecting containers, replacing valves , etc. up to 100% of gaseous uranium hexafluoride, whose share in the release can vary between 10-100%, is retained mainly in the upper respiratory tract, depending on the time elapsed from the start of the release. With a purely inhalation intake of hexafluoride and its hydrolysis products, uranium predominates in the body, and the amount of fluorine (by weight) does not exceed 20% of the incorporated uranium, although it can also retain a value that determines the biological effect. With percutaneous intake, the resorption of uranium into the body does not exceed hundredths of a percent, while fluorine, the source of which is UF6, UO2F2, UOF2, HF, is absorbed at the level of tens of percent of what has entered the skin. Consequently, 20100 parts of fluorine fall on one part of the absorbed uranium. The closer the worker is to the source, the greater the importance of the percutaneous route of fluoride entry into the body, since the proportion of UF6 and UOF4 is large here. Far from the source, the supply of fluorine is due to its release from UOF4 and UO2F2. Effective protection of the respiratory organs, as well as the difference in resorption, predetermines the leading significance of the intake of fluorine ion through the skin. Therefore, it is necessary to take measures to prevent the deposition of UF6 on the skin and to protect it. The use of regenerated raw materials in the technological process has led to the emergence of mainly two new factors: 239Pu and 232U. The share of Pu in the alpha activity of aerosols can be much higher than the corresponding value in raw materials and reach several percent. This is due to the concentration of Pu in certain sections of the technological process. In addition, one more circumstance should be taken into account. At a sublimation plant with high-temperature methods for obtaining UF6 from regenerated raw materials, the critical compound in the air of working rooms, along with uranium hexafluoride, is plutonium hexafluoride, the kinetics of which in air is similar to UF6 with all the ensuing consequences. In the air of the working area of the sublimation plant, PuF6 was found at a level of 8÷20% of the alpha activity of the gas fraction. Considering that the PACpers for plutonium in air is set to be more stringent than for uranium, the radiation hazard from Pu aerosols in some cases can be commensurate with the radiation hazard from uranium aerosols and even exceed the latter. The second professional factor due to the raw material is 232U. The content of 232U in the raw material as a whole should increase with time. In addition, not only the 232U isotope itself is dangerous due to its greater toxicity, but also its daughter products due to the formation of thoron and hard penetrating radiation, including gamma rays with an energy of 2.62 MeV. When working with highly enriched uranium, personnel may be exposed to neutrons due to the (α, n) reaction on fluorine. Thus, production facilities with fluoride technology are characterized by a combined effect on working toxic substances (fluorine, hydrogen fluoride) and such radiation factors as alphaactive aerosols, gaseous UF6, PuF6, external beta, gamma and neutron radiation. The main role in the air pollution of the working area belongs to uranium isotopes and its decay products when using natural uranium and isotopes of uranium and 239Pu when using raw materials of the different types. Areas with UF6 are of paramount importance in terms of exposure to the gas. Since the technological process is carried out in sealed equipment, the main sources of air and surface contamination with radioactive substances are operations accompanied by the opening of internal 13 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ cavities of communications and equipment, and current repair work. This determines the complex of protective measures and the choice of PPE sets for personnel. Currently, centrifuge separation technologies produce a large number of stable isotopes. In this case, volatile fluorides and organoelement compounds are used. 1.2.3. Production of fuel elements and fuel assemblies based on uranium In the manufacture of fuel elements based on uranium, personnel are exposed to external gamma, beta, neutron irradiation, as well as internal irradiation due to the intake of alpha-active aerosols of various nature, radioactive gases and vapors (UF6, 220Rn) through the respiratory system. The presence, levels of exposure and dose implementation of radiation factors in the production of fuel rods depend on the type of raw material, the chemical form of raw materials, semi-products, waste and finished products, the degree of enrichment in 235U, technology and its organization, the operation performed and the time it takes to complete, the level of the radiation safety system and overall safety culture. Gamma irradiation takes place in all operations to produce fuel elements. When working in separate rooms with sheathed By fuel elements and assembly of fuel assemblies, gamma radiation is the only factor of radiation exposure. Exposure to beta particles should be taken into account when working with open materials from uranium depleted in 235U, with a natural content of 235U and from uranium of low enrichment in 235U (works with metallic uranium, visual control of fuel pellets, loading of fuel pellets in a sintering furnace). Irradiation with beta particles is not ruled out when working with medium- and highly enriched metallic uranium due to the effect of 234Th and 234Pa isotopes of the uranium family 234 Th and 234Pa floating to the surface of freshly smelted metal. The hands (skin of the palms) are exposed to the greatest exposure. The dose of beta radiation to other parts of the body can be ignored. Neutron radiation occurs when working with enriched uranium. The highest values of neutron radiation dose rates were noted during operations with enriched uranium hexafluoride due to the (α, n) reaction on fluorine atoms. Air pollution with radionuclides occurs when performing dusty operations. Alpha-emitting isotopes with high specific activity represent the greatest danger of internal exposure. Due to the increase in the total alpha activity per unit mass, the radiation hazard increases in the series U depleted . < U nat < Un.rev < Us.rev < Uv.rev. When connecting-disconnecting containers with uranium hexafluoride, one should take into account the non-hydrolyzable fraction of uranium hexafluoride released into the air of the working zone. This fraction has a unique penetrating ability – it completely passes through the Air-Purifying Respirators (APRs). Therefore, under these conditions, the use of gas and aerosol respirators of the Petal B type is required. 1.2.4. Production of power-grade uranium from highly enriched weapons-grade uranium The instrumentation of the technological process of processing “High enriched uranium (HEU)– Low enriched uranium (LEU)” limits the flow of radioactive substances into the air of the working area. The processes of processing HEU metal, extraction purification of highly enriched uranium nitrous oxide, its fluorination to highly enriched uranium hexafluoride, condensation, evaporation and mixing of uranium fluoride compounds are carried out in boxes, process tanks and collectors at subatmospheric pressure. However, carrying out such operations as loading and unloading from boxes, a fluorinator reactor , connecting - disconnecting tanks on evaporation and condensation collectors, training and washing, replacing metal-ceramic filters and valves, as well as carrying out an inventory of tanks and stripping equipment can lead to significant air pollution and, accordingly, to internal exposure due to alpha radiation of 232,234,235,236,238U, 228Th, 239Pu, 237Np, located in the aerosol component and gas component of radioactive contamination of air in the working area, as well as thoron and its decay products. 14 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ External exposure of personnel is determined by gamma radiation of 228,234Th, 235, 238U and their decay products, neutron radiation resulting from -n - reactions on atoms of light elements, mainly fluorine, and beta radiation beta-active decay products of uranium isotopes. 1.2.5. Nuclear reactors The main factors of radiation impact on the personnel of nuclear reactors are gammaneutron radiation, radioactive gases and aerosols, contamination of the surface of equipment, building structures, overalls and skin. A nuclear reactor is a powerful source of gamma radiation, created mainly by radioactive fission products of nuclear fuel, which, depending on the physical and chemical state, are divided into the following groups: radioactive isotopes of noble gases: xenon, krypton, argon; volatile substances: iodine, partly caesium, ruthenium, etc. (in the event of an accident, they account for more than half of the emissions and are primarily powerful sources of radiation); non-volatile substances: strontium, zirconium, ruthenium, cerium, lanthanum, etc. When the reactor is shut down and cooled down, neutron radiation is practically absent, and the main source of gamma radiation is long-lived fission products and structural elements activated by neutrons. During the period of scheduled preventive maintenance on the opened reactor equipment, the volumetric activity of aerosols increases sharply, which requires reliable protection of the respiratory organs and skin. The average isotopic composition of alpha-emitters in air samples and smears from the surface of equipment and the floor of industrial reactors is determined by isotopes 244Cm, 242Cm, 238 Pu, 241Am, 239-240Pu with their percentage by activity of 88.7; 6.9; 2.6; 0.5 and 1.3, respectively. The annual inhalation intake of radionuclides into the body of personnel is formed mainly during the periods of repair work and, as a rule, is significantly less than 50% of the maximum permissible limit for α-active radionuclides. If during the normal operation of reactors there is practically no need for individual protection against iodine, then in case of accidents, the iodine problem becomes one of the main ones, both due to inhalation intake and oral intake with milk through the food chain. 1.2.6. Radiochemical production Taking into account the radiation properties of the raw materials being processed, the main products obtained and radioactive waste, the radiation impact on personnel is due to gamma radiation from fission fragments; gamma radiation accompanying the decay of transuranium elements; gamma radiation accompanying the decay of isotopes of uranium and its daughter products; beta radiation from fission fragments and daughter decay products of uranium; neutron radiation due to spontaneous fission of plutonium and ( - n)-reaction on the nuclei of light elements. Internal exposure can occur due to inhalation of alpha-emitting isotopes of uranium and plutonium, beta-emitting 241Pu; gamma and beta emitting fission fragments and alpha emitting 228 Th and its decay products. Gamma radiation is most significant in areas for receiving irradiated standard uranium blocks and in the machine rooms of production, especially near the head extractors. Neutron radiation is the main dose -forming factor when working with the end product plutonium dioxide. 1.2.7. Plutonium production Due to its high radiotoxicity, the production of plutonium in the nuclear fuel cycle (NFC) is among the most radiation hazardous. The main unfavorable factors of the production environment in the production of plutonium and in the processing of products from it are: 15 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ alpha-active aerosols; contamination with alpha -active substances of the surface of premises, equipment, overalls and other personnel PPE; the presence of external gamma-neutron radiation, including soft photon radiation emitted 241 by Am, which in many cases accompanies plutonium, being formed due to the beta decay of 241 Pu. 1.2.8. Disposal of nuclear weapons At enterprises, depending on the nature of the work performed, there are three groups of key personnel: persons performing dismantling operations; persons involved in the processing and processing of products; persons serving the premises for the storage of fissile materials. Personnel in the process of dismantling ammunition are exposed to the combined effects of radiation and physical factors (non-radiation nature). The nature of the formation of dose loads on the personnel involved in the disposal of nuclear weapons has pronounced specific features in comparison with enterprises of the nuclear fuel cycle. Dismantling operations are predominantly manual, ammunition has a different design, dimensions, changing radiation characteristics of individual components and parts, which creates non-uniform radiation fields in the working areas. Personnel are exposed to combined predominantly external and internal exposure. Additional factors of radiation impact on personnel should be considered the possibility of formation of a local cloud of radioactive aerosols from corrosive formations. 1.2.9. Dismantlement of nuclear submarines, surface ships with nuclear power plants and rehabilitation of contaminated territories When dismantling nuclear submarines, surface ships with nuclear power plants , nuclear service vessels and remediation of contaminated areas, personnel are exposed to a complex of radiation and chemical factors. When carrying out these works, personnel are exposed to external gamma, beta and neutron radiation. When cutting various metal structures, a large amount of radioactive substances is released into the air in the form of mainly fine aerosols, as well as toxic chemicals in the form of gases, vapors and aerosols. The demolition of various construction sites, the collection of contaminated soil lead to the formation of a large amount of dust containing radioactive and chemically toxic substances. The main feature of the working conditions of personnel is the performance of a large amount of radiation - hazardous work in the open air under adverse climatic conditions and low temperatures. Due to the lack of information about the specific parameters of objects being disposed of and accumulated radioactive waste, there is an increased risk of emergency situations, which must be taken into account when organizing individual and collective protection of personnel involved in RW conditioning. Currently, large-scale work is underway to eliminate the nuclear legacy. The problems with the protection of personnel who carry out these works are only partly the same as in the dismantlement of nuclear submarines, but they require the solution of special issues of ensuring the safety and protection of personnel for various groups of enterprises and technologies. 1.2.10. Elimination of consequences of radiation accidents To eliminate the consequences of radiation and chemical accidents, nuclear industry organizations created, trained and certified professional emergency rescue teams, non-standard emergency rescue teams, and special emergency teams. 16 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ All emergency hazardous facilities of nuclear energy and industry in terms of the formation of emergency PPE kits can be divided into four types: I. Radiochemical production, storage of radioactive waste, radionuclide sources based on beta-gamma-active nuclides, nuclear weapons based on uranium. The emergency at these facilities is characterized by the release of beta-gamma-active nuclides and the corresponding surface and air pollution, high levels of external beta- and gammaradiation. It is necessary to use highly effective PPE that protects the respiratory organs from radioactive aerosols and the skin from radioactive contamination. It is also necessary to use PPE to protect the skin and especially the lens of the eye from external beta radiation. Protection from external gamma radiation is ensured by regulating the time spent in fields of intense gamma radiation, remote work, the use of protective screens, walls, boxes, etc. II. Operating nuclear reactors (nuclear power plants, transport power plants, research reactors), initial sites of radiochemical production, preparations containing radioactive iodine. The emergency situation at these objects is characterized by the same parameters as for objects of type I. The main feature is the presence of radioactive isotopes of iodine in the composition of the release - this requires the use of gas and aerosol (sorption-filtering) PPE of the respiratory organs (PPE RO), protecting against aerosols, vapours of radioactive iodine and its compounds. III. Plutonium production, radionuclide source or other facility containing plutonium isotopes, plutonium-based nuclear weapons. The emergency situation is characterized by contamination of air and surfaces with highly toxic isotopes of plutonium, which are dangerous primarily when entering the human body and the absence of significant fields of beta, gamma, and neutron studies. In the early phase of an accident, it is necessary to use highly effective PPE for the respiratory organs and skin (mainly insulating PPE for the OD and skin). IV. Industries using or "producing" uranium hexafluoride and other fluorides. The emergency situation is characterized by the release of uranium hexafluoride into the air. When it decomposes and hydrolyses in air, fluorine, hydrogen fluoride and toxic aerosols are formed that affect the respiratory system and skin. It is necessary to use insulating PPE, a gas mask of the GF brand and PPE of the skin, preventing the entry of fluorine-containing compounds through the skin. The type of radiation hazardous production determines the specifics of the use of PPE. Personnel performing work to eliminate the consequences of a radiation accident are divided into two categories: the first category is rescuers; the second category is repair personnel (liquidators). Depending on these categories, conditions of use, PPE sets are divided into two types, differing in levels of protective properties: a set of PPE of the first type for the protection of emergency rescue teams in an unknown or insufficiently known radiation situation (the first category of workers is rescuers); a set of PPE of the second type to protect repair teams and recovery units (the use of PPE of the first type is also not excluded) - the second category of workers - repair personnel, liquidators. The personnel of the emergency response teams perform emergency work in the early phase of a radiation accident, in the context of the ongoing release of radioactive substances and significant exposure to chemical, thermal and other factors requiring the use of adequate personal protective equipment. Insufficiency of information about the levels of radioactive and chemical contamination of air and surfaces in the accident zone, the likelihood of deterioration of the emergency situation requires choosing PPE with the necessary margin of efficiency. The following types of personal protective equipment are recommended for emergency response personnel: for respiratory protection - highly effective insulating PPE of the respiratory organs insulating open-type breathing apparatus for compressed air, insulating regenerative breathing apparatus for compressed or chemically bound oxygen; 17 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ to protect the skin - in addition to the main set of overalls, additional overalls made of film or laminated materials (at medium levels of contamination) and insulating suits should be used at high levels of radioactive or chemical contamination, and, if necessary, overalls made of chemisorption materials that capture fluoride hydrogen, uranium hexafluoride and products of its hydrolysis. The personnel of the recovery units perform work at the intermediate phase of a radiation accident, under the conditions of the termination of the release of radioactive substances, the formed trace of radioactive contamination and sufficient knowledge of the radiation situation in the areas of restoration work. With sufficient knowledge of the emergency situation (the level of radiation and (or) chemical contamination), it is allowed to protect the respiratory organs: the use of filtering means of personal respiratory protection – high-performance light respirators, respirators with a rubber half-mask, as well as filtering gas masks equipped with highly effective gas and aerosol filters; to protect the skin - in addition to the main set, it is recommended to use additional overalls made of film or laminated materials. If there is some time to prepare for recovery work, it is recommended to use hose PPE, as well as PPE of the respiratory organs and skin with self-contained breathing apparatus (SCBA) systems, which allow continuous (up to 6 hours or more) to carry out work to eliminate the consequences of emergencies. With a sufficiently high level of exposure to harmful and dangerous factors for the personnel of the recovery units, the first (high) level of protection can also be used. 18 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 2. Methods of protection against external and internal radiation exposure To receive radiation from radioactive materials is called radiation exposure. On the other hand, radioactive contamination means that matter, including people and places, is contaminated with radioactive materials. In other words, radioactive contamination suggests that some radioactive materials exist in places where radioactive materials do not usually exist. To receive radiation from radioactive materials outside the body is called external exposure. If a person breathes in radioactive materials in the air or takes contaminated food or drink into their body, he/she will be exposed to radiation from inside their body. In addition, radioactive materials can also enter the body from wounds. Receiving radiation in this way is called internal exposure. Figure 2.1. Types of radiation exposure. In the event of a large nuclear accident, external and/or internal exposures result from various pathways (see Fig.2.1). External exposure results from airborne radioactive material present in the plume discharged by the damaged installation, and from radioactive material deposited from the plume on to the ground, buildings, clothing, and skin. Internal exposure results from the inhalation of radioactive material from the plume or resuspended from contaminated surfaces, from the ingestion of contaminated food and water, and from inadvertent ingestion of radionuclides on the ground or objects. 2.1. Protection against external radiation exposure External exposure occurs when all or part of the body is exposed to a penetrating radiation field from an external source. During exposure this radiation can be absorbed by the body or it can pass completely through, similar to a chest x-ray. Note that exposure to a radiation field does not cause an individual to become radioactive; the radiation exposure ceases as soon as the individual leaves the radiation field. All ionizing radiation sources produce an external radiation field. However, some fields are so small they pose no external radiation risk at all. Examples include these low and moderate energy beta radiation emitters: 3H; 14C; 63Ni; 33P; 35S. Other sources of ionizing radiation produce much higher energy external radiation fields, and care must be taken to shield the source and to monitor exposure while working near these sources. Examples include: 19 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 241Am/Be neutron sources; 32P beta sources; 137Cs gamma sources; 60Co gamma sources; X-ray machines (only when the machine is energized). Time, distance, and shielding measures minimize your exposure to radiation in much the same way as they would to protect you against overexposure to the sun (as illustrated in the Fig. 2.2): Time: For people who are exposed to radiation in addition to natural background radiation, limiting or minimizing the exposure time reduces the dose from the radiation source. Distance: Just as the heat from a fire is less intense the further away you are, so the intensity and dose of radiation decreases dramatically as you increase your distance from the source. Shielding: Barriers of lead, concrete, or water provide protection from penetrating radiation such as gamma rays and neutrons. This is why certain radioactive materials are stored under water or in concrete or lead-lined rooms, and why dentists place a lead blanket on patients receiving x-rays of their teeth. Similarly, special plastic shields stop beta particles, and air stops alpha particles. Therefore, inserting the proper shield between you and a radiation source will greatly reduce or eliminate the dose you receive. Figure 2.2. Protective measures against external radiation In all applications of ionizing radiation, the radiation dose to the users, and to others in the vicinity, must be kept as low as reasonably achievable and, in any case, below national dose limits. This is also possible by using a source which is the most suitable for the particular application. As radioactive sealed sources and machines involve only an external hazard they are, in general, preferable to open sources. The hazard is further minimized by choosing a source of sufficient activity, and the most appropriate radiation energies for the application. Physical means exist to ensure that: exposure times are kept to a minimum; barriers remain in place to keep people away from the hazardous areas; and shielding materials are in place before a source can be exposed. These engineered controls are preferable to administrative controls which rely on individuals obeying instructions not to remain longer than necessary near sources, not to pass barriers, and to use shielding materials. A shielded enclosure is an enclosed space engineered to contain ionizing radiation and to provide adequate shielding for persons in the vicinity. They range in size from relatively small cabinets, for example to contain the X ray (machines used to examine unopened mail and baggage; through walled compounds in which radiography is carried out; to large chambers in which very high doses are delivered for irradiation purposes such as disinfestation, sterilization and the induction of changes in the matter being irradiated. An enclosure is essential for work with a radiation source that has a high dose rate output. To rely on distance alone to reduce the dose rate would require a prohibitively large exclusion zone. Similarly, other sources need to be suitably enclosed to be used close to areas that are either occupied, or to which persons have a right of access. 20 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ The design principles are similar for all enclosures although different characteristics are incorporated depending on whether the enclosure is to be suitable for X ray, gamma or neutron radiation. Sufficient shielding will be required to reduce the accessible, transmitted dose equivalent: rates to an acceptable level, for example 7.5 µSv/h. There may be a need for a controlled area outside an enclosure (see Fig. 2.3). The amount of shielding needed, and consequently the cost, can be minimized by restricting the number and area of internal surfaces that primary radiation is allowed to strike. This higher energy radiation will need primary barriers, which are either comparatively thicker or made using different materials. The restrictions can often be achieved by collimating the radiation source, that is reducing and shaping the radiation to a useful beam which can then be directed only towards suitable barriers. Figure 2.3. The transmission factor as an indication of the effect of the primary barrier. To estimate the necessary thickness of a primary barrier its transmission factor T must first be calculated. If D1, is the maximum dose rate to be allowed (for example 7.5 µSv/h) at a position close to the outside surface of the barrier and D2 is the dose rate at the same place when the barrier is not there, then T is equal to D1, divided by D2. To calculate D2, the enclosure's designer will need design parameters, which are basic assumptions about: which radionuclides or machines are to be used; the upper limit of activity of the radioactive source or the electrical parameters of the machines that can be used; the minimum distances between the radiation source and the barrier's internal surface. An accurate estimate of the thickness of the shield needed requires transmission graphs which are published for different radionuclides (and machine parameters) and different shielding materials. However, a simplified estimation of the primary barrier's thickness which may tend to overestimate the shielding is possible. If the calculated transmission factor, D1/D2, is one-tenth then a primary barrier equivalent to a tenth value thickness (TVT) is used; to obtain a reduction of one hundredth, two TVTs are used; for a reduction of one thousandth, three TVTs are used; and so on. The HVTs (half value thicknesses) and TVTs are dependent on the primary radiation's energy. Table 2.1. Typical primary barrier thicknesses Radiation source Industrial X-ray (250 kV) Iridium-192 (1 TBq) Cobalt-60 (185 GBg) Linear accelerator (8MV) Typical primary barrier thicknesses Lead (mm) Concrete (cm) 10 50 70 60 180 80 300 200 21 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 2.2. Protection against internal radiation exposure Internal exposure occurs due to radioactive materials being taken in the following routes: ingestion together with food (ingestion); incorporation while breathing (inhalation); absorption from the skin (percutaneous absorption); penetration from a wound (wound contamination), and administration of radiopharmaceuticals through injection, etc. Radioactive materials incorporated into the body (see Fig. 2.4) emit radiation within the body. Accumulation in some specific organs may occur depending on the types of radioactive materials. This is largely due to the physicochemical properties of radioactive materials. For example, strontium, having similar properties to calcium, tends to accumulate in calciumrich parts such as bones once it enters the body; cesium, because of its properties similar to potassium, tends to distribute throughout the body once it enters the body. Iodine, being a constituent element of thyroid hormones, tends to accumulate in the thyroid, whether it is radioactive iodine or stable iodine Figure 2.4. Processes lead to internal exposure. 2.3. Protection public in emergency exposure situation When responding to an emergency situation at the facility, protective actions and other response measures of two categories can be carried out: Urgent protective actions and other responses must be taken quickly (usually within hours) to be effective; in the event of a delay, their effectiveness will be significantly reduced. Urgent protective actions and other responses include iodine thyroid blocking (ITB), evacuation, shortterm shelter, actions to reduce the likelihood of inadvertent ingestion of radionuclides (probability of accidental ingestion), human decontamination, prevention of consumption of potentially contaminated food, milk or water, identification of persons in need of a medical examination; 22 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Early protective actions and other responses can be implemented within days to weeks and still be effective. The most common early protective actions and other responses include relocation, long-term restriction of consumption of contaminated food, and registration of individuals in need of medical supervision. These measures can be initiated in two ways. According to the first of them, the implementation of measures within the boundaries of predetermined emergency zones and distances begins after the announcement of a general emergency, and in accordance with the second method, measures are taken after the release based on monitoring data. Urgent protective actions and other response measures taken in relation to the population in the event of a general emergency: Instruct people in the PAZ to immediately take a thyroid iodine medication (if this does not delay evacuation), reduce the chance of inadvertent ingestion of radionuclides (probability of accidental ingestion), and conduct safe evacuation outside the UPZ. Conducting a safe evacuation means that the lives of the evacuees are not endangered. Patients and persons in need of medical assistance should be evacuated outside the RRS so that a second evacuation is not required. Evacuation should not be delayed on the grounds that a release is ongoing. It is recommended that you do not drink, eat or smoke, do not put your hands to your mouth unless they are washed, do not play on the ground, and do not do other activities that can lead to the formation of dust that can enter the body. Instruct people in the UPZ: immediately before evacuation, stay indoors (in a shelter on the spot), take an iodine drug for ITB, reduce the likelihood of accidental ingestion of radionuclides into the body by oral route; if there is a possibility of a serious release to the atmosphere, instruct the public to safely evacuate outside the UPZ as soon as possible without delaying the evacuation of the public from the PAZ. If immediate evacuation is not possible (for example, due to snowfall, flooding or lack of transport or from special facilities such as hospitals), the population should remain sheltered in a large building, if possible, only for a short period until safe evacuation is possible. Workers in special facilities (facilities whose occupants cannot be evacuated immediately (e.g., hospitals, nursing homes, prisons), facilities necessary to support a response (e.g. communications facilities), or facilities where protection is required to prevent other hazards (e.g., chemical facilities)) should be counted and protected as emergency workers as part of the emergency preparedness process. Instruct people in the PAZ and UPZ who cannot be safely evacuated to immediately take an iodine drug for the ITB, go inside the building (if possible, stay in the shelter of a large building), close doors and windows, listen to radio or television to receive further instructions. It is necessary to carry out preparatory actions in advance when introducing an emergency plan to control the dose rate in special institutions (for example, in hospitals), for which the initial ̆ protective will be the requirement to remain in shelter. Instruct those responsible for transport systems (air, land, sea) to avoid the UPZ. Instruct people in RRS to reduce the likelihood of inadvertent ingestion of radionuclides by ingestion prior to assessing deposition levels. Within the boundaries of the RPPT, give instructions: transfer animals to protected (for example, sheltered) feeds as necessary and possible; protect food and drinking water sources (for example, turn off rainwater collection pipes); Food grown outdoors can be directly contaminated by release. cease consumption and distribution of locally produced non-essential products, wild plants and game (e.g., mushrooms and bushmeat), grazing milk, rain water and animal feed until concentration levels can be determined using the OIL criteria; stop distributing goods until the evaluation is carried out; put in place controls to ensure that all goods sold meet international standards and reassure all interested parties (e.g., other states) that appropriate controls are in place. 23 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Ensure registration and monitoring, decontamination and medical screening and dose assessment of individuals in the PAZ and UPZ to determine the need for medical examination or counselling and follow-up. 2.3.1. Iodine blocking of the thyroid gland When a large amount of radioactive iodine is released, people can inhale enough radioactive iodine to damage the thyroid gland and greatly increase the chance of developing radiation-induced thyroid cancer. In addition, there may be serious consequences for the health of the fetus associated with the dose of fetal exposure from the fetal thyroid gland at a concentration of radioactive iodine in it (the thyroid gland of the fetus begins to function after the 10th week of pregnancy). Severe health effects are severe deterministic effects and stochastic effects, i.e. cases of radiation-induced cancers. Thyroid uptake of inhaled radioactive iodine can be reduced by taking stable (nonradioactive) iodine. This is called the thyroid gland blocking with iodine preparations or iodine prophylaxis, since non-radioactive iodine ensures saturation of the thyroid gland, which significantly reduces the absorption of radioactive iodine. For iodine prophylaxis to be effective, a non-radioactive iodine preparation must be taken before or shortly after the intake of radioactive iodine (within 2 hours after inhalation of radioactive iodine or its intake through the gastrointestinal tract). Doses from radioactive iodine inhalation in victims may be large enough to cause severe deterministic effects in the thyroid gland and fetus, and sheltering or evacuation after the release has begun may not provide sufficient protection to prevent these effects. Thus, in order to reduce the likelihood of these effects, it is necessary to pre-distribute the drug for ITB with instructions for use, so that people at home, at schools, at workplaces, in hospitals and other special institutions, can take it immediately after the announcement of a general emergency situations (detection of conditions at nuclear power plants indicating the possibility of a release). Predistribution is necessary because it may not be possible to distribute the ITB drug during an emergency quickly enough for it to be effectively administered. The reason is that the time when the radioactive - release, impossible to predict, release can occur at any time after damage to the core. WHO recommends that, in the absence of explicit instructions from the health authorities for a different route of administration, only one dose of an iodine preparation for the thyroid gland should be taken. A single dose of the drug is usually sufficient for adequate protection within 24 hours. In the event of prolonged or repeated exposure, health authorities may recommend more than one dose of an iodine thyroid medication. At the same time, new-borns (up to 1 month old) and pregnant and lactating women should not take repeated doses of an iodine drug for ITB. Multiple use of an iodine preparation for ITB cannot be a substitute for evacuation in a situation of prolonged exposure (more than 24 hours). Iodine drug is taken to provide protection until a safe evacuation is organized and carried out. ITB is safe and effective if stable iodine is used in the correct dosages. In this regard, it is necessary to follow the recommendations of the World Health Organization (WHO). 2.3.2. Evacuation Pre-release evacuation can prevent exposure through all possible human exposure pathways. In addition, when people are evacuated, they leave the area of the accident, and in relation to them, the persons managing the response actions will no longer need to take urgent measures. As stated earlier, timely evacuation, initiated prior to a release, in combination with iodine BTC is the preferred protective measure in the event of an emergency. This is necessary to prevent severe deterministic effects and exposures in excess of international general criteria that require urgent protective action ̆ or other response actions. It is stated that sheltering in a large building can prevent lethal exposure, and also provides a significant reduction in all doses; therefore, if evacuation is delayed or immediate evacuation is not possible (e.g. due to snowfall, flooding, lack of vehicles, or in the case of special institutions 24 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ such as hospitals), people should remain sheltered in large buildings as long as possible until a safe evacuation is possible. There may be problems with possible traffic jams or "shadow evacuation" (informal, unorganized evacuation undertaken on their own by people who are outside the area where evacuation is officially recommended), leading to a delay in evacuation from the PAZ. For this reason, it is recommended to carry out the evacuation in stages. Evacuating faster than walking speed (approximately 5 km/h), even while in a cloud or plume (i.e. at the time of release), is more efficient than shelter, and since a release can occur over several days, evacuation should not be delayed on the grounds that a release is ongoing if it can be carried out safely. Evacuation is a safe measure and is often used in response to natural and man-made emergencies. Experience has shown that local officials can quickly organize evacuations without prior planning. However, it may pose a risk to special populations (e.g. hospital patients) if not properly planned. Evacuees should take a ITB iodine medication, if it can be done without delaying evacuation, to provide protection against inhalation of radioactive iodine from the passing cloud. 2.3.3. Shelter Consider two different types of shelter: "in place" shelter, where people in a potentially unsafe area are instructed to " go inside buildings, close doors and windows, listen to radio or television for further instructions". shelter in a large building (also called "effective shelter") away from windows with ventilation turned off using outside air. Shelter is a short-term measure and can only be used for a few days. Shelter is usually used as a temporary ̆ measure if immediate and safe evacuation is not possible (for example, this concerns special facilities, the immediate evacuation of which may be dangerous (special facilities include: telecommunications centers whose personnel must work in order to provide telecommunications services; chemical plants that cannot be evacuated until certain actions to prevent fire or explosion; hospitals that house patients who cannot be evacuated immediately, as well as prisons), and circumstances where the prevailing conditions make immediate evacuation impossible ̆ or dangerous ̆ (for example, in difficult weather conditions)). Shelter should not last longer than one day unless preparations have been made in advance for: a) meeting the needs of persons in shelter (e.g., food, water, sanitation, energy, medical care, etc.); b) providing information to people in hiding; c) measures should be taken to control doses to ensure the effectiveness of sheltering in locations where sheltering is used as a protective measure. Shelter, in itself, is not considered sufficient protection, it should be carried out, if possible, in combination with iodine ITB. Thus, the use of shelter should be limited by the condition that more than one- time intake of an iodine drug for ITB by the population is impractical. The effectiveness of a shelter depends on the design of the building used as a shelter and its ability to provide effective protection against all significant exposure pathways. Shelter "in place" in a typical house or in a large building may not provide sufficient protection against a blowout. However, sheltering in a large building can prevent lethal exposure and provides a significant reduction in all doses; therefore, if a safe evacuation cannot be carried out immediately, large buildings should be used as shelter whenever possible. In addition, for special facilities where shelter is planned in advance as an urgent protective measure, during the emergency planning process, the personnel who will remain in shelter at the facilities should be trained and equipped in the same way as emergency workers, or there should be a possibility instruct them during an emergency. Personnel must be able to monitor the dose rate to confirm the effectiveness of the protection of personnel and the public. 25 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 2.3.4. Resettlement Resettlement is a non-urgent human relocation exercise to avoid long-term exposure from radioactive materials deposited on the ground. As a rule, areas requiring resettlement are determined on the basis of monitoring. In addition, resettlement may be required if areas where people live have become contaminated with basic food and water supplies and it is not possible to provide replacement food or water. Resettlement is not an urgent protective action, and therefore there is sufficient time (from a week to a month) for the resettled persons to take the necessary measures in accordance with personal needs, for example, create conditions for pets, collect important property, provide real estate security or create conditions for farm animals. Officials outside the site will also have some time to provide housing and care for the displaced persons; at the same time, relocation should be carried out over a period of several days to a month in order to be effective in reducing the dose to the population. 2.3.5. Prevention of accidental ingestion of radionuclides into the body by ingestion Releases of radioactive material from damaged fuel located in the active zone or in the spent fuel pool can be deposited on the soil or other surfaces (for example, on the surface of a car). Accidental ingestion of this and precipitated radioactivity into the body by ingestion, for example, when eating with contaminated hands, can become a significant source of exposure for people, during the first few days and after the release, which requires the implementation of protective actions ̆ outside the facility site. Therefore, people should be instructed to take the following measures to prevent or reduce exposure associated with accidental ingestion: a) do not drink, eat or smoke, do not put your hands to your mouth unless they are washed, b) do not allow children to play on the ground, c) not perform other actions ̆ that can lead to the formation of dust that can enter the body. 2.3.6. Decontamination people Deposition of radioactive substances on the skin in an amount that can lead to severe deterministic effects (for example, burns) is possible only on the site of the facility. People can receive significant exposure from the inadvertent ingestion of radioactive substances that have come into contact with the skin from a passing radioactive cloud or through contact with radioactivity, deposited on the soil or on other objects. Therefore, in all cases where people may be exposed to radioactive contamination, they should be instructed to keep their hands away from their mouths (to prevent accidental ingestion of radioactive materials), shower and change clothing as soon as possible. If monitoring and decontamination facilities are not available, the public should be reassured that there is little health risk from contamination. The presence of radioactive substances on the skin can also have adverse psychological and economic consequences. It can be expected that a large number of people from the contaminated area will require controls to ensure that they have not been contaminated. A sufficiently large amount of radioactive substances can enter the human body by accidental ingestion or inhalation, and medical supervision is required for the resulting doses of radiation. In several emergencies in the past, people with potential radioactive contamination were obstructed and alienated, and medical personnel refused to treat them. It should be noted, however, that persons involved in the transport and processing and treatment of contaminated people can perform this work without danger to themselves if they apply general anti -infection precautions that provide an adequate level of protection. Such measures, for example, include personal protective equipment (gloves, masks, etc.), which we will study in the following sections. The level of radioactive contamination can be significantly reduced by simply removing outer clothing and washing the skin (face and hands). In case of emergencies affecting a large number of people, initial decontamination measures should be limited to these basic measures, with only limited actions (which can be easily and easily performed) to manage the waste generated during decontamination. 26 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ During the evacuation, it is likely that their pets will follow along with people being evacuated from the accident area, so attention must be paid to the decontamination of animals. It is recommended that this procedure be carried out by the owners themselves, who should be advised to wash the animals (once). 2.3.7. Limiting the consumption of food, milk and drinking water The accident at the Chernobyl NPP showed that after fuel damage and a release that required protective actions outside the site of the facility, the largest contribution to dose formation was made by the consumption of vegetables grown on open ground (locally produced products, including wild plants and prey (e.g. mushrooms and bushmeat), milk from animals grazing on contaminated pastures, and rainwater Consumption of rainwater and locally produced products may be a problem for several hours after a release, and milk consumption for The accidents at both the Chernobyl NPP and the Fukushima NPP have also shown that it is necessary to provide information about the control measures in place in order to reassure the public and interested parties (for example, other states). In the event of a radioactive release in an emergency, the fallout pattern is very complex and will constantly change as the release continues. Even with relatively small releases, expected to last days or weeks, “hot spots” can occur, resulting in radioactive contamination of food, milk, rainwater and animal feed that exceeds international common criteria for restrictions on consumption or distribution are required. This complex and time-varying deposition pattern makes it impossible to timely identify areas where consumption restrictions are required based on monitoring and sampling alone. Therefore, after declaring a general emergency, it is necessary to immediately ensure: food and water protection by instructing the public to protect drinking water sources that use rainwater (e.g., turn off rainwater collection pipes) and protect food supplies that may be contaminated, for example by transferring grazing animals to protected areas (e.g. sheltered) feed, if possible; limiting the consumption and distribution of locally produced non-essential products, wild plants and harvested items (e.g., mushrooms and bushmeat), milk, rainwater and animal feed after a release, pending sampling and evaluation; taking measures to prevent contaminated food intended for human consumption, as well as animal feed, from entering the distribution system; reassurance of the public and interested parties (for example, other states) that the above measures have been taken. Once a release has begun, in order to quickly identify new areas where restrictions on the consumption of food, milk, rainwater, animal feed and locally produced goods are required, dose rate comparison from ground deposition should be used, without waiting for the results of laborious laboratory analysis. Monitoring is used to identify places where restrictions should be immediately imposed on locally produced products, pasture milk and rainwater. However, measures to protect against the intake of radionuclides in food and water also include the implementation of a program for the collection and analysis of samples of food, milk and water in order to: a) confirming the sufficiency of control measures; b) introduction of additional restrictions; c) providing alternative food supplies lifting restrictions. Restrictions should not be applied if they could lead to malnutrition or other health consequences. 2.4. Identification and medical care of exposed persons 2.4.1. Serious medical consequences Exposure-related effects of two different types are considered as serious health effects: 27 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ heavy deterministic effects; stochastic effects (i.e., radiation-induced oncological diseases). Severe deterministic effects are those deterministic effects that can lead to death or reduce the quality of life. Deterministic effects occur after exposure to a dose that exceeds a certain threshold, and the severity of the effect increases with increasing dose. These effects usually appear within a few days or months after exposure. The dose at which an effect may appear in a particular person may vary depending on age and health status, as well as on the duration of exposure; the provision of medical care may affect the outcome of exposure. The most probable severe deterministic effects in an emergency with a release due to fuel damage in the reactor core or spent nuclear fuel (SNF) pool include: severe forms of radiation burns of the skin or soft tissues by beta radiation from radioactive substances (for example, iodine) on the surface of the skin or close to it (for example, on clothing or in contaminated water). The occurrence of such burns can only be expected on persons present at the facility. Beta-radiation burns have contributed to deaths from radiation diseases of participants in the liquidation of the accident at the Chernobyl nuclear power plant; deaths from high whole-body doses received are possible in individuals within a 35 km radius of the facility site in the worst postulated release; cases of non-fatal serious consequences for the fetus, thyroid gland and reproductive organs are possible in persons located within a radius of 1030 km from the site of the facility. Serious consequences for the fetus and thyroid gland are mainly due to the inhalation of radioactive iodine. Stochastic effects (radiation-induced cancers) are not expected to have a dose threshold, and their likelihood (but not severity) increases with radiation dose. However, there is a dose below which excess radiation-induced oncological diseases cannot be detected. Radiation-induced thyroid cancer is the most serious problem among other possible radiation -induced oncological diseases that occur as a result of the release of radioactivity from the active zone of the reactor or spent nuclear fuel pool. This is due to the release of large amounts of radioactive iodine. Iodine can enter the body through inhalation, from contaminated drinking water, from rain water, from the milk of animals that graze on polluted pastures, or from eating contaminated locally produced products. After inhalation or ingestion, radioactive iodine is concentrated in the thyroid gland, which leads to the formation of very high doses of radiation to this organ. After the accident at the Chernobyl NPP, a clear increase in the number of cases of radiation-related thyroid cancer was found among the population in the age group 018 years (in 1986), at distances exceeding 300 km from the accident site. These cancers were mainly due to doses received from drinking milk from cows grazing on pastures contaminated with radioactive iodine. Radiation-induced cases of thyroid cancer began to appear in 1990, four years after the accident at the Chernobyl nuclear power plant. However, this type of cancer is usually not lifethreatening if detected early and treated. For this reason, all individuals who may have inhaled iodine at the time of the release, or who may have consumed food, milk or rainwater contaminated with radioactive iodine, should be registered, their doses assessed and whether medical supervision is required. Detectable increase in the incidence of any other radiation-induced oncological diseases (for example, leukemia) in the population after a release from the damaged active zone of the reactor or SNF pool, which requires the implementation of protective actions outside the site of the facility, is very unlikely, and with such situations, many people should receive doses sufficient to develop severe deterministic effects. To date, only the presence of adetectable increase in radiation-induced cases of thyroid cancer in the population group aged 018 years (in 1986) living in the regions of Belarus, Russia and Ukraine affected by the accident at the Chernobyl NPP has been clearly established. There are no scientific data showing an increase in the incidence of other radiation-induced cancers in the population or the incidence of non-malignant diseases that could be associated with radiation exposure as a result of the Chernobyl accident. 28 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 2.4.2. Emergency medical examination, consultations and treatment Hospitals should be instructed on how to treat patients who may have been exposed to radioactive contamination (i.e. that the application of general anti -infection precautions provides sufficient protection). Immediate (priority) medical examination and hospitalization are required only for people who have received a large enough dose of whole body radiation that exhibits the symptoms described in; this is required for advice on treatment and care for severe deterministic effects. 2.4.3. Medical supervision In order to identify individuals who should continue to be under medical supervision and provide a basis for informed counselling of pregnant women and others, their exposure doses need to be assessed. Within a few weeks, a program should begin to assess doses and health risks for all victims, the purpose of which is to additionally determine the circle of all persons who may require longterm medical observation, based on the general criteria. The assessment of exposure doses to pregnant women should be carried out first. Advice and counselling by specialists should be provided to anyone who has been screened or registered for medical supervision and who has concerns about exposure emergency situations on their health or on the health of children or the fetus. There are only a limited number of specialists in the field of diagnosis and treatment of radiation injuries in the world. Medical examinations, treatment, and counselling should be carried out only after consultation with experts (such assistance can be obtained through the IAEA or the WHO by following the recommendations set out in). All pregnant women who have had thyroid or skin radiation measurements taken or who express concern should be registered and advised that: d) the risk to the fetus is small but can only be assessed by a radiation hygienist (not their local doctor); e) individual risk will be assessed by experts and contacted to discuss the results and answer any questions. 2.5. Protection of international trade and commercial interests Emergencies lead to adverse economic consequences. Consumers at home and abroad must be assured that all products leaving the affected area are carefully monitored to ensure that they are not contaminated with radioactivity (i.e., criteria set for international trade are not exceeded). The economic consequences come when the possibility of radioactive contamination of export products is only assumed, even if there was no serious release. Therefore, appropriate measures must be taken to ensure that all goods meet international standards and to reassure the public and interested parties (e.g., importing countries) of this. Experience has shown that the establishment of a system of control and certification can mitigate the economic impact on international trade. Measures are needed to limit the distribution of goods within the boundaries of the ICPD until such time as certification can be used to confirm that products from a contaminated area is safe and does not exceed internationally agreed criteria for trade, and products from unaffected areas can be tested against a certificate of origin. 2.6. Termination or relaxation of response measures Protective actions and other responses should be discontinued or relaxed, as appropriate, after consideration or confirmation of the following conditions: further major releases are possible (e.g., the emergency is no longer classified as a site emergency or a general emergency); monitoring was carried out; sampling and analysis of potentially contaminated food, milk and water samples; 29 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ protective actions and other responses consistent with OILs are no longer required; weakening the response will do more good than harm; stakeholder consultations; the population is informed and understands the reason for the introduction of changes. After the end of the announced emergency situation , further actions should be taken on the basis of criteria developed after a careful assessment of local conditions, in consultation with stakeholders, to ensure that, in terms of the impact of these actions on the population, any such actions do more good than harm. 30 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 3. Personal protective equipment 3.1. The history of the creation of personal protective equipment In the first months of the war in Germany, there was a shortage of rubber, gasoline and saltpetre, which were badly needed for the production of explosives and other military needs. In such an environment, German scientists were mobilized to carry out military tasks. At the end of 1914, a group of German chemists led by F. Gaber, director of the Berlin Physico-Chemical Institute, contrary to the Hague Conventions of 1898 and 1907, suggested that the German command use gaseous or volatile liquid poisonous substances in the form of a cloud in combat conditions. The first chemical attack was carried out in the northwest of Belgium. 180 tons of chlorine were consumed in a section 6 km wide. The concentration of chlorine was 0.01 - 0.1%, which is a lethal dose for humans. In addition to chlorine, phosgene, mustard gas, etc. were used as chemical warfare agents. The number of dead and injured as a result of such military actions stirred up the world community. An active search began for a reliable means to neutralize the chemical weapons of the enemy. Immediately after receiving news of the gas attack, Nikolai Dmitrievich Zelinskyi began to look for ways to protect against gaseous poisons (chlorine was the first in his research) and to create a gas mask. The main active reagents in gas masks were sodium hyposulfite (thiosulfate) Na2S2O3 and (sodium carbonate) Na2CO3: Na2S2O3 + 4Cl2 + 5H2O = Na2SO4 + H2SO4 + 8HCl Na2CO3 + 2HCl = 2NaCl + H2O + CO2 (3.1) Na2CO3 + H2SO4 = Na2SO4 + H2O + CO2 As a result of the proposed reaction, toxic products (chlorine) were absorbed, and non-toxic (or moderately toxic - carbon dioxide) products were released. But the proposed mixture was not universal - it can only neutralize chlorine. Other solutions were needed. Analysing the data received from the military activity area, as well as the symptoms of a person’s defeat and the testimonies of survivors of gas attacks, Zelinsky noticed that those who breathed through a damp rag (overcoat), through loose earth, tightly touching it with their mouth and nose, survived. Those who covered their heads well with an overcoat and lay quietly during the gas attack were also saved. These simple techniques, which saved from suffocation, showed their effective protection in the conditions of the use of deadly poisonous gases. It became clear to the scientist that the reason for the protection against poisonous gases must be sought in the filtration of inhaled air by passing them through special filters. Such filters could be porous bodies capable of adsorbing various substances on their surface. Therefore, it was decided to use a simple agent as an absorber, the action of which would be similar to the action of the matter of a soldier 's overcoat or soil humus, would have more protective efficiency. At the same time, toxic substances were not chemically bound, but absorbed or adsorbed by wool and soil. As studies have shown, charcoal in relation to gases had a much higher adsorption coefficient than soil. The first experiments were carried out in the Central Laboratory. In a hermetically sealed room, a large piece of sulfur was lit. In this case, poisonous sulphur oxide (IV) was formed. When the concentration of the gas became high enough and, N.D. Zelinsky and his collaborators V.S. Sadikov and S.S. Stepanov. For half an hour, the testers were in a poisoned atmosphere without any health consequences. A systematic study of the properties of coal began. It turned out that ordinary coal has a low absorption ability. You can increase its absorption properties by activating it. The meaning of coal activation is that adsorbed heavy hydrocarbons and resinous substances are removed from the inner surface of the pores. First, the coal was impregnated with alcohol and ether, and then calcined. High-molecular organic substances were removed from the pores, and the coal acquired greater porosity and, consequently, a highly developed surface. Further experiments showed that 31 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ activation can also be carried out with water vapor. At high temperatures, the so-called water gas is formed in the pores of coal. In June 1915, Zelinsky made a report at a meeting of the sanitary-technical department of the Russian Technical Society, and in August he delivered a report on the adsorption properties of coal at an emergency meeting of the experimental commission at the medical commission of the All-Russian Union of Cities in Moscow. Based on the theoretical and experimental data of Professor Zelinsky, engineer Kummant created a rubber mask that hermetically fits the face and ensures the flow of air for breathing only through the filter element. It took four months to make a real gas mask. However, the introduction of the invention was hampered. A specially created commission at first gave preference to the gas mask design created at the Mining Institute, although it was inferior to the Zelinsky-Kumant design in terms of power and convenience. Only in March 1916. An order was placed for the manufacture of 200 000 Zelinsky gas masks. In August 1916 the army was provided with such gas masks only 20%, although their popularity at the military activity area was enormous. To increase the effectiveness of chemical attacks, the Germans decided to use "mustard gas", the use of which led to great casualties. This prompted the scientist to equip the recently developed gas mask with additional boxes with a chemical "mustard gas" absorber. At present, personal protective equipment is needed not only by military personnel in case of the use of poisonous substances in the course of hostilities. They have found wide application in peacetime, especially at enterprises that manufacture or use hazardous chemical substances in production. 3.2. Purpose of personal protective equipment Personal protective equipment is understood as personal use equipment used to prevent or reduce exposure of workers to harmful or hazardous production factors, as well as to protect against pollution. The use of personal protective equipment is the most effective way to protect the population in real conditions of environmental contamination. They are designed to protect the respiratory organs, eyes and skin from exposure to vapours, drops and aerosols of chemical hazards and toxic substances (CHTS), as well as from the ingress of radioactive dust, pathogenic microbes and toxins. PPE should be used strictly for its intended purpose and in accordance with regulations that classify them according to various criteria. Ensuring safe working conditions is the responsibility of the employer. The rules and regulations for the issuance of PPE for a particular enterprise must be approved by a local regulatory act - the Regulation on the issuance. With the list of protective equipment necessary to ensure safe work at a particular workplace, the employee must be familiarized with when hiring. By its internal order, the employer has the right to make changes to this local list, provided that this does not worsen working conditions. When performing work in hazardous or hazardous conditions, only certified protective equipment may be used, which are marked with the name of the manufacturer, the name or type of product, the date of its manufacture or certification test, as well as a seal confirming certification. Certification of all types of PPE is carried out in accordance with the technical regulations of the Customs Union "On the safety of personal protective equipment" TR CU 019/2011, which entered into force on June 1, 2012. When choosing and ordering PPE, you must use the following terminology: special protective clothing (sheep coats, coats, short coats, short fur coats, capes, raincoats, half raincoats, dressing gowns, suits, jackets, shirts, trousers, shorts, overalls, semi-overalls, vests, dresses, sundresses, blouses, skirts, aprons, shoulder pads); hand protection equipment (mittens, gloves, half-gloves, fingertips, palms, wristlets, armlets, elbow pads); 32 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ leg protection equipment (boots, boots with an elongated shaft, boots with a short shaft, half boots, boots, low shoes, shoes, shoe covers, galoshes, boots, slippers, high boots, boots, shields, boots, knee pads, footcloths); eye and face protection (goggles, face shields); head protection equipment (protective helmets, helmets, balaclavas, hats, berets, hats, caps, scarves, mosquito nets); respiratory protection equipment (gas masks, respirators, self-rescuers, air helmets, pneumomasks, pneumosuit); insulating suits (pneumatic suits, waterproofing suits, space suits); hearing protection (anti-noise helmets, anti-noise inserts, anti-noise headphones); fall protection equipment and other safety equipment (safety belts, ropes, hand grips, manipulators, knee pads, elbow pads, shoulder pads); dermatological protective agents (protective, skin cleaners, reparative agents that promote skin regeneration); comprehensive protective equipment. General requirements for PPE: PPE should not be a source of dangerous and harmful production factors; PPE should not have a toxic or allergic effect on the worker's body; it is necessary to make them from materials approved for use by the Ministry of Health and Social Development of the Russian Federation; PPE must meet the requirements of technical aesthetics and ergonomics. PPE during washing, dry cleaning and disinfection should not change their properties; assessment of PPE should be carried out according to protective, physiological and hygienic and operational indicators. PPE (each) must be supplied with instructions ̆ indicating the purpose, service life, rules of operation and storage. The classification of PPE depending on harmful and hazardous production factors is given in the standards: GOST 12.4.013-97, GOST 12.4.023, GOST 12.4.034-2001, GOST 12.4.064, GOST 12.4.068, GOST 12.4.218-99. Purpose marking or general classification by protective properties is carried out in accordance with the requirements of GOST 12.4.103-83. All types of overalls, footwear and hand protection are divided into groups and subgroups, each of which has its own marking - a symbol. The designation of the required properties depends on the materials used and the design of the product. The required properties of a protective product are laid down at the creation stage in the technical requirements. Labeling of a protective agent that simultaneously protects against several harmful factors should include the designation of the most significant groups and subgroups (no more than three). 3.3. Classification of personal protective equipment PPE differ depending on the purpose, design features ̆ and the principle of operation. There are a huge number of different classifications of personal protective equipment. The classification of PPE can be based on various features, for example, protected areas, purpose, principle of protective action, etc. 1. Personal protective equipment is divided into protected areas: Means of Individual Protection of the Respiratory Organs (RPE); Means of Individual Eye Protection (EPE); Means of Individual Dermal Protection (DPE). PPE includes gas masks, respirators, various kinds of breathing apparatus, etc. The eyes protective equipment includes protective goggles against the light pulse of a nuclear explosion, and the SPE includes protective clothing. 33 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ According to the most general classification, all PPE can be divided into three groups (see Fig. 3.1): 1. Means of individual respiratory protective equipment; 2. Means for personal dermal protective equipment; 3. Medical protective means. Personal protective equipment Respiratory protective equipment Dermal protective equipment Medical protective means Figure 3.1. Groups of personal protective equipment The group of medical products includes medicines, tools and materials used in emergency situations for disinfection, protection, and elimination of the consequences of exposure to damaging factors on the human body. To protect the skin, use overalls and safety shoes, means to protect the hands, head, eyes, face. PPE skin are divided into insulating and filtering. Insulating completely protect the skin and external organs from hazardous effects. For example, insulating overalls are made from sealed or non-sealed air- and waterproof materials, including frost-resistant ones. The means of filtering action include special breathable clothing, as well as underwear made from fabrics that have been treated with a soap-oil emulsion or other special composition. Respiratory protective equipment can also be filtering and insulating. In filters, outside air containing harmful substances undergoes preliminary filtration and purification, after which it enters the respiratory organs. Insulating ones provide a supply of clean air from the outside or have a closed pendulum breathing system based on the use of chemically bound oxygen. Within each of the above groups of PPE, separate groups of PPE can be distinguished. 2. According to the principle of protective action RPE and DPE are divided into filtering and insulating. The action of filtering PPE is based on the principle of filtering and cleaning the working atmosphere before it comes into contact with the human body. The action of insulating PPE is based on the complete isolation of the human body from the environment. 3. 3. By appointment, PPE is divided into military, industrial and civilian. The military are divided into combined-arms PPE, intended for use by personnel of the internal affairs bodies and military personnel of the internal troops, and special PPE, which are intended for use by military personnel and employees of certain specialties or for performing special work. Civil PPE is designed to protect the population on the ground, contaminated with CHTS and radioactive substances. Industrial PPE is designed to protect a person from specific toxic substances in the work area at work. Such PPE cannot be considered as universal means of protection against hazardous chemicals and radioactive substances. 34 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 3.4. Concepts of use personal protective equipment There are a number of aspects of the concept of use of PPE that result in various different subcategories within each type of item. In particular, these relate to the length of time and the number of times that the equipment will be worn. Equipment may be intended as: Single-use (disposable) Multiple-use; dispose after contamination Reusable after contamination These differences have a significant impact on the design, capabilities, and subsequent cost of the item: Single-use equipment will often be less durable than multiple-use equipment, and if maintaining the integrity of equipment is critical for user safety, the relevance of singleuse equipment in this application must be considered carefully. Designing for decontaminability is a particularly difficult challenge, and thus the user should be clear on this particular component of their concept of operations when designing or selecting PPE. Hence, much equipment is intended to be multiple-use but not necessarily decontaminable for the purposes of reuse. A related consideration is the level of training the user requires: Escape or other forms of single-use equipment may be intended for relatively untrained users, having a short intended use time, and offering the user limited operational capability. Such equipment is often not sized but rather “one size fits all,” with perhaps some fitting features, and may be single- or multiple-use. Users who expect to perform more operationally complex functions of longer duration require training, and their PPE usually has more sophisticated features. Such PPE may be single- or multiple-use and will almost always need fitting and sizing. The areas that tend to be traded off when designing within these concepts of use are the following: Efficacy of protection vs. physiological burden; Durability and decontaminability vs. cost. Particular design issues are addressed. In some cases, equipment has been designed around particular standards, some of which are discussed in general in this chapter. 3.5. Respiratory protective devices 3.5.1. Protective Concepts To protect the respiratory tract, as well as associated routes of entry such as mouth and eyes if within the respirator, there are two important requirements: First, the breathing air must be free of hazards; and second, no hazards must be able to penetrate or permeate around or through the protective item. The breathing air can be rendered free of hazards either by the supplied air or by air purification. Supplied air systems provide breathable gas from a supply that is: Worn by the wearer; Provided through a tether line from a tank or remote location with clean air; or Synthesized in situ by chemical reaction. Air-purifying systems purify ambient air to remove and deactivate toxic materials by the following means: Particulates and aerosols are removed by adhesion to the filtration layer. Vapours are removed by adsorption and chemisorption onto the adsorbent layer. For either type of system, toxic materials can be prevented from entering the protective item by providing a leak-free system; for some portions of the item, this may be relatively simple, whereas for others it can be a significant design issue: for example, sealing to the face or preventing 35 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ in-flow through the exhalation valve. Alternatively or additionally, leakage may be prevented by using a positive-pressure concept, in which air flows out through all potential leak paths at a sufficient pressure to prevent backflow. Materials must also be chosen to prevent permeation of chemicals over the intended period of use. Some particular challenges of applying traditional respiratory concepts for use in CBRN protection lie in the following areas: The limited number of existing materials available that can satisfy the requirements for soft components such as facepieces, valves, and hoses, and transparent components such as eyepieces and visors The difficulty in maintaining protection and adequate clean air supply despite the high airflows demanded when breathing at exhaustive work rates Fitting the population to minimize leakages while not restricting vision or causing discomfort It should be recognized here, as in all PPE use, that there are significant trade-offs involved in selecting among the various concepts and that each has significant limitations that must be managed. 3.5.2. Components of a Respirator Regardless of which style of respiratory protective device is used, all consist of at least a respiratory interface, which is the part of the respirator such as a facepiece or hood that connects to the wearer, and either an air-purifying element or an air/oxygen source and associated delivery components. Air-Purifying Respirators (APRs). APRs contain, at a minimum, a respiratory interface (such as a facepiece, hood, or helmet) and an air-purifying element (APE) that may be a removable canister or filter element, or may be part of the facepiece, as in a filtering facepiece respirator. The air is drawn through the APE either by the wearer’s inhalation action or with the assistance of a blower unit. Powered air purifying respirators (PAPRs) use a blower to provide increased flow and, potentially, overpressure. Supplied Breathable Gas Devices. These contain, at a minimum, a respiratory interface and a means for supplying uncontaminated breathable gas to the wearer. Self-contained devices use pressurized breathable gas in valved cylinders, or generated by a chemical reaction during use, as an integral part of the RPD worn by the user. Although oxygen-generating devices are commonly used in escape applications for certain adverse environments (mines, submarines), they are not commonly used for this application, weight of and heat generated by the oxygen-generating system being concerns. Other supplied breathable gas devices use a gas source remote from the wearer derived from pressurized cylinders or drawn by the breathing action of the wearer from an uncontaminated area. Typical Components of the Respiratory Interface. All respirators that cover at a minimum the entire face (most relevant to CBRN protection) contain certain types of universal components that assure functionality of the device. Various attachments and design features assure that the respiratory interface fits to the wearer and integrates appropriately with other equipment. The traditional full-face face sealing respirator has some form of adjustable head harness. Alternatively, a seal to the neck or components to facilitate attachment to a helmet or hood system may be present. Normal functioning of the wearer is assisted by other components. Eyepieces or visors that allow clear vision and integration with other equipment that may need to be brought up to the eyes are essential, and they may have other functions, such as ballistic protection. Some form of communication interface is necessary to permit clear speech, and in some cases to assist hearing. In most cases, a drinking facility is provided (with an accompanying CBRN hardened reservoir for drinking fluid). Proper air management is critical to preserve the quality of the air within the respiratory interface, maintaining a directional path for incoming and outgoing air. One-way valves open only 36 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ during either the inhalation portion of the respiratory cycle (inlet valves), allowing clean air to flowinto the lungs, or during the exhalation portion (outlet valves), exhausting the exhaled air out of the RPD. The nose cup is present to minimize the “dead space” of exhaled air that is not exchanged completely on each breath, and to keep moist exhaled air from fogging up eyepieces, which have a clean air sweep across them as well. Inhalation and exhalation valves have some cracking pressure (i.e., they will not open if there is insufficient positive pressure against them). This cracking pressure will potentially be different in overpressure devices compared with negative-pressure devices. Finally, a leak-free means of attaching to the air supply or APE (canister) is required. Styles of Respiratory Interface. There are two styles of respiratory interface to the wearer’s head: tight fitting and loose fitting. Tight-fitting respiratory interfaces rely on providing an intact physical barrier between the device and the wearer. Nose cups, facepieces, and hoods that seal to the neck are examples of this style of respiratory interface (see Fig 3.2) for an example of a facepiece style of respirator). Such systems need to form a tight seal to the wearer’s skin, usually on the face or occasionally on the neck. The seal itself protects against ingress of contaminated air. Typical APRs fall into this category; they are referred to as negative-pressure devices, as the air pressure within the device will become negative during the inhalation cycle. However, motion, speaking, or dislodging by other equipment can break the seal, in which case leakage may occur. This potential leakage can be reduced by using overpressure concepts such as self-contained breathing apparatus (SCBA) or tightfitting powered air-purifying respirators (PAPRs). Figure 3.2. Tight-fitting military-style APR. Loose-fitting respiratory interfaces have no or a minimal seal anywhere to the skin and therefore rely on adequate breathable gas being provided at all times to accomplish an overpressure. This overpressure is intended to prevent hazardous substances from leaking into the area covering the important routes of entry: eyes, face, and/or mouth. Certain styles of hoods and helmets fall within this category (see Fig. 3.3). Nonencapsulating loose-fitting respiratory interfaces such as that illustrated in Fig.3.3 do not seal to the wearer’s skin, and therefore they can only be used with devices that actively supply breathable gas to the respiratory interface; otherwise, there is nothing to prevent ingress of contaminated air and protection exists only in the presence of substantial overpressure. The amount of air supply required to maintain this overpressure depends on two factors: the breathing rate of the wearer and the resistance to flow out of the interface. As the breathing rate increases, an adequate air supply must be present on the inhalation portion of the breathing cycle so that there is still more air supplied than is being inhaled, maintaining positive pressure. With regard to design 37 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ of the respiratory interface, the size of the “gap” between the interface, such as a hood, and the wearer’s skin – the air exits through this gap – determines whether any overpressure can be maintained. If movement causes this gap to increase or causes a bellows effect with the interface material, exterior air may be drawn into the breathing region. In either case, for protection to be effective, the system must include a pressure demand valve that increases the flow to maintain the overpressure. For the relatively high protection levels required for CBRN protection, extremely high flow rates may be necessary as a result, and these may be difficult or impossible to provide. Figure 3.3. Loose-fitting powered air-purifying respirator: hood style with powered air supply worn on the waist. Additionally, encapsulating (or nearly encapsulating) systems exist that may have no specific seal to the wearer but have few leakage routes either [i.e., the wearer is inside a giant plastic bag with a route for breathing air to enter (if necessary) and exit]. When worn with selfcontained breathing apparatus (SCBA) inside the system, only an exhalation valve is needed, and overpressure is maintained within the entire system. An example of the general design of a loosefitting nearly encapsulating system is shown in Fig. 3.4. A blower is worn within the suit, with the canisters outside; air is supplied from the blower to the head area. The breathing area may or may not be enclosed in a nose cup; alternatively a neck dam may separate the breathing area from the body of the suit. Typically, the exhaled air exhausts down into the body of the suit and then through a valve into the atmosphere. Encapsulating concepts are not particularly affected by the wearer’s anthropometry, and therefore in principle are to be preferred when trying to fit to the entire population to a very high degree of protection. 38 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.4. Nearly encapsulating suit worn with a PAPR: front view, and back view showing the APEs outside the suit. (Reproduced by permission of, and © Respirex International, date unknown.) Air-Purifying Element Components. The air-purifying element or elements may be part of the facepiece, or a canister attached to the facepiece or a blower unit in the case of a powered air system. Canisters will have a housing consisting of an appropriately impermeable material, an inlet (designed to protect the contents from splash contamination or wetting by water during use, and decontamination), and an outlet that contains the attachment to the respiratory interface. Figure 3.5. Schematic of the layout of a canister. For general-purpose CBRN applications, the APE (Fig. 3.5) will first contain a particulate filtration component to remove aerosols, followed by an adsorptive or reactive component to remove vapours. The aerosol-removal component will be in front of the vapor-removal component to minimize degradation of the adsorptive or reactive bed by encounter with aerosols and dusts. An APE containing only the particulate removal element has potential application for B and R events, where no hazardous vapor is known to be present. The use of APE-containing devices is appropriate only when it is known that the APE has the capacity to remove all the hazards from 39 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ the air and that the remaining air is suitable to breathe (i.e., has sufficient oxygen content). The hazard-removal capability of an APE is difficult to ascertain thoroughly, particularly for vapours. Its dynamic capacity (the speed with which it can remove the hazard) and theoretically, total capacity must be determined for each vapor hazard of interest, under a variety of realistic conditions of use (airflow rates, temperatures, and relative humidities in particular). This means that vapor-removing APEs have limited duration of use, which will differ for each hazard and condition of use. Particulate removal components have fewer limitations; their capabilities vary most importantly as a function of the challenge particle size, surface tension (wet/dry), and charge, and not as a function of the specific agent. Thus, the performance can be more easily characterized generically for worst-case conditions. In most cases, capacity is limited by clogging of the filter, which is detected by the user as an increased breathing resistance, meaning that filter change is required. Attachment of the filter to the headpiece or hose is usually via a standardized connector [398,399]. Breathable Gas Supply Components. A breathable gas is supplied from a pressurized source. Possible gas sources include: Gas cylinders: designed to contain pressurized breathing gases at the highest practical pressures for efficient storage. The breathing gas may be purified air or various oxygengas mixtures. Chemical oxygen: provides breathable gas to the wearer by mean of a chemical reaction and includes a scrubber to remove undesired exhaust gases. Compressor: provides a continuous source of purified breathable air to the supply chain. The gas source may be remote from the wearer and connected via an air-line or mounted on the body in the case of gas cylinders or chemical oxygen supply. The supply chain for the device may contain the following components: Shutoff valve: to allow or prevent the gas from entering the supply chain. Pressure reducer: reduces the high pressure to lower pressure levels that the wearer can breathe directly or that are used by a demand valve. Demand valve: there are two types, negative and positive pressure. In a negative pressure demand valve, inhalation triggers the valve to open and exhalation stops the flow; during inhalation, the pressure may go negative. Positive-pressure demand valves are designed to maintain a pressure slightly above ambient inside the respiratory interface even during inhalation. Continuous flow valve: provides flow at a comfortable rate and pressure for the user in a continuous flow (rather than demand) mode. Relief valves: used to prevent over pressurization within the supply chain. Transportation elements (e.g., hoses and breathing bags): direct the gas along the supply chain. Table 3.1 summarizes most of the relevant possible styles of respiratory protection for a CBRN application. More detailed discussion of the more common styles of RPD follows. 40 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Table 3.1. Some styles of RPD that are relevant for CBRN protection. Design Feature or Capability Type Seal style to face Half face or head Full face Hood Nearly totally encapsulating suit Totally encapsulating suit Manner in which Self-contained air is supplied air Variants Tight-fitting single-use Particulate only could have APR with built-in APE or relevance when worn with eye replaceable canister protection (e.g., filtering facepiece); particularly for particulate-only events (B, R) Tight-fitting reusable APR Particulate only, vapor only, or with replaceable canister both Tight-fitting with supplied SCBA air Tight-fitting single-use Often used for escape concepts APR, with mouthpiece Tight-fitting APR with PAPR likely replaceable canister Loose-fitting APR with PAPR only replaceable canister Loose- or tight-fitting with PAPR only replaceable canister Loose- or tight-fitting SCBA only Demand Uses less air and balances demand, therefore extending the air supply and optimizing protection Maintains overpressure, theoretically improving protection Air is exhausted to the outside Air is recirculated by scrubbing undesirable exhaled gases, cooling, and supplementing oxygen Air is supplied under pressure from a remote source (e.g., tank, filtered compressor) Conserves life of canisters More common; maintains overpressure, theoretically improving protection Called N100 per NIOSH Called N99 per NIOSH Called N95 per NIOSH; also R95 (somewhat resistant to oil) Called ULPA in Europe per EN 1882 (generally for collective protection/clean rooms) Called HEPA in Europe per EN 1882 Constant flow Open circuit Closed circuit Air-line Closed circuit Demand Constant flow Particulate removal capability of APE Nonoily particulate (e.g., biological aerosol) Any particulate Examples and Comments 99.97% 99% 95% >99.995% 80–99.995% 41 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 3.5.3. Self-Contained Breathable Gas Styles Existing supplied breathable gas systems intended for CBRN use are essentially all selfcontained breathing apparatus (SCBA) systems (see Fig. 3.6) with a compressed air tank worn by the user using a harness, and connected to pressure regulators and supply lines, which are connected to a facepiece. This is an open-circuit apparatus, as the exhaled air is not recirculated. The significant advantages of this concept are that: Breathing air is guaranteed in environments containing any concentration or type of hazard agent, or low oxygen. The supplied air generates an overpressure (at a minimum pressure guaranteed by the pressure-demand valve) that assists in preventing inward leakage. Breathing is assisted on inhalation. Defogging is facilitated if flow is directed properly within the facepiece. The person is not tethered to an air-line and therefore is free to move. Air supplies require warning systems to alert the wearer if air is low, and such systems are an additional expense and, when audible, restrict stealth operations. Requirements for air resupply, maintenance, and training are significant compared with simple air-purifying respirators. Figure 3.6. SCBA worn over a protective coverall. 3.5.4. Tethered Supplied Breathable Gas Systems Breathable gas may be supplied via a tethered line from a plumbed-in air supply (within a building, for example), from a larger purified supply not worn by the user, or from a clean ambient air source remote from the source of contamination. The latter strategy would often be a poor one in a CBRN incident, as no such source may exist within a reasonable distance of the user, and some form of air purification would still be required to ensure that clean air is used. The use of a tethered line in general has limited applicability for roles where freedom of motion is required, although certain user groups might find applicability; for example, medical personnel, coroners, or pathologists who work in a fixed area might find this concept of use appropriate. An SCBA 42 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ system may also be supplemented by a portable tank system with an air-line to extend the air supply. 3.5.5. Air-Purifying (Negative-Pressure) Respirators The simplest forms of air-purifying respirators are those that have no form of assisted air supply; in other words, the force to drive the air through the purifying element is provided by the wearer’s lungs. They are referred to as negative-pressure respirators because inhalation causes the interior of the respirator to be at lower pressure than the surrounding air, which will tend to force leakage in through any place where seals are not tight. Despite this disadvantage compared with overpressure respirators, they are simpler, with less logistical burden, and therefore remain a good choice where their use is permitted. Commercially, a variety of styles of such respirators are available. They may be half-face, covering the mouth and nose only (Fig. 3.7), or full face, covering the entire face, including the eyes. In terms of purification styles, they may be designed to remove only a particular subset of hazards. Particulate respirators may be rated to remove oily aerosols and/or dry aerosols, and are often constructed as filtering facepiece respirators (Fig. 3.8). Gas and vapor respirators may remove only particular chemicals or classes of chemicals, such as organic vapor or acid vapor. From the point of view of CBRN protection, as noted previously, most appropriate styles will cover the entire face at a minimum, although it is noteworthy that the use of particulate filtering facepiece devices for protection against contagious outbreak events is considered to be the norm, despite their demonstrably low protection capabilities against submicrometer particles and generally poor fitting characteristics. It is noteworthy, of course, that surgical masks are also used routinely despite not being respiratory protective devices at all. Figure 3.7. Half-face respirator. There are various types of air purification capability in routine use: For particulate filtering only; For vapor air purifying only; A combination of air purifying and filtering. For CBRN purposes, vapor air purifying could only have applicability far from a chemical release event. Particulate filtering alone would have applicability to all biological and almost all radiological agents, while a combination of air purifying and filtering is appropriate for most chemical or unknown events where some combination of aerosol and vapor might be present. It 43 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ should be reiterated here that there are CBRN environments in which no APR concept is suitable for use, and only an air or breathable gas supply is appropriate. These environments where APR use is inappropriate include: Oxygen-deficient environments; Extremely high concentration environments (e.g., a release within a confined space or a large release outdoors); Vapor environments where the canister does not, or is not known to, remove the chemical; Unknown environments (where the agent released is sufficiently uncharacterized in either nature or concentration that the capability of the system to protect against it cannot be assessed). Figure 3.8. Filtering facepiece respirator with an exhalation valve. 3.5.6. Powered Air-Purifying Respirators Positive-pressure powered air-purifying respirators are generally supposed to be a significant improvement over negative-pressure APRs because of the following features: A blower, combined with an appropriate exhalation/exhaust valve combination in the facepiece, ensures that positive pressure is supplied to the facepiece, nominally forcing face seal leakage in an outward direction. The exhalation/exhaust valve must have enough resistance to flow that it maintains overpressure within the facepiece. The exhalation resistance can be reduced through the use of a pressurecompensating valve. Continual airflow provides cooling (via convection if there is a temperature gradient and via evaporation if there is a water concentration gradient) and also provides defogging. Air is not limited as it is in an SCBA tank. The positive pressure reduces the work of breathing by assisting in inhalation. An example of a PAPR with a tight-fitting interface is shown in Fig. 3.9. PAPRs that do not seal to the face (including loose-fitting PAPRs) also confer the advantagethat: Facial hair, eyeglasses, and unusual facial features that might compromise a seal can, in theory, be accommodated. Fit testing and sizing are usually not required. 44 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.9. Powered air-purifying respirator with tight-fitting facepiece worn with a disposable suit; a blower with canisters is worn on the waist, with the air supply hose leading to the facepiece. It must be stated that, in general, not all of these features necessarily result in overall improvements for the user. Some of the potential disadvantages or limitations of the PAPR system include: Continuous high flow through the canisters means that their lifetime is necessarily limited; the desired longer potential duration of use of the RPD due to physiological benefits thus requires a stock of canisters at the point of use. Canisters must be larger, more efficient, or doubled up to maintain required protection levels and durations, which leads to greater weight and bulk, particularly when including the blower. Battery life is often a limiting feature, and few systems have any end-of-service life indicator; when batteries begin to die, blower power and protection fall off dramatically. Rechargeable batteries cannot guarantee a sufficient output after several rechargings; therefore, nonrechargeable batteries must be kept stocked and fresh at the point of use. A requirement may exist for resistance to flow on exhalation that may be higher than that in an APR, to maintain overpressure within the facepiece. Blower and hose construction are often less durable because these parts are not required to withstand high-pressure use, unlike SCBAs. The fact that PAPR blowers deliver high volumes at low pressures means that their capability to maintain overpressure within the facepiece is potentially not as robust as for an SCBA, which can provide substantial flow at a higher minimum overpressure. Loose-fitting PAPRs are particularly prone to overbreathing. The latter two issues may be mitigated by wearing the PAPR within a nearly encapsulating suit, as described previously. 45 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 3.5.7. Emerging Concepts and Issues Combined SCBA/PAPR respirators are now available (which generally can also be worn as an APR). The main advantage of this style is the extended wear times of the PAPR combined with an available clean air supply if agent concentrations become high, the canister cannot remove the hazard, or oxygen is depleted. Although this approach is attractive for organizations that have all three types of respirators on hand and would like to minimize the associated cost and logistics, the possible disadvantages of this concept should not be overlooked, as there is always a price to be paid: Increased weight and bulk will result from carrying both a blower and an air tank. Design compromises may result from combining both functionalities; for example: If both hoses are attached separately to either side of the facepiece, the field of view will be affected and snagging or interference with the hoses is more likely, the facepiece is less likely to fit well beneath a visor, and the weight of the two sets of hoses may be more likely to cause dislodging of the facepiece. If the two devices are placed in series (blower attached to the facepiece and compressed air tank feeding through the blower), the demand valve configuration may not function reliably. It may not be possible for the wearer to switch back and forth freely between modes, for example, turning on and off an air tank worn on the back may be difficult for wearers by themselves, and for safety reasons the self-contained air is designed to override the PAPR so that in this configuration the PAPR would be usable only after the air tank was exhausted. It may not be possible to know when to switch safely between modes, so the PAPR functionality has limited applicability. Note that self-switching devices based on the detection of contaminants or oxygen depletion have been proposed; it is, however, as difficult to imagine such a device assessing all possible situations successfully as it is to imagine that the user will be able to assess them successfully using other available devices. It is possible for respirators to be closed-circuit (i.e., the supplied air is rebreathed) by using a chemically reactive system that resupplies oxygen and scrubs out excess carbon dioxide. Their particular advantage is that they can provide breathable air for a significantly longer duration (several hours). Although such devices have merit and are used for mine rescue, for example, no such devices yet exist that have been demonstrated as appropriate for CBRN use. Additional disadvantages include associated weight and bulk as well as heat production from the chemical reactions. Combined soldier headwear systems such as concepts proposed in the Soldier Integrated Headwear System technology demonstration project may better integrate the many additional functionalities required in the head region. The various NATO target capabilities that were combined as foci in the concepts included lethality; mobility; survivability (CBRN and ballistic); sustainability; and command, control, communications, and intelligence. Two next-generation general design types that integrated functionalities differently were considered: a modular system that included an integrated removable respirator and a permanently encapsulated helmet with respiratory protection. An add-on system that used a conventional helmet and respirator was also considered. Bioreactive particulate filtering devices that include a biocidal layer releasing iodine have been marketed. Face-forming or adhesive respirators are under consideration that will remove much of the requirement for individual fitting and sizing; superadhesive and shape memory materials may have applications here. 46 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 3.6. Dermal Protective Equipment (Clothing) 3.6.1. Components of personal protective equipment The types of items that can comprise dermal protective equipment (DPE) include jackets, pants, hoods, socks, undergarments, overgarments and coveralls, encapsulating suits, gloves, glove liners, and boots. How these components fit and work together with each other and with a respirator is as important in determining the effectiveness of the system as are their individual properties. Material choices range from inexpensive disposable options to highly chemical impermeable laminates or polymers to air-permeable active carbon material systems. Gloves are worn to protect the hands and wrists and, in general, can be expected to be exposed to higher levels of surface contamination than much of the remainder of the body, as well as requiring higher durability characteristics. Resistance to chemical permeation should be particularly high on the fingertips and palms for those persons who could come into contact with liquid chemicals. Increased chemical resistance is often provided by polymeric laminates and is counter to the requirements for tactility. Grip can be improved by adding texture; this is particularly relevant when using decontaminating solutions, which are often quite slippery. Allowing for good finger motion may require building in some extra features that ease motions; it is possible that the backs of the gloves could be constructed of different lighter or more permeable materials. An example of a military CBRN polymeric glove that has finger grips, accordion-like folds at the joints, and a cotton liner to absorb sweat is illustrated in Figure 3.10. The glove is also ambidextrous, which has a number of advantages in the areas of cost, logistics, and ease of use for the wearer. In a different approach, W. L. Gore has designed the Chempak Ultra Barrier Glove System, which includes a protective, permeation-resistant fluoropolymer liner worn inside a more fabric-like functional outer glove. Figure 3.10. Canadian CBRN protective glove and liner. Figure 3.11. Hazmat-style overboots (left) and military overboots (right). 47 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Similarly, boots worn alone or as or overboots protect the feet; the soles should be particularly resistant to permeation, and durability is an equally important issue. The traditional polymer boot or overboot is the most common approach (Fig. 3.11); however, the standard-wear boot (e.g., work boot or combat boot) can also be designed with a protective membrane barrier included, or the protection provided in, or enhanced by, an interior layer such as a separate sock or integrated bootie. Items of equipment not sold as CBRN DPE may also have a protective role to play; for example, ballistic vests, helmets, and visors can provide substantial CBRN protection by acting as an additional barrier layer. 3.6.2. Ensembles of personal protective equipment For many years, the most prevalent protective ensembles used for CBRN protection fell into three general categories that are still available: U.S. Environmental Protection Agency (EPA) categories; Single-use coveralls; Military-style active carbon systems. These are described first, with more modern configurations following. EPA Categories. The first category of system is the industrial spill response type, typically described using U.S. EPA designations of level A, B, or C; see Table 3.2. These reusable and decontaminable systems are intended to protect response crews from contact with chemicals such as toxic and corrosive liquids (in the case of levels B and C) or to protect from all airborne substances when concentrations reach very high levels (level A). They have no associated performance standards. Table 3.2. EPA Ensemble-Level Descriptions. EPA Level RPD DPE Intent of Use A SCBA Fully encapsulating Most hazardous environments B SCBA Full-body protective C APR Full-body splash protective, or head, hands, and feet only, depending on hazard analysis D None Appropriate for general Minimal hazard work environment splash Significant respiratory hazard; dermal hazard only from liquid contact Respiratory hazard that can be removed by APR (e.g., below IDLH); dermal hazard only from liquid contact The level A style of totally encapsulating protection, which can be used at even the high concentrations that can be obtained in confined spaces, is still the gold standard for CBR protection, provided that it is well designed from highly liquidimpermeable materials (as specified in NFPA). Levels B and C have the respirator worn at least partly outside the DPE (Fig.3.12). There are no particular descriptors that ensure performance against airborne substances; the materials must be impermeable to liquids, and some degree of splash protection must be provided. Levels B and C suits are not necessarily well integrated with the peripheral items, as they are not evaluated as a system. In summary, these systems were developed primarily for open-air response to an accidental release of large volumes of liquid or gaseous chemicals, and because they have no performance specifications and need not have particularly effective closures, they are not necessarily appropriate for CBR protection unless they have demonstrated their performance as a system. 48 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Any design that depends on an impermeable material combined with good closures to provide vapor and aerosol protection is completely dependent on the total integrity of the system. A single material or closure failure results in drastically reduced protection. Helping to compensate for this issue, extra dermal protection is provided in all level A systems, due to the fact that the clean exhaust air from the SCBA (contained entirely within the suit) fills the suit, and an overpressure valve keeps the suit under positive pressure. This same type of protection can be designed into level B and C systems by using overpressure and/or airflow through the suit to protect against ingress or flush it of agents; this approach may also assist in evaporative cooling. A separate positive-pressure air supply can also be used for the suit only, although this adds bulk and complexity. Single-use (disposable) protective coveralls are used with whatever peripheral items and respirator are deemed expedient. This style is relevant when the dermal hazards are minimal (as in the case of biological materials) or skin decontamination is relatively efficacious even after hours of exposure (as in the case of radiological materials). Hence, a disposable coverall worn over normal clothing is often felt to provide sufficient protection and is there primarily to reduce the decontamination burden on the clothing as well as the skin. Durability is quite limited, with the majority of the protection provided by the peripheral items. Figure 3.12. EPA level B ensemble. Both of the categories of equipment above imply a very high thermal burden because of the largely air-impermeable polymeric materials used. Working time within these systems is comfortably perhaps an hour at moderate activity levels, although it can be extended when necessary or in cooler environments. Duration of use may be limited by durability and/or working time. Cold-War Military Systems. Many very early military systems were similar to the EPAstyle level C systems. However, during the cold war, the military felt that they would operate around the clock in a contaminated environment. Therefore, the level of physiological burden that these systems providedwas unacceptable, and an alternative approach was developed. The active- 49 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ carbon-containing overgarments of the cold-war era were air permeable and worn with an airpurifying respirator, polymeric gloves, and overboots. They were meant to be worn over combat clothing in cold climates, and more recently have often been worn as stand-alone systems (replacing the uniform) in warm climates. These ensembles were designed first and foremost for protection against militarized CW agents. This means that dermal protection was focused primarily on keeping highly dermally toxic liquid and vapor chemicals of moderate to low volatility away from the skin, which could be achieved through the use of adsorbent active carbon combined with a liquid repellent outer layer. The DPE provides some protection against aerosolized materials in general because all cloths are reasonably good filters of particles 3 m and above. Active carbon adsorbents provide much less protection against high-volatility chemicals (many TICs), although these are rarely dermally active, and there are a few such compounds that have been identified as being of significant concern. The air-permeable nature of an active carbon material, which yields considerable thermal burden advantage, means that certain types of vapors and aerosols can penetrate freely at sufficiently high wind speeds. Reducing the air permeability of the material system, or the size of the air gap between the layers, reduces penetration under these conditions. Materials that filter aerosols can provide extra protection if incorporated into the material system; active carbon fibers afford some increased aerosol protection relative to other forms of carbon, and extra fibrous filtration layers are also possible. Electrospun fibrous layers may offer a particular advantage here, as they are claimed to provide better filtration capability at higher air permeability. Protection against nuclear events (N) in such systems was focused on ensuring that the materials were resistant to nuclear flash. In some cases, these systems were adapted for first-responder use by making the materials more air permeable and less liquid protective. This was not based on any effective analysis of requirements but, rather, was primarily a drive toward comfort. Some of the more recently designed systems that can provide improved protection or functionality over those used historically are described below. Protective Undergarments. As discussed previously, moving the barrier or adsorbent layer closer to the skin affords improved protection, keeping penetration low, with the small air gap effectively scavenged by the adsorbent. Protective undergarments or next-to-skin designs (Figure 5-12) are meant to be worn under other equipment. Outer clothing could consist of turnout gear, street clothing, or uniforms; undergarments are also a good choice beneath specialized equipment such as bomb disposal gear. Undergarment components can include hoods, jerseys and pants, socks, and glove liners. Typically, such garments contain active carbon and are stretchy for comfort and snug fit. The active carbon provides protection against the most dermally active chemical agents, while the outer layer can provide additional protection by acting as a barrier, reducing air permeability, or having a liquid-repellent treatment. Overlap between components (e.g., ankle to sock) can be substantial without needing special closures; there is little movement and no significant gaps that would cause leakage; thus, protection can be excellent. However, thermal burden can be significant because of the multiple layers when the overgarments are included. 50 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.13. Protective undergarment system, including gloves, socks, and hood. Recently, the first standards specifically designed for domestic response to terrorism involving CBR agents were published in the United States. NFPA 1994 class 2 and class 3 systems have been designed and approved for use in CBR response. It is intended that class 2 ensembles are for incidents involving vapor or liquid hazards where the concentrations require the use of SCBA (above IDLH), while Class 3 ensembles are for equivalent but below-IDLH conditions. NFPA class 2 and 3 ensembles are illustrated in Fig. 3.14. Construction of a class 2 suit requires reasonably vapor-tight closures and impermeable materials to pass the requirements; this implies a certain degree of aerosol protection as well. A class 3 system has somewhat lower protection requirements, so the closures can be less tight. The materials must display a certain amount of evaporative heat loss through using moisture vapor– permeable materials, so the systems should yield a lower physiological burden. Each system is approved in its entirety for dermal protection, including the respirator. Numerous approved class 2 and 3 systems are now available. 51 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.14. NFPA 1994 class 2 ensemble (left) and class 3 ensemble (right). (Photographed by Rick Bloomingdale, reproduced by permission of, and © Starfield-Lion, 2011.) Other types of DPE have been investigated for their use as expedient protection for emergency escape. For example, firefighter turnout gear worn alone can act as a barrier to an agent; the materials are water repellent, bulky, and contain selectively moisture vapor–permeable membrane barrier layers. Gloves are usually durable with a synthetic or leather outer, and boots are chemically resistant. The systems are designed to be reasonably splash-proof overall, with closures to prevent water ingress. Therefore, there is protection intrinsic to such a system when worn with self-contained breathing apparatus in the standard response configuration. That level of protection appropriate for escape and rescue in a CWA release was demonstrated for these systems by the U.S. Domestic Preparedness Program in the late 1990s. It was deemed that incorporation of protection directly into turnout gear could lead to improved response capability in the case of a known terrorism event, leading to the NFPA 1971 turnout gear (CBRN option) style of equipment. The equipment is truly dualfunctional; it is meant to be worn as turnout gear for structural response, but with an additional demonstrated capability to keep out CBR agents through a combination of an appropriately protective barrier layer in the material system and protective features designed to be deployed to keep out airborne substances. 52 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.15. Summary explanation for EPA/OSHA protective levels 3.6.3. Emerging Concepts Several areas are of particular interest in improving the performance of dermal protective systems. Military Systems. Improving human performance by reducing the physiological burden is a major goal. The notion of lighter-weight protective uniforms for the military, designed to be worn in place of more burdensome overgarments or stand-alone DPE when the perceived threat or hazard is lower, is an attractive one. A protective uniform concept would provide protection somewhere between that of a nonprotective uniform and that of a full-up ensemble that could provide protection for days against a wide variety of hazards. It has the properties of a uniform when worn in the open state, but can be closed up for more complete protection. A lower burden can be achieved, for example, by reducing the weight of the materials, improving their hand and comfort properties, or increasing the air permeability; it is important that this lower burden be achieved in both the open (daily wear) and closed (protective) states. The concept of use for such a uniform would be more limited, meaning that some hazards might need to be avoided, or protection could be of shorter duration, with the intent to use the uniform as an escape option. Nevertheless, the built-in “just in time” protection concept means that decisions about when to don the more burdensome overgarment or stand-alone concepts do not need to be made too early – a person has some protection all the time and remains in a relatively 53 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ positive physiological state throughout (both prior to, and after closing up for protection). Some of the challenges with this type of design include the durability required for it to be worn as a uniform while maintaining protective capabilities, and retaining the correct hand properties of the materials, to keep them as uniform-like as possible. A number of militaries are updating their protective clothing systems to modernize and achieve a lower burden, including those of Canada, the UK, the United States, and Germany (Fig. 3.15). It was noted previously that class 3 NFPA 1994 systems use moisture vapor–permeable materials, and some military concepts also include them. If total heat loss values can be made sufficiently high, these concepts have the potential to be competitive for comfort with more highly protective air-permeable systems while providing broader-spectrum protection. An example of a military-style protective system incorporating MVP materials is shown in Fig. 3.16. NFPA 1951 includes the CBRN technical rescue protective ensemble concept for use by emergency services personnel assigned to or involved in search, rescue, treatment, recovery, decontamination, site stabilization, extrication, and similar operations at CBRN incidents; at the time of publication, no certified ensembles yet exist to meet this standard. Similarly, ensembles specifically certified for use in particulate CBRN hazard incidents do not yet exist. Both NFPA and Canadian first-responder PPE standards suggest the appropriateness of such an ensemble for response to a biological or radiological event. ISO also specifies requirements for particulate protective clothing; however, the testing is not based on a fully integrated system (i.e., respirator, gloves, and boots can be substituted) and is also based on inward leakage and not deposition, and therefore this set of requirements provides undefined particulate protection levels. Figure 3.16. Two examples of military systems designed to be worn as stand-alone uniforms. Left: The IdZ system, under development for the German Federal Armed Forces. (Reproduced by permission of, and © Bl¨ucher Gmbh, 2011). Right: The CBplus uniform concept (worn in the closed state), developed by Defence Research and Development Canada. The Canadian standard additionally includes a wide variety of possible ensemble configurations designed for specific capabilities within a CBRN response incident. Various potential respirator styles are matched with suitable dermal protection capabilities as entire 54 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ systems, suitable for the possible roles and locations within an incident. Approval of systems against the standard is under way. Figure 3.17. Protective system using an MVP barrier. (Photographed by Rick Bloomingdale, reproduced by permission of, and © Starfield-Lion, 2011.) Similarly, the U.S. National Institute of Justice has published a standard for law enforcement ensembles. Respiratory protection is not covered, nor is protection from ballistic threats, explosives, or ionizing radiation. The combination of respiratory protection style and clothing yields various configurations. As of this date, no systems are approved under this standard. PPE for radiation protection useful for generic CBRN applications is still in its infancy. One system approved under the NFPA 1994 class 2 category (Fig. 3.18) includes the partially radiopaque material Demron. Demron is the only impermeable CBRN fabric that permits heat exchange, enabling the wearer to be cooled externally without having to penetrate the suit. The same materials have been incorporated into bomb suits and personal protective armour. 55 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.18. Radiation shielding suit and shield. (Reproduced by permission of, and © Radiation Shield Technologies, date unknown.) By combining different functionalities, the burden can potentially be lowered, particularly for those who must have multiple types of protection. The advanced NBC protection system for aircrew combines protection against whole-body immersion and CBRN agents, as well as active cooling and CBRN protection. Figure 3.19. Radiation shielding suit (The Russian Federation Research Institute of Steel). 56 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 3.20. Makeshift radiation shielding on Chernobyl NPP emergency. 3.7. Future Concepts to Improve Performance in Use There are some generic ways in which performance in use can be improved in the future, both through design of the PPE itself and by developing better concepts of use or indicators. Fitting. Equipment that does not fit properly will neither protect properly nor will it be suitably functional. Therefore, designing equipment that is one size fits all with some adjustability, that is easy to fit, or that can be preadjusted and then fixed will reduce the logistics associated with this problem. Custom-fitted and custom-produced PPE is also a possibility with current scanning and rapid three-dimensional printing capabilities. Real-time sensors that detect failures in fit are a possible solution, for example, integral pressure sensors in closures that detect when a seal pressure falls below a certain value. Approaches to rapid determination of air-purifying respirator fit in the field are under development. Monitoring Protective Capacity. When equipment is worn or stored too long, it may fail to protect, due to either exceeding its normal capacity or to reduced capacity due to environmental exposures. Hence end-of-service-life indicators or residual-life indicators for protective performance would be of significant benefit. Since most protective materials have different protective capacities for different agents, a one-size-fits-all approach is conceptually and technically quite challenging. Donning and doffing. Equipment may protect well when it is worn, but take too long to put on properly, be put on too late, removed before completely decontaminated, or difficult to remove without contamination transfer. Smart protective equipment that is worn all the time and closed up automatically based on a remote sensor or environmental trigger would have benefits in dealing with the donning issues. Ease of removal through the use of quick releases and reduction of the likelihood of contact with contamination during removal through peelable outer layers should be considered. Localized exposure/contamination indicators on the exterior of the PPE would make the decontamination and removal procedure more fool proof: for example, a colour-change material that indicated chemical agent contamination of surfaces. Self decontaminating materials would also reduce the likelihood of contamination during and after removal. Multiple Hazards and Functions and System Integration. CBRN equipment is expensive and annoying to implement and wear. It is also highly dependent on having system integrity in order to perform adequately. Combining protection against other hazards with CBRN protection has the advantage that the user is more likely to wear the equipment if its primary function is something other than CBRN protection; in addition, when protection against other 57 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ hazards, such as ballistics, moisture, or fire lies outside the CBRN layer, its integrity is more likely to be preserved in use. Integrating CBRN protection into the next-generation soldier system by integrating with the helmet and other protective layers as well as planning for reduced burden on the wearer by dual-use items such as CBRN protective footwear, or clothing requiring no extra outer layer, will increase the likelihood that the PPE will be used when it is needed and that it will function as desired. Increasing the breadth of the CBR hazards protected against by the PPE – for example by using an “all-hazards” air purifying system that allows only selected gases such as oxygen and nitrogen through or by using long-life lightweight closed-circuit breathing apparatus – would be of huge benefit. 58 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 4. Decontamination Technic As a result of accidents, when the protective barriers are destroyed, gaseous and sublimating radioactive elements can be released from the reactors into the external environment with steam streams: radioactive noble gases, radionuclides of iodine and caesium. In the early phase of the accident, the actual release of radioactive substances into the environment occurs. The duration of this period can be from several minutes to several hours in the case of a single release and up to several days in the case of a prolonged release. The intermediate phase of an accident is a period during which there is no additional intake of radioactivity from the source of the release into the environment. This phase begins with the first few hours from the moment of release and lasts up to several days, weeks or more. For onetime emissions, the length of the intermediate phase is predicted, as a rule, within 7 to 10 days. The late phase (recovery phase) is characterized by a period of return to the conditions of normal life of the population and can last from several weeks to several decades, depending on the power and radionuclide composition of the release, the characteristics and size of the contaminated area, the effectiveness of radiation protection measures. The most severe radiation accidents at nuclear power plants, accompanied by the release of uranium and its fission products outside the sanitary protection zone and radioactive pollution of the environment, include the so-called outof-design accidents caused by depressurization of the reactor's primary circuit. A typical example of this type of accident is the accident at the Chernobyl NPP in April 1986. The main source of radioactive pollution of the environment and human exposure during nuclear reactor accidents is gas-aerosol mixtures emitted from the reactor. Radioactive aerosols after hitting the surface of objects are fixed on it. The processes of surface and deep pollution, as a rule, occur simultaneously. In dry weather, radioactive contamination is mostly superficial. At the same time, individual particles will penetrate into the recesses of the rough surface, causing deep contamination. When the surface is contaminated with droplets containing radioactive substances, another mechanism is triggered: initially, the droplets will adhere to a solid surface, which in the future will lead to an increase in the concentration of radionuclides on the surface, ion exchange and diffusion. In addition to primary radioactive contamination, subsequent contamination cycles, the socalled “secondary” contamination, are possible. In case of secondary contamination, radioactive substances are transferred from a previously contaminated object or territory to a clean or less contaminated object. Thus, radioactive contamination of terrain, structures and roads can pass into the air or groundwater, and then precipitate, causing radioactive contamination of previously "clean" objects, transported by transport, people or animals. In case of accidents at nuclear power plants, there are two main periods: “iodine hazard”, lasting up to 2 months, and “caesium hazard”, which lasts for many years. In the "iodine period", in addition to external irradiation (up to 45% of the dose for the first year), the main problems are associated with milk and leafy vegetables - the main "suppliers" of iodine radionuclide inside the body. At the first stage, radiation exposure to people consists of external and internal exposures caused, respectively, by radioactive exposures from radionuclidecontaminated environmental objects and inhalation of radionuclides with polluted air, at the second stage - by irradiation from radionuclide-contaminated environmental objects and their introduction into the human body with consumed food and water, and in the future - mainly due to the consumption of contaminated food by the population. It is generally assumed that 85% of the total predicted radiation dose for the next 50 years after the accident is the dose of internal radiation caused by the consumption of food grown in the contaminated area, and only 15% falls on the dose of external radiation. 59 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 4.1. Decontamination basis 4.1.1. Sources of Radionuclide Contaminants During the radiological accidents, the basic recovery strategy for contaminated areas is to identify, relocate, isolate, decontaminate and rapidly release them for unrestricted use. Areas that cannot be decontaminated to levels allowing unrestricted are converted to uses controlled by authorities, such as paved public squares. These strategies are effective in reducing public disruption and stress. The various stages of the nuclear fuel cycle and the operation and decommissioning of nuclear reactors all have the potential to create contaminated sites. The contamination may include mill tailings; spillage of ore end product at the mine and in transport; waste from enrichment and fuel fabrication operations; fission product and actinide waste streams from reprocessing of fuel elements; radioactive effluents from normal operations of nuclear power plants; wastes produced during decommissioning of reactors; and major releases under accident conditions Radioactive materials have been used widely since their discovery for a variety of scientific, medical and industrial uses. In some cases, either through ignorance, carelessness, or accident, sites have been left contaminated with residues of the operations. Such sites include factories where radium was used in luminescent paint and thorium was used in thorium coated gas mantles. Other locations where radionuclides have been handled have the potential for leaving contamination. In the course of nuclear weapons production and transport, there have been several severe accidents resulting in considerable contamination. These include: Windscale Pile 1 (1957), Kyshtym (1957), Palomares (1966) and Thule (1968). The spread of contamination by accident or by human ignorance are illustrated by the cases of the TMI NPP (1979), Chernobyl NPP (1986) and Fukushima NPP (2011). Various types of facilities, especially reactors, produce various radionuclides due to different moderators, coolants, structural materials, nuclear fuels, and auxiliary processes used. Radioactive nuclear fission products such as 131I, 137Ce, and 90Sr are created in the nuclear reactor core. There are a limited number of radioactive sources that are large enough to cause widespread contamination. The radionuclide contaminants mainly include 60Co, 134, 137Cs, 90Sr, 238U, 129Te, 110 Ag, 232Th, 238,239,240Pu, 192Ir, 241Am, 129,131I, 97,98,99Tc, 93,95Zr, 55Fe, 94Nb, etc. 4.1.2. Behavior Characteristics of Radionuclides During the surface decontamination of nuclear facilities, the focus is not only on the surface deposition layer but also taking into account the radionuclide migration. The penetrating depth varied depending on the physicochemical properties of base materials, nature of radionuclides, etc. (Fig. 4.1). Cs had similar contamination behaviours to Sr, but it was more inclined to surface than Sr (see Tab. 4.1). The majority of Sr remained near the base material surface and did not penetrate beneath the surface. Therefore, the penetration depth of Sr was smaller than that of Cs. The permeation depth of U in rubber ranged from ten to one hundred micrometres. The radioactivity of the deposition layer is just a proportion of radioactivity in the pipe and some radionuclides had penetrated into the sub-surface of the base material. Stainless steel is a common structural material used in a nuclear power plant due to their better mechanical properties and corrosion resistance. Tritium is considered as an important fuel for fusion reaction and stainless steel is commonly used as a candidate structural material to make tritium containers, the facility, and the pipe. During long-term application, the tritium penetrates the stainless steel through adsorption and diffusion, resulting in the structure performance degradation and threatening the safety of the stainless steel for use. Many pieces of research have been conducted to study the distribution and speciation of tritium in stainless steel. The tritium is mainly in the form of tritiated water vapor (HTO) and tritiated hydrogen (HT). The distribution of tritium varies based on the tritium storing 60 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ condition and place. The tritium was released as HTO with a fraction of HT during gradual surface etching. The HTO mostly originated from the tritium present on the outermost surface and about 90% of it could be easily released. The rest was sorbet tightly and remained in the surface layer. Figure 4.1. Factors on the penetration of radionuclides in base materials. Table 4.1. Characteristic of radionuclides in base material Radionuclides U Sr Bulk Materials Species on the Bulk Surfaces Rubber, cable Stainless steel Stainless steel SrCrO4 in the oxide layer SrCo3 in the matrix Cs2Cr2O7 in the oxide layer Cs Concrete Sr Cs Y Concrete Cs doesn’t interact with cement hydrates. Sr interacts with cement hydrates through ion exchange with Ca. High pH of the cement hydrate forming a hydroxide of low Y solubility Depth Distributions Rubber tube: 6.5 – 35.0 m Rubber floor: 2.1 – 220 m Cable insulation material: 3.5 – 38.3 m Penetrating depth of 150nm Penetrating depth of 15nm Degraded concreate: several millimetres Cracked concrete: >10 cm Cs: 15mm with concentration of approximately 110-8 mol/kg. Sr: 3mm with concentration of approximately 110-8 mol/kg. Y: on the surface of the mortar 4.1.3. Surface Contamination Mechanism Decontamination is defined as the removal of contaminants from surfaces by washing, heating, or chemical, electrochemical, or mechanical action. It is mainly applied in nuclear facility equipment and components, including building exteriors and interiors, equipment, pavement, and vehicles. Sometimes, it can also concern the removal of radioactivity situated deep in the material. During the decontaminating processes, two points need to be better understood. The first is to 61 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ clarify the parts that need be decontaminated, and the second is to know the source of the contaminants. The radioactive contamination is caused by radionuclide contaminants on surfaces through mechanical adsorption, physical adsorption, or chemical reactions with different base materials, such as stainless steel, rubber, plastic, etc. The mechanical adsorption is resulted from the imbedding and adhesion of radionuclides in the defect of the material surface. The physical adsorption is generated because some materials’ surfaces have charges and the radionuclides with opposite charge are adhered on their surfaces. The chemical reaction is caused by various reactions, such as ion exchange and isotopic exchange between radionuclides with ionic form and materials. The type of contamination is determined by the radionuclides and base material, as well as the system. The main forms of radionuclides binding to the surface include: 1. Nonfixed contaminants attached to the surface by intermolecular forces. There is no reaction between radionuclides and base materials. The combination between them is weak and this contaminant is easy to be removed. 2. Weakly fixed contaminants formed through chemical adsorption or ion exchange. The combination is strong, and the radionuclides penetrate the base material with a considerable depth resulting the difficulty of radionuclides to be removed. 3. Deep surface contamination formed by radionuclides diffusing to the base or neutron irradiation activation of trace elements in the base. This contamination is difficult to be dealt with as well. Contamination can also be classified as being “fixed” and “loose (or free)”. Fixed contamination is that which is not transferred from a contaminated surface to an uncontaminated surface when two surfaces accidently touch. The radioactive material cannot be spread, since it is chemically or mechanically bound to structures. It cannot be removed by common cleaning methods. As a comparison, loose contamination is that which may be readily transferred under these circumstances. The radioactive material can be spread, and this contamination can easily be removed with simple decontamination methods. Therefore, in response to different levels of surface contamination and the requirements for decontamination effects, it is necessary to choose a reasonable and economic decontamination technique. 4.2. Recent Decontamination Technologies The decontamination process, which is the reverse of the process of radioactive contamination, is associated with the removal of radioactive contamination from the treated objects. In the case of surface contamination, decontamination is limited to the removal from the surface of objects of radioactive substances that have been fixed on it as a result of adhesion and adsorption of molecules or ions of radionuclides. For decontamination with deep contamination, this is not enough - it becomes necessary to extract radioactive contamination that has penetrated deep into the surface, and only after that the removal of radioactive contamination that has passed from the depth to the surface of the object occurs. It is possible to remove radioactive contaminants located deep in the material together with this material. Decontamination is carried out using various methods. A decontamination method is a set of operations using decontamination means to remove radioactive contamination from objects or to isolate the surfaces of these objects. Decontamination methods are implemented as a result of the impact of decontaminating solutions or media on the treated surface, taking into account the characteristics of the object and the technical means used. Existing decontamination methods can be classified according to various criteria, which, on the one hand, are determined by the conditions of radioactive contamination, and, on the other hand, by the conditions for conducting the decontamination itself. The choice of decontamination method is dictated by the characteristics of radioactive contamination and the object itself. The classification of all methods of decontamination can be based on two basic principles that determine the state of aggregation of the decontaminating medium and the features of the actual decontamination. 62 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Depending on the state of aggregation of the decontamination medium, all methods of decontamination can be divided into liquid and non-liquid, as well as combined ones. Liquid methods can be based on the use of mechanical action (water jet, ultrasound, etc.) of solutions using physicochemical processes (adsorption, ion-exchange, membrane, etc.), as well as on a combination of various types of action. The desire to improve the efficiency of decontamination has led to the implementation of decontamination by a combination of different methods. A similar combination of liquid and non-liquid processing methods is realized in the combined processing methods, which, in particular, were used in Chernobyl. Decontamination by superheated steam can be classified as a liquid-free method, but after steam condensation on the surface of an object, treatment proceeds according to the liquid decontamination mechanism. Complex decontamination should be understood as the processing of the same object in different ways. For example, in Chernobyl, equipment and facilities were decontaminated first using vacuum cleaners and then using decontaminating solutions. In conditions of mass radioactive contamination, it may be necessary to repeatedly decontaminate. In Chernobyl, multiple decontamination was carried out involuntarily due to repeated radioactive contamination of the same objects and insufficient efficiency of one-time treatment. Not all decontamination methods are used equally often. For this reason, they can be divided into two groups - main and auxiliary. Relatively rarely, decontamination is carried out with foams and using membrane technology. In addition, auxiliary methods should include those methods of decontamination that are carried out without the use of technical means; for example, wiping a contaminated surface by hand with brushes or rags. Sometimes decontamination methods are divided into physical-mechanical, chemical and physical-chemical. Physical-mechanical methods are carried out using mechanical or physical processes; for example, the mechanical action of a brush, the aerodynamic action of a liquid or gas flow, etc. In chemical methods, the chemical interaction of radionuclides with the components of the decontaminating solution occurs; it can be intensified under the action of external factors, in particular, an electric field. Physical-chemical methods of decontamination combine the features of the two previous ones. All non-liquid methods can be attributed to physical-mechanical methods, and liquid and combined methods can be attributed to physical-chemical methods with a predominance of either chemical or physical processes. Removal of radioactive contamination in the implementation of any method of decontamination occurs in two stages. The first stage of the decontamination process 1 is to overcome the connection between the carriers of radioactive contamination (radioactive particles, radionuclides in the form of molecules or ions) and the surface of the treated object. In the case of deep contamination, decontamination consists not only in overcoming the connection between the carriers of radioactive contamination and the surface, but also in the transfer of these contaminations from the depth of the material to the surface. The radioactive contaminants extracted from the material fall on the surface of the product, turn from deep into surface, and then are removed, like surface contaminants. No less important is the second stage of the decontamination process, which consists in the movement of radioactive contamination from the treated object. If the second stage of the process does not occur in full, and even more so completely absent, then the radioactive contamination in the spent environment is deposited, and the secondary contamination of the object is already in the process of decontamination itself. Such a distinction between the decontamination process into two stages is somewhat arbitrary. This conditionality is due to the fact that both stages of the process can occur either simultaneously, or with the advantage of any one of them. 4.2.1. Physical-Mechanical Methods Physical-mechanical decontamination techniques are physical methods that are based on different mechanical forces, such as scraping, brushing, wiping, and scrubbing to release 63 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ radionuclides through mechanical agitation or physical removal. They mainly include highpressure liquid jetting (high pressure and ultra-high pressure), mechanical cleaning, and airblast cleaning. 4.2.1.1. Decontamination by gas (air) jet During decontamination by a jet of gas (air), contamination in the form of radioactive particles, liquid droplets, as well as structured masses are removed from the surface. The gas stream is able to overcome only surface radioactive contamination of adhesive nature. Practically, a gas jet is used to decontaminate objects, which escapes from the jet engine nozzle. The velocity of the gas jet at the exit of an aircraft engine is usually 150-200 m/s, and at the treated surface it decreases to 90110 m/s. This speed allows you to remove fairly large radioactive particles with a diameter of more than 15 microns. The deactivation coefficient of this method reaches only 5. When used at the Chernobyl nuclear power plant, this method was not effective in relation to vehicles. 4.2.1.2. Decontamination by abrasive blowing One of the ways to increase the efficiency of processing is based on the use of an air jet after the introduction of a powder into it that has an abrasive effect and is able to remove the top contaminated layer. Decontamination occurs as a result of abrasive blowing, while removing both surface and deep radioactive contamination. The decontamination coefficient can reach 200-300, which guarantees excellent processing quality. The abrasive powder is fed into the air environment and under its influence acquires the necessary speed due to aerodynamic and inertial forces. Then the powder, together with the air flow, is fed to the treated surface. Sand, carborundum, metal and other powders can be used as abrasive material. Decontamination is mainly carried out due to the impact of abrasive powder, and the air jet, in this case, performs auxiliary functions: spraying powder, sending abrasive particles a certain speed, directing them to the treated surface and removing spent particles together with radioactive contamination from the surface of the object. Figure 4.2. Decontamination by abrasive blowing. In all cases of using an abrasive preparation and removing the contaminated layer, an abrasive (sand, shot, metal and other particles) is introduced into the treated surface, chipping or cutting off part of this surface. The performance of abrasive treatment is relatively small, it can reach about 5 m2/h for alloy steel structures, and 25 m2/h for painted products by removing a layer of paint. 64 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 4.2.1.3. Decontamination by High-Pressure Liquid Jetting Among these mechanical methods, the high-pressure liquid jetting is a process employing water pumped through a rotary nozzle at pressures of 10–100 MPa. These techniques have been proved effective to clean substrate surfaces. The decontamination efficiency of water jetting for stainless steel surfaces and the potential implications for steel recontamination. After decontamination, water jetting at 45 more efficiently removed the passive layer than that at 90; thus, it was more suitable for Sr decontamination treatment. The mechanism of this method for material removal is considered to be a complex process including plastic deformations and crack initiation, pit development, granular erosion, and water permeation into cracks and pores. Figure 4.3. Decontamination by high-pressure liquid jetting. The HPWJ is an effective, customizable, reliable process and uses environmentally friendly water as a cleaning medium. However, the main problem arises from the resulting contamination of the water, which can lead to deep cross-contamination, especially in cracks and joints. There is a linear correlation between decontamination and water pressure at a 90 incident angle. It has the potential to create larger volumes of liquid waste that would require effective management. 4.2.1.4. Decontamination by vacuum cleaner Unlike the method of decontamination with an air jet, the air flow is directed not towards the treated surface, but away from it. This happens under the action of the vacuum created in the air path of the device. Vacuum and a certain air flow are characteristic parameters for decontamination by dust extraction. In the first stage of decontamination, the removal of adhesion-bound RA contaminants is facilitated, in addition to vacuum, by the mechanical action of the brush. The air flow picks up radioactive contaminants, removes them from the contaminated surface and thus carries out the second stage of the decontamination process. During the implementation of the second stage, the air flow enclosed in the air duct is deprived of the possibility of spreading RA pollution into the environment. Filtration of the polluted stream makes it possible to capture the removed radioactive contamination and carry out decontamination on the basis of a closed cycle. Thus, in industrial and domestic vacuum cleaners that implement decontamination based on dust extraction, in contrast to airflow, decontamination is carried out on the basis of a closed cycle; this is the advantage of dust extraction against air jet decontamination. In addition, vacuum cleaners require lower airflow velocities and, consequently, less powerful generators to create such flows. 65 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 4.4. Industrial vacuum cleaner for decontamination. Industrial vacuum cleaners are capable of processing about 300 m2 of contaminated surfaces in 1 hour. The capacity of these vacuum cleaners in relation to the cubic capacity of the premises – is 150250 m3/h, and when using household vacuum cleaners, it is reduced to 6070 m3/h. 4.2.1.5. Removing the contaminated layer and isolating the contaminated surface In the process of removing the contaminated layer, two stages of the decontamination process are combined in one. This method of decontamination can be implemented in relation to the terrain, roads, painted products, building structures, as well as for any other objects, especially after accidental radioactive contamination. The efficiency of decontamination is determined by the depth of the removed upper contaminated layer, which in turn depends on the depth of penetration of radionuclides into various materials. If the depth of penetration into the soil is 5 cm, then the thickness of the removed soil layer, which ensures effective decontamination, is 10 cm; for concrete, respectively, 0.5 and 1 cm. The implementation of the method depends on the characteristics of the object being processed. The top layer of soil is cut off. This is done manually in relation to limited areas and in the case when it is impossible to use engineering equipment – bulldozers, scrapers, graders. Despite the apparent simplicity of this method, the practical implementation is associated with the cost of large material resources and is laborious. When the contaminated layer is removed, along with radioactive contamination, a part of the soil itself or material is removed, the mass of which is 1000 times or more greater than the mass of the contamination itself. To decontaminate, for example, a 100 m2 area, approximately 20 tons of contaminated soil will need to be transferred. This soil is a source of radioactive contamination during transportation, as well as along the route of transport. All those surfaces with which this soil is in contact are also polluted. Burial grounds are required for the disposal of contaminated soil; at the same time, it is necessary to exclude the possibility of the spread of radioactive contamination from these burial grounds due to groundwater and soil processes. The process of soil removal itself is carried out sequentially from site to site. When using a bulldozer, for example, the width of the processing area is limited by the width of the bulldozer blade. During the operation of the bulldozer, dumps of radioactive contamination are formed and there is a danger of spilling part of the soil from the dumps onto already treated areas. Therefore, careful organization of work on soil decontamination is required, which excludes the possibility of transfer of contaminated soil to the treated areas. Equally problematic are the decontamination of equipment, buildings and steel structures. Due to the fact that the depth of the removed layer is relatively small in relation to the contaminated 66 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ layer, the mass of the removed contaminated layer is less than when the soil is decontaminated. However, the top layer of soil is removed with less effort than the top layer from various materials and equipment. In addition, the elastic properties of the removed material contribute to a greater distribution of this material into the environment and create a greater likelihood of secondary contamination. Figure 4.5. Mechanical decontamination. Mechanical methods are carried out by grinding, the impact of brushes and scrapers, using jackhammers and drills. 4.2.2. Chemical Methods Chemical methods are mainly based on reactions such as dissolution, oxidation/reduction, complexation, and sequestration to remove contaminants from the surface. This method mainly includes reagent washing, foam decontamination, chemical gel, strippable coating, electrochemical gel decontamination, etc. Reagents used for chemical decontamination approach include water alone or with soap, surfactants, acids, bases, chelating agents, or redox changing agents. Foams, gels, or pastes are used to provide a longer contact time and thereby enhance removal. 4.2.2.1. Reagent Washing Reagent washing is a simple decontamination method, which is more effective for smooth nonporous surfaces. Many decontamination solutions have been applied, the use of which depends on the contaminant and surface chemistry, as well as the secondary waste generated. Typical reagents used in decontamination solutions include water, detergents and surfactants, acids, chelators, redox agents, foams and gels, and hybrid and proprietary solutions. Among them, water is available for most ionic compounds and mainly applied to smearable contamination. Its decontamination efficiency can be improved by increasing temperature or adding wetting agents and detergents. Most commercial detergents have a detergent acting as a wetting agent or surfactant. While detergents have limited effectiveness by themselves, they are effective at enhancing other decontamination solutions. Surfactants can decrease the surface tension and increase liquid contact with the contaminated surface. The role of acids is to react with and dissolve metal oxide films containing contaminations or to etch the base metal and release the contaminant. Compared with inorganic acids, the organic acids offer advantages of safer handling and the ability to sequester contaminants. The concrete was first washed with hydrochloric acid to decompose CaCO3 and thus decrease the pH of concrete. The 60Co and 137Cs removal efficiency were 85% and 76.3% at this stage. Then, the electrokinetic method was applied with acetic acid with 60Co and 137Cs removal of 99.7% and 99.6%, respectively. 67 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 4.6. Reagent washing of contaminated surfaces. Chelation techniques are best used on nonporous surfaces and generally applied to fixed contamination that is not readily removed by simpler methods. Complexing agents are often used in combination with detergents, acids, and oxidizing agents. Reduction and oxidation agents are used to change the oxidation state of a metal and make it more soluble or more conducive to other decontamination methods. Foams and gels are used as carrier media for other decontamination agents. They have little decontamination ability by themselves but can enhance other agents’ efficiency by sticking to a surface and providing longer contact times. Hybrid and proprietary solutions can increase the decontamination factor over conventional washes. These systems combine several solution types and use gels, foams, pastes, and combinations of each for delivery and enhanced efficiency. 4.2.2.2. Foam Decontamination Foam decontamination, also known as decontamination foam, is achieved by spraying the detergents and wetting agents with hydrophilic groups or hydrophobic groups with a high pressure. The foam, as a carrier for chemical decontamination agents, is formed on the facility surface, which collapses after decontamination and drains away. The composition of foams may include other substances that accelerate decontamination. Thus, oxalic acid and a mixture of silica gel with dolomite as a sorbent were introduced into one of the compositions. When using foams, the effectiveness of the method is determined by a thin layer of liquid in contact with the contaminated surface. The remaining liquid of the solution turns out to be useless. The foam uses most of the liquid for decontamination, which allows at least 5 times to reduce the consumption of the solution. The use of colloidal properties of foam bubbles also makes it possible to increase the processing efficiency. 68 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Figure 4.7. Foam decontamination. Foams make it possible to deactivate such objects for which other methods are unacceptable; for example, airplanes and helicopters; surfaces of complex configuration, the recesses of which are available for foam; some types of optical, electronic and other equipment. Decontamination foams can be used in various ways. The first of them is based on the application of foam, exposure (exposure) for a certain time on the treated surface. In addition, it is possible to treat surfaces based on the second option – by circulating foam, as well as cleaning the aqueous medium with foam. The most common foam method is implemented in the first variant, when after application and exposure, which is calculated in tens of minutes, the foam is removed in various ways: by water jet, by vacuum, by mechanical means. The effectiveness of decontamination in conditions of severe radioactive contamination is high with sufficient time of foam exposure to the contaminated surface. The disadvantages of this decontamination method are associated with the implementation of the second stage of the decontamination process. The transporting capacity of the foam is insignificant. Over time, the foam goes out, which makes it possible for radioactive contamination to settle again on the already treated surface. This circumstance determines the two-stage treatment, while the water consumption for flushing the foam is up to ten times higher than the consumption of the foaming solution. As compared to the use of chemical decontamination solution, the decontamination foam decreased the secondary waste by 80%. With the temperature dropping from -10 to +10C, the viscosity of the foam solution significantly increased, and the half-life of the foam increased from 181.5 to 2758 min. It is worth noting that decontamination efficiency may be decreased if foams are unstable. Therefore, it is the key issue for a successful decontamination process to stabilize the decontamination foam. Improving foam stability can lead to the increase in decontamination time, which is conducive to improving the decontamination efficiency. 4.2.2.3. Chemical Gels The use of chemical gels aims to overcome problems associated with chemical-based decontamination techniques, such as reagent baths, foaming solutions, or solvents. The gels are commonly prepared by dispersing thickening agents, such as silica or alumina particles in solution, forming a gel-like suspension. The excellent rheological properties for decontamination gels allow them to be sprayed and remain attached to surface. This allows the implementation of this technique over large surfaces at large scale. The gels crack after drying, forming non-dust flakes where the contaminants are trapped and are easily removed by brushing or vacuum cleaning (Fig. 4.4). It offers advantages of safe handling, high penetration, and small volumes of secondary waste. The decontamination process is more efficient for nonporous materials and the 69 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ decontamination factors could reach more than 90%. Was developed a polyvinyl alcohol–borax complex-based spray coating containing adsorbents (Prussian blue, bentonite, and sulfur-zeolite) for the decontamination of 137Cs-contaminated surfaces. The gel-like coating adheres to vertical surfaces with a 137Cs removal efficiency of 56.9%, as compared with 27.2% for DeconGel. Figure 4.8. Applying of gels for decontamination. In addition, the coating could be easily removed by rinsing with water leaving no residue. 4.2.2.4. Strippable Coating Some methods are a combination of chemical and mechanical or a hybrid of the two. Strippable coatings use chemical and adhesive methods to remove the contamination from the surface and again require mechanical peeling of the coating. Was prepared a strippable coating using acrylate emulsion as the main film-forming agent and lauryl sodium sulphate as surfactant. The decontamination rate reached 92.26% for uranium dust on the concrete surface with a dosage of 2.5 kg m2. Also was employed a biodegradable strippable coating to surfaces contaminated with 60 Co, 133Ba, 137Cs, and 241Am. Up to 95% of decontamination factors were obtained for these radioactive isotopes. Figure 4.9. Applying of strippable coatings for decontamination. Was explored the feasibility of applying chitosan gels with or without Fe3O4 nanoparticles to deal with radioactive contamination. A removal efficiency of 85% was achieved for noncompatible waste contaminated with uranium. For the strippable coating method, it has no airborne contamination and secondary liquid waste. However, it is best suited for smaller decontamination activities and only worked for easily removed contaminants. 4.2.3. Electrochemical Method Electrochemical decontamination includes electrolysis, electrophoresis, and electro osmosis, in which processing the contaminated surface is immersed in a certain electrolyte as the anode. The electrolysis corrodes the anode, so that the nuclide pollutants in the metal surface layer 70 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ are dissolved into the electrolyte solution achieving the purpose of removing nuclides. Compared to other chemical decontamination technology, the solution can be reused by filtering and adding an electrolyte. It is suitable for deep decontamination of carbon steel, stainless steel, aluminum, and other metal surfaces produced during the decommissioning of nuclear facilities. Was investigated the electrochemical decontamination of irradiated nuclear graphite in an acid medium. The reduction in 60Co activity by a factor of 210 and Cs activity by a factor of 7100 was achieved. Was coupled electrochemical decontamination with ultrasonic technology, and the decontamination effect was compared with that for individual electrochemical decontamination. The results indicated that the ultrasonic-assisted electrochemical decontamination had advantages such as good decontamination efficiency, simple equipment, fewer chemical reagents, etc. Was used the electro-coagulation technique to remove uranium from stainless steel. The removal efficiencies of 90% uranium were obtained in using a molar solution of H2SO4 as a support electrolyte and a potential of 2.4 V. The electrochemical method has a high efficiency with a small volume of secondary waste. However, the saturated solutions require appropriate processes for final treatment. 71 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 5. Decontamination in the radiological accident case The most dangerous source of radioactive contamination of surfaces, equipment and buildings is the release of radioactive substances into the atmosphere and the spread of these emissions in the form of an aerosol cloud. During the movement of this cloud, radioactive particles settle and fix them on objects that are on the surface along the path of movement of this cloud. Exposure to radioactive substances after an emergency release is manifested in the exposure of people as a result of external and internal exposure, measured by the radiation dose. In total, the dose of external radiation after mass pollution, including after the Chernobyl disaster, is caused by -radiation from clouds, volatile radioactive products and gases when radionuclides are in the air; -radiation from contaminated terrain and objects on it; -radiation of particles that have fallen on human skin; -radiation from all contaminated objects. The dose of internal radiation is determined by the effect of absorbed radioactive iodine on the thyroid gland; radiation in the lungs of inhaled radioactive substances; radiation in the gastrointestinal tract as a result of ingestion of radionuclides orally with contaminated water and food. The particle sizes during aerosol release determine the nature of the fallout of radioactive particles and the features of the formation of pollution zones during the movement of the aerosol cloud. Radioactive contamination can be divided depending on their level and distinguish shortrange, regional and long-range precipitation, as well as the transboundary spread of radioactive particles. Each of these precipitations is caused mainly by particles of a certain group. The most severe pollution is observed directly near the emergency facility due to group 1 particles and pieces of various origin (in case of an accident at a nuclear power plant, these may be fragments of fuel rods, graphite, structures and communications). It is this part of the nearest zone that is decontaminated in the first place. As a conditional boundary of regional pollution caused by the deposition of radioactive particles of groups 2 and mainly 3, it is possible to take the territory limited by isolines with a dose rate of 0.5 mSv/h. The boundary between the zones is conditional due to the possibility of transfer of radioactive substances. Long-range precipitation occurred due to particles of group 3 and mainly group 4. Longrange radioactive contamination is usually slightly higher than background. In some cases, especially during rain and descending air flows, pollution may exceed permissible standards, which requires decontamination. Decontamination of buildings and surfaces and fixation of remaining radioactivity may be necessary. The magnitude of the radiological consequences will determine the degree of action necessary. Depending upon the type of area affected, the responsible authorities should take the necessary steps to measure the radioactivity in the areas affected and to calculate the resulting potential doses to persons. Depending on the level of decontamination, the types of surfaces and size of the area affected, continuous monitoring of radiation dose rates at certain locations may be necessary for some time. The cumulative doses to persons present in areas to which access is controlled can be measured by integrating dosimeters. 5.1. Decontamination of settlements Decontamination of settlements was one of the main countermeasures during the initial stage of accidental response. The purpose of settlement decontamination after the Chernobyl accident was the removal of radiation source distributed in the urban environment inhabited by humans to isolated or at least remote places. The decontamination efficiency may be determined by means of the following parameters: Decontamination Factor (DF) The efficiency of techniques in removing radioactivity from a surface. For example, a DF of 2 means that a reduction in contamination (alpha or beta/gamma activity) on the surface by a factor of 2 is seen following decontamination. 72 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ Decontamination Reduction Factor (DRF) The reduction in gamma dose rate above a surface following decontamination. For example, a DRF of 5 means that, following decontamination, the dose rate 1 m above the surface is reduced by a factor of 5. Decontamination Reduction (DR) The reduction in overall external exposure from deposited gamma-emitting material from all surfaces in the environment where an individual is located, taking into account any decontamination that has taken place. For example, a DF of 2 on roofs may result in a DR of 10% in the first year following deposition. The information upon the effectiveness of different decontamination technologies accumulated by the present time could be chronologically and by subjects structured in the following way: 1. Results of laboratory and field investigations both before and after the Chernobyl accident, during which there have been determined the values of the DF and DRF factors for separate decontamination technologies conformably to different surfaces and objects in the anthropogenic environment. 2. Results of the carrying out large-scale measures upon the decontamination of settlements on the territories of Russia, Ukraine and Byelorussia radioactively contaminated after the accident at the Chernobyl NPP. After doing these actions, there were received for the first time the values of the DR factor based not on calculations, but on measurements of the dose reduction effect for the external exposure among different groups of population. 3. Results of a number of local field experiments (in 1989, 1990, 1995 and 1997) upon decontaminating small areas and buildings situated on them in the countryside of the Russia and Belarus. The most interesting results appurtenant to the first group has been published as Riso report. It constitutes a catalogue of achievable “local” dose reduction factors or decontamination factors and other important parameters for different clean-up procedures in various types of environmental scenarios. The estimates were based on experimental work to assess the effect of dose reducing countermeasures in areas contaminated about 9 years ago by radioactive material released during the Chernobyl accident. However, it is very difficult on this background to get a clear view of the total dose-reducing effect (in terms of DR) in the anthropogenic areas of carrying out a whole series of countermeasures on different surfaces, as it would be done in practice. Large-scaled decontamination was performed in 1986-1989 in cities and villages of FSU most contaminated after the Chernobyl accident. This activity was performed usually by military personnel and included washing of building with water or special solutions, cleaning of residential areas, removal of contaminated soil, cleaning and washing of roads, and decontamination of open water supplies. Special attention was paid to kindergartens, schools, hospitals, and other buildings frequently visited by large numbers of persons. During large-scaled decontamination campaign in 1986-1989 about one thousand of settlements were treated, tens of thousand inhabited and social buildings, more than thousand of agricultural farms. Depending on decontamination technologies the dose rate over different visited plots was decreased by a factor from 1.5 to 15. But high cost of this activity hindered to clean totally the whole settlement territory and especially its vicinity, fields, meadows, forests where significant part of population spends a lot of time. Due to these conditions actual effectiveness of the annual external dose decrease after upper soil layer removal around houses, social and production buildings usually was 10 to 20% for average population ranging from about 30% for children visiting kindergarten and schools to less than 10% for outdoor workers (herders, foresters, etc.). These data were confirmed by individual external dose measurements. The averted collective external dose in 90 thousand of inhabitants of 93 most contaminated settlements of the Brynsk region in Russia due to large-scaled decontamination in 1989 was estimated to be about 1 thousand man-Sv. In the early period of the accident inhalation of resuspended radioactive particles of soil and nuclear fuel could significantly contribute to the internal dose. To suppress dust formation the 73 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ method of dispersion of organic solution over contaminated plots was chosen which created invisible polymer film after natural drying. This method was implemented on the Chernobyl NPP and in 30-km zone during Spring - Summer 1986. Streets in cities were watered to prevent dust formation and to remove radionuclides in the sewerage system. The effectiveness of early decontamination efforts in 1986 still remains to be quantified. However, daily washing of streets in Kiev decreased collective external dose to its 3 million inhabitants by 3000 man-Sv and decontamination of schools and school areas saved 600 man-Sv. The most interesting from the point of planning the decontamination strategy in a remote period after radioactive fall-outs is the third data group. These data are received in the course of carrying out a local decontamination of 35 houses and the surrounding territory in a rural areas of the Bryansk region (Russia) and Belarus 3 14 years after the radioactive fall-outs. The analysis of the results of this work permits to come to the following conclusions that have practical importance for choosing decontamination strategy and methods: 10 years after the radioactive fall-outs, the main sources that define the external radiation dose rate outdoors are the contaminated areas of soil. The dose rate contribution from roads and trees practically disappear within the first five years. the main contributor to the dose rate inside the one-story houses was the contaminated soil around houses but roofs also made a significant contribution, whereas radiation from the walls was comparatively insignificant. more than 90% of the activity in soil is accumulated in the upper 10 cm layer. 5.1.1. Recommended decontamination technologies Planning the decontamination activity it is important to take into account contribution of the external dose in the total dose. In the areas with dominating soil type reach with clay, low transfer of caesium radionuclides along the food chain and consequently low internal dose relative decrease of total dose is close to decontamination effectiveness. In contrary, in the peaty soil areas where long-term internal exposure dominates relative decrease of the total dose due to village decontamination is expected to be insignificant. Following dry deposition, street cleaning, removal of trees and shrubs and digging the garden are efficient and inexpensive means of achieving very significant reductions in dose and would rate highly in a list of priorities. Roofs are important contributors to dose but the cost of cleaning roofs is high and this would not rank highly in a list of priorities. Walls contribute little to dose, are expensive and difficult to decontaminate and would therefore carry a very low rating in a list of priorities. In the case of wet deposition the garden will be given first priority since a considerable reduction in dose (60%) can be achieved at relatively low cost. Street cleaning would also be useful. The priorities that different procedures would be given in a decontamination strategy would be greatly environment-specific. Nevertheless, basing on the accumulated experience of the study upon this problem, the following set of the major decontamination procedures could be recommended: 1. Removal of the upper 5÷10 cm layer of soil (it depends on the activity distribution in depth) in courtyards in front of residential buildings, around public buildings, schools and kindergartens, from roadsides inside a settlement. The removed most contaminated layer of soil gets placed into the holes specially dug on the territory of a private homestead land or on the territory of a settlement when decontaminating the settlement as a whole. At that the clean soil (sand) from the dug holes gets used for covering decontaminated areas. Such technology excludes the formation of special burials of radioactive waste. 2. Deep ploughing of private fruit gardens’ territories (if they hadn’t been ploughed up by this time), or removal of the upper 5÷10 cm layer of the soil. By this time vegetable gardens have been ploughed up many times, and in this case the activity distribution in 74 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ soil will be uniform in the layer 20÷30 cm deep (it might be different in the abandoned area). 3. Covering the decontaminated parts with a layer of «clean sand», or, where possible, with a layer of gravel to attenuate residual radiation. 4. Cleaning the roofs or their replacement (the roof decontamination should be done before decontaminating the under spread surface). The list of these procedures can be applied both for decontaminating single private homestead lands and houses, and also for decontaminating settlements as a whole. It is evident that in the latter case the influence of the decontamination upon the further external radiation dose reduction will be greater. Achievable decontamination factors for various urban surfaces are presented in the Table 5.1. Detailed data on the efficiency, realisation technology, necessary equipment, cost and time expenses, quantity of radioactive waste, and other parameters of separate decontamination procedures are contained in the report. Table 5.1. Achievable Decontamination Factors for Various Urban Surfaces. 5.1.2. Justification and Optimization In accordance with the present methodology of radiation protection, a decision on decontamination and selection of an optimal decontamination technology should be taken with calculating costs of all the actions and social factors. Calculated cost of actions relates to various decontamination technologies for which the assessment of the averted dose has been made. Benefit (averted collective effective dose) and detriment (expenses, collective dose of decontamination workers) are also compared for each decontamination technology with the accepted cost of one Man-Sv or by means of multi-factorial analysis. If prognostic value of net effects of decontamination for all the considered technologies is positive, the application of these protection measures should be considered founded. 5.2. Decontamination of people and personnel Humans are constantly exposed to substances of varying toxicities, ranging from chemical agents and pesticides to radioactive substances. Thus, the ability to prevent or slow absorption of these toxicants is vital. Decontamination is a crucial step in the care to victims exposed to radioactive substances. To be beneficial to victims, it must be performed as quickly as possible following exposure, and as thoroughly as possible on the body surface which not only includes skin but also wounds, hair, eyes, and other mucous membranes. Decontamination is defined as the process of making any person, object, or area safe by absorbing, destroying, neutralizing, making harmless, or removing chemical or biological agents, or by removing radioactive material clinging to or around it. Human decontamination has two main objectives: firstly, to improve the prognosis, functional and vital, of contaminated victims, 75 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ and secondly, to reduce the transfer of contamination from the body surface to media, including noncontaminated skin, with which it interacts. From a practical point of view, decontamination is usually performed in two consecutive steps: the first one, “emergency decontamination” consists in partial disrobing and use of emergency decontamination kit on the unprotected body surfaces, and the second one, “thorough decontamination” consists in total disrobing followed with showering. Emergency decontamination kits include absorbents, for example, handkerchief, paper, towel, clean fabric, and adsorbent powders such as Fuller’s earth, talcum, flour, clean sand, and cat litter. Adsorbent powders are poured on the contaminated area, then either left until a shower can be performed or, after a short contact time, removed with a towel or more effectively with water. Showering can be performed with different systems, for example, fixed shower, mobile decontamination unit, ladder pipes from the Fire Services, and by implementing different protocols varying according to the duration, water temperature, additive to water, water flow rate, and pressure. When choosing a decontamination kit, one has to consider not only effectiveness but also skin, wound and eye biocompatibility, ease and restrictions of use, cost, stability and storage conditions, and elimination after usage. 5.2.1. Harmful effects of emergency radiation exposure skin Incidents occurring in laboratories, hospitals, nuclear power plants, etc., involving small amounts of radionuclides with the potential contamination of one or a few individuals are small scale. Radiation-safety and medical professionals are likely to be on the premises or nearby as employees or contract personnel. In nearly all cases, initial responding individuals will be coworkers and supervisors who are responsible for notifying radiation-safety staff/ officers (health physicists) and upper management. The radiological control staff is responsible for initial assessment and, in consultation with management, for determining the course of action for management of the contaminated person or persons, and the steps required to confine the contaminating radionuclides to the location of the incident. Appropriate local, state, or federal regulators may require notification, depending on the nature of the incident (e.g., the theft of radioactive material or the innocent finding of radioactive material). Incidents involving relatively-large quantities of radionuclides and the potential contamination of large numbers of people are large scale. Examples of large-scale incidents include terrorist attacks with radiological weapons, nuclear-weapons detonations, and nuclear power plant accidents. Initial responders may be law enforcement, firefighters, and local disaster response teams. Incidents may require designation of several areas, based on levels of contamination and the needs for successfully mediating the incident. The latter includes ensuring the confinement of the radionuclides to the contaminated area while effectively managing contaminated people. Some of the personnel noted below may be involved in a small-scale incident, and even large-scale incidents may not call for all of these personnel (or they may not all be available). The person(s) in charge of the incident response will be responsible for determining which roles are required and to make the best use of the available personnel and resources. Contamination of skin surfaces suggest possible intakes through absorption, but only in cases of very heavy contamination would absorption result in significant internal contamination, even if the radionuclide is in a soluble form. Injuries with contaminated debris and shrapnel are clear evidence of internal contamination. Contamination of the mouth and other oral surfaces suggest possible intakes by ingestion, not necessarily in contaminated food, but by touching the face and mouth with contaminated hands. Wounds in areas of skin contamination are strong indicators of possible radionuclide intakes. 76 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ The effects in the skin of greatest importance in radiation protection are those from exposures to beta-particle radiation of various energies and low-energy gamma rays, because damage that may be caused by more penetrating x and gamma rays will generally be restricted by the limit on the effective dose. Exposure to very high doses over a very small area from moderate to high-energy beta rays, such as can occur with radioactive particles, in particular, the so-called ‘hot particle’, pose a special problem. Because of the very low penetration of alpha particles, radiation doses from alpha particles could be high in the superficial layers of the skin without appreciable dose to the cells of the basal layer. There have not been any reports of deterministic effects resulting from alpha-particle exposure. The major acute deterministic effects are: 1) moist desquamation which results from damage to skin after high-dose acute exposure of the skin to moderate to high-energy β radiations or low-energy X rays; 2) acute ulceration which results from interphase death of fibroblasts and vascular endothelial cells may be seen with irradiation from “hot particles”; 3) acute epithelial necrosis which is caused by interphase death of post mitotic suprabasal cells in the epidermis after exposure to low-energy beta particles of energies about 0.2 MeV maximum energy. The threshold for acute exposures of large areas is about 20 Gy. Protraction of the irradiation decreases the effect and at a dose rate of 0.4 Gy/h no acute tissue breakdown was found with total doses of about 100 Gy. Dermal atrophy and damage to the vasculature (including telangiectasia) are the main late effects of acute exposures and also chronic exposures from moderate to high-energy radiations. Dermal atrophy, detected as induration of the skin, a minor detriment, can occur at doses below the threshold for acute breakdown of the skin and thus could be considered the limiting effect. The characteristic of ‘hot particle’ exposure is that very high doses can occur over a very small area and the measurement of the dose over small areas is a difficult problem. The number of cells at risk is so small that the risk of cancer induction is considered minor. The lesion of concern is acute ulceration which with subsequent infection can lead to a more severe lesion. 5.2.2. General protective actions in case of radioactive contamination Medical and radiation-safety personnel who are first responders to an incident in which persons may have been exposed to radionuclides have six major objectives: provide medical aid to exposed individuals; identify irradiated and contaminated individuals; detect and identify radioactive material; identify sources of external radiation; control the radionuclide contamination, preventing the spread of radionuclides beyond the incident site; and initiate decontamination of individuals and the site. The highest priority should be to provide medical care to all injured, exposed and unexposed. However, in principle, all of these objectives should be pursued simultaneously by all first responders. It is important that these major objectives be achieved with the utmost attention to protection of exposed persons as well as the professionals attending them. An effective response to an incident in which persons may be contaminated with radionuclides, whether the incident is small involving one or a few individuals or very large involving large numbers of individuals, requires that qualified experts, medical personnel (physicians, nurses, and medical technicians) and radiation safety personnel (radiation safety officers, health physicists, and radiation protection technicians) work as a team. In an ideal situation, a radionuclide contamination incident will occur in a location where both medical and radiation-safety staff are available. Fortunately, that is almost always the case since nearly all incidents are accidents occurring in facilities routinely handling radioactive 77 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ materials, such as hospitals, research laboratories, universities, government nuclear sites, nuclear power stations, and industries using radionuclides. These institutions generally employ radiationsafety officers and have trained medical staff available. When contamination incidents occur, extensive prehospital care is generally possible, depending upon the training of the personnel and the availability of instrumentation. Ideally, the personnel at the onsite facility will have removed all transferable radioactive material from the patient, estimated the severity of internal contamination, and provided emergency first aid for wounds before the patient is moved to the hospital. In general, the hospital is used only for definitive medical care. Obviously, when large incidents occur and many people are exposed, considerable ingenuity is required to manage contaminated individuals efficiently and effectively. The radiological nature of an incident may not be immediately obvious, especially in the event of a large explosion that causes confusion, ignites fires, damages structures, and injures and kills bystanders. Until the radiological nature of an incident is recognized (and, to some extent, even afterwards), the highest priority should be devoted to rescue and lifesaving operations, performing triage on injured persons, evacuating the most seriously injured, and other immediately necessary actions (e.g., firefighting). Once the radiological nature of the incident is recognized, it will also be important to determine the nature and extent of the contamination, after which the entire contaminated area should be cordoned off and radiation warning signs posted and radiation control zones established. The potential offsite transport of radioactive materials through air or water contamination and by people and vehicles passing through contaminated areas will be the concern of those responsible for public health and environmental safety. The presence of radioactive contamination will determine the need for PPE such as gloves, respiratory protection, and shoe covers for those entering the area. Persons leaving a contaminated area must remove their PPE and (if necessary) decontaminate themselves prior to exit. The presence of elevated radiation levels will determine the radiological stay-times for persons working in the area. Radiologically-controlled areas will be established to recognize both contamination and radiation levels. Personnel responding to a radiological incident will use radiation detectors to determine the location of perimeter boundaries. Contamination limits are typically provided in units of becquerel or disintegrations per minute in a reference area [e.g., becquerel per square centimeter (Bq cm–2), or disintegrations per minute per 100 square centimeter (disintegrations per minute 100 cm–2)]. Radiation detectors do not read directly in units of becquerel or disintegrations per minute; they read in counts per minute. Each meter has a counting efficiency for each energy and type of radiation it is measuring; the meter reading is equal to the amount of contamination multiplied by the counting efficiency, which is calculated when a meter is calibrated. To convert from the meter reading of counts per minute to the required units of disintegrations per minute, the user must divide the displayed count by the counting efficiency. For example, if a reading of 1,000 cpm is displayed on the meter face, and the meter is known to have a counting efficiency of 10 %, then the amount of contamination present is equal to 1,000 cpm divided by 0.10 = 10,000 dpm. The area in which the release of radionuclides occurs should be isolated to prevent the spread of contamination to unaffected areas. Any emergency-response personnel entering the area should be prepared to work in a contaminated environment, and those leaving the area should be monitored and decontaminated as necessary. To prevent the spread of radionuclides beyond the area of the incident, control areas should be established. Figure 5.1 provides a generic example of how control areas might be established. Three defined areas are shown: inner contaminated area where the radionuclide release occurred; 78 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ outer contaminated area where released activity may be transported such as by explosions, air currents or inadvertently by people walking and vehicles driving from the release area; and secured (clean) area, where entry and egress are controlled to minimize further contamination of people, facilities and the environment. This radionuclide control concept can apply to a broad spectrum of accidental and deliberate contamination incidents such as explosions, fires, ruptures of sources, and spills of radioactive materials in industrial settings, laboratories and hospitals. The particular situation will determine the configuration of control zones and the criteria for establishing contamination levels. In situations where the released radionuclides are totally contained at the site of release, the outer contaminated area would not be needed. Control areas or zones could be defined quite differently, depending upon the nature and the magnitude of the radionuclide source. For example, to attain the same objective, control of the released activity, an incident in a building would require an approach different from those in rural or urban sites. Applying the example in Figure 5.1 to a spill in a laboratory, the inner contaminated area is the location of a radionuclide release or spill (e.g., on a bench or laboratory floor). A radiation control point would be immediately established (perhaps only a step-off pad) to minimize the spread of the contamination. The laboratory or the corridor leading to the laboratory might be established as the outer contaminated area where activity may have, or is likely to, spread as a result of movement of people, equipment or ambient air. The whole building might be defined as the third, secured (clean) area, where entry and exit of persons and equipment would be controlled. The controlling radiation dose rates and contamination levels established by the radiation-safety personnel would depend upon the nature of the incident. These control areas should be cordoned off with barriers in place or locked doors and identified appropriately. Figure 5.1. A generic example of areas designated for specific activities in management of exposed persons after an incident involving the release of radionuclides. In the generic example, Fig. 5.1, triage, medical-response, and decontamination activities are located outside the perimeter of the outer contaminated area but within the perimeter of the secured area. This concept of control zones is used in general response procedures for hazardous 79 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ materials. Control areas at hazardous materials incident sites are designated based upon safety and the degree of hazard. In radionuclide contamination incidents control zones help to limit the absorbed doses received by individual emergency responders as well as to facilitate effective management of exposed individuals. First responders may be required to perform various surveys to detect external radiation sources and radioactive contamination. A major objective of onsite medical assessment or triage is an early identification of persons exposed to external radiation and those externally and internally contaminated with radionuclides. Other stages in the management of contaminated individuals onsite and at treatment facilities, require further and more thorough surveys for radionuclide contamination. Table 5.2. Types of surveys and appropriate instruments. Survey Hands and feet (exiting room) Survey type Contamination Meter and Probe Hand and foot monitor (GM) Count wipes in well counter, or with meter Energy compensated GM, ion chamber or micro-R meter Smear wipe Removable contamination Area survey Radiation Spills, personnel surveys Contamination GM and/or alpha detector Radionuclide identification Contamination Portable spectroscopy survey meter Personnel Contamination Portal monitor Figure 5.2. Surveys and appropriate instruments. 80 Record result in Becquerel (dmp) Becquerel (dmp) mGy or mSv h-1 or µGy or µSv h-1 Becquerel (dmp) Output varies, radionuclide and activity determination Becquerel (dmp) PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 5.3. Contamination Control 5.3.1. Contamination Control Practices Appropriate contamination control measures should be taken, when such measures do not interfere with necessary emergency medical attention. Factors influencing the need for contamination control measures: injuries or other medical concerns (e.g., lacerations, smoke inhalation, embedded materials, burns, respiratory or cardiac distress, broken limbs, shock); contamination of the individual (e.g., skin contamination, inhaled or ingested activity, contaminated clothing or hair); contamination at the scene (e.g., spilled liquids, radioactive powder, and fallout); other dangers at the scene (e.g., fire, unstable structures, spilled chemicals, broken glass, dangerously high radiation levels, explosives). Contamination control will be a primary concern only if the contaminated person is lightly injured or uninjured and there are no other hazards at the scene. However, the presence of other significant hazards or serious injuries should take priority over contamination control. 5.3.2. Contamination Control of Exposed People Contamination control (see Fig.5.3) should not interfere with caring for severely-injured people. Contamination control may include: removing the person’s contaminated clothing; wrapping the individual to control the spread of contamination; decontaminating the contaminated person. Figure 5.3. Surveys and appropriate instruments. Figure 5.4. illustrates important concepts of radiologically-controlled areas and their use. These apply to the sites of radionuclide releases (contamination incidents) and hospitals or other locations where contaminated patients are being examined, decontaminated or treated. established boundaries should be at least waist high with clearly defined paths via stepoff pads (e.g., rope, tape, or other device that can be controlled); 81 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ if possible locate a table with a barrier line separating clean and possibly contaminated surfaces at exit point for tools and equipment; the markings on the floor at the designated exit points delineating the inner contaminated, outer contaminated, and secured areas should be low to permit crossing without tripping or losing balance. (To control contamination, persons should not cross boundaries anywhere except at designated points, the gates at the step-off pads.); plastic sheeting (preferably textured to minimize slipping) should be used to cover the ground in the exit area; “sticky mats” may be used as step-off pads to minimize transporting radioactive contamination from one area to the next; “hot” waste containers should be clearly marked “radioactive waste” and should be lined with plastic bags. Figure 5.4. Schematic drawing of radiologically-controlled areas and exit points at the scene of an incident. 5.3.3. General Guidelines for Operation of a Controlled Contamination Area Operation of a Controlled Contamination Area should count next features: seriously injured patients and necessary medical personnel should use the contamination control corridor for evacuations to ambulances; the inner and outer contaminated, and secured areas of the exit point should be used in the following manner: o the inner contaminated area and objects within are assumed to be contaminated at all times; o persons wishing to exit the inner contaminated area should do so only at an exit location such as that shown in Figure 5.1 unless their medical condition dictates otherwise; o the outer contaminated area is established for the removal of contamination control PPE, performing whole-body surveys, and necessary decontamination. This area should be surveyed and decontaminated frequently, if possible; o exit to the “clean” secured area should be restricted to those who are confirmed to be uncontaminated via whole-body survey and (if necessary) decontamination; o step-off pads (preferably consisting of “sticky mats” when available) should be used when stepping into the next area through the control points; 82 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ o step-off pads should be surveyed periodically for contamination and should be replaced, decontaminated or renewed if found to be contaminated; o contaminated clothing, tools, and other objects should be placed in radioactive-waste containers, in individual bags if possible. 5.3.4. Factors influencing decontamination efficiency The condition of the skin. Any conditions that contribute to an increase in the strength of the bond of radionuclides with the surface of the skin cause deterioration of skin deactivation. Dry skin of the hands, covered with cracks and burrs, is cleaned of radioactive substances worse than smooth and elastic skin. Areas of the skin devoid of hair are deactivated more easily than areas covered with hair. The skin, previously skimmed and then contaminated with radioactive substances, is decontaminated worse than the skin, covered by the time of radioactive application with a water-fat film. Therefore, in the practice of working with radioactive materials, hygienic skin care should be given special attention. In case of damage to the integrity of the skin and violation of their properties (wounds, thermal and chemical burns, etc.), the rate of penetration of radioactive substances into subcutaneous tissues and organs increases many times, and decontamination of damaged skin becomes extremely ineffective. The temperature of the decontamination solution. It is usually suggested to use solutions with a temperature of no more than 30°C. It is believed that the use of hot or cold water during the cleaning process worsens the decontamination of the skin. Obviously, the treatment of hands with warm water is preferable for reasons of comfort. Duration of cleaning. The results of studies devoted to the study of the kinetics of the removal of radioactive substances with highly effective decontaminating agents allow us to conclude that when decontaminating the skin, it is impractical to continue the process for more than 9-12 minutes, because longer treatment of contaminated skin areas, as a rule, does not allow achieving the desired result. The nature of radioactive contamination. Under the influence of a decontaminating agent, dry contact contamination is cleaned more easily than dried drip contamination. It has also been proven that radioactive substances that get on the skin as part of organic liquids are removed worse than radionuclides in aqueous solutions. The effect of decontaminating agents on the penetration of radionuclides. Any decontaminating agent for obtaining permission for practical use should be carefully studied from the standpoint of harmlessness in conditions of repeated use. The intake of radioactive substances into the body under the influence of decontaminating solutions occurs in two stages: during purification and during the post-decontamination period. Some deactivating agents, effective in terms of reducing the level of radioactive contamination of the skin, do not lead to a decrease and even increase the content of uranium fission products in the body, and, consequently, the process of skin deactivation leads to an increase in the dose of internal radiation. 5.4. Impact of Responder Management Strategies on Public Experiences and Behaviour During Decontamination 5.4.1. Getting People to Agree to Undergo Decontamination Getting people to agree to undergo decontamination will be crucial to the success of the decontamination process. For decontamination to be successful, people will need to agree to undertake any actions recommended by emergency responders. These actions may include disrobing, undergoing improvised and/or interim decontamination, and undergoing a decontamination shower in a specialist mass decontamination unit. As mentioned above, decontamination may be frightening and embarrassing for members of 83 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ the public, and this may make them reluctant to agree to undergo decontamination. A review of small-scale decontamination incidents showed that refusal to undergo decontamination was common. This was especially the case during incidents in which people felt that they had not received sufficient information from emergency responders about the decontamination process, and when they felt that their needs for privacy and modesty had not been respected. Any reluctance of people to undergo decontamination will delay decontamination, and could potentially cost lives. It is therefore essential that people agree to undergo decontamination, and that they do so in a quick and efficient way. Emergency responders can encourage people to agree to undergo decontamination by doing two key things. First, emergency responders should explain to members of the public why it is necessary for them to undergo decontamination. If people don’t understand why decontamination is important they are unlikely to agree to do it. Explanations should be healthfocused where possible, should explain how undergoing decontamination will reduce the risk of further harm from the contaminant and will also potentially prevent secondary contamination of other people and places. Second, by showing respect for public needs for privacy. If people don’t feel that their needs for privacy and modesty have been met, they are unlikely to agree to undergo decontamination. While it may not always be possible to provide people with the level of privacy they would like, it is important to communicate why this is the case, and therefore demonstrate an understanding of and respect for public needs. Doing these two things will demonstrate that responders are managing the incident in a legitimate way and will promote trust in emergency responders and the information that they provide. A key finding from our research into public behaviour during mass decontamination is that a perception that responders are managing an incident in a legitimate way is crucial for getting people to agree to undergo decontamination. When people feel that they have received effective communication, and that their needs for privacy have been met, this results in increased perceived legitimacy of emergency responders and the actions that they are taking. This is crucial, because this perception of responder legitimacy facilitates the formation of shared identity between members of the public and emergency responders which, as noted above, enhances cooperation with other group members and encourages people to act in accordance with group norms. Shared identity between members of the public and emergency responders therefore encourages people to agree to undergo decontamination. 5.4.2. Helping People to Undergo Decontamination Quickly and Efficiently Getting people to agree to undergo decontamination is a crucial first step in ensuring that decontamination is successful. The next step is to make sure that people know what they need to do, to help them to undergo decontamination quickly and efficiently. The key to quick and efficient decontamination is to provide people with sufficient practical information about the actions that they need to take. Findings from decontamination field exercises show that people consistently report that they have not received practical information about what to do during the decontamination process, and consequently, that they are confused and don’t know what actions to take. To understand more about the effect of different levels of information on public behaviour during mass decontamination, we carried out a mass decontamination field experiment. During this experiment, three different groups of participants were provided with different levels of information before they underwent decontamination. Information included explanations about the importance of decontamination, updates about actions responders were taking, and practical information about the actions that participants needed to take during the decontamination process. Participants were timed going through decontamination to enable a comparison of decontamination efficiency between groups. The optimum time for participants to complete the entire decontamination process was 9 minutes and 30 seconds. Findings showed that those who were provided with the most detailed information went through the decontamination process more quickly and efficiently than those who were provided with less detailed information, and in closest 84 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ to the optimum time. In fact, of those who received the less detailed information, the slowest participants took 19 minutes and 48 seconds to undergo the full decontamination process; this is almost twice as long as the process should have taken. This therefore illustrates how important it is for emergency responders to provide people with detailed information about the actions people need to take during decontamination, and not to assume that people will know what actions they need to take. It has sometimes been suggested by emergency responders and policy makers that during decontamination there will not be time to provide people with information, and that doing so will delay the decontamination process. The findings presented here show that the opposite is true: the more information that people can be provided with about what to do during decontamination, the more quick and efficient the process is likely to be. 5.4.3. Encouraging People to Cooperate with Each Other During Decontamination As well as being willing and able to undergo decontamination quickly and efficiently, those involved will also need to cooperate with each other to make sure that the decontamination process runs smoothly. Cooperating with each other in the context of decontamination involves two different aspects: 1. Behaving in an orderly and cooperative way during decontamination (e.g. forming an orderly queue to go through the decontamination process). 2. Actively helping others (e.g. helping to assist someone who has difficulty walking to go through the decontamination process). This type of active helping has also been shown to be common during mass emergencies and disasters, particularly where people experience a sense of shared social identity with each other. Given the low number of responders to members of the public during incidents requiring decontamination, the more that members of the public are willing to cooperate with and assist each other during decontamination, the more smoothly the decontamination process is likely to run. It is therefore important to understand what makes people more or less likely to behave helpfully and cooperatively during decontamination, so that such behaviour can be encouraged. The social identity approach suggests that people are more likely to cooperate with each other if they identify with each other. In mass emergencies, people often experience a sense of shared fate (in relation to the emergency) that leads them to identify with others ‘in the same boat’. When there is a shared identity amongst a group of people, this results in: 1. The internalisation of shared goals and motivation to contribute to the achievement of such goals (in this case, the goal of undergoing decontamination). 2. A sense of collective efficacy, which is a belief that those involved in the incident can work together to achieve shared goals, and to overcome any challenges that they face. 3. Motivation to help and cooperate with other group members. A sense of shared identity will therefore be crucial for encouraging those affected to cooperate with each other when undergoing decontamination. As described above, those involved in a mass emergency are likely to experience a sense of shared identity, as a result of the sense of shared fate that they all face. In the case of incidents involving mass decontamination, it is important that people also identify with the emergency responders managing the incident. If members of the public experience shared identity with each other, and not with emergency responders, they may work together to challenge responder authority, rather than to go through decontamination. To ensure that identification is also shared between members of the public and emergency responders, it is again crucial that emergency responders communicate effectively with members of the public. Effective communication results in perceptions that responders are managing the incident in a legitimate way. Perceptions of responder legitimacy have been shown to be key in promoting shared identity between members of the public and emergency responders during mass decontamination. Effective communication therefore encourages people to cooperate with each other in two ways: 85 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 1. It promotes willingness to cooperate with each other, by establishing trust, which in turn enhances identification with emergency responders and ensures that undergoing decontamination is accepted as a shared goal. 2. It promotes ability to cooperate with each other – by providing people with the information that they need in order to know what to do during decontamination, and therefore to be able to work together. Ensuring that people know what to do during decontamination promotes a sense of collective agency, enabling people to work together to achieve shared goals (i.e. decontamination). 5.4.4. Making People Feel Less Anxious CBRN incidents have the potential to be very frightening for those involved, because they are unfamiliar and ambiguous. The decontamination process is also likely to be unfamiliar and frightening for those involved. Decontamination involves the need to remove clothes and undergo a shower in front of others. It is therefore likely to be embarrassing, which may result in high levels of public anxiety. It is important that emergency responders understand that while panic will be rare, and people are likely to behave rationally, they are still likely to be anxious. While a certain level of anxiety is to be expected during incidents involving CBRN agents, it is important that this concern is in proportion to the potential effects of any contaminant, rather than in relation to the decontamination process itself. Understanding what factors may increase public anxiety about the decontamination process will help emergency responders to manage this when carrying out decontamination. Our review of findings from small-scale incidents involving decontamination revealed the potential for high levels of anxiety amongst members of the public about the decontamination process. This was especially the case during incidents in which those affected felt they had not received adequate information about the decontamination process, and when they felt that their concerns about dignity and modesty had not been addressed. To reduce public anxiety about the decontamination process, it is therefore important that emergency responders communicate with those affected about why it is important for them to undergo decontamination, and how decontamination will help to protect them (and others) from the effects of any contaminant. It is also important that those affected feel that their needs for privacy and modesty are being considered during the decontamination process. Failure to respect public needs for privacy has been shown to be a key factor in increasing public anxiety, and reducing public compliance, during decontamination. 5.4.5. Understanding the Needs of Vulnerable Groups There are a large number of different factors that may make someone vulnerable during decontamination, and there is often considerable overlap between the needs of different vulnerable groups. Because of this, it is helpful to take a ‘functional needs’ approach. This type of approach involves considering the greater needs that some people may have during decontamination. There are four main functional needs that should be considered when planning for mass decontamination: 1) impaired ability to physically undergo decontamination (e.g. anyone who may struggle to undergo decontamination unassisted); 2) impaired ability to communicate during the decontamination process (e.g. difficulty in seeing, hearing, or understanding instructions); 3) different social or cultural needs (e.g. cultural or religious norms); 4) pre-existing health factors or medical conditions (e.g. any factors that may make someone more susceptible to the effects of contamination or may make it more difficult for them to successfully undergo the decontamination process). 86 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ 5.4.6. Recommendations for Optimising Management of Mass Decontamination 1. Responders should communicate openly and honestly with members of the public, and should provide regular updates about any actions that they are taking. This will help to establish trust and a perception that responders are managing the incident in a legitimate way, which will promote compliance with responder instructions. 2. Emergency responders should communicate in a health-focused way about the importance of decontamination. Specifically, responders should communicate: 1) why decontamination is necessary, in terms of removing any potential contaminant from the skin and preventing any further risks to health; 2) how decontamination will protect someone, and their loved ones. Failure to remove contaminant from someone’s skin could result in secondary contamination of other people and places, including potentially a person’s home and family; 3) what the process will involve. It is important that members of the public understand exactly what the decontamination process will involve before they undergo it, since this is likely to reduce public anxiety, and increase public compliance. 3. Emergency responders should provide members of the public with sufficient practical information during the decontamination process. Provision of sufficient practical information during the decontamination process improves the speed and efficiency of decontamination, reduces confusion, and could therefore save lives during a real incident involving mass decontamination. 4. Emergency responders should respect public needs for privacy and modesty. Failure to respect public needs for privacy can reduce public compliance, and therefore result in delays to decontamination. 5. Emergency responders should treat everyone as an expert in his or her own needs during decontamination. Treating each person as an individual will demonstrate respect for their needs, which should result in increased perceptions of legitimacy, and increased compliance. Training and exercising should be carried out with those with different functional needs, to ensure that plans are in place should a real incident occur. If an incident involving mass decontamination is managed effectively (in line with the recommendations presented), this will increase the perceived legitimacy of responders and the actions they are taking, and will therefore promote compliance with responder instructions. The five recommendations presented here could therefore improve behavioural and psychological outcomes during mass decontamination, which could result in lives being saved during a real incident. 87 PROTECTION AND DECONTAMINATION OF PERSONNEL _____________________________________________________________________________________________ CONCLUSION The use of personal protective equipment is an important protective measure used in the case of a radiological emergency. This measure makes it possible to significantly reduce the collective effective dose for the public, primarily in the event of a large release of radioactive substances into the atmosphere during an accident. On the other hand, to reduce the radiation doses of emergency workers, an adequate choice of a set of personal protective equipment to prevent internal exposure and the use of methods to reduce the doses of external exposure is required. Modern industry produces a large number of personal protective equipment. 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