1 Symposium "Entwicklungen im Strahleschutz" , Munich, 29 November, 2001 IONIZING RADIATION IN THE 20TH CENTURY AND BEYOND Zbigniew Jaworowski Central Laboratory for Radiological Protection Ul. Konwaliowa 7, 03-194 Poland; jaworo@cloor.waw.pl Radiation protection is not only a matter of science. It is a problem of philosophy, morality and the utmost wisdom. Lauriston S. Taylor, 1957 After ionizing radiation and radioactivity were discovered at the end of the 19th century, their social perception has alternated between enthusiastic acceptance and rejection. This stemmed from recognition of their three basic aspects: 1) usefulness for medical applications and for technical and scientific aims; 2) beneficial effects of their low levels; and 3) harmful effects of high levels. In the first part of the 20th century acceptance prevailed, in the second - rejection. The change of the public mood which had occurred rather abruptly after the World War II was not due to discovery of some new danger of radiation, but was caused by political and social reasons, unrelated to the actual effects of radiation (Jaworowski, 1999). The possibilities that ionizing radiation offered for medical diagnostics were first demonstrated by W. K. Roentgen, one month after his discovery, by publishing in Nature in January 1896 an x-ray photograph of the hand of his wife. In 1902 Pierre Curie, together with two physicians: C. Balthazard and V. Bonchard, discovered that radium rays are useful in cancer therapy. The theoretical basis for this therapy was first provided in 1906 by Bergonie and Tribondeau (Bergonie and Tribondeau, 1906) as the result of their experiments with rats. They coined the following law: " X-rays are more effective on cells which have a greater reproductive activity". "From this law, they deduced, perhaps over-optimistically, that it is "easy to understand that roentgen radiation destroys tumours without destroying healthy tissues". The beneficial or hormetic effects of low doses of ionizing radiation were found two years after Roentgen, and independently A.H. Beckerel, announced the discovery of ionizing radiation. First such effects in algae were reported by Atkinson (Atkinson, 1898). He noticed an increased growth rate of blue green algae exposed to x-rays. This particular observation was followed by thousands of publications on hormetic effects, and it was repeated and confirmed 82 years later (Conter et al., 1980). That ionizing radiation can be hazardous for man was first announced in 1896 in the German Medical Weekly (Marcuse, 1896). The early students and users of radiation voluntarily or unknowingly exposed themselves to high radiation doses. Among the pioneers of radiation and radioactivity from 23 countries, scientists, physicists, medical doctors, nurses, and x-ray technicians, about 100 persons died by 1922, and 406 died until 1992, with afflictions that could be related to radiation. The first fatal victim of ionizing radiation was, in 1900, a German engineer, F. Clausen. The names of all these victims are recorded in the "Book of Honour of Roentgenologists of All Nations", published in Berlin in 1992 (Molineus et al., 2 1992). This experience sounded an alarm, and the need for protection against high doses of radiation was realised quite early. In the 1920s the concept of "tolerance dose" was introduced, defined as a fraction of the dose that caused skin reddening. This fraction corresponded originally to an annual dose (in modern units) of 700 mSv. In 1936 it was reduced to 350 mSv, and in 1941 to 70 mSv. The concept of tolerance dose, which was effectively a statement of threshold, served as the basis for radiation protection standards for three decades (Kathren, 1996) until 1959, when the International Commission on Radiological Protection based its recommendations on the linear no-threshold principle (LNT) (ICRP, 1959). Introducing the LNT principle to radiological protection was stimulated by undue concern in the 1950s with the disastrous genetic effects on the human population of ionizing radiation produced by man. In the literature on ionising radiation at that time, one could often see the following statements of geneticists: "...we have reached a stage where human mistakes can have a more disastrous effect than ever before in our history - because such mistakes may drastically change the course of man's biological evolution" (Westergaard, 1955). This was menacingly echoed in the texts of some humanists, e.g.: "Negative eugenics has become increasingly urgent with the increase of mutations due to atomic fallout, and with the increased survival of genetically defective human beings..." (Huxley, 1964). In the years that followed, especially from the observations of the progeny of survivors of nuclear attacks on Hiroshima and Nagasaki, it became clear that this concern was an overreaction, in tune with strong emotions, evoked by the menace of nuclear war. However, emotions are not a good basis for regulations. Professor W.V. Mayneord, the late chairman of the ICRP Committee IV, made the following comment on using LNT as a regulatory basis: " I have always felt that the argument that because at higher values of dose an observed effect is proportional to dose, then at very low doses there is necessarily some 'effect' of dose, however small, is nonsense" (Mayneord, 1964). Mayneord's concern about the values applied in ICRP recommendations was in "the weakness of the biological and medical foundations coupled with a most impressive numerical façade". During the past several decades there was a tendency to decrease the levels of dose applied in standards of radiation protection to lower and lower values. In the 1980s and the 1990s these became 20 mSv per year for occupationally exposed people, and 1 mSv per year for the general population. For an individual who receives no direct benefit from a source of radiation, a maximum dose of 0.3 mSv in a year has been recently proposed (Clarke, 1999), and for some instances - an exemption level of 0.01 mSv per year (Becker, 1998). Justification for such low levels is difficult to conceive, as no one has ever been identifiably injured by radiation while standards set by the ICRP in the 1920s and the 1930s were in force, involving dose levels hundreds or thousands of times higher (Taylor, 1980) (Coursaget and Pellerin, 1999). The life expectancy of the survivors of nuclear attacks on Hiroshima and Nagasaki was found to be higher than that in the control groups (Kondo, 1993), no adverse genetic effects were found in the progeny of survivors (Schull, 1998). There is also ample evidence of beneficial effects of low doses of radiation in people occupationally, medically or naturally exposed to doses much higher than the current radiation protection standards (see e.g.: (Tubiana, 1998), and Table 1). 3 Table 1. Mortality in large populations exposed to low radiation doses (1 - 500 mSv) A = all causes; C = cancers; L = leukemia; NC = non-cancers; LC = lung cancers High background area, USA 15% lower C* (Frigerio and Stowe, 1976) High background area, China 15% lower C (Wei, 1990) Nuclear industry workers, Canada 68% lower L (Gribbin et al., 1992) Nuclear shipyard workers, USA 24% lower A (Matanoski, 1991) 58% lower L Nuclear workers, combined Hanford, 9% lower C (Gilbert et al., 1993) ORNL, Rocky Flats, USA 78% lower L British medical radiologists after 1955- 32% lower A (Berrington et al., 2001) 1979 29% lower C 36% lower NC Plutonium workers, Mayak 29% lower L (Tokarskaya et al., 1997) Eastern Ural, Russia High residential radon, USA 35% lower LC (Cohen, 1995) Accident in Eastern Ural, Russia 39% lower C (Kostyuchenko and Kresitinina, 1994) Chernobyl accident, recovery workers 13% lower C (Ivanov et al., 2001) 15% lower A Swedish patients diagnosed with 38% lower C (Hall et al., 1996) iodine-131 ** incidence; ** thyroid doses 0 - 257,000 mGy To adhere to regulations based on standards involving such low dose limits, the society is paying hundreds of billions of dollars, with no detectable benefit. Each human life hypothetically saved by implementing the present regulations costs about $2.5 billion (Cohen, 1992). Such spending is morally questionable, as: (1) the limited resources of the society are spent on prevention of an imaginary harm, instead of achieving real progress in health care, and (2) because low radiation doses are beneficial for the individual. For these two reasons, such expenditures may have actually an adverse effect on the population. In this presentation I wish to compare the levels of radioactivity and radiation in various environmental situations, influenced by natural processes and human practices. Such a comparison may help to view radiation standards in a realistic perspective. RADIOACTIVITY When life began some three and half billion years ago, the natural level of ionizing radiation at the planet's surface was about three to five times higher than presently (Karam and Leslie, 1996). At that time, the long-lived potassium-40, uranium-238, and thorium-232 had not yet decayed to their current levels. Their content in the contemporary Earth's crust is still quite high, and it is responsible for the highest radiation exposure of every living being. One ton of average soil contains about 1.3 x 106 Bq of potassium-40, thorium-232 and uranium-238 and their daughters. This corresponds to 2.6 x 1015 Bq per cubic kilometer (Table 2). Decay of 4 these natural radionuclides present in 1 kilometer thick soil layer produces 8000 calories per square meter annually (Draganic et al., 1993). TABLE 2. Average activity (Bq) of complete chains of natural radionuclides in the continental crust and soil, and total activity of wastes from nuclear power. After (Jaworowski, 1990) and (UNSCEAR, 2000b). K-40 Th-232 U-238 Total Concentr. of parents in 1 g of soil 0.420 0.045 0.033 0.498 Number of radionuclides in chain 1 9 14 24 7.3 x 1024 7.8 x 1023 5.7 x 1023 8.6 x 1024 Soil (in 1 ton) 4.2 x 105 4.1 x 105 4.6 x 105 1.3 x 106 Soil (in 1 km3) 8.4 x 1014 8.1 x 1014 9.2 x 1014 2.6 x 1015 Content in crust (17.3 x 1024 g) Wastes from nuclear power reactors in 1997 Wastes accumulated until 2000 from the whole civilian nuclear fuel cycle, after 500 years cooling 2.2 x 1015* 7.4 x 1015* * This paper We can compare the natural, extremely long-lived activity of potassium-40 (T1/2 = 1.28 x 109 years), thorium-232 ( T1/2 = 1.4 x 1010 years) and uranium-238 (T1/2 = 4.47 x 109 years) in soil, with the activity of much shorter-lived radioactive wastes from the nuclear power cycle. In 1997 the total annual production of electricity in nuclear reactors was 254.5 GW (UNSCEAR, 2000a). Assuming that annual production of wastes in nuclear power reactors is 8.8 x 109 Bq per MWe (Saas, 1997), the global production of radioactive wastes from this source amounts to 2.2 x 1015 Bq per year, with the longest lived plutonium-244 (T1/2 = 8.26 x 107 years). Such amount of average natural activity is contained in a relatively small block of soil 0.9 by 0.9 km wide and 1 km deep. None of the man-made component of these wastes has appreciably higher radiotoxicity (expressed as Sv/Bq) than the natural thorium-232 (IAEA, 1996). No special barriers prevent the natural radionuclides from migration from, say, a depth of 1 km to the surface of the ground. They can be transported by mechanical action, or move in solution. Thorium is not susceptible to leaching under most geological conditions and its principal mode of occurrence is in refractory minerals. Uranium is highly mobile, and may migrate with ground water to distances of several tens of kilometres or more. Radium is mobile in sulphate-free neutral or acidic solutions. The average volcanic injections of alpha 5 emitting 210Po into the global atmosphere during non-eruptive activity amount to about 5 x 1015 Bq per year, i.e., almost twice as much as the 1997 production of radioactive wastes from nuclear power reactors (Table 3). Geochemical differences between uranium, thorium and radium may lead to drastic changes in their radioactive equilibrium (Jaworowski, 1990). In contrast, for man-made radioactive wastes many effective, sophisticated barriers are provided in deep underground depositories. At a first glance, one can see in Table 2 that it would take about 3 billion years of such a global production of wastes from nuclear power reactors as in 1997, to double the total activity of natural radionuclides in the Earth's continental crust. The activity of wastes accumulated until the end of 2000 from the whole global civilian nuclear fuel cycle is much greater. It amounts to 200 000 tones of "heavy metals", which after 10 years cooling corresponds to an activity of about 7 x 1021 Bq (Semionov and Bell, 1993). Disposal of high level wastes and spent fuel in geologic repositories may result in doses to population that do not begin to accumulate until well after 500 years (OECD, 2000). After 500 years activity of all high level wastes will decrease to about 7.4 x 1015 Bq (Chwaszczewski, 1999), corresponding to natural activity contained in a block of soil about 1.7 by 1.7 km wide and 1 km deep. It is interesting to compare the annual flows into the global atmosphere of radionuclides from natural sources with flows from nuclear weapon explosions and production, nuclear power cycle, coal burning, and the Chernobyl catastrophe. Except for the Chernobyl catastrophe, the flows of nine radionuclides, with the greatest potential impact on public health, were compared by (Jaworowski, 1982). Here I present only the highest flows of activity from particular sources (Table 3). To account for various energy emissions by different nuclides, the flows of radiation energy are also given. Table 3 demonstrates that the flow of activity from the natural sources into the global atmosphere is 2 to 5 orders of magnitude higher than from particular man-made sources, and the flow of radiant energy is 3 to 5 orders of magnitude higher. It appears that at the global scale, the anthropogenic emissions of radionuclides and their impact are dwarfed by the natural ones. In the case of nuclear power the highest flow of activity is that of 3H (5.6 x 1016 Bq per year), but the highest flow of radiation energy is that of 222Rn, because of its decay energy (5.5905 MeV) higher by a factor of 300 than the decay energy of 3H; 222Rn activity flow is only 1.5 x 1016 Bq per year. This might not necessarily be the case at the local scale, especially in military practices. The widest civilian contamination of the ground surface occurred after the Chernobyl accident. According to data in (UNSCEAR, 2000c), on the first day after this, probably greatest possible, civilian nuclear catastrophe, a high ground contamination consisting of two patches with a lethal dose rate of 1 Gy per hour, covered in an uninhabited location an area of about 0.5 km2, and reached a distance of 1.8 km from the burning nuclear reactor. Several hundred meters outside the 1 Gy isolines the dose rate dropped by 2 orders of magnitude (Figure 1). Fortunately, this situation did not pose immediate danger to the general population. This can be compared with an isoline of 1 Gy per hour after a 10 MT surface nuclear explosion, reaching (at calm weather) to a distance of 440 km (Miller, 1968), and covering tens of thousands square kilometres with lethal fallout. In the localities remote from the Chernobyl power station deposition of radionuclides was much lower, and did not reach levels which could led to acute radiation health effects, or to chronic effects, such as genetic disturbances, leukaemia or solid cancers (UNSCEAR, 2000c). The only exception might be the increase of 6 registration of thyroid cancers in children and adults, which, however, may be a result of causes other than Chernobyl radiation (UNSCEAR, 2000c), most probable among them being the screening effect. TABLE 3. Most important annual flows of activity of radionuclides and of their radiation energy into the global atmosphere. SOURCE Natural Nuclear weapons: explosions & production a Chernobyl b Nuclear power c Natural: Volcanic activity (non-eruptive) Coal burning d ENERGY (J) e ACTIVITY (Bq) 222 Rn 3.3 x 1019 3 Rn 3.0 x 107 7.0 x 1018 3 H 2.1 x 104 Cs 7.0 x 1016 137 Cs 6.1 x 103 3 H 5.6 x 1016 222 Po 5.1 x 1015 Rn 8.5 x 1014 H 137 210 222 222 Rn 210 222 1.3 x 104 Po 4.4 x 103 Rn 7.6 x 102 a Annual average for 1945-1980; b emission during ten days in 1986; c average for 1981; d average for 1980; e decay energies after (Magill, 1999), f calculated from data of (Berresheim and Jaeschke, 1983) and (Lambert et al., 1988). RADIATION DOSES The global distribution of radionuclides in the biosphere, and the use of radiation are reflected in the radiation doses received by the population from various sources. During the past several decades UNSCEAR was collecting data on doses from radionuclides in the environment and from their medical and other uses. Although far from being complete, the UNSCEAR compilation of data is probably the most comprehensive one, and enables estimation of the temporal changes in average annual radiation doses received by the global population from particular sources. In its reports to the General Assembly of the United Nations UNSCEAR refrained from presenting in graphic form the results of such estimations expressed in units of rems or sieverts. I present them in Figure 2, based mainly on internal documents of UNSCEAR (for a part of medical and natural exposure), and on the UNSCEAR data published or approved for publication (UNSCEAR, 1988; UNSCEAR, 2000a; UNSCEAR, 2000b; UNSCEAR, 2000c). The highest annual radiation dose is received from natural sources. The average value for the external and internal exposure of the global population currently estimated by UNSCEAR is 2.4 mSv per year. The natural dose ranges widely in particular regions of the world. UNSCEAR’s estimates for a part of East Asia and part of Europe suggest that a 39% fraction of the population receives annual doses from terrestrial gamma radiation lower than 1.5 mSv, 30% doses of 1.5 - 1.99 mSv, 18% doses of 2.0 - 2.99 mSv, 6.3% doses of 3.0 - 3.99 mSv, 7 and only 0.4% doses higher than 10 mSv. However, this estimate does not cover the areas of high natural radiation background, such as those in Iran, India or Brazil. For example, in the State of Kerala, India, the annual radiation dose reaches up to 76.4 mGy (lifetime dose of >5 Gy), and it is not associated with an increased cancer incidence or cytogenetic aberrations (Nair et al., 1999). In the area of Araxa, Brazil, (74 000 inhabitants) the average annual radiation dose is 2800 mGy. In the city of Ramsar, Iran the absorbed dose rate in air reaches up to 17 500 mGy per year (UNSCEAR, 2000b). In some parts of Ramsar people live in houses where the annual radiation dose is about 700 mGy (Mortazavi, 2000), which approaches the value of the tolerance dose from the 1920s, and corresponds to a lifetime dose of about 50 Gy. In the area of Ramsar people have been exposed to such a high radiation level over several generations. Cytogenetic studies have shown differences between these people and control populations, but increases in cancers and leukaemia incidence were not observed. Compared with the apparently non-harmful annual doses in the high natural radiation areas, the average doses received by the global population from man-made sources seem to be of no importance. This statement if valid also for about 4.8 million people leaving in areas contaminated by the local fallout from the Chernobyl accident (UNSCEAR, 2000c), where the average annual radiation dose is about 6 mSv. The highest average dose to the global population from Chernobyl fallout, of 0.045 mSv, occurred in 1986. The global exposure from medical diagnostics is growing rapidly growing since the 1950s, probably due to steadily increasing access to x-ray technology in the developing countries. Since the 1980s this exposure seem to have stabilised. Even at its heyday at the beginning of the 1960s, the average global exposure from nuclear weapons tests (0.113 mSv in 1963) was much smaller than the medical exposure. The exposure from the civilian nuclear power cycle grew steadily since 1955, reaching a trifle value of 0.002 mSv in 2000. CONCLUSIONS Man's contribution to the contents and flows of radionuclides and of radiation energy in the particular compartments of the environment consist but a tiny fraction of the natural contribution. In some areas in the world the natural radiation doses to man and to other biota are many hundreds times higher than the currently accepted dose limits for the general population. No adverse health effects were found in humans, animals and plants in these areas. In the future reconstruction of the edifice of radiation protection which now stands on the abstract LNT foundations, a down-to-earth approach will be necessary, taking into account the apparently safe chronic doses in high natural radiation areas. It seems, therefore, that studies of these areas deserve special attention and support in the coming years. The twentieth century witnessed the dawn of man-made ionizing radiation and radioactivity, the use of the best human knowledge to kill people in Hiroshima and Nagasaki, and the greatest nuclear catastrophe in Chernobyl. This catastrophe claimed only about 30 fatal occupational victims and probably none among the public, ultimately proving that nuclear energy is a comparatively save means of power production. It was also found that high semiacute doses of radiation can cure cancers, and that small chronic doses of radiation are beneficial for health. It seems that the discovery of "new" radiation and of radioactivity which opened the gate to an unlimited energy resource, has a significance to man similar to that of the discovery of fire some 500 000 years ago. Fire made man the most ubiquitous species and enabled expansion of life outside the Earth's biosphere. Our ancestors had to 8 mentally adapt to fire for many thousands of years, sometimes even deifying it. It seems that one century has not been long enough for man to adapt in the same manner to ionizing radiation and radioactivity. But there is hope yet – everything now seems to go faster than before. ACKNOWLEDGEMENTS Thanks are due to Prof. S. Chwaszczewski, Prof. L. Dobrzyński, Dr. A. Strupczewski and Dr. M. Waligórski for helpful discussions. REFERENCES Atkinson G. F. (1898) Report upon some preliminary experiments with Roentgen rays in plants. Science 7, 7. Becker K. (1998) National and International Standards on Nuclear Waste. atw 43(2), 113-115. Bergonie J. and Tribondeau L. (1906) De quelques resultats de la radiotherapie et essai de fixation d'une technique rationnelle. Comptes Rendus des Seances de l'Academie des Sciences 143, 983-985. Berresheim H. and Jaeschke W. (1983) The contribution of volcanoes to the global atmospheric sulfur budget. Journal of Geophysical Research 88(C6), 3732-3740. Berrington A., Darby S. C., Weiss H. A., and Doll R. (2001) 100 years od observation on British radiologists: mortality from cancer and other causes 1897-1997. The British Journal of Radiology 74, 507-519. Chwaszczewski S. (1999) The management of the spent fuel from power reactors technologies, economy and environment. Polityka Energetyczna 2(1-2), 65-80. Clarke R. (1999) Control of low-level radiation exposure: time for a change? Journal of Radiological Protection 19(2), 107-115. Cohen B. L. (1992) Perspectives on the cost effectiveness of life saving. In Rational Readings on Environmental Concerns (ed. J. H. Lehr), pp. 461-473. Van Nostrand Reinhold. Cohen B. L. (1995) Test of the linear-no threshold theory of radiation carcinogenesis for inhaled radon decay products. Health Phys. 68(2), 157-174. Conter A., Dupouy D., and Planel H. (1980) Demonstration of a biological effect of natural ionizing radiation. International Journal of Radiation Biology 43, 421. Coursaget J. and Pellerin P. (1999) European Union facing radioprotection standards. W.O.N.U.C International Conference. Draganic I. G., Draganic Z. D., and Adloff J.-P. (1993) Radiation and Radioactivity on Earth and Beyond. CRC Press. Frigerio N. A. and Stowe R. S. (1976) Carcinogenic and genetic hazard from background radiation. Biological and Environmental Effects of Low-Level Radiation, 385-393. Gilbert E. S., Cragle D. L., and Wiggs L. D. (1993) Updated analyses of combined mortality data of workers at the Hanford Site, Oakridge National Laboratory, and Rocky Flats weapons plant. Radiation research 136, 408-421. Gribbin M. A., Howe G. R., and Weeks J. L. (1992) A study of the mortality of AECL employees. V. The Second Analysis: mortality during the period 1950-1985. AECL. Hall P., Mattsson A., and Boice Jr. J. D. (1996) Thyroid cancer after diagnostic administration of iodine-131. Rad. res. 145, 86-92. Huxley J. (1964) Essays of a Humanist. Chatto & Windus. IAEA. (1996) International Basic Safety Standards for Protection agains Ionizing Radiation and for Safety of Radiation Sources. International Atomic Energy Agency. 9 ICRP. (1959) Recommendations of the International Commission on Radiological Protection. Pergamon Press. Ivanov V. K., Gorski A. I., Ksioutov M. A., Tsyb A. F., and Souchkevitch G. N. (2001) Mortality among the Chernonobyl emergency workers: estimation of radiation risks (preliminary analysis). Health Physics 81(5), 514-521. Jaworowski Z. (1982) Natural and man-made radionuclides in the global atmosphere. IAEA Bulletin 24(2), 35-39. Jaworowski Z. (1990) Sources and the global cycle of radium. In The environmental behaviour of radium, Vol. 1, pp. 129-142. IAEA. Jaworowski Z. (1999) Radiation risk and ethics. Physics Today 52(9), 24-29. Karam P. A. and Leslie S. A. (1996) The evolution of Earth's background radiation field over geologic time. IRPA 9th Congress, 2-238-240. Kathren R. L. (1996) Pathway to a paradigm: the linear nonthreshold dose-response model in historical context: the American Academy of Health Physics 1995 Radiology Centennial Harman Oration. Health Physics 70(5), 621-635. Kondo S. (1993) Health Effects of Low-level Radiation. Kinki University Press. Kostyuchenko V. A. and Kresitinina L. Y. (1994) Long-term irradiation effects in the population evacuated from the East-Urals radioactive trace area. The Sci. Tot. Environ. 142, 119-125. Lambert G., Le Cloarec M. F., and Pennisi M. (1988) Volcanic output of SO2 and trace metals: a new approach. Geochimica et Cosmochimica Acta 52, 39-42. Magill J. (1999) Nuclides 2000 - An Electronic Chart of the Nuclides, Vol. 1999. Eureopean Commission Joint Research Centre. Institute for Transuranium Elements. Marcuse W. (1896) Nachtrag zu dem Fall von Dermatitis in Alopecie nach Durchleuchtungversuchen mit Rontgenstrahlen. Deutsche Medizinisches Wochenschrift 21, 681. Matanoski G. M. (1991) Health Effects of Low-Level Radiation in Shipyard Workers, Final Report. National Technical Information Service. Mayneord W. V. (1964) Radiation and Health. The Nuffield Provincial Hospital Trust. Miller C. F. (1968) Local fallout hazard assessment. Radiological Protection of the Public in a Nuclear Mass Disaster, 93-104. Molineus W., Holthusen H., and Meyer H. (1992) Ehrenbuch der Radiologen aller Nationen. Blackwell Wissenschaft. Mortazavi S. M. J. (2000) Ramsar as a very high background radiation area and the radiation protection policy of the Iranian Government. unpublished. Nair K. M. K., Nambi K. S. V., Amma N. S., Gangadharan P., Jayaleksmi P., Jayadevan S., Cherian V., and Reghuram K. N. (1999) Population study in the high natural background radiation area in Kerala, India. Radiation Research 152, S145-S148. OECD. (2000) Radiological Impacts of Spent Nuclear Fuel Management Options - A Comparative Study, pp. 1-124. Organisation for Economic Co-operation and Development, Nuclear Energy Agency. Saas A. (1997) La radioactivite et les dechets nucleaires. CLEFS CEA(34 Hiver 1996-1997), 38-43. Schull W. J. (1998) The genetic effects of radiation: consequences for unborn life. Nuclear Europe Worldscan(3-4), 35-37. Semionov B. and Bell M. (1993) Progress towards the demonstration of safe disposal of spent fuel and high level radioactive waste: A critical issue for nuclear power. Geological Disposal of Spent Fuel and High Level and Alpha Bearing Wastes, 3-8. 10 Taylor L. S. (1980) Some non-scientific influences on radiation protection standards and practice. 5th International Congress of the International Radiation Protection Association, 307-319. Tokarskaya Z. B., Okladnikova N. D., Belayeva Z. D., and Drozhko E. G. (1997) Multifactorial analysis of lung cancer dose-response relationship for workers at the Mayak Nuclear Enterprise. Health Physics 73(6), 899-905. Tubiana M. (1998) Health risks: Data and perceptions. In Science and Technology Awareness in Eaurope: New Insights (ed. M. Vitale), pp. 113-123. European Communities. UNSCEAR. (1988) Sources, Effects and Risks of Ionizing Radiation, pp. 1-647. United Nations Scientific Committee on the Effects of Atomic Radiation. New York. UNSCEAR. (2000a) Exposures from man-made sources of radiation, pp. 1-155. United Nations Scientific Committee on the Effect of Atomic Radiation. UNSCEAR. (2000b) Exposures from Natural Radiation Sources, pp. 1-91. United Nations Scientific Committee on the Effects of Atomic Radiation. UNSCEAR. (2000c) Local exposures and effects of the Chernobyl accident, pp. 1-152. United Nations Scientific Committee on the Effects of Atomic Radiation. Wei L., Zha, Y. Tao, Z., He, W.. Chen, D. Yuan, Y. (1990) Epidemiological investigation of radiological effects in high background radiation areas of Yangjiang, China. J. Radiat. Res. 31, 119-136. Westergaard M. (1955) Man's responsibility to his genetic heritage. Impact of Science on Society 4(2), 63-88. 11 FIGURE 1. Measured exposure rates in air on 26 April 1986 in the local area of the Chernobyl reactor. Units of isolines are R h-1. After (UNSCEAR, 2000c) 12 FIGURE 2. Annual trends in average individual global radiation doses. a v e r a g e : 2 . 4 m S p e r y e a r N A T U R A L 1 7 0 0 0 . 3 6 . 0 N E A R C H E R N O B Y L 0 . 4 M E D I C A L WHOLEBDYRADITONDSE(mv) 0 . 2 0 . 1 N U C L E A R E X P L O S I O N S C H E R N O B Y L 0 . 0 N U C L E A R P O W E R 1 9 4 0 1 9 5 0 1 9 6 0 1 9 7 0 1 9 8 0 1 9 9 0 2 0 0 0 Y E A R 13