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E-grāmata: Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop

  • Formāts: 88 pages
  • Izdošanas datums: 30-Jul-2019
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309492669
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  • Formāts: 88 pages
  • Izdošanas datums: 30-Jul-2019
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309492669
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Accidents and terrorist attacks that lead to the release of radioactive materials can cause deaths, injuries, and a range of psychosocial effects in the surrounding community and team of emergency responders. In the United States, federal, state, and local agencies respond with the necessary resources to address the consequences of nuclear and radiological incidents and monitor the affected population. Following the 2011 Fukushima Daiichi Nuclear Power Plant accident and the 2017 Gotham Shield National Level Exercise, the CDC recognized an opportunity to improve their practices by establishing a more efficient and timely health effect surveillance system before another incident occurs.



On March 12-13th, 2019, the National Academies convened a workshop to discuss the process for preparing a radiation registry for monitoring long-term health effects of populations affected by a nuclear or radiological incident. Participants assessed existing information, useful practices, and tools for planning a radiation registry that will enhance incident monitoring and response methods. This publication summarizes the discussions and presentations from the workshop.

Table of Contents



Front Matter Overarching Workshop Themes 1 Introduction and Background 2 Planning for a Radiation Registry References Appendix A: Workshop Agenda Appendix B: Committee Member, Presenter, and Staff Member Biographies
Acronyms And Abbreviations xi
Overarching Workshop Themes 1(6)
1 Introduction And Background 7(12)
1.1 About the Study Request
7(1)
1.2 The Workshop Goal
8(2)
1.3 Background Information and Context
10(9)
1.3.1 Radiation Health Effects
11(1)
1.3.2 Impacts of Nuclear and Radiological Incidents
12(4)
1.3.3 Radiation Dose Reconstruction
16(3)
2 Planning For A Radiation Registry 19(32)
2.1 Engaging Stakeholders
20(8)
2.2 Defining the Purpose of a Registry
28(2)
2.3 Agreeing on Roles and Responsibilities
30(3)
2.4 Linking Immediate Response to Long-Term Follow-Up
33(6)
2.4.1 Capturing Basic Information Early
35(2)
2.4.2 Screening for Radiation Contamination and Assessing Exposure
37(1)
2.4.3 Data Systems Considerations
38(1)
2.5 Implementing Radiation Dose Threshold as a Registry Inclusion Criterion
39(3)
2.5.1 Existing Guidance
40(1)
2.5.2 Practice with Other Registries
40(1)
2.5.3 Other Considerations
41(1)
2.6 Screening for Disease
42(3)
2.6.1 Screening for Cancer
42(1)
2.6.2 Screening for Psychological Effects
43(2)
2.7 Preparing for Long-Term Communications
45(10)
2.7.1 Pre-Event Communication
46(1)
2.7.2 During-Event Communication
46(1)
2.7.3 Communication During Recovery
47(4)
References 51(4)
Appendixes
A Workshop Agenda
55(6)
B Committee Member, Presenter, and Staff Member Biographies
61