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Lessons from past radiation accidents: Critical review of methods addressed to individual dose assessment of potentially exposed people and integration with medical assessment

Joan Francesc Barquinero 1 Paola Fattibene 2 Vadim Chumak 3 Takashi Ohba 4 Sara Della Monaca 2 Cristina Nuccetelli 5 Keiichi Akahane 6 Osamu Kurihara 7 Kenji Kamiya 8 Atsushi Kumagai 9 Cecile Challeton de Vathaire 10 Didier Franck 11 Eric Gregoire 12 Christiane Poelzl-Viol 13 Ulrike Kulka 14 Ursula Oestreicher 15 Marion Peter 13 Alicja Jaworska 16 Liudmila Liutsko 17 Koichi Tanigawa 18 Elisabeth Cardis 19
1 Faculté de Biosciences
2 ISS - Istituto Superiore di Sanità
3 NRCRM - National Research Center for Radiation Medicine
4 FMU - Fukushima Medical University
5 ISS - Instituto Superiore di Sanità
6 QST-NIRS - National Institutes of Quantum and Radiological Science and Technology-National 15 Institute of Radiological Sciences
7 QST-NIRS - National Institutes for Quantum and Radiological Science and Technology-National Institute of Radiological Sciences
8 HiroshimaU – Hiroshima University
9 QST-NIRS - National Institutes of Quantum and Radiological Science and Technology-National 15 Institute of Radiological Sciences
10 PSE-SANTE/SDOS/LEDI
11 PSE-SANTE/SDOS
12 PSE-SANTE/SERAMED/LRAcc
13 BfS - Bundesamt für Strahlenschutz
14 BfS - Federal Office for Radiation Protection
15 BfS - Federal Office for Radiation Protection,
16 EPER
17 ISGlobal - Instituto de Salud Global - Institute For Global Health [Barcelona]
18 Futaba Medical Center
19 Radiation Programme
Abstract : The experiences of the Chernobyl and Fukushima nuclear accidents showed that dosimetry was the essential tool in the emergency situation for decision making processes, such as evacuation and application of protective measures. However, at the consequent post-accidental phases, it was crucial also for medical health surveillance and in further adaptation to changed conditions with regards to radiation protection of the affected populations. This review provides an analysis of the experiences related to the role of dosimetry (dose measurements, assessment and reconstruction) regarding health preventive measures in the post-accidental periods on the examples of the major past nuclear accidents such as Chernobyl and Fukushima. Recommendations derived from the review are called to improve individual dose assessment in case of a radiological accident/incident and should be considered in advance as guidelines to follow for having better information. They are given as conclusions.
Keywords : Radiological emergency Nuclear reactor accident Dosimetry Dose assesment Chernobyl Fukushima
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Joan Francesc Barquinero, Paola Fattibene, Vadim Chumak, Takashi Ohba, Sara Della Monaca, et al.. Lessons from past radiation accidents: Critical review of methods addressed to individual dose assessment of potentially exposed people and integration with medical assessment. Environment International, Elsevier, 2021, 146, pp.106175. ⟨10.1016/j.envint.2020.106175⟩. ⟨hal-02982030⟩

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