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How to Prepare and Protect?

  • Emergecy plans (onsite and offsite)
  • NIMS
  • Evacuation efforts
  • Shelterring and setting up shelters
  • Distribution of potassium iodide
  • Long-term monitoring for delayed health effects

When is Radiation Dangerous

Why is Radiation Dangerous?

  • Dose:

Higher dose = greater risk of negative health effects

  • Length of exposure

High doses over a short period of time or low doses over a long period of time

  • It damages DNA
  • Acute Radiation Syndrome (ARS)
  • Cutaneous Radition Syndrome
  • Cancer and cardiovascular disease

References

Who is at Risk?

What is the Danger?

  • U.S. National Nuclear Regulatory Comussion. (2018, June). https://www.nrc.gov/reading-rm/doc-collections/fact-sheets/emerg-plan-prep-nuc-power.html
  • CDC. (2018, April). Acute Radiation Syndrome: A Fact SHeet for Clinicians.https://www.cdc.gov/nceh/radiation/emergencies/arsphysicianfactsheet.htm#:~:text=Symptoms%20are%20extreme%20nervousness%20and,burning%20sensations%20of%20the%20skin.&text=Onset%20occurs%20within%20minutes%20of%20exposure.&text=Stage%20lasts%20for%20minutes%20to%20hours.&text=Patient%20may%20return%20to%20partial%20functionality.
  • CDC. (2019, December 16). Nuclear Power Plant Accidents. https://www.cdc.gov/nceh/multimedia/infographics/nuclear_power_plant_accidents.html
  • Coleman, C. N., Sullivan, J. M., Bader, J. L., Murrain-Hill, P., Koerner, J. F., Garrett, A. L., Weinstock, D. M., Case, C., Jr, Hrdina, C., Adams, S. A., Whitcomb, R. C., Graeden, E., Shankman, R., Lant, T., Maidment, B. W., & Hatchett, R. C. (2015). Public health and medical preparedness for a nuclear detonation: the nuclear incident medical enterprise. Health physics, 108(2), 149–160. https://doi.org/10.1097/HP.0000000000000249

Radiation and Radioactive materials

  • Plant Employees/Workers
  • People in the Plume Esposure Pathway (10 miles in radius around a plant)
  • People in the ingestion pathway (50 miles in radius around a plant)
  • People downwind to the power plant at the time of an emergency
  • First Responders

References

1.

Nuclear Emergencies: Power Plant Accidents

By: Christopher Murray

Public Health Preparedness Trainer

Objectives

  • Who is at Risk?
  • What is the Danger?
  • When is Radiation Dangerous?
  • Why is Radiation Dangerous?
  • How Prepare and Protect?

Cutaneous Radiation Syndrome

CRS

  • Acute Radiation Skin Exposure
  • Can occur without ARS
  • Happens when radioactive materials contaiminate skin or clothes
  • Symptoms: Inflammation; Desquamation; Itching; Blistering; Ulceration; Hair loss

Acute Radiation Synrome

ARS

  • Needs a large dose (>0.7 Gray or 70 Rads)
  • Must come from outside the body
  • Must be penetrating
  • Whole Body
  • Short duration of delivery
  • Four stages
  • Manifestations:
  • Bone marrow syndrome
  • GI syndrome
  • CV Syndrome
  • CNS Syndrome

Evacuation

  • Complete plant evacuation
  • 2 mile ring around plant
  • 5 mile zone directly downwind and to either side of potential path
  • Further evacuations as needed

Shelter

Shelters

  • Those within 10 mile radius advised to shelter: In homes, schools, or workplaces
  • When release is short term or controlled
  • Avoids exposure of skin and clothes to more radiation

Potassium Iodide

  • Prevents thyroid absorption of radioactive iodine
  • Reduces risk of thyroid cancers and other thyroid diseases
  • Has potential side effects

KI

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