Responding to radiation accidents: what more do we need to know?

A short review of the various types of radiation incidents and accidents that have occurred is used to provide a context for discussing the findings on medical management of the victims of such incidents and accidents reported in a recent Special Issue of the Journal of Radiological Protection. The review demonstrates that accidents and incidents giving rise to high radiation doses may involve over-exposure of a single individual, a few individuals, or very large numbers. In general, these exposures will be relatively short-term, ranging from a few seconds to a few days, but chronic situations resulting in high exposures can occur. Some of these exposures may be highly localised, whereas others may result in almost uniform whole-body irradiation. This diversity of situations means that it is not feasible to have a single protocol for the diagnosis and treatment of over-exposed individuals. If the over-exposures are limited to one or a few individuals, these can be addressed on a case-by-case basis. However, where large numbers have been exposed or may have been exposed, there is a need to implement a rapid and effective system of triage. Furthermore, this system is likely to have to be implemented by individuals who have little or no direct experience of radiation-induced injuries. For those individuals who may have been significantly exposed, the key consideration is not to determine the radiation dose that they have received, but to establish their present clinical status and how it is likely to develop with time. There is at most a very limited role for bone-marrow transplantation in the treatment of acute radiation syndrome, whereas there are good arguments for administering various treatments to boost bone marrow function together with other supportive interventions, e.g. in control of infections and handling both fluid loss and bleeding. However, there is concern that the focus to date has been only on the licencing of drugs related to the management of haematopoietic effects. Although a great deal is known about the diagnosis and treatment of injuries arising from high dose exposures, this knowledge is biased towards situations in which there is relatively uniform, external whole-body exposure. More attention needs to be given to assessing the implications of various inhomogeneous exposure regimes and to developing medical countermeasures optimised for addressing the complex, multi-organ effects likely to arise from such inhomogeneous exposures.

A research and development roadmap to support applications of the enhanced BIOMASS methodology.

The International Atomic Energy Agency has coordinated an international project addressing enhancements of methods for modelling the biosphere in post-closure safety assessments of solid radioactive waste disposal. This has resulted in the enhanced BIOMASS methodology that is described elsewhere in this special issue. To a large degree, the enhancements to the BIOMASS methodology arose from experience gained in applying the original methodology, both in the context of other international projects and in assessments of existing or proposed disposal facilities for solid radioactive wastes. Here, this experience is used, together with information on the status of solid radioactive waste disposal programmes worldwide, to identify opportunities for applying the enhanced methodology and for learning from those applications. This provides a basis for identifying research and development to support application of the enhanced methodology in a variety of environmental settings. These research and development requirements include aspects related to climate change under a variety of forcing scenarios, landform development in climatic regimes ranging from cold, polar to arid, tropical, modelling of groundwater flow and contaminant transport in surface-water catchments where both fractured rock and porous sediments are present, and studies of the transport of key radioisotopes of elements central to major biogeochemical cycles, such as those of carbon, chlorine, sulphur and iodine. In addition, some remarks are made on aspects of the application of the enhanced methodology that could imply review and updating of regulations and regulatory guidance, e.g. in relation to the definition of representative persons or groups to be considered in assessments and in respect of approaches to the assessment of radiological impacts on non-human biota. Furthermore, consideration is given as to how the scientific and technical experience that has been gained and methods that have been developed in the context of solid radioactive disposal facilities could support management of contaminated sites and legacy facilities that are likely to require long-term management and stewardship.

Use of interaction matrices to formalise the development of conceptual models of contaminant transport in the biosphere and the translation of those conceptual models into mathematical models.

In developing models of the biosphere for use in assessing the impacts on human health and the environment of releases of contaminants from disposal facilities for solid radioactive wastes or from contaminated legacy sites, there is a need to demonstrate that the models adopted are both comprehensive and appropriate to the assessment context. To achieve this end, it is useful to develop a structured approach to conceptual model development and it is here proposed that interaction matrices (IMs) provide a suitable framework. This process can provide a conceptual model expressed in terms of either a single IM or a nested set of IMs. The focus of the work described herein is the development of a transparent approach to translating such a set of IMs into a mathematical model, which is typically expressed as a set of ordinary differential equations complemented by algebraic expressions. Some remarks are also made on appropriate approaches to obtaining numerical solutions of these equations in circumstances where simplifications of the general equations can be justified. Overall, the intent is to provide background and guidance by providing a formal basis for the process in generalised terms.

Generally applicable limits on intakes of uranium based on its chemical toxicity and the radiological significance of intakes at those limits.

Uranium is chemically toxic and radioactive, and both considerations have to be taken into account when limiting intakes of the element, in the context of both occupational and public exposures. Herein, the most recent information available on the chemical toxicity and biokinetics of uranium is used to propose new standards for limiting intakes of the element. The approach adopted allows coherent standards to be set for ingestion and inhalation of different chemical forms of the element by various age groups. It also allows coherent standards to be set for occupational and public exposures (including exposures of different age groups) and for various exposure regimes (including short-term and chronic exposures). The proposed standards are more restrictive than those used previously, but are less restrictive than the Minimal Risk Levels proposed recently by the US Agency for Toxic Substances and Disease Registry. Having developed a set of proposed limits based solely on chemical toxicity considerations, the radiological implications of exposure at those proposed limits are investigated for natural, depleted and enriched uranium.

Influence of climate on landscape characteristics in safety assessments of repositories for radioactive wastes.

In safety assessments of repositories for radioactive wastes, large spatial and temporal scales have to be considered when developing an approach to risk calculations. A wide range of different types of information may be required. Local to the site of interest, temperature and precipitation data may be used to determine the erosional regime (which may also be conditioned by the vegetation characteristics adopted, based both on climatic and other considerations). However, geomorphological changes may be governed by regional rather than local considerations, e.g. alteration of river base levels, river capture and drainage network reorganisation, or the progression of an ice sheet or valley glacier across the site. The regional climate is in turn governed by the global climate. In this work, a commentary is presented on the types of climate models that can be used to develop projections of climate change for use in post-closure radiological impact assessments of geological repositories for radioactive wastes. These models include both Atmosphere-Ocean General Circulation Models and Earth Models of Intermediate Complexity. The relevant outputs available from these models are identified and consideration is given to how these outputs may be used to inform projections of landscape development. Issues of spatial and temporal downscaling of climate model outputs to meet the requirements of local-scale landscape development modelling are also addressed. An example is given of how climate change and landscape development influence the radiological impact of radionuclides potentially released from the deep geological disposal facility for spent nuclear fuel that SKB (the Swedish Nuclear Fuel and Waste Management Company) proposes to construct at Forsmark, Sweden.

An investigation into the upward transport of uranium-series radionuclides in soils and uptake by plants.

The upward migration of radionuclides in the (238)U decay series in soils and their uptake by plants is of interest in various contexts, including the geological disposal of radioactive waste and the remediation of former sites of uranium mining and milling. In order to investigate the likely patterns of behaviour of (238)U-series radionuclides being transported upward through the soil column, a detailed soil-plant model originally developed for studying the behaviour of (79)Se in soil-plant systems has been adapted to make it applicable to the (238)U series. By undertaking a reference case simulation and a series of sensitivity studies, it has been found that a wide variety of behaviour can be exhibited by radionuclides in the (238)U decay chain in soils, even when the source term is limited to being a constant flux of either (238)U or (226)Ra. Hydrological conditions are a primary factor, both in respect of the overall advective flow deeper in the soil, which controls the rate of upward migration, and in the influence of seasonally changing flow directions closer to the soil surface, which can result in the accumulation of radionuclides at specific depths irrespective of changes in sorption between the oxic and anoxic regions of the soil. However, such changes in sorption can also be significant in controlling the degree of accumulation that occurs. This importance of seasonally varying factors in controlling radionuclide transport in soils even in very long-term simulations is a strong argument against the use of annually averaged parameters in long-term assessment models. With a water table that was simulated to fluctuate seasonally from a substantial depth in soil to the surface soil layer, the timing of such variations in relation to the period of plant growth was found to have a major impact on the degree of uptake of radionuclides by plant roots. In long-term safety assessment studies it has sometimes been the practice to model the transport of (226)Ra in soil, but to assume that both (210)Pb and (210)Po can be treated as being present in secular equilibrium with the (226)Ra. This simplification is not always appropriate. Where geochemical conditions are such that the (226)Ra migrates upward in the soil column faster than (210)Pb and (210)Po, disequilibrium is not a significant issue, as the (226)Ra supports (210)Pb and (210)Po at concentrations somewhat below those estimated on the basis of assumed secular equilibrium. However, for low, but realistic, values of the distribution coefficients for (210)Pb and (210)Po and high, but realistic, distribution coefficients for (226)Ra, the (210)Pb and (210)Po can reach the surface soil in high concentrations that are not locally supported by (226)Ra. This means that models based on the assumption of secular equilibrium should not be employed without a careful consideration of the hydrological and hydrochemical situation of interest.