Radionuclides in drinking water: the recent legislative requirements of the European Union.

In November 2013, a new EURATOM Directive was issued on the protection of public health from the radionuclide content in drinking water. After introducing the contents of the Directive, the paper analyses the hypotheses about drinking water ingestion adopted in documents of international and national organizations and the data obtained from national/regional surveys. Starting from the Directive's parametric value for the Indicative Dose, some examples of derived activity concentrations of radionuclides in drinking water are reported for some age classes and three exposure situations, namely, (i) artificial radionuclides due to routine water release from nuclear power facilities, (ii) artificial radionuclides from nuclear medicine procedures, and (iii) naturally occurring radionuclides in drinking water or resulting from existing or past NORM industrial activities.

Considerations on the ICRP model predictions of the transfer of (137)Cs from food to the milk and urine of lactating mothers.

A recent work has shown that the current ICRP biokinetic model for the transfer of caesium radionuclides from food to human breast milk was able to describe with satisfactory accuracy (137)Cs activity concentrations in human breast samples collected a few weeks after the Chernobyl accident as well as in samples collected some years later. However, systematic discrepancies were observed for the predictions of the activity concentrations in urine samples. In the present work, modifications to the model were investigated with the aim of improving the agreement between model predictions and data. It turned out that the disagreement for the urine data was ascribable to the mathematical simplifications used by the ICRP to describe urinary excretion in the first few days after delivery. However, the predictive performances of the model remained unchanged even when differences in the bioavailability of caesium from the ingested food types were considered or metabolic interactions between caesium and potassium were introduced into the model formulation.

Risk of childhood leukaemia and non-Hodgkin's lymphoma after parental occupational exposure to solvents and other agents: the SETIL Study.

AIM: In the context of the Italian Multicentric Epidemiological Study on Risk Factors for Childhood Leukaemia and Non-Hodgkin's Lymphoma (SETIL), the risk of childhood cancer was investigated in relation to parental occupational exposures. METHODS: All cases of childhood leukaemia and non-Hodgkin's lymphoma (NHL) in children aged 0-10 years were identified. Controls were chosen at random from the local population in each region. Parents were interviewed using a structured questionnaire. The collected data were blindly reviewed by expert industrial hygienists in order to estimate exposure to a list of agents. Statistical analyses were performed for each agent using unconditional multivariable logistic regression models, taking into account timing of exposure. RESULTS: 683 cases of acute childhood leukaemia, 97 cases of NHL and 1044 controls were identified. Increased risk of childhood leukaemia was found for maternal exposure to aliphatic (OR 4.3) or aromatic hydrocarbons (OR 3.8) in the preconception period, and for paternal exposure to diesel exhaust (OR 1.4), lead exposure (OR 1.7) and mineral oils (OR 1.4)[corrected]. Risk of NHL appeared to be related to paternal exposure to oxygenated solvents (OR 2.5) and petrol exhaust (OR 2.2). CONCLUSIONS: We found increased risk for childhood leukaemia associated with maternal occupational exposure to aromatic and aliphatic hydrocarbons, particularly in the preconception period; increased risks were also observed for paternal exposure to diesel exhaust fumes, mineral oils and lead. The risk of NHL appeared to be related to paternal exposure to oxygenated solvent and petrol exhausts.

Persistent environmental contaminants in human milk: concentrations and time trends in Italy.

Breast milk monitoring studies of persistent and toxic environmental contaminants are of primary importance for carrying out an adequate risk assessment at the actual levels of human exposure and represent a major source of information on infant perinatal exposure. Milk specimens from mothers of the general population of the Venice and Rome areas were collected over the 1998-2001 period, pooled, and analyzed for selected persistent organic pollutants such as polychlorodibenzodioxins (PCDDs), polychlorodibenzofurans (PCDFs), polychlorobiphenyls (PCBs), organochlorinated pesticides (p,p'-DDE, p,p'-DDT, hexachlorobenzene), and polybromodiphenyl ethers (PBDEs), and the heavy metals Cd, Co, Cu, Hg, Mn, Pb, Sn, and Zn. The goal was to verify whether mother milk from the Venice area, whose lagoon is partly under direct industrial impact, had a contaminant load greater than that from the Rome area, primarily urban. For mothers from the Venice area, the correlation between fish and fishery product consumption and contaminant concentrations in milk was also explored, with however inconclusive results. The concentrations of PCDDs, PCDFs, dioxin-like PCBs, and organochlorinated pesticides determined in this study were compared with those available from a previous analytical work carried out on 1987 human milk pools of domestic origin: the declining trend of the aforesaid contaminants in milk is confirmed to be in agreement with what was observed in other European countries. The breast milk content of (137)Cs and (40)K radionuclides was also determined and compared with data obtained in other research programmes carried out in Italy: the health risk for breastfed infants was deemed to be not significant.

Thorium series radionuclides in the environment: measurement, dose assessment and regulation.

Environmental radioactivity research is more advanced for the (238)U series than for the (232)Th series, for a number of reasons. One reason is that some radionuclides of the (232)Th series are more difficult to measure than the corresponding isotopes in the (238)U series, and measurement techniques are less widely available. The (232)Th series population doses, however, are sometimes significant. This paper analyses some main radionuclides in the (232)Th series in comparison with corresponding nuclides in the (238)U series, with regard to measurement techniques, dose coefficients and regulation needs.

SETIL: Italian multicentric epidemiological case-control study on risk factors for childhood leukaemia, non hodgkin lymphoma and neuroblastoma: study population and prevalence of risk factors in Italy.

BACKGROUND: Aetiology of childhood leukaemia and childhood neoplasm is poorly understood. Information on the prevalence of risk factors in the childhood population is limited. SETIL is a population based case-control study on childhood leukaemia, conducted with two companion studies on non-Hodgkin Lymphoma (NHL) and neuroblastoma. The study relies on questionnaire interviews and 50 Hz magnetic field (ELF-MF) indoor measurements. This paper discusses the SETIL study design and includes descriptive information. METHODS: The study was carried out in 14 Italian regions (78.3% of Italian population aged 0-10). It included leukaemia, NHL and neuroblastoma cases incident in 0-10 year olds in 1998-2001, registered by the Italian Association of Paediatric Haematology and Oncology (AIEOP) (accrual over 95% of estimated incidence). Two controls for each leukaemia case were randomly sampled from the Local Health Authorities rolls, matched by gender, birthdate and residence. The same controls were used in NHL and neuroblastoma studies. Parents were interviewed at home on: physical agents (ELF-MF and ionizing radiation), chemicals (smoking, solvents, traffic, insecticides), occupation, medical and personal history of children and parents, infectious diseases, immunizations and associated factors. Occupational exposure was collected using job specific modules. ELF-MF was measured in the main rooms (spot measurement) and close to child's bed (48 hours measurement). RESULTS: The study included: 683 leukaemia cases (87% ALL, 13% AnLL), 97 NHL, 155 neuroblastomas, and 1044 controls. CONCLUSIONS: SETIL represents a data source on exposure of Italian children to a broad array of potential carcinogenic factors.

Validation of the ICRP model for caesium intake by lactating mothers with Italian data after the Chernobyl fallout.

In the aftermath of the Chernobyl nuclear power plant accident, a research group of the Italian National Institute of Health (Istituto Superiore di Sanità) carried out two research programmes on maternal milk. One concerned the transfer of caesium radionuclides from the diet to breast milk. In the other, the activity concentrations of (137)Cs were also determined in urine and placenta. The first study estimated the mothers' average (137)Cs dietary intake, in the second study the intake was evaluated individually for each subject. In 2004, the International Commission on Radiological Protection published modified systemic biokinetic models which also account for transfer to breast milk. The model for caesium radionuclides was implemented and tested by the authors with the experimental data described above. A good agreement was obtained between measured data and model simulations of (137)Cs activity concentration in human milk. The model, however, tends to systematically overestimate (137)Cs activity concentration in urine, in which case the agreement is to be considered satisfactory in terms of order of magnitude.