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1.
Chemosphere ; 222: 106-113, 2019 May.
Article in English | MEDLINE | ID: mdl-30699369

ABSTRACT

Recent characterization of radioactive particles indicate that a large percentage of the radioactivity observed during the Fukushima Daiichi nuclear meltdown was insoluble 137Cs bound within silica microparticles. Therefore, much of the decontamination research performed prior to the Fukushima incident that used either soluble radionuclides deposited onto wet surfaces or large (∼100 µm) particles characteristic of nuclear weapons fallout do not accurately represent the characteristics of potential contamination. Thus, the common practice of extrapolating radioactive decontamination methods generically to all radioactive release events is, at best, suspect. In response, a method to produce chemically-inert, radiolabeled silica particles was developed. Binding 152Eu within a sodium silicate coating required proper temperature control and ethanol was beneficial as a volatile dispersant to limit residues. In the end, a step-wise method, which first deposited 152Eu or 241Am as a nitrate salt, decomposed the salt to a sesquioxide, and finally coated the surface with sodium silicate led to dispersed particles of the desired 2 or 0.5 µm diameters. Dynamic light scattering and scanning election microscopy confirmed the particle size was unchanged. Leaching studies into several common decontaminants were performed to ensure particle inertness. Our approach allows for substitution of other radionuclides making it a robust, simple, and novel method to produce inert particle surrogates for a release event that allows direct comparison of decontamination techniques and contaminant fate studies, greatly aiding the development of response and recovery plans.


Subject(s)
Decontamination/methods , Radiation Monitoring/methods , Radioactive Fallout/prevention & control , Silicates/pharmacology , Water Pollutants, Radioactive/isolation & purification , Americium , Cesium Radioisotopes , Einsteinium , Fukushima Nuclear Accident , Japan , Particle Size , Radiation Monitoring/standards
2.
Radiats Biol Radioecol ; 56(3): 300-312, 2016 05.
Article in Russian | MEDLINE | ID: mdl-30629877

ABSTRACT

The review of our own and literature data on ecosystems decontamination problems after the Chernobyl ac- cident is presented. It has been shown that protective measures are effective in places with the highest radio- capacity of ecosystems, especially those which may enhance the value of factors of ecosystefi radiocapacity. The analysis of a number of possible effects of impact of pollutants on the biosphere and the consequences of the implementation of protective measures (countermeasures) is given. The system of rehabilitation of con- taminated territories and, above all, soils, is proposed. The history of accidents at nuclear plants knows many planned and implemented countermeasures (CM), which can be used with different efficiency to eliminate the consequences of accidents. A variety of CM was implemented during the Chernobyl accident and elimination of its consequences. The main objectives that underlie the choice of CM is desactivation of ecosystems, reduction of individual doses for workers and residents, reducing the collective doses to the population defined by their special reduction factor. The effect of the CM on the condition of ecosystems has virtually never been evaluated. A number of the implemented countermeasures, the mechanical removal of the top lay- er of soil contaminated with radionuclides (bulldozers, scrapers, graders) led to the complete destruction of ecosystems, which are then required to be consolidated, in particular, by creating forests. It seems important and necessary to carry out the analysis and classification of the main CM based on the theory and radioca- pacity.models in order to assess how the parameters affect the countermeasures of ecosystem radiocapacity and to identify optimal solutions for their application.


Subject(s)
Chernobyl Nuclear Accident , Decontamination/methods , Radiation Protection/methods , Soil Pollutants, Radioactive , Cesium Radioisotopes/toxicity , Ecosystem , Humans , Radiation Monitoring , Radioactive Fallout/prevention & control , Ukraine/epidemiology
3.
Radiat Prot Dosimetry ; 167(1-3): 370-5, 2015 Nov.
Article in English | MEDLINE | ID: mdl-25953792

ABSTRACT

After the Fukushima nuclear power plant accident, 'hot spots' were found in Tokatsu area in Chiba prefecture. Although ambient radiation dose in this area was too low to harm residents' health, local residents were particularly worried about possible adverse effects from exposure to radiation. To avoid unnecessary panic reactions in the public, local governments in Tokatsu area collaborated with radiation specialists and conducted activities to provide local residents with accurate information on health effects from radiation. In addition to these activities, the authors offered one-to-one consultations with a radiologist for parents of small children and expecting mothers. They herein report this unique attempt, focusing on parents' anxiety and the age of their children. Taken together, this unique collaborative activity between local government and experts would be one of the procedures to relieve residents' anxiety.


Subject(s)
Cooperative Behavior , Fukushima Nuclear Accident , Information Dissemination/methods , Local Government , Radioactive Fallout/analysis , Stress, Psychological/prevention & control , Decontamination/methods , Expert Testimony/methods , Humans , Interinstitutional Relations , Japan , Radiation Protection/methods , Radioactive Fallout/prevention & control , Safety Management/organization & administration , Stress, Psychological/psychology
4.
Radiat Prot Dosimetry ; 167(1-3): 358-64, 2015 Nov.
Article in English | MEDLINE | ID: mdl-25982790

ABSTRACT

Activities were introduced in Kashiwa city in the Tokyo metropolitan area to correspond to the elevated environmental radiation level after the disaster of the Fukushima Daiichi nuclear power plant. These were based on a strong cooperation between local governments and experts. Ambient dose rate and radioactivity of foodstuff produced inside of the city have been monitored. Representative ambient dose rates around living environments have almost already become their original levels of the pre-accident because of the decontamination activity, natural washout and effective half-lives of radioactivity. The internal annual dose due to radioactive cesium under the policy of 'Local Production for Local Consumption' is estimated as extremely low comparing the variation range due to natural radioactivity. Systematic survey around a retention basin has been started. All of these latest monitoring data would be one of the core information for the policy making as well as a cost-benefit discussion and risk communication.


Subject(s)
Cooperative Behavior , Food Contamination, Radioactive/analysis , Fukushima Nuclear Accident , Local Government , Radiation Protection/methods , Radioactive Fallout/analysis , Decontamination/methods , Expert Testimony/methods , Food Contamination, Radioactive/prevention & control , Interinstitutional Relations , Radioactive Fallout/prevention & control , Safety Management/organization & administration
5.
Dynamis (Granada) ; 35(2): 297-305, 2015. ilus
Article in English | IBECS | ID: ibc-144228

ABSTRACT

The aim of this paper is to describe the early stages of Mexican nuclearization that took place in contact with radioisotopes. This history requires a multilayered narrative with an emphasis in North-South asymmetric relations, and in the value of education and training in the creation of international asymmetrical networks. Radioisotopes were involved in exchanges with the United States since the late 1940s, but also with Canada. We also describe the context of implementation of Eisenhower´s Atoms for Peace initiative in Mexico that opened the door to training programs at both the Comisión Nacional de Energía Nuclear and the Universidad Nacional Autónoma de México. Radioisotopes became the best example of the peaceful applications of atomic energy, and as such they fitted the Mexican nuclearization process that was and still is defined by its commitment to pacifism. In 1955 Mexico became one of the 16 members of the atomic fallout network established by the United Nations. As part of this network, the first generation of Mexican (women) radio-chemists was trained. By the end of the 1960s, radioisotopes and biological markers were being produced in a research reactor, prepared and distributed by the CNEN within Mexico. We end up this paper with a brief reflection on North-South nuclear exchanges and the particularities of the Mexican case (AU)


No disponible


Subject(s)
History, 19th Century , Radioisotopes/history , Nuclear Medicine/history , Nuclear Medicine/organization & administration , Nuclear Medicine/standards , Nuclear Energy/history , Nuclear Physics/history , Activation Analysis/history , Radioactivity , Biomarkers , Radiochemistry/history , Radiochemistry/methods , Mexico/epidemiology , Astronomy/history , Physics/history , Air Pollution, Radioactive/history , Radioactive Fallout/adverse effects , Radioactive Fallout/history , Radioactive Fallout/prevention & control
6.
Health Phys ; 107(2): 150-63, 2014 Aug.
Article in English | MEDLINE | ID: mdl-24978286

ABSTRACT

The radiological assessment of the nuclear fallout (i.e., fission and neutron-activation radionuclides) from a nuclear detonation is complicated by the large number of fallout radionuclides. This paper provides the initial isotopic source term inventory of the fallout from a uranium-fueled nuclear detonation and identifies the significant and insignificant radiological dose producing radionuclides over 11 dose integration time periods (time phases) of interest. A primary goal of this work is to produce a set of consistent, time phase-dependent lists of the top dose-producing radionuclides that can be used to prepare radiological assessment calculations and data products (e.g., maps of areas that exceed protective action guidelines) in support of public and worker protection decisions. The ranked lists of top dose-producing radionuclides enable assessors to perform atmospheric dispersion modeling and radiological dose assessment modeling more quickly by using relatively short lists of radionuclides without significantly compromising the accuracy of the modeling and the dose projections. This paper also provides a superset-list of the top dose-producing fallout radionuclides from a uranium-fueled nuclear detonation that can be used to perform radiological assessments over any desired time phase. Furthermore, this paper provides information that may be useful to monitoring and sampling and laboratory analysis personnel to help understand which radionuclides are of primary concern. Finally, this paper may be useful to public protection decision makers because it shows the importance of quickly initiating public protection actions to minimize the radiological dose from fallout.


Subject(s)
Explosions , Nuclear Weapons , Radiation Dosage , Radiation Monitoring , Radiochemistry , Radioisotopes/analysis , Uranium/chemistry , Radiation Protection , Radioactive Fallout/analysis , Radioactive Fallout/prevention & control , Radioisotopes/chemistry
7.
Environ Geochem Health ; 36(6): 1165-90, 2014 12.
Article in English | MEDLINE | ID: mdl-24804829

ABSTRACT

Radionuclide contamination in terrestrial ecosystems has reached a dangerous level. The major artificial radionuclide present in the environment is (137)Cs, which is released as a result of weapon production related to atomic projects, accidental explosions of nuclear power plants and other sources, such as reactors, evaporation ponds, liquid storage tanks, and burial grounds. The release of potentially hazardous radionuclides (radiocesium) in recent years has provided the opportunity to conduct multidisciplinary studies on their fate and transport. Radiocesium's high fission yield and ease of detection made it a prime candidate for early radio-ecological investigations. The facility setting provides a diverse background for the improved understanding of various factors that contribute toward the fate and transfer of radionuclides in the terrestrial ecosystem. In this review, we summarize the significant environmental radiocesium transfer factors to determine the damaging effects of radiocesium on terrestrial ecosystem. It has been found that (137)Cs can trace the transport of other radionuclides that have a high affinity for binding to soil particles (silts and clays). Possible remedial methods are also discussed for contaminated terrestrial systems. This review will serve as a guideline for future studies of the fate and transport of (137)Cs in terrestrial environments in the wake of the Fukushima Nuclear Power Plant disaster in 2011.


Subject(s)
Air Pollution, Radioactive , Cesium/adverse effects , Environmental Restoration and Remediation/methods , Radioactive Fallout , Radioactive Pollutants/adverse effects , Water Pollution, Radioactive , Air Pollution, Radioactive/adverse effects , Air Pollution, Radioactive/analysis , Air Pollution, Radioactive/prevention & control , Cesium/analysis , Cesium Radioisotopes/adverse effects , Cesium Radioisotopes/analysis , Ecosystem , Fukushima Nuclear Accident , Radiation Monitoring , Radioactive Fallout/adverse effects , Radioactive Fallout/analysis , Radioactive Fallout/prevention & control , Radioactive Pollutants/analysis , Water Pollution, Radioactive/adverse effects , Water Pollution, Radioactive/analysis , Water Pollution, Radioactive/prevention & control
8.
J Occup Environ Hyg ; 11(10): D147-56, 2014.
Article in English | MEDLINE | ID: mdl-24856781

ABSTRACT

The accident at the Fukushima Daiichi Atomic Power Plant that accompanied the Great East Japan Earthquake on March 11, 2011, released a large amount of radioactive material. To rehabilitate the contaminated areas, the government of Japan decided to carry out decontamination work and manage the waste resulting from decontamination. In the summer of 2013, the Ministry of the Environment planned to begin a full-scale process for waste disposal of contaminated soil and wastes removed as part of the decontamination work. The existing regulations were not developed to address such a large amount of contaminated wastes. The Ministry of Health, Labour and Welfare (MHLW), therefore, had to amend the existing regulations for waste disposal workers. The amendment of the general regulation targeted the areas where the existing exposure situation overlaps the planned exposure situation. The MHLW established the demarcation lines between the two regulations to be applied in each situation. The amendment was also intended to establish provisions for the operation of waste disposal facilities that handle large amounts of contaminated materials. Deliberation concerning the regulation was conducted when the facilities were under design; hence, necessary adjustments should be made as needed during the operation of the facilities.


Subject(s)
Decontamination/standards , Environmental Restoration and Remediation/legislation & jurisprudence , Fukushima Nuclear Accident , Nuclear Power Plants/legislation & jurisprudence , Radiation Protection/methods , Radioactive Fallout/analysis , Radioactive Waste/legislation & jurisprudence , Environmental Restoration and Remediation/methods , Humans , Japan , Occupational Exposure/prevention & control , Occupational Exposure/standards , Protective Devices , Radioactive Fallout/legislation & jurisprudence , Radioactive Fallout/prevention & control , Refuse Disposal , Soil Pollutants, Radioactive/standards
9.
J Radiol Prot ; 33(1): 27-40, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23295495

ABSTRACT

The accident at the Chernobyl nuclear power plant in Ukraine in 1986 caused a huge release of radionuclides over large areas of Europe. During large scale activities focused on overcoming of its negative consequences for public health, various research programmes in radioecology, dosimetry and radiation medicine were conducted. New knowledge was applied internationally in substantial updating of radiation protection systems for emergency and existing situations of human exposure, for improvement of emergency preparedness and response. Radioecological and dosimetry models were significantly improved and validated with numerous measurement data, guidance on environmental countermeasures and monitoring elaborated and tested.New radiological knowledge can be of use in the planning and implementation of rehabilitation programmes in Japan following the Fukushima nuclear accident. In particular, the following activity areas would benefit from application of the Chernobyl experience: strategy of rehabilitation, and technology of settlement decontamination and of countermeasures applied in agriculture and forestry. The Chernobyl experience could be very helpful in planning research activities initiated by the Fukushima radionuclide fallout, i.e. environmental transfer of radionuclides, effectiveness of site-specific countermeasures, nationwide dose assessment, health effect studies, etc.


Subject(s)
Chernobyl Nuclear Accident , Decontamination/methods , Fukushima Nuclear Accident , Radiation Monitoring/methods , Radiation Protection/methods , Radioactive Fallout/analysis , Radioactive Waste/prevention & control , Humans , Japan , Radiation Injuries/diagnosis , Radiation Injuries/prevention & control , Radioactive Fallout/prevention & control , Ukraine
10.
PLoS One ; 6(11): e27761, 2011.
Article in English | MEDLINE | ID: mdl-22114685

ABSTRACT

Immediately after the accidents in the nuclear power stations in Fukushima on March 11, the Japanese Government ordered the evacuation of the residents within a 20-km radius from the station on March 12, and asked various institutions to monitor the contamination levels of the residents. Hirosaki University, which is located 355 km north of Fukushima City, decided to send support staff to Fukushima. This report summarizes the results of the exposure of 13 individual teams from March 15 to June 20. The support teams surveyed more than 5,000 people during this period. Almost all subjects had external contamination levels of less than 13 kcpm on Geiger-Müller (GM) survey meter, which is categorized as "no contamination level." The 1(st) team showed the highest external exposure dose, but the 4(th) team onward showed no significant change. Subsequently, the internal radiation exposure was measured using a whole body counter that indicated undetectable levels in all staff members. Although the measured external radiation exposure dose cannot have serious biological effects on the health of an individual, a follow-up study of the residents in Fukushima and other regions where the radioactive material has spread will be required for a long time.


Subject(s)
Environmental Exposure/analysis , Environmental Exposure/prevention & control , Radiation Injuries/prevention & control , Radiation Monitoring , Humans , Radiation Dosage , Radiation Injuries/etiology , Radiation Protection , Radioactive Fallout/prevention & control , Radioactive Hazard Release/prevention & control , Risk Assessment , Risk Factors , Safety Management
13.
Risk Anal ; 30(9): 1315-27, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20840487

ABSTRACT

We superimpose a radiation fallout model onto a traffic flow model to assess the evacuation versus shelter-in-place decisions after the daytime ground-level detonation of a 10-kt improvised nuclear device in Washington, DC. In our model, ≈ 80k people are killed by the prompt effects of blast, burn, and radiation. Of the ≈ 360k survivors without access to a vehicle, 42.6k would die if they immediately self-evacuated on foot. Sheltering above ground would save several thousand of these lives and sheltering in a basement (or near the middle of a large building) would save of them. Among survivors of the prompt effects with access to a vehicle, the number of deaths depends on the fraction of people who shelter in a basement rather than self-evacuate in their vehicle: 23.1k people die if 90% shelter in a basement and 54.6k die if 10% shelter. Sheltering above ground saves approximately half as many lives as sheltering in a basement. The details related to delayed (i.e., organized) evacuation, search and rescue, decontamination, and situational awareness (via, e.g., telecommunications) have very little impact on the number of casualties. Although antibiotics and transfusion support have the potential to save ≈ 10k lives (and the number of lives saved from medical care increases with the fraction of people who shelter in basements), the logistical challenge appears to be well beyond current response capabilities. Taken together, our results suggest that the government should initiate an aggressive outreach program to educate citizens and the private sector about the importance of sheltering in place in a basement for at least 12 hours after a terrorist nuclear detonation.


Subject(s)
Terrorism/prevention & control , Humans , Models, Theoretical , Radiation Injuries/prevention & control , Radioactive Fallout/prevention & control , Risk Management , Security Measures , Terrorism/legislation & jurisprudence , United States
14.
Appl Radiat Isot ; 66(11): 1730-5, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18541435

ABSTRACT

The studies undertaken by the (131)I Working Group, part of the International Atomic Energy Agency's EMRAS (Environmental Modelling for Radiation Safety) programme, were focused primarily on evaluating the predictive capability of environmental models. Particular emphasis was placed on applying models to evaluate the effectiveness of countermeasures.


Subject(s)
Chernobyl Nuclear Accident , Iodine Radioisotopes/analysis , Iodine Radioisotopes/pharmacokinetics , Models, Biological , Radiation Monitoring/methods , Radioactive Fallout/analysis , Radioactive Fallout/prevention & control , Animals , Body Burden , Computer Simulation , Europe , Humans , Radiation Dosage , Reproducibility of Results , Sensitivity and Specificity
16.
Environ Sci Technol ; 39(10): 3762-9, 2005 May 15.
Article in English | MEDLINE | ID: mdl-15952383

ABSTRACT

Present strategies for alleviating radioactive contamination from a radiological dispersal device (RDD) or dirty bomb involve either demolishing and removing radioactive surfaces or abandoning portions of the area near the release point. In both cases, it is imperative to eliminate or reduce migration of the radioisotopes until the cleanup is complete or until the radiation has decayed back to acceptable levels. This research investigated an alternative strategy of using emulsions to stabilize radioactive particulate contamination. Emergency response personnel would coat surfaces with emulsions consisting of asphalt or tall oil pitch to prevent migration of contamination. The site can then be evaluated and cleaned up as needed. In order for this approach to be effective, the treatment must eliminate migration of the radioactive agents in the terror device. Water application is an environmental condition that could promote migration into the external environment. This research investigated the potential for water, and correspondingly contaminant, migration through two emulsions consisting of Topein, a resinous byproduct during paper manufacture. Topein C is an asphaltic-based emulsion and Topein S is a tall oil pitch, nonionic emulsion. Experiments included water adsorption/ mobilization studies, filtration tests, and image analysis of photomicrographs from an environmental scanning electron microscope (ESEM) and a stereomicroscope. Both emulsions were effective at reducing water migration. Conductivity estimates were on the order of 10(-80) cm s(-1) for Topein C and 10(-7) cm s(-1) for Topein S. Water mobility depended on emulsion flocculation and coalescence time. Photomicrographs indicate that Topein S consisted of greater and more interconnected porosity. Dilute foams of isolated spherical gas cells formed when emulsions were applied to basic surfaces. Gas cells rose to the surface and ruptured, leaving void spaces that penetrated throughout the emulsion. These experiments indicate that emulsions may be a viable means for containing RDD residuals; however, improvements are needed for optimal performance.


Subject(s)
Decontamination/methods , Emulsions/chemistry , Explosions , Radioactive Fallout/prevention & control , Adsorption , Filtration , Hydrocarbons/chemistry , Microscopy, Electron, Scanning , Porosity , Radiation Protection , Radioisotopes , Resins, Plant/chemistry , Terrorism , Water/chemistry , Water Movements
17.
J Environ Radioact ; 81(1): 63-87, 2005.
Article in English | MEDLINE | ID: mdl-15748662

ABSTRACT

Under an IAEA's Co-ordinated Research Project "Worldwide Marine Radioactivity Studies (WOMARS)" 90Sr, 137Cs and (239,240)Pu concentration surface water time series in the Pacific and Indian Oceans have been investigated. The Pacific and Indian Oceans were divided into 17 latitudinal boxes according to ocean circulation, global fallout patterns and the location of nuclear weapons test sites. The present levels and time trends in radionuclide concentrations in surface water for each box were studied and the corresponding effective half-lives were estimated. For the year 2000, the estimated average 90Sr, 137Cs and (239,240)Pu concentrations in surface waters of the Pacific and Indian Oceans varied from 0.1 to 1.5 mBq/L, 0.1 to 2.8 mBq/L, and 0.1 to 5.2 microBq/L, respectively. The mean effective half-lives for 90Sr and 137Cs in surface water were 12+/-1 years for the North, 20+/-1 years for the South and 21+/-2 years for the Equatorial Pacific. For (239,240)Pu the corresponding mean effective half-lives were 7+/-1 years for the North, 12+/-4 years for the South and 10+/-2 years for the Equatorial Pacific. For the Indian Ocean the mean effective half-lives of 137Cs and (239,240)Pu were 21+/-2 years and 9+/-1 years, respectively. There is evidence that fallout removal rates before 1970 were faster than those observed during recent decades. The estimated surface water concentrations of 90Sr, 137Cs and (239,240)Pu in latitudinal belts of the Pacific and Indian Oceans for the year 2000 may be used as the average levels so that any new contribution from nuclear facilities, nuclear weapons test sites, radioactive waste dumping sites and from possible nuclear accidents can be identified.


Subject(s)
Cesium Radioisotopes/analysis , Plutonium/analysis , Seawater/analysis , Strontium Radioisotopes/analysis , Water Pollutants, Radioactive/analysis , Geography , Geologic Sediments/analysis , Global Health , Half-Life , Humans , Indian Ocean , International Cooperation , Nuclear Warfare/prevention & control , Nuclear Warfare/statistics & numerical data , Pacific Ocean , Radiation Monitoring/methods , Radioactive Fallout/analysis , Radioactive Fallout/prevention & control , Radioactive Fallout/statistics & numerical data , Radioactive Waste/analysis , Radioactive Waste/prevention & control , Radioactive Waste/statistics & numerical data , Regression Analysis , Time Factors , Water Movements , Water Pollution, Radioactive/analysis , Water Pollution, Radioactive/prevention & control , Water Pollution, Radioactive/statistics & numerical data
20.
Environ Sci Technol ; 38(9): 2505-12, 2004 May 01.
Article in English | MEDLINE | ID: mdl-15180044

ABSTRACT

The detonation of a radiological dispersal device (RDD) could produce significant social and economic damage, the extent of which would depend largely on how quickly and effectively cleanup levels were established and on public acceptance of those levels. This paper shows that current radiological cleanup laws and regulations, models for converting dose or risk goals to cleanup concentrations, and existing site-specific criteria were not designed specifically for RDD cleanups but, absent changes, would apply by default. The goals and approaches of these legal and methodological structures often conflict; using them in response to terrorism could undermine public confidence, cause delays, and produce unnecessary costs or unacceptable cleanups. RDD cleanups would involve immediate priorities not envisioned in the existing radiological cleanup framework, such as balancing radiation risks with the health, economic, and other societal impacts associated with access to the infrastructure necessary to sustain society (e.g., hospitals, bridges, utilities). To minimize the achievement of terrorism goals, the elements of an RDD cleanup response--including updating existing legal/regulatory structures to clarify federal authority, goals, and methods for developing RDD cleanup criteria--must be in place soon; given the complexity of the issues and the potential societal impact, this effort should be expedited.


Subject(s)
Disaster Planning , Environment , Explosions , Models, Theoretical , Radioactive Fallout , Terrorism , Federal Government , Forecasting , Humans , Radiation Protection , Radioactive Fallout/prevention & control , Risk Assessment , Social Conditions , Time Factors , United States
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