NOTE The report of the Committee without its annexes appears as Official Records of the General Assembly, Sixty-third Session, Supplement No. 46. The designations employed and the presentation of material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. The country names used in this document are, in most cases, those that were in use at the time the data were collected or the text prepared. In other cases, however, the names have been updated, where this was possible and appropriate, to reflect political changes. Scientific Annexes Annex A. Medical radiation exposures Annex B. Exposures of the public and workers from various sources of radiation INTROdUCTION 1. In the course of the research and development for and the application of atomic energy and nuclear technologies, a number of radiation accidents have occurred. Some of these accidents have resulted in significant health effects and occasionally in fatal outcomes. The application of technologies that make use of radiation is increasingly widespread around the world. Millions of people have occupations related to the use of radiation, and hundreds of millions of individuals benefit from these uses. Facilities using intense radiation sources for energy production and for purposes such as radiotherapy, sterilization of products, preservation of foodstuffs and gamma radiography require special care in the design and operation of equipment to avoid radiation injury to workers or to the public. Experience has shown that such technology is generally used safely, but on occasion controls have been circumvented and serious radiation accidents have ensued. 2. Reviews of radiation exposures from accidents have been presented in previous UNSCEAR reports. The last report containing an exclusive chapter on exposures from accidents was the UNSCEAR 1993 Report [U6]. 3. This annex is aimed at providing a sound basis for conclusions regarding the number of significant radiation accidents that have occurred, the corresponding levels of radiation exposures and numbers of deaths and injuries, and the general trends for various practices. Its conclusions are to be seen in the context of the Committee's overall evaluations of the levels and effects of exposure to ionizing radiation. 4. The Committee's evaluations of public, occupational and medical diagnostic exposures are mostly concerned with chronic exposures of …

sources and effects of ionizing radiation

Indoor air quality and health

Objectives: Studies seeking direct estimates of the lung cancer risk associated with residential radon exposure lasting several decades have been conducted in many European countries. Individually these studies have not been large enough to assess moderate risks reliably. Therefore data from all 13 European studies of residential radon and lung cancer satisfying certain prespecified criteria have been brought together and analyzed. Methods: Data were available for 7148 persons with lung cancer and 14 208 controls, all with individual smoking histories and residential radon histories determined by long-term radon gas measurements. Results: The excess relative risk of lung cancer per 100 Bq/m3 increase in the observed radon concentration was 0.08 [95% confidence interval (95% CI) 0.03-0.16; P=0.0007] after control for confounding. The dose-response relationship was linear with no evidence of a threshold, and it remained significant when only persons with observed radon concentrations of <200 Bq/m3 were included. There was no evidence that the excess relative risk varied with age, sex, or smoking history. Removing the bias induced by random uncertainties related to radon exposure assessment increased the excess relative risk of lung cancer to 0.16 (95% CI 0.05-0.31) per 100 Bq/m3. With this correction, estimated risks at 0, 100, and 400 Bq/m3, relative to lifelong nonsmokers with no radon exposure, were 1.0, 1.2, and 1.6 for lifelong nonsmokers and 25.8, 29.9, and 42.3 for continuing smokers of 15-24 cigarettes/day. Conclusions: These data provide firm evidence that residential radon acts as a cause of lung cancer in the general population. They provide a solid basis for the formulation of policies with which to manage risk from radon and reduce deaths from the most common fatal cancer in Europe.

Residential radon and lung cancer – detailed results of a collaborative analysis of individual data on 7148 persons with lung cancer and 14 208 persons without lung cancer from 13 epidemiologic studies in Europe

Natural radioactivity and radon exhalation in building materials used in Italian dwellings.

Long period study of outdoor radon concentration in Milan and correlation between its temporal variations and dispersion properties of atmosphere

Annual average and seasonal variations of residential radon concentration for all the Italian Regions

A representative national survey on population exposure to radon in Italian dwellings was carried out from 1989 to 1994, with the co-operation of the National Health Service. The measurements were performed by 19 Regional Laboratories, all using the same techniques and protocols. A stratified, two-stage sampling procedure was used to sample families. The sampled families were approached door-to-door to maximize response. To optimize the quality of the measurements, two dosimeters, each containing two alpha track detectors, were placed together in one room (typically the bedroom) for two consecutive 6-mo periods. The distribution of annual radon concentration was derived from measurements in 4,866 dwellings. The average value is 75 Bq m(-3) and the fractions of dwellings above the reference levels of 150, 200, 400, and 600 Bq m-3 are 8.7%, 4.7%, 1.0%, and 0.2%, respectively. The geometric mean is 57 Bq m-3 while the geometric standard deviation is 2.0. The average values in the Italian Regions fall within the 20-120 Bq m-3 range. When the average radon concentration is examined vs. story, building materials seem to play a significant role. The average lifetime risk of lung cancer for chronic radon exposure of Italian population at home would be about 5 x 10(-3), using the risk factor proposed by the ICRP in 1993.

S. Piermattei

Papers

Annual average and seasonal variations of residential radon concentration for all the Italian Regions

Results of the representative Italian national survey on radon indoors

The Italian Survey as the Basis of the National Radon Policy

Feasibility study of radiation protection guidelines in the use of building materials in the Italian dwellings.

Activity measurements of Sr-90 and Cs-137 in spiked solutions of milk. Results of a national intercomparison in Italy.