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Radiation and Reason
  Fukushima and After
              Talks given at the
Foreign Correspondents Club of Japan, Tokyo
                      by
       Professor Wade Allison, Oxford
                     and
 Professor Akira Tokuhiro, University of Idaho

               3 October 2011

                                                 1
2006                   2009                2011

Wade Allison, Emeritus Professor of
   Physics, University of Oxford, UK
Nuclear and medical physicist (no link to the nuclear
   industry) http://en.wikipedia.org/wiki/Wade_Allison
Website: http://www.radiationandreason.com
Contact: w.allison@physics.ox.ac.uk
Tokyo, 3 October 2011                                           slide 2
Agenda, points to be explained
1. Low or modest levels of nuclear radiation and radioactivity are not
   harmful.
2. Fear of radiation causes personal stress and social damage that is
   very harmful.
3. Current food regulations are scientifically unreasonable and cause
   hardship, as at Chernobyl.
4. Current evacuation regulations are scientifically unreasonable and
   cause hardship, as at Chernobyl.
5. International “safety” levels based on the lowest achievable should be
   relaxed upwards by a large factor.
6. Popular clamour in the Cold War era is responsible for this
   misunderstanding.
For further detail see http://www.radiationandreason.com

Tokyo, 3 October 2011                                         slide 3
Fear of radiation




Basis:
1. Fear of aftermath of a nuclear holocaust.
                                            ?
   An effective Cold War message that frightened everybody at the time.

2. You cannot feel nuclear radiation.
   But the cells of your body can - and then repair the damage, too.

3. The Regulations warn of radiation dangers.
   Misunderstanding here, for which we all share responsibility, in part.
Tokyo, 3 October 2011                                         slide 4
How dangerous is radiation to life? All else follows

                               What is the effect of radiation on life?
                                  Both data and understanding.
 First
                                                       Risk assessment.
                                                      Public acceptance.
                                                      Safety regulations.
                                                      Working practices.
 Second
                                                        Waste. Costs.


                                                              Terrorists.
                                                           Rogue states.
 And finally                                             Dirty bomb threats.
                                                         Nuclear blackmail
                                                                .

Tokyo, 3 October 2011                                                 slide 5
Effect of radiation depends on the dose and the period
 
   Example: for a dose of paracetamol, both the dose and the period
 are important.(100 tablets per person at once is fatal, but spread out
 regularly over several weeks cures a few headaches.)
 
   For radiation, dose is milli-sievert, mSv, and period, mSv per month.

              You can trust radiation doses used in medicine
 
   Today many people benefit from radiation diagnostic scans and some
 have radiation therapy for cancer.
 
   A CT scan gives a dose of 5-10 mSv with an external source of
 radiation.
 
   PET and SPECT scans give a similar dose from an internal injected
 radioactive source.
 
   A screening CT+PET scan gives a whole-body dose of 15mSv.
 
   This radiation and radioactivity, internal and external, are essentially
 the same types as that emitted at Fukushima.



Tokyo, 3 October 2011                                                  slide 6
Food regulations in error, for example caesium in beef
  “Measures against Beef which Exceeds the Provisional Regulation
    Values of Radioactive Cesium by the Government to Ensure Safety of
    Beef”, issued 27 July 2011
  
      Eating 1 kg of meat with regulation limit of 500Bq/kg gives a dose of
      0.008mSv [page 12, section 4. This number has been checked]
  
      Exposure lasts over 4 months while the caesium is excreted
  
      The radioactive caesium dose is evenly spread throughout the body
      like the radioactive fluorine in a PET radiation scan which gives 15
      mSv all in a couple of hours
  
      Therefore one scan gives the same dose as eating 2000 kg per person
      of contaminated meat in 4 months. The Regulation is unreasonable.
  
      After Chernobyl this error was admitted in Norway and Sweden.
  
      The international safety standard (ICRP) underlying such regulations
      needs substantial revision.
  
      But 15 mSv is not a dangerous level.
Tokyo, 3 October 2011                                                   slide 7
in Norway after Chernobyl




                        Harbitz, Skuterud and Strand, Norwegian Rad Prot Auth (1998)


     Meat at level 6000 Bq per kg and some other food too
     - So in Norway they raised the level to factor 12 above the level at Fukushima .
     - At this level you can eat 170kg of condemned meat before equivalent to a
     CT/PET scan.
     - And then the farmers and herders could sell their meat, and nobody suffered.
     - Why not at Fukushima?




Tokyo, 3 October 2011                                                                   slide 8
[Abstract of the article]




                        [signed]
Tokyo, 3 October 2011                                   slide 9
Real radiation danger levels

Crosses show the mortality of Chernobyl firefighters (curve is for rats).
The numbers show the number who died/total in each dose range.




 Above 4,000 mSv 27/42 died from Acute Radiation Syndrome (ARS),
 not cancer.
 Below 4,000 mSv 1/195 died.
Tokyo, 3 October 2011                                                 slide 10
Workers at Chernobyl
  - No worker with less than 2000 mSv died from ARS.
Workers at Fukushima
 - After six weeks 30 workers had received between 100-250 mSv.
 - So there will be no deaths from ARS at Fukushima.
Radiation therapy to cure cancer
  - Patients receiving radiotherapy spread over about 6 weeks to cure
  cancer get a daily dose of 2000 mSv to the tumour that kills the
  cancer cells.
  - They also receive daily 1000 mSv to many healthy organs and
  tissue that survive -- more than 20,000 mSv per month.
  - That is more than 5 X an acute fatal dose (4,000mSv).
  - Credible data?
  Most people personally know someone who has benefited from such
  treatment.
  - How? Recovery from radiation damage.
  After each daily treatment healthy organs just have time to repair the
  radiation damage - and the tumour cells just do not.

Tokyo, 3 October 2011                                               slide 11
Evacuation at Fukushima
  - Criterion was set at 20 mSv per year.
  - Radiotherapy shows that doses of more than 20,000 mSv per month
  are tolerated.
  - Radiotherapy equivalent to 1000 years at the evacuation criterion.
  This criterion is unreasonable.
  - In general, evacuation is at least as traumatic as radiotherapy
  treatment.
  - The criterion has taken no account of damage to personal and
  socio-economic health.
  - Radiation safety at the expense of mental health and community well
  being is unjustifiable.
Experience from Chernobyl ignored at Fukushima
  - The evacuation (and the advice to the population that their health was
   threatened by radiation) caused far more damage to public health than
   the radiation itself [UN(2011) and IAEA(2006) reports].
   - These reports have not been read at Fukushima? Lesson not learnt
   and error repeated.
Tokyo, 3 October 2011                                       slide 12
Radiation-induced cancer


    There are many overlapping repair methods including immunity.


 The immune system may fail (usually with poor health in later years)
resulting in cancer.


    Usually it is not possible to distinguish cancers caused by radiation.


 Only seen when the lifelong health records of a large population are
compared, those highly irradiated with those not irradiated.


 For example, cancer fatalities among the survivors of Hiroshima and
Nagasaki for the period 1950-2000.


    The average dose 160 mSv and average cancer risk increased by 1 in 15.


 Higher doses show a clear increased risk, but not for those less
than 100 mSv.
Tokyo, 3 October 2011                                                    slide 13
Total population              429000   100.00%
 What do we know from      Known killed or died 1945-1950103000    24.01%
 Hiroshima and Nagasaki?
                           Lost or died 1945-1950         43000    10.02%
                           Survived to 1950              283000    65.97%
                                  for whom dose known     86955
                           Died of cancer 1950-2000       32057     7.47%
                           Died of radiation-induced
                           cancer 1950-2000                1865     0.44%


      Survived                         Early death
      to 1950
      and did not
      die of                           Lost
      cancer
      before 2000
                                      Cancer death 1950-2000

                                    Radiation induced cancer 1950-2000
Tokyo, 3 October 2011                                             slide 14
Solid cancer deaths among Hiroshima and Nagasaki survivors,
          1950-2000, separated by dose range (Preston et al., 2004)

Dose range survivor solid cancer survivor deaths1950-2000       extra risk
   mSv     number        actual            expected             per 1000

less than 5              38507   4270           4282           -2.0 to 1.4

   5 to 100              29960   3387           3313            0.0 to 3.5

 100 to 200              5949    732             691           3.5 to 12.5

 200 to 500              6380    815             736             9 to 18

500 to 1000              3426    483             378             25 to 37

1000 to 2000             1764    326             191             63 to 83

above 2000               625     114             56             72 to 108

       all               86611   10127          9647            5.0 to 5.2

“expected” means the number of deaths predicted from those in other cities.
- Doses highlighted have risk compatible with zero, final column.
 Tokyo, 3 October 2011                                                slide 15
Why are regulations wrong? Who is to blame?


 National regulations are based on advice from the international
committee (ICRP)

ICRP advice is to ignore other risks and to reduce radiation As Low As
Reasonably Achievable (ALARA), close to natural levels. Not for safety
bur for social reasons.


 ALARA is what a radiation-phobic world demanded in the Cold War
years. We should correct our mistake.


  Safety levels should be As High As Relatively Safe (AHARS), where
“relatively” refers to competing risks.


 AHARS levels should take account of recovery from radiation damage
shown by the success of radiotherapy.


    What might AHARS safety levels be?

Tokyo, 3 October 2011                                                 slide 16
Some monthly doses shown by area with ALARA and AHARS.
                                                                                 Tumour therapy
                                                                                   > 40,000
                                                                                 mSv per month,
                                                                                  death to cell

                                                                                    Healthy tissue
                                                                                 therapy > 20,000
                                                                                  mSv per month,
                                                                                   tolerated dose!
                        Suggested safe level 100 mSv per month, [conservative by a factor 200]
                        50 times larger than current evacuation level 2 mSv per month [20 mSv/yr]
                        ICRP public ALARA level 0.1 mSv per month, [or 1 mSv per yr]


Suggested new safety levels (AHARS):                  100 mSv max single dose
                                                     100 mSv max in any month
                                                       5000 mSv max lifelong
    A relaxation by about 1000 times compared to public ALARA, 1 mSv per year .



Tokyo, 3 October 2011                                                                   slide 17
How many will die from radiation cancer at Fukushima?
It is very unlikely that anyone will die from radiation as a result of
    Fukushima, even over the next 50 years. Here is why.....
After six weeks 30 workers had received a radiation dose between 100
   and 250 milli-sievert. At Chernobyl no emergency worker who
   received less than 2000 milli-sievert died from Acute Radiation
   Syndrome, although there were 140 of them.
At Hiroshima and Nagasaki, out of 5949 citizens who received a dose in
   this range, 1 in 150 died of radiation-induced cancer in 50 years.
The chance that ANY worker at Fukushima will die of extra cancer is less
  than 25%. Doses to the public have been far lower and so without risk.
In Japan seaweed is in the diet and many children received iodine
   tablets. Both protect against child thyroid cancer.
At Chernobyl, an iodine-deficient region, 6000 children contracted thyroid
   cancer but just 15 died.
No radiation deaths are expected at Fukushima.
Tokyo, 3 October 2011                                            slide 18
Some conclusions

- At Fukushima the mental health, self confidence and livelihood of
hundreds of thousands are put in danger by tight food and evacuation
regulations.

- In fact, at Fukshima as at Chernobyl, appeasing fear of radiation by tight
regulation has had the opposite effect.

- Radiation and radioactivity cure 1000s of cancers a year and are
harmless at low dose.

- Radiation is not a big threat to mankind, unlike geology, climate change,
socio-economic stability, population, water and food supplies.

- Everywhere, new fresh education is needed to explain radiation to more
people in simple terms to remove the stigma.

- Everywhere, we should learn to use nuclear radiation for the benefit of
society with the same care and respect that we already do when it is used
for our personal health.
 Tokyo, 3 October 2011                                                 slide 19

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ACCJ Food Safety

  • 1. Radiation and Reason Fukushima and After Talks given at the Foreign Correspondents Club of Japan, Tokyo by Professor Wade Allison, Oxford and Professor Akira Tokuhiro, University of Idaho 3 October 2011 1
  • 2. 2006 2009 2011 Wade Allison, Emeritus Professor of Physics, University of Oxford, UK Nuclear and medical physicist (no link to the nuclear industry) http://en.wikipedia.org/wiki/Wade_Allison Website: http://www.radiationandreason.com Contact: w.allison@physics.ox.ac.uk Tokyo, 3 October 2011 slide 2
  • 3. Agenda, points to be explained 1. Low or modest levels of nuclear radiation and radioactivity are not harmful. 2. Fear of radiation causes personal stress and social damage that is very harmful. 3. Current food regulations are scientifically unreasonable and cause hardship, as at Chernobyl. 4. Current evacuation regulations are scientifically unreasonable and cause hardship, as at Chernobyl. 5. International “safety” levels based on the lowest achievable should be relaxed upwards by a large factor. 6. Popular clamour in the Cold War era is responsible for this misunderstanding. For further detail see http://www.radiationandreason.com Tokyo, 3 October 2011 slide 3
  • 4. Fear of radiation Basis: 1. Fear of aftermath of a nuclear holocaust. ? An effective Cold War message that frightened everybody at the time. 2. You cannot feel nuclear radiation. But the cells of your body can - and then repair the damage, too. 3. The Regulations warn of radiation dangers. Misunderstanding here, for which we all share responsibility, in part. Tokyo, 3 October 2011 slide 4
  • 5. How dangerous is radiation to life? All else follows What is the effect of radiation on life? Both data and understanding. First Risk assessment. Public acceptance. Safety regulations. Working practices. Second Waste. Costs. Terrorists. Rogue states. And finally Dirty bomb threats. Nuclear blackmail . Tokyo, 3 October 2011 slide 5
  • 6. Effect of radiation depends on the dose and the period  Example: for a dose of paracetamol, both the dose and the period are important.(100 tablets per person at once is fatal, but spread out regularly over several weeks cures a few headaches.)  For radiation, dose is milli-sievert, mSv, and period, mSv per month. You can trust radiation doses used in medicine  Today many people benefit from radiation diagnostic scans and some have radiation therapy for cancer.  A CT scan gives a dose of 5-10 mSv with an external source of radiation.  PET and SPECT scans give a similar dose from an internal injected radioactive source.  A screening CT+PET scan gives a whole-body dose of 15mSv.  This radiation and radioactivity, internal and external, are essentially the same types as that emitted at Fukushima. Tokyo, 3 October 2011 slide 6
  • 7. Food regulations in error, for example caesium in beef “Measures against Beef which Exceeds the Provisional Regulation Values of Radioactive Cesium by the Government to Ensure Safety of Beef”, issued 27 July 2011  Eating 1 kg of meat with regulation limit of 500Bq/kg gives a dose of 0.008mSv [page 12, section 4. This number has been checked]  Exposure lasts over 4 months while the caesium is excreted  The radioactive caesium dose is evenly spread throughout the body like the radioactive fluorine in a PET radiation scan which gives 15 mSv all in a couple of hours  Therefore one scan gives the same dose as eating 2000 kg per person of contaminated meat in 4 months. The Regulation is unreasonable.  After Chernobyl this error was admitted in Norway and Sweden.  The international safety standard (ICRP) underlying such regulations needs substantial revision.  But 15 mSv is not a dangerous level. Tokyo, 3 October 2011 slide 7
  • 8. in Norway after Chernobyl Harbitz, Skuterud and Strand, Norwegian Rad Prot Auth (1998) Meat at level 6000 Bq per kg and some other food too - So in Norway they raised the level to factor 12 above the level at Fukushima . - At this level you can eat 170kg of condemned meat before equivalent to a CT/PET scan. - And then the farmers and herders could sell their meat, and nobody suffered. - Why not at Fukushima? Tokyo, 3 October 2011 slide 8
  • 9. [Abstract of the article] [signed] Tokyo, 3 October 2011 slide 9
  • 10. Real radiation danger levels Crosses show the mortality of Chernobyl firefighters (curve is for rats). The numbers show the number who died/total in each dose range. Above 4,000 mSv 27/42 died from Acute Radiation Syndrome (ARS), not cancer. Below 4,000 mSv 1/195 died. Tokyo, 3 October 2011 slide 10
  • 11. Workers at Chernobyl - No worker with less than 2000 mSv died from ARS. Workers at Fukushima - After six weeks 30 workers had received between 100-250 mSv. - So there will be no deaths from ARS at Fukushima. Radiation therapy to cure cancer - Patients receiving radiotherapy spread over about 6 weeks to cure cancer get a daily dose of 2000 mSv to the tumour that kills the cancer cells. - They also receive daily 1000 mSv to many healthy organs and tissue that survive -- more than 20,000 mSv per month. - That is more than 5 X an acute fatal dose (4,000mSv). - Credible data? Most people personally know someone who has benefited from such treatment. - How? Recovery from radiation damage. After each daily treatment healthy organs just have time to repair the radiation damage - and the tumour cells just do not. Tokyo, 3 October 2011 slide 11
  • 12. Evacuation at Fukushima - Criterion was set at 20 mSv per year. - Radiotherapy shows that doses of more than 20,000 mSv per month are tolerated. - Radiotherapy equivalent to 1000 years at the evacuation criterion. This criterion is unreasonable. - In general, evacuation is at least as traumatic as radiotherapy treatment. - The criterion has taken no account of damage to personal and socio-economic health. - Radiation safety at the expense of mental health and community well being is unjustifiable. Experience from Chernobyl ignored at Fukushima - The evacuation (and the advice to the population that their health was threatened by radiation) caused far more damage to public health than the radiation itself [UN(2011) and IAEA(2006) reports]. - These reports have not been read at Fukushima? Lesson not learnt and error repeated. Tokyo, 3 October 2011 slide 12
  • 13. Radiation-induced cancer  There are many overlapping repair methods including immunity.  The immune system may fail (usually with poor health in later years) resulting in cancer.  Usually it is not possible to distinguish cancers caused by radiation.  Only seen when the lifelong health records of a large population are compared, those highly irradiated with those not irradiated.  For example, cancer fatalities among the survivors of Hiroshima and Nagasaki for the period 1950-2000.  The average dose 160 mSv and average cancer risk increased by 1 in 15.  Higher doses show a clear increased risk, but not for those less than 100 mSv. Tokyo, 3 October 2011 slide 13
  • 14. Total population 429000 100.00% What do we know from Known killed or died 1945-1950103000 24.01% Hiroshima and Nagasaki? Lost or died 1945-1950 43000 10.02% Survived to 1950 283000 65.97% for whom dose known 86955 Died of cancer 1950-2000 32057 7.47% Died of radiation-induced cancer 1950-2000 1865 0.44% Survived Early death to 1950 and did not die of Lost cancer before 2000 Cancer death 1950-2000 Radiation induced cancer 1950-2000 Tokyo, 3 October 2011 slide 14
  • 15. Solid cancer deaths among Hiroshima and Nagasaki survivors, 1950-2000, separated by dose range (Preston et al., 2004) Dose range survivor solid cancer survivor deaths1950-2000 extra risk mSv number actual expected per 1000 less than 5 38507 4270 4282 -2.0 to 1.4 5 to 100 29960 3387 3313 0.0 to 3.5 100 to 200 5949 732 691 3.5 to 12.5 200 to 500 6380 815 736 9 to 18 500 to 1000 3426 483 378 25 to 37 1000 to 2000 1764 326 191 63 to 83 above 2000 625 114 56 72 to 108 all 86611 10127 9647 5.0 to 5.2 “expected” means the number of deaths predicted from those in other cities. - Doses highlighted have risk compatible with zero, final column. Tokyo, 3 October 2011 slide 15
  • 16. Why are regulations wrong? Who is to blame?  National regulations are based on advice from the international committee (ICRP) ICRP advice is to ignore other risks and to reduce radiation As Low As Reasonably Achievable (ALARA), close to natural levels. Not for safety bur for social reasons.  ALARA is what a radiation-phobic world demanded in the Cold War years. We should correct our mistake.  Safety levels should be As High As Relatively Safe (AHARS), where “relatively” refers to competing risks.  AHARS levels should take account of recovery from radiation damage shown by the success of radiotherapy.  What might AHARS safety levels be? Tokyo, 3 October 2011 slide 16
  • 17. Some monthly doses shown by area with ALARA and AHARS. Tumour therapy > 40,000 mSv per month, death to cell Healthy tissue therapy > 20,000 mSv per month, tolerated dose! Suggested safe level 100 mSv per month, [conservative by a factor 200] 50 times larger than current evacuation level 2 mSv per month [20 mSv/yr] ICRP public ALARA level 0.1 mSv per month, [or 1 mSv per yr] Suggested new safety levels (AHARS): 100 mSv max single dose 100 mSv max in any month 5000 mSv max lifelong A relaxation by about 1000 times compared to public ALARA, 1 mSv per year . Tokyo, 3 October 2011 slide 17
  • 18. How many will die from radiation cancer at Fukushima? It is very unlikely that anyone will die from radiation as a result of Fukushima, even over the next 50 years. Here is why..... After six weeks 30 workers had received a radiation dose between 100 and 250 milli-sievert. At Chernobyl no emergency worker who received less than 2000 milli-sievert died from Acute Radiation Syndrome, although there were 140 of them. At Hiroshima and Nagasaki, out of 5949 citizens who received a dose in this range, 1 in 150 died of radiation-induced cancer in 50 years. The chance that ANY worker at Fukushima will die of extra cancer is less than 25%. Doses to the public have been far lower and so without risk. In Japan seaweed is in the diet and many children received iodine tablets. Both protect against child thyroid cancer. At Chernobyl, an iodine-deficient region, 6000 children contracted thyroid cancer but just 15 died. No radiation deaths are expected at Fukushima. Tokyo, 3 October 2011 slide 18
  • 19. Some conclusions - At Fukushima the mental health, self confidence and livelihood of hundreds of thousands are put in danger by tight food and evacuation regulations. - In fact, at Fukshima as at Chernobyl, appeasing fear of radiation by tight regulation has had the opposite effect. - Radiation and radioactivity cure 1000s of cancers a year and are harmless at low dose. - Radiation is not a big threat to mankind, unlike geology, climate change, socio-economic stability, population, water and food supplies. - Everywhere, new fresh education is needed to explain radiation to more people in simple terms to remove the stigma. - Everywhere, we should learn to use nuclear radiation for the benefit of society with the same care and respect that we already do when it is used for our personal health. Tokyo, 3 October 2011 slide 19