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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
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Long-Term Health Monitoring of
Populations Following a
Nuclear or Radiological Incident
in the United States

PROCEEDINGS OF A WORKSHOP

Ourania Kosti, Rapporteur

Nuclear and Radiation Studies Board

Division on Earth and Life Studies

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by Award No. 200-2011-338807/75D30118F00072 with the Department of Health and Human Services’ Centers for Disease Control and Prevention. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-49263-8
International Standard Book Number-10: 0-309-49263-7
Digital Object Identifier: https://doi.org/10.17226/25443

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2019 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25443.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
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Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
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WORKSHOP PLANNING COMMITTEE1

JONATHAN E. FIELDING, Chair, University of California, Los Angeles, Fielding School of Public Health

BETSY T. KAGEY, Georgia Department of Public Health, Atlanta, Georgia (retired)

MEGHAN MCGINTY, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

STEPHEN MUSOLINO, Brookhaven National Laboratory, Upton, New York

BROOKE ROGERS, King’s College London, United Kingdom

LORNA THORPE, New York University Langone Heath, New York, New York

TENER VEENEMA, Johns Hopkins University School of Nursing, Baltimore, Maryland

Staff

OURANIA KOSTI, Study Director

TONI GREENLEAF, Administrative and Financial Associate

DARLENE GROS, Senior Program Assistant

JORGE MENDOZA-TORRES, Senior Research Librarian

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s workshop planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
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NUCLEAR AND RADIATION STUDIES BOARD

GEORGE APOSTOLAKIS, Chair, Massachusetts Institute of Technology

JAMES A. BRINK, Vice-Chair, Massachusetts General Hospital

SALLY A. AMUNDSON, Columbia University Irving Medical Center

STEVEN M. BECKER, Old Dominion University

AMY J. BERRINGTON DE GONZÁLEZ, National Cancer Institute

PAUL T. DICKMAN, Argonne National Laboratory

TISSA H. ILLANGASEKARE, Colorado School of Mines

BONNIE D. JENKINS, The Brookings Institution

ALLISON M. MACFARLANE, The George Washington University

NANCY JO NICHOLAS, Los Alamos National Laboratory

R. JULIAN PRESTON, Environmental Protection Agency

HENRY D. ROYAL, Washington University School of Medicine

WILLIAM H. TOBEY, Harvard University

SERGEY V. YUDINTSEV, Russian Academy of Sciences

Staff

CHARLES D. FERGUSON, Director

JENNIFER HEIMBERG, Senior Program Officer

OURANIA KOSTI, Senior Program Officer

TONI GREENLEAF, Administrative and Financial Associate

LAURA D. LLANOS, Administrative and Financial Associate

DARLENE GROS, Senior Program Assistant

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

C. NORMAN COLEMAN, National Cancer Institute

TED LAZO, Nuclear Energy Agency

ANGELA LEEK, Iowa Department of Public Health

OLEG MURAVOV, Agency for Toxic Substances and Disease Registry

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by PAUL A. LOCKE, Johns Hopkins Bloomberg School of Public Health. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
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Acronyms and Abbreviations

ARS acute radiation syndrome
ASPR Assistant Secretary for Preparedness and Response
ATSDR Agency for Toxic Substances and Disease Registry
CDC Centers for Disease Control and Prevention
CRC Community Reception Center
DHS Department of Homeland Security
EPA Environmental Protection Agency
ESF Emergency Support Function
FEMA Federal Emergency Management Agency
GSR General Safety Requirements
Gy gray
HHS Department of Health and Human Services
HIPAA Health Insurance Portability and Accountability Act
IAEA International Atomic Energy Agency
IARC International Agency for Research on Cancer
IND improvised nuclear device
kT kiloton
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
LSS Life Span Study
mGy milligray
mSv millisievert
NACCHO National Association of County & City Health Officials
NCRP National Council on Radiation Protection and Measurements
R roentgen
RABiT Rapid Automated Biodosimetry Tool
RDD radiological dispersal device
REAC/TS Radiation Emergency Assistance Center/Training Site
RERF Radiation Effects Research Foundation
RITN Radiation Injury Treatment Network
Sv sievert
TMT Triage Monitoring and Treatment
WHO World Health Organization
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R4
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R6
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R8
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R10
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R11
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25443.
×
Page R12
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Accidents and terrorist attacks that lead to the release of radioactive materials can cause deaths, injuries, and a range of psychosocial effects in the surrounding community and team of emergency responders. In the United States, federal, state, and local agencies respond with the necessary resources to address the consequences of nuclear and radiological incidents and monitor the affected population. Following the 2011 Fukushima Daiichi Nuclear Power Plant accident and the 2017 Gotham Shield National Level Exercise, the CDC recognized an opportunity to improve their practices by establishing a more efficient and timely health effect surveillance system before another incident occurs.

On March 12-13th, 2019, the National Academies convened a workshop to discuss the process for preparing a radiation registry for monitoring long-term health effects of populations affected by a nuclear or radiological incident. Participants assessed existing information, useful practices, and tools for planning a radiation registry that will enhance incident monitoring and response methods. This publication summarizes the discussions and presentations from the workshop.

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