Radon in homes and risk of lung cancer: collaborative analysis of individual data from 13 European case-control studies

Lung cancer risk in never-smokers: An overview of environmental and genetic factors

Lung cancer is the leading cause of cancer-related mortality globally, accounting for 1.8 million deaths in 2020. While the vast majority are caused by tobacco smoking, 15%-25% of all lung cancer cases occur in lifelong never-smokers. The International Agency for Research on Cancer (IARC) has classified multiple agents with sufficient evidence for lung carcinogenesis in humans, which include tobacco smoking, as well as several environmental exposures such as radon, second-hand tobacco smoke, outdoor air pollution, household combustion of coal and several occupational hazards. However, the IARC evaluation had not been stratified based on smoking status, and notably lung cancer in never-smokers (LCINS) has different epidemiological, clinicopathologic and molecular characteristics from lung cancer in ever-smokers. Among several risk factors proposed for the development of LCINS, environmental factors have the most available evidence for their association with LCINS and their roles cannot be overemphasized. Additionally, while initial genetic studies largely focused on lung cancer as a whole, recent studies have also identified genetic risk factors for LCINS. This article presents an overview of several environmental factors associated with LCINS, and some of the emerging evidence for genetic factors associated with LCINS. An increased understanding of the risk factors associated with LCINS not only helps to evaluate a never-smoker's personal risk for lung cancer, but also has important public health implications for the prevention and early detection of the disease. Conclusive evidence on causal associations could inform longer-term policy reform in a range of areas including occupational health and safety, urban design, energy use and particle emissions, and the importance of considering the impacts of second-hand smoke in tobacco control policy.

General model for estimation of indoor radon concentration dynamics

A known relationship exists between high radon concentrations and lung cancer, and therefore, the indoor radon quantification is important, and it is beneficial to have a model to estimate indoor concentration. The work is focused on the development of an INDORAD (INDOor RAdon Dynamic) model for estimation of indoor radon dynamics, with time-dependent meteorological parameters and adjustable soil and building properties being considered. This model is based on a systemic approach, where the flows of material between compartments are considered, without a spatial resolution. This approach allowed to simplify the mathematical processing and enabled to consider together all known sources of indoor radon. The developed model was put in use in a laboratory building where soil constitutes major source of radon. The results (radon concentrations) from the model were compared to an existing data set from Saelices el Chico in a soil with high concentration of ²²⁶Ra. The outcome of the validation implies that INDORAD could predict radon concentrations satisfactorily. Suggestions for future updates of the model to improve indoor radon estimations are provided.

α Espec-222 as a variant to the radon monitoring method using a solid state nuclear track

Radon is important in indoor radiometry, where radiological impact is relevant. The improvement of low-cost methods makes it possible to maximize the monitored areas. Thus, a simple and robust monitoring device based on SSNTD CR-39 was designed. Detector conditions were standardized to reduce operational errors and increase productivity. The calibration factor by the slope method allowed efficiency greater than 93%. The monitoring system is satisfactory in terms of operation and performance, suitable for a wide range of radon monitoring situations.

Rising Canadian and falling Swedish radon gas exposure as a consequence of 20th to 21st century residential build practices

Radioactive radon gas inhalation is a major cause of lung cancer worldwide and is a consequence of the built environment. The average radon level of properties built in a given period (their 'innate radon risk') varies over time and by region, although the underlying reasons for these differences are unclear. To investigate this, we analyzed long term radon tests and buildings from 25,489 Canadian to 38,596 Swedish residential properties constructed after 1945. While Canadian and Swedish properties built from 1970 to 1980s are comparable (96-103 Bq/m3), innate radon risks subsequently diverge, rising in Canada and falling in Sweden such that Canadian houses built in the 2010-2020s have 467% greater radon (131 Bq/m3) versus Swedish equivalents (28 Bq/m3). These trends are consistent across distinct building types, and regional subdivisions. The introduction of energy efficiency measures (such as heat recovery ventilation) within each nation's build codes are independent of radon fluctuations over time. Deep learning-based models forecast that (without intervention) the average Canadian residential radon level will increase to 176 Bq/m3 by 2050. Provisions in the 2010 Canada Build Code have not significantly reduced innate radon risks, highlighting the urgency of novel code interventions to achieve systemic radon reduction and cancer prevention in Canada.

Air Quality as a Key Factor in the Aromatisation of Stores: A Systematic Literature Review

Scientific literature on indoor air quality is categorised mainly into environmental sciences, construction building technology and environmental and civil engineering. Indoor air is a complex and dynamic mixture of a variety of volatile and particulate matter. Some of the constituents are odorous and originate from various sources, such as construction materials, furniture, cleaning products, goods in stores, humans and many more. The first part of the article summarises the knowledge about the substances that are found in the air inside buildings, especially stores, and have a negative impact on our health. This issue has been monitored for a long time, and so, using a better methodology, it is possible to identify even low concentrations of monitored substances. The second part summarises the possibility of using various aromatic substances to improve people’s sense of the air in stores. In recent times, air modification has come to the forefront of researchers’ interest in order to create a more pleasant environment and possibly increase sales.

Alpha-Particle Exposure Induces Mainly Unstable Complex Chromosome Aberrations which do not Contribute to Radiation-Associated Cytogenetic Risk

The mechanism underlying the carcinogenic potential of α radiation is not fully understood, considering that cell inactivation (e.g., mitotic cell death) as a main consequence of exposure efficiently counteracts the spreading of heritable DNA damage. The aim of this study is to improve our understanding of the effectiveness of α particles in inducing different types of chromosomal aberrations, to determine the respective values of the relative biological effectiveness (RBE) and to interpret the results with respect to exposure risk. Human peripheral blood lymphocytes (PBLs) from a single donor were exposed ex vivo to doses of 0-6 Gy X rays or 0-2 Gy α particles. Cells were harvested at two different times after irradiation to account for the mitotic delay of heavily damaged cells, which is known to occur after exposure to high-LET radiation (including α particles). Analysis of the kinetics of cells reaching first or second (and higher) mitosis after irradiation and aberration data obtained by the multiplex fluorescence in situ hybridization (mFISH) technique are used to determine of the cytogenetic risk, i.e., the probability for transmissible aberrations in surviving lymphocytes. The analysis shows that the cytogenetic risk after α exposure is lower than after X rays. This indicates that the actually observed higher carcinogenic effect of α radiation is likely to stem from small scale mutations that are induced effectively by high-LET radiation but cannot be resolved by mFISH analysis.

Radon concentration in compressed natural gas and liquefied petroleum gas and its release range in residential houses

Radon (222Rn) exposure in the environment is an important issue, and many pathways exist for radon exposure to humans. One of these pathways is 222Rn release through the consumption of natural gas. The issues of 222Rn concentration measurement techniques and worldwide concentration distribution were reviewed in natural gas, with emphasis on performing an active method to determine 222Rn concentration in LPG and CNG gases used in Cyprus. The obtained results were compared with 222Rn concentration in natural gas worldwide and UNSCEAR reports. The average 222Rn concentration value in LPG gas was observed higher than CNG gas. Also, the 222Rn concentration in LPG and CNG gases was less than the UNSCEAR reported value.

Incidence trends and risk factors of lung cancer in never smokers: Pooled analyses of seven cohorts

The trends in incidence of lung cancer in never smokers are unclear as well as the significance of risk factors. We studied time trends in the incidence and risk factors of lung cancer in never smokers in Finland in a large, pooled cohort. We pooled data from seven Finnish health cohorts from the period between 1972 and 2015 with 106 193 never smokers. The harmonised risk factors included education, alcohol consumption, physical activity, height and BMI. We retrieved incident lung cancers from the nation-wide Finnish Cancer Registry. We estimated average annual percent change (AAPC) and the effects of risk factors on cause-specific hazard ratios (HRs) of lung cancer using Poisson regression. We detected 47 lung cancers in never smoking men (n = 31 859) and 155 in never smoking women (n = 74 334). The AAPC of lung cancer incidence was -3.30% (95% confidence interval [CI]: -5.68% to -0.88%, P = .009) in never smoking men and 0.00% (95% CI: -1.57% to 1.60%, P = .996) in never smoking women. Of the five studied risk factors only greater height in women had a statistically significant increased risk of lung cancer (multivariate HR = 1.84, 95%CI: 1.08 to 3.12). It is plausible that tobacco control measures focused on working places have reduced passive smoking among men more than among women, which could explain the declining trend in lung cancer incidence in never smoker men but not in never smoker women. As tobacco control measures have not been targeted to domestic environments, it is likely that women's exposure to passive smoking has continued longer.

Lung cancer mortality attributable to residential radon exposure in Spain and its regions

Lung cancer has the highest cancer mortality rate in developed countries. The principal risk factor for lung cancer is tobacco use, with residential radon being the leading risk factor among never smokers and the second among ever smokers. We sought to estimate mortality attributable to residential radon exposure in Spain and its Autonomous Regions, with correction for dwelling height and differentiation by tobacco use. We applied a prevalence-based method for estimating attributable mortality. For estimations, we considered exposure to radon in the different Autonomous Regions corrected for dwelling height, using the National Statistics Institute Housing Census and prevalence of tobacco use (never smokers, smokers and ex-smokers). The results showed that 3.8% (838 deaths) of lung cancer mortality was attributable to radon exposure of over 100 Bq/m³, a figure that rises to 6.9% (1,533 deaths) when correction for dwelling height is not performed. By Autonomous Region, the highest population attributable fractions, corrected for dwelling height, were obtained for Galicia, Extremadura, and the Canary Islands, where 7.0, 6.9, and 5.5% of lung cancer mortality was respectively attributable to radon exposure. The greatest part of the attributable mortality occurred in men and among smokers and ex-smokers. Residential radon exposure is a major contributor to lung cancer mortality, though this contribution is highly variable among the different territories, indicating the need for targeted prevention policies. Correction of estimates for dwelling height is fundamental for providing reliable estimates of radon-attributable mortality.

Mapping indoor radon hazard in Germany: The geogenic component

Indoor radon is considered as an indoor air pollutant due to its carcinogenic effect. Since the main source of indoor radon is the ground beneath the house, we utilize the geogenic radon potential (GRP) and a geogenic radon hazard index (GRHI) for predicting the geogenic component of the indoor Rn hazard in Germany. For this purpose, we link indoor radon data (n = 44,629) to maps of GRP and GRHI and fit logistic regression models to calculate the probabilities that indoor Rn exceeds thresholds of 100 Bq/m³ and 300 Bq/m³. The estimated probability was averaged for every municipality by considering only the estimates within the built-up area. Finally, the mean exceedance probability per municipality was coupled with the respective residential building stock for estimating the number of buildings with indoor Rn above 100 Bq/m³ and 300 Bq/m³ for each municipality. We found that (1) GRHI is a better predictor than GRP for indoor radon hazard in Germany, (2) the estimated number of buildings above 100 Bq/m³ and 300 Bq/m³ in Germany is ~2 million (11.6% of all residential buildings) and ~ 350,000 (1.9%), respectively, (3) areas where 300 Bq/m³ exceedance is greater than 10% comprise only 0.8% of the German building stock but 6.3% of buildings with indoor Rn exceeding 300 Bq/m³, and (4) most urban areas and, hence, most buildings (77%) are located in low hazard regions. The implications for Rn protection are twofold: (1) the Rn priority area concept is cost-efficient in a sense that it allows to find the most buildings that exceed a threshold concentration with a given amount of resources, and (2) for an optimal reduction of lung cancer risk areas outside of Rn priority areas must be addressed since most hazardous indoor Rn concentrations occur in low to medium hazard areas.

Inhalation dose due to residential radon and thoron exposure in rural areas: a case study at Erravalli and Narasannapet model villages of Telangana state, India

Exposure to indoor radon has been identified as a cause of lung cancer. The corresponding inhalation radiation dose received is an important parameter in estimating the risk of cancer due to the inhalation of radon. The present investigation is aimed at the estimation of the radiation dose due to radon, its isotopes, and progeny to the public residing in dwellings constructed in model villages of Telangana state, India. The indoor activity concentrations of radon and thoron were measured using pin-hole dosimeters. The measured activities along with appropriate dose conversion and occupancy factors were used in the estimation of the dose received by the dwellers. The doses estimated were compared with those to inhabitants of control dwellings. The estimated doses received by the public due to radon were found to be 1.54 ± 0.60 mSv and 1.51 ± 1.20 mSv, in the investigated model houses and in the control dwellings, respectively. Correspondingly, radiation doses due to thoron were found to be 1.08 ± 0.81 mSv and 1.44 ± 1.04 mSv, respectively. It is concluded that the model dwellings pose no extra radiation burden to the public.

Designing an Indoor Radon Risk Exposure Indicator (IRREI): An Evaluation Tool for Risk Management and Communication in the IoT Age

The explosive data growth in the current information age requires consistent new methodologies harmonized with the new IoT era for data analysis in a space-time context. Moreover, intuitive data visualization is a central feature in exploring, interpreting, and extracting specific insights for subsequent numerical data representation. This integrated process is normally based on the definition of relevant metrics and specific performance indicators, both computed upon continuous real-time data, considering the specificities of a particular application case for data validation. This article presents an IoT-oriented evaluation tool for Radon Risk Management (RRM), based on the design of a simple and intuitive Indoor Radon Risk Exposure Indicator (IRREI), specifically tailored to be used as a decision-making aid tool for building owners, building designers, and buildings managers, or simply as an alert flag for the problem awareness of ordinary citizens. The proposed methodology was designed for graphic representation aligned with the requirements of the current IoT age, i.e., the methodology is robust enough for continuous data collection with specific Spatio-temporal attributes and, therefore, a set of adequate Radon risk-related metrics can be extracted and proposed. Metrics are summarized considering the application case, taken as a case study for data validation, by including relevant variables to frame the study, such as the regulatory International Commission on Radiological Protection (ICRP) dosimetric limits, building occupancy (spatial dimension), and occupants' exposure periods (temporal dimension). This work has the following main contributions: (1) providing a historical perspective regarding RRM indicator evolution along time; (2) outlining both the formulation and the validation of the proposed IRREI indicator; (3) implementing an IoT-oriented methodology for an RRM indicator; and (4) a discussion on Radon risk public perception, undertaken based on the results obtained after assessment of the IRREI indicator by applying a screening questionnaire with a total of 873 valid answers.

Ultraviolet Radiation and Basal Cell Carcinoma: An Environmental Perspective

Ultraviolet radiation (UVR) is a known carcinogen participated for the development of skin cancers. Solar UVR exposure, particularly ultraviolet B (UVB), is the mostly significant environmental risk factor for the occurrence and progress of basal cell carcinoma(BCC). Both cumulative and intermittent high-grade UVR exposure could promote the uncontrolled replication of skin cells. There are also exsiting other contributing environmental factors that combine with the UVR exposure to promote the development of BCC. DNA damage in formation of skin cancers is considered to be a result of UVR toxicity. It is UVR that could activate a series of oncogenes simultaneously inactivating tumor suppressor genes and aberrant proliferation and survival of keratinocytes that repair these damages. Furthermore, mounting evidence demonstrates that inflammatory responses of immune cells in the tumor microenvironment plays crucial role in the skin tumorigenesis as well. In this chapter, we will follow the function of UVR in the onset and development of BCC. We describe the factors that influence BCC induced by UVR, and also review the recent advances of pathogenesis of BCC induced by UVR from the genetic and inflammatory aspects.

Seasonal Variation of Radon Concentrations in Russian Residential High-Rise Buildings

Assessment of the annual radon concentration is often required in indoor radon surveys of territories and individual dwellings for comparison with reference levels, studying factors affecting radon accumulation in dwellings, assessment of exposure in epidemiological studies, etc. The indoor radon surveys were carried out in multistorey buildings in eight Russian cities using solid state nuclear track detectors with an exposure period of three months. For these surveys, the estimation of annual indoor radon concentration was required to compare radon levels in buildings of high- and low-energy-efficiency classes located in different cities. To develop approaches to seasonal normalization in high-rise buildings, long-term one-hour radon concentration series obtained applying radon-monitors in 20 flats were analyzed. The dependency of indoor radon concentration on the indoor–outdoor temperature difference was studied taking into account the known natural, technogenic and anthropogenic factors affecting radon levels. The developed model of seasonal variations in multistorey buildings includes winter, summer, and demi-season periods, which differ both in ventilation intensity and dependency of radon concentration on the temperature difference. The developed model allows to estimate annual radon concentration taking into account the actual distribution of outdoor temperatures during the exposure of the track detectors.

Spatial and temporal variations in indoor radon concentrations in Pennsylvania, USA from 1988 to 2018

Indoor radon poses one of the most significant environmental threats to public health as it is the second leading cause of lung cancer in the United States. Developing a more thorough understanding of the factors that affect radon concentrations is key for developing risk maps, identifying where testing should be a priority, and education about indoor radon exposure. The objectives of this study are to investigate seasonal and annual variation of indoor radon concentrations in Pennsylvania, USA from 1988 to 2018, to explore the hotspot areas for high indoor radon concentrations, and to analyze the association with various factors such as weather conditions, housing types, and floor levels. Based on a total of 1,808,294 radon tests conducted from 1988 to 2018, we found that 61% of the area (by zip codes), 557,869 tests conducted in the basement and 49,141 tests conducted on the ground floor in homes in Pennsylvania had higher radon levels than the U.S. EPA action level concentration of 148 Bq/m³ (equivalent to 4 pCi/L). Winter and fall had significantly higher indoor radon concentrations than summer and spring. Case studies conducted in Pittsburgh, Philadelphia, and Harrisburg showed that there was no significant correlation of daily temperature, precipitation, or relative humidity with indoor radon concentration on the day a radon test occurred.

Estimating population lung cancer risk from radon using a resource efficient stratified population weighted sample survey protocol - Lessons and results from Ireland

A 2018 estimate indicates that there were 226,057 radon-attributable lung cancer deaths in 66 countries that had representative radon surveys. This is a shocking figure, and as it comes from only 66 countries it underestimates the worldwide death toll. Any research that enables countries to conduct representative radon surveys and to understand better the risk to citizens from radon is surely welcome. We hope this paper provides a useful methodology for estimating population risk. The estimation of population weighted average indoor radon levels requires statistically valid sampling methodologies that use a representative sample of occupied homes throughout the country. A literature review indicates that in many population weighted surveys, the sampling methodology may not have been designed to do this. This paper describes a simple, resource efficient methodology which produces statistically valid and reliable estimates based on a small scale sample that is representative of the population distribution. The resource efficient design of this study enables it to be repeated at frequent intervals providing for a longitudinal analysis of the population risk from indoor radon. This survey was conducted in Ireland using 653 measurements and a representative sampling strategy to provide a baseline population weighted radon exposure for future comparisons. This study estimates the average population weighted indoor radon concentration in Ireland to be 97.83 Bq m^-3 (95% Confidence Interval 90.69 Bq m^-3 to 105.53 Bq m^-3), and that there are an estimated 350 lung cancer cases and 255 deaths per year due to radon exposure. The mortality rate of 5.3 per 100,000 due to indoor radon, demonstrates that radon remains one of the highest preventable causes of death in Ireland.

The efficacy of public health information for encouraging radon gas awareness and testing varies by audience age, sex and profession

Radioactive radon inhalation is a leading cause of lung cancer and underlies an ongoing public health crisis. Radon exposure prevention strategies typically begin by informing populations about health effects, and their initial efficacy is measured by how well and how fast information convinces individuals to test properties. This communication process is rarely individualized, and there is little understanding if messages impact diverse demographics equally. Here, we explored how 2,390 people interested in radon testing differed in their reaction to radon's public health information and their subsequent decision to test. Only 20% were prompted to radon test after 1 encounter with awareness information, while 65% required 2-5 encounters over several months, and 15% needed 6 to > 10 encounters over many years. People who most delayed testing were more likely to be men or involved in engineering, architecture, real estate and/or physical science-related professions. Social pressures were not a major factor influencing radon testing. People who were the least worried about radon health risks were older and/or men, while negative emotional responses to awareness information were reported more by younger people, women and/or parents. This highlights the importance of developing targeted demographic messaging to create effective radon exposure prevention strategies.

Factors influencing temporal variations of radon concentration in high-rise buildings

Long-term radon time series were analyzed in 14 rooms and offices to search factors influencing indoor radon concentration in high-rise buildings. Radon entry to living rooms is determined both by diffusion from building materials and advection from adjoined low-ventilated spaces. Humans affect on seasonal and diurnal radon concentration changes in high-rise buildings by activating ventilation system. Indoor-outdoor temperature difference significantly influence on the air exchange rate under uncontrolled ventilation, which is especially important in new energy efficient buildings.

Analysis of Indoor Radon Data Using Bayesian, Random Binning, and Maximum Entropy Methods

Three statistical methods: Bayesian, randomized data binning and Maximum Entropy Method (MEM) are described and applied in the analysis of US radon data taken from the US registry. Two confounding factors-elevation of inhabited dwellings, and UVB (ultra-violet B) radiation exposure-were considered to be most correlated with the frequency of lung cancer occurrence. MEM was found to be particularly useful in extracting meaningful results from epidemiology data containing such confounding factors. In model testing, MEM proved to be more effective than the least-squares method (even via Bayesian analysis) or multi-parameter analysis, routinely applied in epidemiology. Our analysis of the available residential radon epidemiology data consistently demonstrates that the relative number of lung cancers decreases with increasing radon concentrations up to about 200 Bq/m³, also decreasing with increasing altitude at which inhabitants live. Correlation between UVB intensity and lung cancer has also been demonstrated.

A new approach to radon temporal correction factor based on active environmental monitoring devices

The present study aims to identify novel means of increasing the accuracy of the estimated annual indoor radon concentration based on the application of temporal correction factors to short-term radon measurements. The necessity of accurate and more reliable temporal correction factors is in high demand, in the present age of speed. In this sense, radon measurements were continuously carried out, using a newly developed smart device accompanied by CR-39 detectors, for one full year, in 71 residential buildings located in 5 Romanian cities. The coefficient of variation for the temporal correction factors calculated for combinations between the start month and the duration of the measurement presented a low value (less than 10%) for measurements longer than 7 months, while a variability close to 20% can be reached by measurements of up to 4 months. Results obtained by generalized estimating equations indicate that average temporal correction factors are positively associated with CO₂ ratio, as well as the interaction between this parameter and the month in which the measurement took place. The impact of the indoor-outdoor temperature differences was statistically insignificant. The obtained results could represent a reference point in the elaboration of new strategies for calculating the temporal correction factors and, consequently, the reduction of the uncertainties related to the estimation of the annual indoor radon concentration.

Residential radon and lung cancer characteristics at diagnosis

PURPOSE

This study sought to ascertain whether there might be an association between radon concentrations and age, gender, histologic type, and tumor stage at diagnosis.

MATERIALS AND METHODS

Lung cancer cases from different multicenter case-control studies were analyzed, and clinical data were retrieved from electronic health records and personal interviews. A radon device was placed in all dwellings of participants, and we then tested the existence of an association between residential radon and lung cancer characteristics at diagnosis.

RESULTS

Of the total of 829 lung cancer cases included, 56.7% were smokers or ex-smokers. There was no association between indoor radon concentrations and age, gender, histologic type or tumor stage at diagnosis. Median indoor radon concentrations increased with age at diagnosis for men, but not for women. When analyzing participants exposed to more than 1000 Bq/m3, a predominance of small cell lung cancer and a higher presence of advanced stages (IIIB and IV) were observed.

CONCLUSIONS

There seems to be no association between radon and age, gender, histologic type or tumor stage at diagnosis. Higher radon exposure is more frequent in the case of small-cell lung cancer.

Monitoring Radon Levels in Hospital Environments. Findings of a Preliminary Study in the University Hospital of Sassari, Italy

Background: The aim of this preliminary study was to measure radon concentrations in a hospital in order to verify to what extent these concentrations depend on various environmental variables taken into consideration, and consequently to determine the urgency to implement mitigation actions. Methods: The rooms where the concentration of the gas was potentially highest were monitored. Investigators adopted a Continuous Radon Monitor testing device. Qualitative and normally distributed quantitative variables were summarised with absolute (relative) frequencies and means (standard deviations, SD), respectively. As regards environmental variables, the difference in radon concentrations was determined using the rank-based nonparametric Kruskal–Wallis H test and the Mann–Whitney U test. Results: All measurements, excluding the radiotherapy bunkers that showed high values due to irradiation of radiotherapy instruments, showed low radon levels, although there is currently no known safe level of radon exposure. In addition, high variability in radon concentration was found linked to various environmental and behavioural characteristics. Conclusions: The results on the variability of radon levels in hospital buildings highlighted the key role of monitoring activities on indoor air quality and, consequently, on the occupants’ health.

Experimental study of pore characteristics and radon exhalation of uranium tailing solidified bodies in acidic environments

The pore characteristics and radon exhalation of uranium tailings solidified in an acid environment were investigated in this study. Tailings from the beach of a uranium tailing reservoir in the acid rain area of Central China were selected as samples and solidified with cement, slag powder (GGBS), metakaolin (MK), or slag powder and metakaolin (GM), then immersed in simulated acid rain solution for 60 days. The transverse relaxation time T₂ distribution and porosity of each solidified sample before and after immersion were measured by nuclear magnetic resonance (NMR) and the cumulative radon concentration before and after immersion was measured by a RAD7 radon meter. The experimental results show that the nuclear magnetic resonance T₂ distribution curve shifts to the left, the peak amplitude decreases, and the pores in the sample gradually shrink as the admixture content increases. The porosity and radon exhalation rate of solidified samples also appear to decrease gradually as admixture content increases; a quadratic function relationship was observed between porosity and radon exhalation rate. The pore size and effective pore volume of solidified samples increase as immersion time increases, while the radon exhalation rate increases and the pore volume gradually increases. The results of this study may provide a sound theoretical basis for the solidification treatment of uranium tailings in engineering practice.

Protection of melatonin against long-term radon exposure-caused lung injury

Radon is one of the major pathogenic factors worldwide. Recently, epidemiological studies have suggested that radon exposure plays an important role in lung injury, which could further cause cancer. However, the toxic effects and underlying mechanism on lung injury are still not clear. Here, we identified the detailed toxic effects of long-term radon exposure. Specifically, the manifestations were inflammatory response and cell apoptosis in dose- and time-dependent manners. In detail, it caused the mitochondrial dysfunction and oxidative stress as determined by the abnormal levels of mitochondrial DNA copy number, adenosine triphosphate, mitochondrial membrane potential, superoxide dismutase, and cycloxygenase-2. Furthermore, we found that melatonin treatment ameliorated mitochondrial dysfunction and attenuated the levels of oxidative stress caused by long-term radon exposure, which could further inhibit the lung tissue apoptosis as determined by the decreased levels of cleaved caspase 3. Our study would provide potential therapeutic application of melatonin on lung tissue injury caused by long-term radon exposure.

A simple technique for measuring the activity size distribution of radon and thoron progeny aerosols

In this study, a portable cascade impactor was developed to more efficiently determine the activity size distribution of attached radon and thoron progeny in a natural environment. The developed impactor consisted of four stages with a backup filter stage for collection of the aerosol samples. The aerosol cut points were set for 10, 2.5, 1, and 0.5 μm at a sampling rate of 4 L min^-1. Five CR-39 chips were used as alpha detectors for each stage. To separate the alpha particles emitted from radon and thoron progeny, the CR-39 detectors were covered with aluminium-vaporized Mylar films. The thickness of each film was adjusted to allow alpha particles emitted from radon and thoron progeny to reach the surface of the CR-39 detectors. The particle cut-off characteristics of each stage were determined by mono-dispersive aerosols with particle sizes ranging from 0.1 to 1.23 μm from the collection efficiency curve. The test results showed that the respective cut-off size of stages 3 and 4 were close to the designed cut-points. Validation of the technique by comparison with two commercial devices confirmed that the developed technique could provide the necessary information to estimate the activity size distribution of attached radon and thoron progeny for dose assessment, especially, in a field survey where direct electric power is not available.

Systematic review and meta-analysis of residential radon and lung cancer in never-smokers

Background

Globally, radon is the leading risk factor for lung cancer in never-smokers (LCINS). In this study, we systematically reviewed and meta-analysed the evidence of the risk of LCINS associated with residential radon exposure.

Methods

Medline and Embase databases were searched using predefined inclusion and exclusion criteria to identify relevant studies published from 1 January 1990 to 5 March 2020 focused on never-smokers. We identified four pooled collaborative studies (incorporating data from 24 case–control studies), one case–control study and one cohort study for systematic review. Meta-analysis was performed on the results of the four pooled studies due to different measures of effect and outcome reported in the cohort study and insufficient information reported for the case–control study. In a post hoc analysis, the corresponding risk for ever-smokers was also examined.

Results

Risk estimates of lung cancer from residential radon exposure were pooled in the meta-analysis for 2341 never-smoker cases, 8967 never-smoker controls, 9937 ever-smoker cases and 12 463 ever-smoker controls. Adjusted excess relative risks (aERRs) per 100 Bq·m⁻³ of radon level were 0.15 (95% CI 0.06–0.25) for never-smokers and 0.09 (95% CI 0.03–0.16) for ever-smokers, and the difference between them was statistically insignificant (p=0.32). The aERR per 100 Bq·m⁻³was higher for men (0.46; 95% CI 0.15–0.76) than for women (0.09; 95% CI −0.02–0.20) among never-smokers (p=0.027).

Conclusion

This study provided quantified risk estimates for lung cancer from residential radon exposure among both never-smokers and ever-smokers. Among never-smokers in radon-prone areas, men were at higher risk of lung cancer than women.

Globally, radon is the leading cause of lung cancer in never-smokers. Yet its quantified link with lung cancer risk among never-smokers is not known. This study computes the risk estimate of lung cancer from residential radon exposure among never-smokers.https://bit.ly/32frCbq

Radioactivity of soil in Croatia I: naturally occurring decay chains

The assessment of environmental radioactivity much relies on radionuclide content in soil. This stems from the significant contribution of soil to both external and internal exposure to ionising radiation via direct emission of gamma radiation and soil-to-plant radionuclide transfer, respectively. This motivated us to carry out a systematic research on the radioactivity of soil in Croatia to obtain relevant data that can be used as a basis for understanding the related effects of geomorphological, biogeographical, and climatological properties of the environment. We collected samples of the surface layer of uncultivated soil (0–10 cm) at 138 sites from all over the country and measured them for radionuclide activity concentrations by means of high-resolution gamma-ray spectrometry. This resulted in radioactivity maps containing data on activity concentrations of representative radionuclides in the environment. In this paper, which is the first in our two-part presentation, we focus on the naturally occurring ²³²Th and ²³⁸U decay chains and their correlations with the diversity of Croatian regions. For both of the chains, activity concentrations were the highest in the Dinaric region, the lowest in the Pannonian region, and intermediate in the Adriatic region. Relatively high concentrations of ²²⁶Ra in the soil of the Dinaric region implied a possibility of an enhanced emanation of its progeny ²²²Rn into the air. Activity concentrations of ²¹⁰Pb were additionally elevated in areas with dense vegetation, most probably due to an atmospheric deposition of airborne ²¹⁰Pb onto the surface of plants and their eventual decomposition on the ground.

A 10-year follow-up study of yearly indoor radon measurements in homes, review of other studies and implications on lung cancer risk estimates

Uncertainty on long-term average radon concentration has a large impact on lung cancer risk assessment in epidemiological studies. The uncertainty can be estimated by year-to-year radon concentration variability, however few data are available. In Italy a study has been planned and conducted to evaluate year-to-year radon variability over several years in normally inhabited dwellings, mainly located in Rome. This is the longest study of this kind in Europe; repeat radon measurements are carried out for 10 years using LR-115 radon detectors in the same home in consecutive years. The study includes 84 dwellings with long-term average radon concentration ranging from 28 to 636 Bq/m³. The result shows that year-to-year variability of repeated measurements made in the same home in different years is low, with an overall coefficient of variation of 17%. This is smaller than most of those observed in studies from other European countries and USA, ranging from 15% to 62%. Influencing factors that may explain the differences between this study and other studies have been discussed. Due to the low yearly variability estimated in the present 10-year study, a negligible impact on lung cancer risk estimate for the Italian epidemiological study is expected.

Younger North Americans are exposed to more radon gas due to occupancy biases within the residential built environment

Residential buildings can concentrate radioactive radon gas, exposing occupants to particle radiation that increases lung cancer risk. This has worsened over time in North America, with newer residences containing greater radon. Using data from 18,971 Canadian households, we calculated annual particle radiation dose rates due to long term residential radon exposure, and examined this as a function of occupant demographics. The current particle radiation dose rate to lungs from residential radon in Canada is 4.08 mSv/y from 108.2 Bq/m3, with 23.4% receiving 100-2655 mSv doses that are known to elevate human cancer risk. Notably, residences built in the twenty-first century are occupied by significantly younger people experiencing greater radiation dose rates from radon (mean age of 46 at 5.01 mSv/y), relative to older groups more likely to occupy twentieth century-built properties (mean age of 53 at 3.45-4.22 mSv/y). Newer, higher radon-containing properties are also more likely to have minors, pregnant women and an overall higher number of occupants living there full time. As younger age-of-exposure to radon equates to greater lifetime lung cancer risk, these data reveal a worst case scenario of exposure bias. This is of concern as, if it continues, it forecasts serious future increases in radon-induced lung cancer in younger people.

The Role of Ambient Particle Radioactivity in Inflammation and Endothelial Function in an Elderly Cohort

BACKGROUND

The mechanisms by which exposure to particulate matter might increase risk of cardiovascular morbidity and mortality are not fully known. However, few existing studies have investigated the potential role of particle radioactivity. Naturally occurring radionuclides attach to particulate matter and continue to release ionizing radiation after inhalation and deposition in the lungs. We hypothesize that exposure to particle radioactivity increases biomarkers of inflammation.

METHODS

Our repeated-measures study included 752 men in the greater Boston area. We estimated regional particle radioactivity as a daily spatial average of gross beta concentrations from five monitors in the study area. We used linear mixed-effects regression models to estimate short- and medium-term associations between particle radioactivity and biomarkers of inflammation and endothelial dysfunction, with and without adjustment for additional particulate air pollutants.

RESULTS

We observed associations between particle radioactivity on C-reactive protein (CRP), intercellular adhesion molecule-1 (ICAM-1), and vascular cell adhesion molecule-1 (VCAM-1), but no associations with fibrinogen. An interquartile range width increase in mean 7-day particle radioactivity (1.2 × 10 Bq/m) was associated with a 4.9% increase in CRP (95% CI = 0.077, 9.9), a 2.8% increase in ICAM-1 (95% CI = 1.4, 4.2), and a 4.3% increase in VCAM-1 (95% CI = 2.5, 6.1). The main effects of particle radioactivity remained similar after adjustment in most cases. We also obtained similar effect estimates in a sensitivity analysis applying a robust causal model.

CONCLUSION

Regional particle radioactivity is positively associated with inflammatory biomarkers, indicating a potential pathway for radiation-induced cardiovascular effects.

Investigation of Radon Sources, Health Hazard and Risks assessment for children using analytical and geospatial techniques in District Bannu (Pakistan)

PURPOSE

Radon (Rn) is a radioactive, odorless, and colorless gas which has a half-life of 3.83 days. One of the main sources of Rn which is directly consumed by the population is Groundwater (Tube well, Bore well, Hand pump). Rn gas is found naturally in rock, soil and water and can be considered as main health risk factor in terms of lung cancer, stomach diseases, leukemia and childhood cancer. The objective of this study was to determine the concentration of Rn in the drinking water sources, appraisal of health risk for children in District Bannu, Pakistan.

MATERIAL AND METHOD

Total of 98 drinking water samples were analyzed by using RAD-7 detector. The experimental data was statistically analyzed by using Pearson's test. The experimental and epidemiological data of the study area are shown on map using ArcGIS version 10.5.

RESULTS

The analytical results show that Rn in drinking water was found varying from 10.1 Bq/l to 53.1 Bq/l with the average highest and lowest depth of 60 ft to 550 ft respectively. Pearson's test was used to show the concentration of Rn verses the depth of the water sources so +1 positive linear correlation was observed among the depth of water sources and the concentration of Rn. Out of 98 drinking water samples 40 sample were above the maximum contaminant level of 11.1 Bq/l (MCL) set by WHO, 2002. The effective doses (AED and DE_ing) for children ranges from 0.00001 to 3.792 mSv/y which exceeds the Permissible Exposure Limit (PEL) of Rn (0.1mSv/y) in 30 drinking water samples . On the basis of analytical results Rn high concentration areas are shown on the map using IDW model of interpolation and health risks were shown in areas where Rn content was above the maximum contaminant level. High correlations of diseases related to Rn were observed amongst the residence of the study area. Gastrointestinal diseases, brain tumor, lung cancer and kidney diseases were observed among the children of the study area.

CONCLUSION

From the overall analysis it was observed that high Rn concentration in drinking water may cause substantial health damage in children after long term exposure.

Evaluation of the redox state in mouse organs following radon inhalation

Radon inhalation activates antioxidative functions in mouse organs, thereby contributing to inhibition of oxidative stress-induced damage. However, the specific redox state of each organ after radon inhalation has not been reported. Therefore, in this study, we evaluated the redox state of various organs in mice following radon inhalation at concentrations of 2 or 20 kBq/m3 for 1, 3 or 10 days. Scatter plots were used to evaluate the relationship between antioxidative function and oxidative stress by principal component analysis (PCA) of data from control mice subjected to sham inhalation. The results of principal component (PC) 1 showed that the liver and kidney had high antioxidant capacity; the results of PC2 showed that the brain, pancreas and stomach had low antioxidant capacities and low lipid peroxide (LPO) content, whereas the lungs, heart, small intestine and large intestine had high LPO content but low antioxidant capacities. Furthermore, using the PCA of each obtained cluster, we observed altered correlation coefficients related to glutathione, hydrogen peroxide and LPO for all groups following radon inhalation. Correlation coefficients related to superoxide dismutase in organs with a low antioxidant capacity were also changed. These findings suggested that radon inhalation could alter the redox state in organs; however, its characteristics were dependent on the total antioxidant capacity of the organs as well as the radon concentration and inhalation time. The insights obtained from this study could be useful for developing therapeutic strategies targeting individual organs.

A discussion on the potential impact of residential radon exposure on the quality of exposure and risk assessment for former uranium miners

Epidemiological evidence of lung cancer risk from radon is based mainly on studies of underground miners where occupational exposures were, historically, relatively high in comparison to residential indoor exposure. However, radiation protection measures have caused radon levels in uranium mines to decrease significantly in more recent periods. Miners' occupational exposure is limited to their working years while they are exposed to environmental radon at home over their entire lifetime. Even during their limited working years, workers spend much more time at home than in workplaces. The biological effect of radon in mines cannot be distinguished from the biological effect of residential radon. Therefore, for an exposure-risk relationship study of former uranium miners, excess radon-induced lung cancer cases should be related to the combined radon exposure cumulated in workplaces and at homes in excess of the radon exposure of the reference population. This is especially important when residential radon levels differ or vary significantly between miners and the reference population over the course of extended follow-up years. This paper reviews some recent studies on former uranium miners, shares what seems controversial to the author and wonders whether lifetime exposure at home to widely varying radon concentrations can actually impact the quality of exposure assessment, and hence impact the results of the exposure-risk relationship.

A fractal analysis of radon migration in discrete fracture network model

A novel model is proposed to simulate radon migration by combining the fractal theory and the discrete fracture network (DFN) model. In the model, a power-law distribution based on fractal theory is applied to fracture length and aperture and the fracture locations and orientations are modeled with the Poisson distribution and von Mises-Fisher distribution, respectively. The model was applied to produce a computer code that can calculate the radon concentration, flux, and diffusivity of the fractured media. The key issues related to the model were analyzed and the results reveal that: (1) the threshold value of the ratio of the minimum fracture length to the maximum decreases as the fractal dimension of the fracture lengths and the relation between them follows an exponential law; (2) As the fractal dimension of the fracture lengths increases, more connected fractures are generated, resulting in a linear increase of the mean efficient radon diffusivity. (3) The dip angle is the parameter that has the greatest influence on radon migration in determining fracture orientations. (4) The radon exhalation rate increases exponentially with increasing advection velocity. (5) Models with larger fractal dimension for fracture lengths have larger representative elementary volume (REV) size and follow an exponential law.

Small-cell lung cancer in never-smokers

Background

Lung cancer is a public health problem worldwide. Small-cell lung cancer (SCLC) is the most aggressive histologic type, with a 5-year survival <10%. SCLC is closely associated with tobacco consumption and infrequent in never-smokers. We aim to describe SCLC characteristics in never-smokers recruited in a radon-prone area.

Patients and methods

We designed a multicentric case series where SCLC cases were recruited consecutively following histologic confirmation. Detailed information was obtained for indoor radon exposure, occupation and environmental tobacco smoke. We also collected different clinical characteristics such as extended or limited disease at diagnosis.

Results

We recruited 32 never-smoking SCLC cases. Median age was 75 years and 87.5% were women; 47% had extended disease. Median radon concentration was 182 Bq/m³. There were no statistically significant differences in residential radon concentration neither regarding age at diagnosis nor regarding sex. The most frequent symptoms were constitutional syndrome (23.1%) and coughing (23.1%). As much as 63% of cases had an Eastern Cooperative Oncology Group Study (ECOG) status of 0-2. The 1- and 2-year survival rates were 34.4% and 21.9%, respectively. The 2-year survival rate with a localized tumor was 26.7%, compared with 18.8% for extended disease.

Conclusions

These results show, for the first time, that indoor radon might not be associated with SCLC characteristics at diagnosis in never-smokers, and also confirms the low survival of this aggressive type of lung cancer also for never-smokers.

•

Small-cell lung cancer in never-smokers is an infrequent disease.

•

Risk factors are poorly characterized, and we have observed that residential radon may have a role (182 Bq/m³ as average).

•

In this study, 1- and 2-year survival rates were 34.4% and 21.9%, respectively.

Reanalysis of residential radon surveys in China from 1980 to 2019

A study on the published historic data of the residential radon concentration was carried out in order to provide a systematic retrospect and the confluent analysis of the investigations from 1980 to 2019 in China. A new database was established by collecting the results of nearly all radon surveys reported in China. A total of 129 surveys on residential radon, covering 147 cities with the sampling size of 72,295 were collected into the data pool for secondary analysis. The results from different decades confirmed the rapid increase trend of residential radon concentration in China. The geographical coverage, the sampling density and the geographic distribution of sampling sites of these surveys were discussed. The analysis on the local data sequences indicated the average increasing rate of residential radon concentration for 28 Chinese cities was estimated to be 0.80 Bq·m^-3·a^-1 in last 40 years. The results in this study provided the overall expression of the radon investigations in China and were expected to be benefit to the radon-related studies in the future.

Indoor Radon Concentration and Risk Assessment in 27 Districts of a Public Healthcare Company in Naples, South Italy

Radon is a major source of ionizing radiation exposure for the general population. It is known that exposure to radon is a risk factor for the onset of lung cancer. In this study, the results of a radon survey conducted in all districts of a Public Healthcare in Italy, are reported. Measurements of indoor radon were performed using nuclear track detectors, CR-39. The entire survey was conducted according to a well-established quality assurance program. The annual effective dose and excess lifetime cancer risk were also calculated. Results show that the radon concentrations varied from 7 ± 1 Bq/m3 and 5148 ± 772 Bq/m3, with a geometric mean of 67 Bq/m3 and geometric standard deviation of 2.5. The annual effective dose to workers was found to be 1.6 mSv/y and comparable with the worldwide average. In Italy, following the transposition of the European Directive 59/2013, great attention was paid to the radon risk in workplaces. The interest of the workers of the monitored sites was very high and this, certainly contributed to the high return rate of the detectors after exposure and therefore, to the presence of few missing data. Although it was not possible to study the factors affecting radon concentrations, certainly the main advantage of this study is that it was the first in which an entire public health company was monitored in regards to all the premises on the underground and ground floor.

Residential radon - Comparative analysis of exposure models in Switzerland

Residential radon exposure is a major public health issue in Switzerland due to the known association between inhaled radon progeny and lung cancer. To confirm recent findings of an association with skin cancer mortality, an updated national radon model is needed. The aim of this study was to derive the best possible residential radon prediction model for subsequent epidemiological analyses. Two different radon prediction models were developed (linear regression model vs. random forest) using ca. 80,000 measurements in the Swiss Radon Database (1994-2017). A range of geographic predictors and building specific predictors were considered in the 3-D models (x,y, floor of dwelling). A five-fold modelling strategy was used to evaluate the robustness of each approach, with models developed (80% measurement locations) and validated (20%) using standard diagnostics. Random forest consistently outperformed the linear regression model, with higher Spearman's rank correlation (51% vs. 36%), validation coefficient of determination (R² 31% vs. 15%), lower root mean square error (RMSE) and lower fractional bias. Applied to the population of 5.4 million adults in 2000, the random forest resulted in an arithmetic mean (standard deviation) of 75.5 (31.7) Bq/m³, and indicated a respective 16.1% and 0.1% adults with predicted radon concentrations exceeding the World Health Organization (100 Bq/m³) and Swiss (300 Bq/m³) reference values.

Residential Radon and Small Cell Lung Cancer. Final Results of the Small Cell Study

INTRODUCTION

Residential radon is considered the second cause of lung cancer and the first in never smokers. Nevertheless, there is little information regarding the association between elevated radon levels and small cell lung cancer (SCLC). We aimed to assess the effect of residential radon exposure on the risk of SCLC in general population through a multicentric case-control study.

METHODS

A multicentric hospital-based case-control study was designed including 9 hospitals from Spain and Portugal, mostly including radon-prone areas. Indoor radon was measured using Solid State Nuclear Track Detectors at the Galician Radon Laboratory.

RESULTS

A total of 375 cases and 902 controls were included, with 24.5% of cases being women. The median number of years living in the measured dwelling was higher than 25 years for both cases and controls. There was a statistically significant association for those exposed to concentrations higher than the EPA action level of 148Bq/m3, with an Odds Ratio of 2.08 (95%CI: 1.03-4.39) compared to those exposed to concentrations lower than 50Bq/m3. When using a dose-response model with 100Bq/m3 as a reference, it can be observed a linear effect for small cell lung cancer risk. Smokers exposed to higher radon concentrations pose a much higher risk of SCLC compared to smokers exposed to lower indoor radon concentrations.

CONCLUSIONS

Radon exposure seems to increase the risk of small cell lung cancer with a linear dose-response pattern. Tobacco consumption may also produce an important effect modification for radon exposure.

Ambient gamma dose rate as an indicator of geogenic radon potential

Radon is the second cause of lung cancer after smoking, therefore is acknowledged as a major indoor air pollutant. Geogenic radon potential indicates regions where for natural reasons elevated indoor radon levels or elevated probability of their occurrence can be expected. The most common procedure for establishing geogenic radon potential includes measurements of soil permeability and soil gas radon concentrations. These measurements are time-consuming and expensive therefore a limited number of measurements is carried out and their results are extrapolated to the specific area. Our research aimed to analyse the usefulness of ambient gamma dose rate survey to assess radon concentration in the environment and therefore geogenic radon potential. The measurements were carried out on two granite massifs with higher (Karkonosze) and lower (Strzelin) radioactive elements contents. Seasonal variations of atmospheric radon concentrations and ambient gamma dose rates were registered with higher values during warmer and lower during colder seasons. The opposite seasonal variations were observed for soil gas radon concentrations. No distinctive seasonal variations were recorded in results of uranium, thorium and potassium contents in soil measured in situ by the gamma-ray spectrometer. The correlation coefficients were calculated on the base of annual average data. The correlations between ambient gamma dose rate and radon concentration in soil and in the atmosphere were 0.83 and 0.62 respectively, which may suggest that ambient gamma dose rate can be a useful parameter to indicate geogenic radon potential.

Mapping the geogenic radon potential for Germany by machine learning

The radioactive gas radon (Rn) is considered as an indoor air pollutant due to its detrimental effects on human health. In fact, exposure to Rn belongs to the most important causes for lung cancer after tobacco smoking. The dominant source of indoor Rn is the ground beneath the house. The geogenic Rn potential (GRP) - a function of soil gas Rn concentration and soil gas permeability - quantifies what "earth delivers in terms of Rn" and represents a hazard indicator for elevated indoor Rn concentration. In this study, we aim at developing an improved spatial continuous GRP map based on 4448 field measurements of GRP distributed across Germany. We fitted three different machine learning algorithms, multivariate adaptive regression splines, random forest and support vector machines utilizing 36 candidate predictors. Predictor selection, hyperparameter tuning and performance assessment were conducted using a spatial cross-validation where the data was iteratively left out by spatial blocks of 40 km*40 km. This procedure counteracts the effect of spatial auto-correlation in predictor and response data and minimizes dependence of training and test data. The spatial cross-validated performance statistics revealed that random forest provided the most accurate predictions. The predictors selected as informative reflect geology, climate (temperature, precipitation and soil moisture), soil hydraulic, soil physical (field capacity, coarse fraction) and soil chemical properties (potassium and nitrogen concentration). Model interpretation techniques such as predictor importance as well as partial and spatial dependence plots confirmed the hypothesized dominant effect of geology on GRP, but also revealed significant contributions of the other predictors. Partial and spatial dependence plots gave further valuable insight into the quantitative predictor-response relationship and its spatial distribution. A comparison with a previous version of the German GRP map using 1359 independent test data indicates a significantly better performance of the random forest based map.

Residential Radon in Manizales, Colombia: Results of a Pilot Study

Radon is a colorless, odorless, and tasteless noble gas, causally related with the onset of lung cancer. We aimed to describe the distribution of radon exposure in the municipality of Manizales, Colombia, in order to estimate the population's exposure and establish the percentage of dwellings that surpass reference levels. A cross-sectional study representing all geographical areas was carried out by measuring indoor radon concentrations. Participants answered a short questionnaire. Alpha-track type radon detectors were installed in all residences for six months. The detectors were subsequently processed at the Galician Radon Laboratory, an accredited laboratory at the University of Santiago de Compostela. A total of 202 homes were measured. Seventy-seven percent of the sampled houses were three stories high, their median age was 30 years, and half were inhabited by three people or fewer. For most dwellings, the building materials of walls and flooring were brick and covered cement, respectively. Results showed a geometric mean of radon concentration of 8.5 Bq/m³ and a maximum value of 50 Bq/m³. No statistically significant differences were found either between the geometric mean of the dwelling's site, the height at which detectors were placed inside the home, or the wall and flooring materials, or between mean ²²²Rn concentrations in rural and urban areas. No dwelling surpassed the ²²²Rn reference level established by the WHO. This study shows that residential radon levels in Manizales, Colombia, seem to be low, though a more in-depth approach should be carried out. Despite these results, it is essential to create a national radon program and establish a radon concentration reference level for Colombia in line with international recommendations.

Study of baseline radon levels in the context of a shale gas development

This study reports the results from continuous measurement of indoor and outdoor radon concentrations in the area surrounding an unconventional shale gas exploration site in North Yorkshire, England, prior to the commencement of hydraulic fracturing. Public Health England has monitored the baseline radon levels in homes and in outdoor air in the Vale of Pickering since 2015. The statistical analysis presented here includes three full years (November 2015- -December 2018) of indoor and four and half years (October 2015 - April 2019) of outdoor radon measurements. Stratified sampling was used to select 171 dwellings in four areas, with two different radon potential. Statistical analysis confirms that homes in Kirby Misperton and Little Barugh and those in Yedingham are situated in areas with low radon potential, as was predicted by the UK radon potential map. On the other hand, both Pickering and Malton are confirmed as radon Affected Areas. Radon was measured continuously in the outdoor air using a newly developed outdoor kit containing passive radon detectors. The monitoring points were set up at 36 locations in the same local areas as those selected for the indoor monitoring. The results from statistical analysis show that outdoor radon had a different seasonality pattern to indoor radon. The monitoring of outdoor radon levels over the four and half years indicates a year-to-year variation in outdoor radon concentrations with levels fluctuating between 3 and 9 Bq m^-3. There was a very good agreement between long-term average radon concentrations measured using passive detectors and using an active AlphaGUARD monitor.

A review of studies of childhood cancer and natural background radiation

PURPOSE

The projected existence and magnitude of carcinogenic effects of ionizing radiation at low doses and low-dose rates is perhaps the most important issue in radiation protection today. Studies of childhood cancer and natural background radiation have the potential to throw direct light on this question, into a dose range below a few tens of mSv. This paper describes the studies that have been undertaken and their context, discusses some problems that arise and summarizes the present position.

CONCLUSIONS

Many such studies have been undertaken, but most were too small to have a realistic chance of detecting the small effects expected from such low doses, based on risk projections from higher exposures. Case-control or cohort studies are to be preferred methodologically to ecological studies but can be prone to problems of registration/participation bias. Interview-based studies of the requisite size would be prohibitively expensive and would undoubtedly also run into problems of participation bias. Register-based studies can be very large and are free of participation bias. However, they need to estimate the radiation exposure of study subjects using models rather than individual measurements in the homes of those concerned. At present, no firm conclusions can be drawn from the studies that have been published to date. Further data and perhaps pooled studies offer a way forward.

Comprehensive survey on radon mitigation and indoor air quality in energy efficient buildings from Romania

Over the last 10 years applied scientific research has been carried out in Romania to tacked the residential radon issues. The increased interest to reduce the carbon footprint of buildings has lead to the implementation and use of new architectural solutions aimed to save energy in houses and other buildings. As a consequence, the degree of retrofit in existing buildings and energy efficiency of new buildings promoted the need to not only mitigate indoor radon, but improve indoor air quality overall. The present study found that the while the best performance in radon reduction was confirmed to be based on sub-slab depressurization (61% - 95% reduction), centralized and decentralized mechanical supply and exhaust ventilation with heat recovery yielded a good efficiency in overall improvement of indoor air quality (CO₂, VOC, RH, temperature). The outcome of our research, as well as future perspectives, take into account the recommended harmonization of energy efficiency programs with those of public health by finding and applying the best technologies in compliance with energy saving and indoor environmental quality.