Radon sources and associated risk in terms of exposure and dose

Radon exposure risks among residents proximal to gold mine tailings in Gauteng Province, South Africa: a cross-sectional preliminary study protocol

Gold mine tailings, a legacy of the mining industry, harbors significant amount of radon gas, a classified human carcinogen. Radon exposure, especially near tailings, is a significant public health threat, potentially leading to increased risk of lung cancer, leukemia, and chronic obstructive pulmonary disease (COPD). These health problems are often associated with lower survival rates and significant financial burdens. This ongoing research aim to evaluating the relationship between indoor radon exposure and lung cancer, leukemia, and COPD risks among residents proximal to gold mine tailings in Gauteng Province, South Africa. This cross-sectional preliminary study focus on two distinct groups: Riverlea (exposed group, <2 km to Gold mine tailings) and Orlando East (unexposed group, >2 km to Gold mine tailings). Indoor radon levels is measured using AlphaE monitors, while health risks (lung cancer, leukemia, and COPD) linked to exposure are evaluated through interview-administered questionnaire and secondary data from Gauteng Health Department. Of the 476 residents randomly selected for this study, 300 have already participated, with balanced representation from both the exposed and unexposed groups. The study will compare indoor radon levels and health outcomes between the two groups. This study's results could aid in creating targeted interventions and policies to mitigate indoor radon exposure risks and safeguard vulnerable communities from this significant public health hazard.

Assessment of Threshold Dose of Thoron Inhalation and Its Biological Effects by Mimicking the Radiation Doses in Monazite Placer Deposits Corresponding to the Normal, Medium and Very High Natural Background Radiation Areas

The dose contributed from thoron (²²⁰Rn) and its progeny has been neglected in the dose assessment because of its short half-life (t_1/2 = 55.6 s) and generally low concentrations. Recently, concentrations of ²²⁰Rn gas and its progeny were found to be pronounced in the traditional residential dwellings in China, on beaches of India and in other countries. Accordingly, we investigated the biological effects of thoron (²²⁰Rn) decay products in various mouse organs, succeeding inhalation of thoron gas in BALB/c mouse. We investigated the biological effects upon thoron inhalation on mouse organs with a focus on oxidative stress. These mice were divided into (4 random groups): sham inhalation, thoron inhalation for 1, 4 and 10 days. Various tissues (lung, liver and kidney) were then collected after the time points and subjected to various biochemical analyses. Immediately after inhalation, mouse tissues were excised for gamma spectrometry and 72 h post inhalation for biochemical assays. The gamma spectrometry counts and its subsequent calculation of the equivalent dose showed varied distribution in the lung, liver and kidney. Our results suggest that acute thoron inhalation showed a differential effect on the antioxidant function and exerted pathophysiological alterations via oxidative stress in organs at a higher dose. These findings suggested that thoron inhalation could alter the redox state in organs; however, its characteristics were dependent on the total redox system of the organs as well as the thoron concentration and inhalation time.

Experimental Setups for In Vitro Studies on Radon Exposure in Mammalian Cells-A Critical Overview

Naturally occurring radon and its short lived progeny are the second leading cause of lung cancer after smoking, and the main risk factor for non-smokers. The radon progeny, mainly Polonium-218 (²¹⁸Po) and Polonium-214 (²¹⁴Po), are responsible for the highest dose deposition in the bronchial epithelium via alpha-decay. These alpha-particles release a large amount of energy over a short penetration range, which results in severe and complex DNA damage. In order to unravel the underlying biological mechanisms which are triggered by this complex DNA damage and eventually give rise to carcinogenesis, in vitro radiobiology experiments on mammalian cells have been performed using radon exposure setups, or radon analogues, which mimic alpha-particle exposure. This review provides an overview of the different experimental setups, which have been developed and used over the past decades for in vitro radon experiments. In order to guarantee reliable results, the design and dosimetry of these setups require careful consideration, which will be emphasized in this work. Results of these in vitro experiments, particularly on bronchial epithelial cells, can provide valuable information on biomarkers, which can assist to identify exposures, as well as to study the effects of localized high dose depositions and the heterogeneous dose distribution of radon.

A study on the differences in radon exhalation of different lithologies at various depths and the factors influencing its distribution in northern Shaanxi, China

The inhalation of a high concentration of radon gas increases the risk of cancer. Therefore, it is of utmost necessity to pay due attention to the problem of environmental radon pollution. The high radioactivity above the coal slab causes serious radon radiation contamination on the mining grounds in coal mining areas such as the northern part of China and the western part of the United States. At present, there is a lack of research on radon exhalation in different lithologies. In this study, the differences in the radon exhalation of different lithologies at various depths and their controlling factors were studied by NMR and radon measurement. The results highlighted that the radon exhalation rates in different rocks varied from 0.3 to 0.6 Bq/m²·s. The average radon exhalation rate of the soil was 0.7 Bq/m²·s, and the radon exhalation rates of different lithologies followed the pattern red clay > loess > sandstone > mudstone > coal. The radon exhalation rate increased initially, followed by a decrease, and the radon exhalation rate was the highest at the boundary between the soil and rock layers. The radon exhalation rates of different lithologies have a strong correlation with the small pores (<0.1 μm), which govern the changes in the porous structure with depth. The results of this study are important from the perspective evaluation of environmental radon pollution.

Measurement of Radon Concentration in Water within Ojo Axis of Lagos State, Nigeria

Background: The problem of radon (Radon-222) in water is one of the daily health hazards faced by those in Ojo Axis, Nigeria. Therefore, continuous monitoring of radon contamination in different types of water is essential. In the present work, sixteen groundwater and surface-water samples (wells, boreholes, and sachets) were collected from six different locations within the Ojo Local Government area in Nigeria. The water samples collected were stored in 75 cl bottles that were already sterilized with distilled water to avoid contamination. Water samples were then taken to the laboratory for the analysis of radon levels using a RAD7, an active electronic device produced by the Durridge Company in the USA. The radon level in the water is higher than the safe limits of 11.1 Bq/L, as per EPA regulations, except for two sample points from the studied areas. The total annual effective doses from ingestion and inhalation for drinking and groundwater were higher than the safe limit of 0.1 mSv y−1 that is recommended by the World Health Organization and the European Union Commission. Conclusions: The obtained results underline the importance of the development and/or updating of databases regarding radon levels in drinking and groundwater in the Ojo Local Government area in Nigeria.

Radon exhalation from temperature treated loess

Radon gas is a cancer risk and exists naturally in certain soils, such as loess, which is an important raw earth construction material in arid regions such as northwestern China and southern USA. Accordingly, the radon exhalationed from building materials is of increasing concern; however, there is little research on radon exhalation from loess. In this study, the pore structure and radon exhalation characteristics of heat-treated loess were investigated by nitrogen adsorption tests, swept surface electron microscopy, and radon measurements. The rate of radon exhalation increases linearly with temperature until 400 °C and then decreases exponentially. Changes in the internal pore structure (pore type, surface morphology, and specific surface area) of loess are strongly correlated with the radon exhalation rate. The volume of micropores (<2 nm diameter) is an important influence on radon exhalation ability, which is closely related to the fractal dimension of the micropore structure after heating. The results provide guidance for predicting the radiation risk posed by radon diffusing from loess.

The Role of Mitochondrial miRNAs in the Development of Radon-Induced Lung Cancer

MicroRNAs are short, non-coding RNA molecules regulating gene expression by inhibiting the translation of messenger RNA (mRNA) or leading to degradation. The miRNAs are encoded in the nuclear genome and exported to the cytosol. However, miRNAs have been found in mitochondria and are probably derived from mitochondrial DNA. These miRNAs are able to directly regulate mitochondrial genes and mitochondrial activity. Mitochondrial dysfunction is the cause of many diseases, including cancer. In this review, we consider the role of mitochondrial miRNAs in the pathogenesis of lung cancer with particular reference to radon exposure.

Indoor Air Radon Concentration in Premises of Public Companies and Workplaces in Latvia

Considering the multitudes of people who spend their time working indoors in public premises and workplaces, it is worth knowing what their level of exposure is to natural radioactive radon gas, the second most widespread and dangerous carcinogen for lung cancer development after cigarette smoking. This state-level study covered most of the territory of Latvia and conducted 941 radon measurements with Radtrack2, placed for 4-6 months in the premises of public companies, educational institutions, medical care institutions, etc. The study found that 94.7% of samples did not exceed the national permissible limit (200 Bq/m3), the level at which preventive measures should be initiated. The median value of average specific radioactivity of radon in these premises was 48 Bq/m3 (Q1 and Q3 being 27 and 85 Bq/m3), which is below the average of the European region. Slightly higher concentrations were observed in well-insulated premises with plastic windows and poorer air exchange, mostly in schools (59 (36, 109) Bq/m3) and kindergartens (48 (32, 79) Bq/m3). Industrial workplaces had surprisingly low radon levels (28 (16, 55) Bq/m3) due to strict requirements for air quality and proper ventilation. Public premises and workplaces in Latvia mostly have low radon concentrations in the air, but more attention should be paid to adequate ventilation and air exchange.

Inhalations with thermal waters in respiratory diseases

ETHNOPHARMACOLOGICAL RELEVANCE

Inhalations with thermal waters are an old therapeutic method used in the therapy of respiratory diseases as a treatment of choice showing a long-lasting outcome with no side effects. Paradoxically, there is little well-established research on their mechanisms of action.

AIM OF THE STUDY

The aim of this paper is therefore to summarize the influence of inhalatory treatment with thermal waters on the main symptoms and features of respiratory disorders including allergy-like symptoms, inflammation, oxidant-anti-oxidant balance, cellular influx, disturbed mucus secretions, recurrent infections, pulmonary and nasal function and quality of life. A short history of inhalations is also presented.

MATERIALS AND METHODS

The present paper is a sum-up of research articles on the use of inhalations with thermal waters in respiratory disorders.

RESULTS

According to the herein presented literature, the use of thermal water inhalations is beneficial for almost all manifestations of respiratory diseases. The mode of their action remains still unclear; however, it seems that the most important one relies on the restoration of proper defense mechanisms of the organism.

CONCLUSIONS

Inhalations with thermal waters alleviate symptoms of respiratory diseases. They also improve the quality of life of the patients and seem to be a good add-on therapy in the treatment of disorders of the respiratory system.

Internet of Things (IoT) Technologies for Managing Indoor Radon Risk Exposure: Applications, Opportunities, and Future Challenges

Radon gas is a harmful pollutant with a well-documented adverse influence on public health. In poorly ventilated environments, that are often prone to significant radon levels, studies indicate a known relationship between human radon exposure and lung cancer. Recent technology advances, notably on the Internet of Things (IoT) ecosystem, allow the integration of sensors, computing, and communication capabilities into low-cost and small-scale devices that can be used for implementing specific cyber-physical systems (CPS) for online and real-time radon management. These technologies are crucial for improving the overall building indoor air quality (IAQ), contributing toward the so-called cognitive buildings, where human-based control is tending to decline, and building management systems (BMS) are focused on balancing critical factors, such as energy efficiency, human radon exposure management, and user experience, to achieve a more transparent and harmonious integration between technology and the built environment. This work surveys recent IoT technologies for indoor radon exposure management (monitoring, assessment and mitigation), and discusses its main challenges and opportunities, by focusing on methods, techniques, and technologies to answer the following questions: (i) What technologies have been recently in use for radon exposure management; (ii) how they operate; (iii) what type of radon detection mechanisms do they use; and (iv) what type of system architectures, components, and communication technologies have been used to assist the referred technologies. This contribution is relevant to pave the way for designing more intelligent and sustainable systems that rely on IoT and Information and Communications Technology (ICT), to achieve an optimal balance between these two critical factors: human radon exposure management and building energy efficiency.

Estimation of unattached and aerosol-attached activities of airborne short-lived radon progeny in indoor environments

Inhalation of the airborne short-lived radon progeny is regarded as the most crucial way of internal exposure to the natural radiation dose delivered to the human lung. In this respect, this study aims to determine the unattached and aerosol-attached activities of radon progeny and to estimate some important physical parameters employed to assess the radiological impact of this radiation on humans. For this purpose, radioactive aerosol samples collected on polycarbonate membrane filters to measure total alpha activity by passive alpha dosimetric technique using CR-39 detectors in sixteen different locations including some houses and workplaces in El Jadida city, in Morocco. In addition, the room-specific parameters and aerosol physical processes that affect the unattached and attached activity concentrations were determined. The obtained experimental results by the three-count method and room model parameters were used as input data on a developed PC-based software that we have developed to solve mathematical equations and calculate required physical quantities. Accordingly, the individual activities of radon progeny namely ²¹⁸Po, ²¹⁴Pb, and ²¹⁴Po as well as radon activity concentration were determined. Simultaneously, the unattached and aerosol-attached activity concentrations (C_j^u and C_j^a) of radon progeny were calculated based on the room model calculation. Consequently, some radiological quantities used in the calculation of the lung dose were estimated. The results showed that the indoor radon activity concentration in different targeted locations ranges between 38 and 143 Bq. m^-3 with an average value of 84.8 ± 9.5 Bq. m^-3. The average obtained values of the equilibrium-equivalent concentration (C_eq), unattached fraction (f_p), and equilibrium factor (F) at low and good ventilation rates change respectively from (24 Bq. m^-3, 0.08, and 0.25) to (34 Bq. m^-3, 0.02, and 0.41). Under normal environmental conditions, the average obtained values of C_eq, f_p, and F, in houses and at workplaces were (17 Bq. m^-3, 0.07, and 0.25) and (32 Bq. m^-3, 0.04, and 0.35) respectively. Depending on the different aerosol conditions and obtained values of unattached fraction f_p, the calculated average values of dose conversion factors (DCFs) were 8.70 mSv.WLM^-1 and 11 mSv.WLM^-1 in houses and workplaces respectively. These values were in good agreement with the recommended values by ICRP, which are in the order of 9 mSv.WLM^-1 and 12 mSv.WLM^-1 for houses and workplaces respectively.

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.

A Study of Natural Radioactivity Levels and Radon/Thoron Release Potential of Bedrock and Soil in Southeastern Ireland

Radon (²²²Rn) and thoron (²²⁰Rn) account for almost two-thirds of the annual average radiation dose received by the Irish population. A detailed study of natural radioactivity levels and radon and thoron exhalation rates was carried out in a legislatively designated “high radon” area, as based on existing indoor radon measurements. Indoor radon concentrations, airborne radiometric data and stream sediment geochemistry were collated, and a set of soil samples were taken from the study area. The exhalation rates of radon (E²²²_Rn) and thoron (E²²⁰_Rn) for collected samples were determined in the laboratory. The resultant data were classified based on geological and soil type parameters. Geological boundaries were found to be robust classifiers for radon exhalation rates and radon-related variables, whilst soil type classification better differentiates thoron exhalation rates and correlated variables. Linear models were developed to predict the radon and thoron exhalation rates of the study area. Distribution maps of radon and thoron exhalation rates (range: E²²²_Rn [0.15–1.84] and E²²⁰_Rn [475–3029] Bq m⁻² h⁻¹) and annual effective dose (with a mean value of 0.84 mSv y⁻¹) are presented. For some parts of the study area, the calculated annual effective dose exceeds the recommended level of 1 mSv y⁻¹, illustrating a significant radiation risk. Airborne radiometric data were found to be a powerful and fast tool for the prediction of geogenic radon and thoron risk. This robust method can be used for other areas where airborne radiometric data are available.

STUDY OF 222RN CONTINUOUS MONITORING TIME SERIES AND DOSE ASSESSMENT IN SIX EUROPEAN CAVES

The present work aims to assess the effective doses from long-term continual radon monitoring in six European caves (Slovenia, Slovakia and the Czech Republic), including influencing environmental factors. Caves are important radiation protection subjects because of elevated radon activity concentration (~kBq/m3), mostly due to the low natural ventilation. The sources of radon gas are most often underground rock layers and clastic sediments. The radon activity concentrations show seasonal variations, for which the outside temperature is the main driving force. The human health impact due to the radon inhalation in monitored caves was estimated through the annual effective dose, using the methodology provided by the International Commission on Radiological Protection (ICRP Publication 137). The annual effective dose could reach several tens of mSv, depending on the working hours spent in the underground.

Radon-222 Exposure and Dose Concentration Levels in Jordanian Dwellings

Exposure to high concentrations of radon gas is the leading cause of lung cancer for nonsmokers according to the World Health Organization (WHO) figures. With poor ventilation standards and lack of awareness among Jordanians, constant monitoring of radon concentrations is vital. Multiple efforts have been made since the 1990s in order to create a national radon map of Jordan, by acquiring average values of radon concentrations in major Jordanian cities. This study aims to replicate those efforts using a more accurate and modern way of detection for the purpose of comparing the current values with literature values and to update the previous radon concentration map of Jordan. The study concludes that radon concentrations in Jordan have mostly increased in the past 30 years from an overall average of 52 Bq/m3 to an average of 60.4 Bq/m3. Despite the increase, these results are considered under the threat line that is estimated conventionally by most of the international environmental and radiation-related organizations, which is 100-300 Bq/m3. It should be noted that only the Russeifa city has scored a value higher than the estimated threat line. This is due to the existence of abundant phosphate mines filled with condensed radon levels leaking from these ores. It is expected that radon concentrations in Jordan will increase in the coming years with the continuous urban sprawl and lack of public awareness about the radon gas health issue. A number of suggestions have been proposed in this study that could help the Jordanian society avoid a future possible health threat.

Levels of ionizing radiations in selected quarries in Nyamira County, Kenya

It has been shown through a survey by World Health Organization and International Commission on Radiological Protection that certain materials (stones) sourced from quarries and used for the building are radioactive. In Kenya, underground stones which are sourced from embedded rocks are used in construction of most of the permanent buildings, yet Kenya has not adequately radio-profiled sources of building materials to determine whether the construction materials contain radionuclides that emit ionizing radiations yet are used for building. Consequently, Kenyans could be at risk of exposure to high levels of ionizing radiations by living in stone houses that are not radio-profiled. Health problems arise due to subjection to ionizing radiations. The study determined the levels of ionizing radiations in sampled quarries in Nyamira County by using Radiological survey dosimeters to show the radiation readings in milliRoentgen/hr then converted to milliSievert per year and the Global Positioning System device took note of the quarries' geographical positions. The study used Minitab version 17.0 software to establish the statistical differences of degree of exposure in sampled quarries. The sample size for the study was 40 quarries. It was revealed that Q-073 and Q-075 both had the lowest radiation readings of 0.64mSv while Q-079 had the highest reading of 3.46mSv equal to a deviation from WHO approved threshold of -35.71%,-36.29% and 245.7%, respectively. The results indicated that 89% of the sampled quarries had radiation emissions above the ICRP and WHO standard. However, within Borabu Sub County, only 5 and within Manga Sub-County 4 of the sampled quarries had radiation readings below ICRP and WHO recommended standards of 1mSv/yr. It was exhibited from the study results that there are higher levels of ionizing radiations in quarries going past recommended standards per year hence causing health risk to quarry workers and general public. Therefore, these results could guide in formation of the national construction policies by including regular surveying for the levels of ionizing radiation in building materials as well as in practicing appropriate mitigation strategies.

Radon Biomonitoring and microRNA in Lung Cancer

Radon is the number one cause of lung cancer in non-smokers. microRNA expression in human bronchial epithelium cells is altered by radon, with particular reference to upregulation of miR-16, miR-15, miR-23, miR-19, miR-125, and downregulation of let-7, miR-194, miR-373, miR-124, miR-146, miR-369, and miR-652. These alterations alter cell cycle, oxidative stress, inflammation, oncogene suppression, and malignant transformation. Also DNA methylation is altered as a consequence of miR-29 modification induced by radon. Indeed miR-29 targets DNA methyltransferases causing inhibition of CpG sites methylation. Massive microRNA dysregulation occurs in the lung due to radon expose and is functionally related with the resulting lung damage. However, in humans this massive lung microRNA alterations only barely reflect onto blood microRNAs. Indeed, blood miR-19 was not found altered in radon-exposed subjects. Thus, microRNAs are massively dysregulated in experimental models of radon lung carcinogenesis. In humans these events are initially adaptive being aimed at inhibiting neoplastic transformation. Only in case of long-term exposure to radon, microRNA alterations lead towards cancer development. Accordingly, it is difficult in human to establish a microRNA signature reflecting radon exposure. Additional studies are required to understand the role of microRNAs in pathogenesis of radon-induced lung cancer.

Incidence of brain and spinal cord cancer and county-level radon levels in New Jersey, Wisconsin, Minnesota, Pennsylvania, and Iowa, USA

Ionizing radiation at diagnostic and therapeutic doses is a known contributor to the development of brain and spinal cord (CNS) cancer. However, little is known about risk from exposure to radon, a natural radiation source which the general population is exposed to residentially and environmentally. This study investigated correlations between mean county radon levels and CNS cancer incidence in five highly populated and radon-enriched US states (Minnesota, mean radon level 4.6 pCi/L; Wisconsin, 5.7 pCi/L; Pennsylvania, 8.6 pCi/L; Iowa, 6.1 pCi/L; and New Jersey, 4.4 pCi/L). Mean radon levels per county were accessed through AirChek, which provides publicly available radon data measured in residences and workplaces. CNS cancer incidence data were accessed through the states' health department websites and span differing amounts of time due to the publicly accessible nature of the data, though all time spans were over 10 years. Negative binomial regressions were run to assess correlations between mean radon and CNS cancer incidence per county. Quantile maps were constructed and Moran's I was calculated to assess spatial autocorrelation in residuals; no spatial autocorrelation was evident. Iowa was the only state with a significant positive association between radon and CNS incidence; no associations were detected in other states, and a negative association was observed in the 5 states combined. This study does not provide evidence that radon is a risk factor for CNS cancer; however, the possibility of an association cannot be ruled out due to limitations of the study, principally its ecologic nature and lack of individual-level exposure data.

Computational Fluid Dynamic Simulation of Inhaled Radon Dilution by Auxiliary Ventilation in a Stone-Coal Mine Laneway and Dosage Assessment of Miners

Inhaled radon status in the laneways of some Chinese stone-coal mines is a cause of concern. In this study, computational fluid dynamics simulations were employed to investigate three flowrates of the dilution gas (2.5, 5, and 7.5 m3/s) and radon distributions at realistic breathing levels (1.6, 1.75, and 1.9 m). The results showed that there are obvious jet-flow, backflow, and vortex zones near the heading face, and a circulation flow at the rear of the laneway. A high radon concentration area was found to be caused by the mining machinery. As the ventilation rate increased, the radon concentrations dropped significantly. An airflow of 7.5 m3/s showed the best dilution performance: The maximum radon concentration decreased to 541.62 Bq/m3, which is within the safe range recommended by the International Commission on Radiological Protection. Annual effective doses for the three air flowrates were 8.61, 5.50, and 4.12 mSv.

Radon concentration in hydrogeothermal deposit and spas of Boyacá, Colombia

Inhaled radon and its progenies induce health concern due to high activity-concentration in selected thermal spas of Boyacá region. Hydrogeothermal water sources in a high risk seismic area, are studied to determine by water bubbling method radon concentration values; their occurrence is between few hundreds and 2000 Bq dm^-3. Deposits, existing in this area, reach at the surface soil gas radon concentration up to 210 kBq m^-3. Maintenance workers, health tourists and visitor's possible detrimental health effects, are discussed in relation to radon balneotherapy beneficial aspects.

The Influence of Internal Wall and Floor Covering Materials and Ventilation Type on Indoor Radon and Thoron Levels in Hospitals of Kermanshah, Iran

BACKGROUND

Building materials and the ventilation rate of a building are two main factors influencing indoor radon and thoron levels (two radioactive gases which have the most important role in human natural radiation exposure within dwellings).

OBJECTIVES

This analytical descriptive study was intended to determine the relationship between indoor radon and thoron concentrations and the building materials used in interior surfaces, as well as between those concentrations and the type of ventilation system (natural or artificial).

MATERIALS AND METHODS

102 measurements of radon and thoron levels were taken from different parts of three hospital buildings in the city of Kermanshah in the west of Iran, using an RTM-1688-2 radon meter. Information on the type of building material and ventilation system in the measurement location was collected and then analyzed using Stata 8 software and multivariate linear regression.

RESULTS

In terms of radon and thoron emissions, travertine and plaster were found to be the most appropriate and inappropriate covering for walls, respectively. Furthermore, granite and travertine were discovered to be inappropriate materials for flooring, while plastic floor covering was found suitable. Natural ventilation performed better for radon, while artificial ventilation worked better for thoron.

CONCLUSIONS

Internal building materials and ventilation type affect indoor radon and thoron concentrations. Therefore, the use of proper materials and adequate ventilation can reduce the potential human exposure to radon and thoron. This is of utmost importance, particularly in buildings with a high density of residents, including hospitals.

Radon: a radioactive therapeutic element

This paper presents selected issues related to the use of 222Rn in therapeutic treatments. Radon is a radioactive element whose usage in medicine for more than 100 years is based on the radiation hormesis theory. However, owing to the radioactive character of this element and the fact that its alpha-radioactive decay is the source of other radionuclides, its therapeutic application has been raising serious doubts. The author points to potential sources and carriers of radon in the environment that could supply radon for use in a variety of therapies. Except for centuries-long tradition of using radon groundwaters, and later also the air in caves and underground workings, the author would also like to focus on soil air, which is still underestimated as a source of radon. The text presents different methods of obtaining this radioactive gas from groundwaters, the air in caves, mining galleries and soil air, and it presents new possibilities in this field. The author also discusses problems related to the transportation and storage of radon obtained from the environment.

Within radon-prone areas, it is often necessary to de-radon groundwaters that are intended for human consumption and household usage. Also, dry radon wells are used to prevent radon migration from the ground into residential buildings. The author proposes using radon released from radon groundwaters and amassed in dry radon wells for radonotherapy treatments. Thanks to this, it is possible to reduce the cost of radiological protection of people within radon-prone areas while still exploiting the 222Rn obtained for a variety of therapies.

With regard to the ongoing and still unsettled dispute concerning the beneficial or detrimental impact of radon on the human organism, the author puts special emphasis on the necessity of strictly monitoring both the activity concentration of 222Rn in media used for therapeutic treatments and of its radioactive decay products. Monitoring should be also extended to the environments in which such treatments are delivered (inhalatoriums, baths, saunas, showers, pools and other facilities), as well as to the patients – during and after the radonotherapy treatments. It is also essential to monitor the dose of radon and its daughters that is received by persons undergoing radon therapy. This should facilitate the assessment of the effectiveness of these treatments, which may contribute to a fuller understanding of the mechanisms of radon impact, and ionizing radiation in general, on the human organism. This will make it easier to ultimately confirm or reject the radiation hormesis theory. It is also essential to monitor the effective dose that is received by medical and technical staff employed to deliver the radonotherapy treatments.

The health effects of radon and uranium on the population of Kazakhstan

The radioactive contamination is a significant factor affecting the environment and human health. Radon and its decay products are the major contributors to human exposure from natural radiation sources. World Health Organization has identified the chronic residential exposure to radon and its decay products as the second cause of lung cancer after tobacco consumption and also as the main risk-factor in never smokers. The high levels of radon are observed in the North and East areas of Kazakhstan because of the natural radiation sources and the long-term and large-scale mining of uranium. The genotoxic effects of radon on population of Kazakhstan are poorly understood, in spite of the fact that many regions of the country contain the high levels of radon. Studies elucidating potential health risk among population exposed to radon and genotoxic effect of radon in Kazakhstan are very limited or they have never been addressed in some areas. In this review, we are presenting available data on the residential radon exposure of humans in uranium mining and milling areas in the North and East areas of Kazakhstan.

Residential Radon Exposure and Incidence of Childhood Lymphoma in Texas, 1995-2011

There is warranted interest in assessing the association between residential radon exposure and the risk of childhood cancer. We sought to evaluate the association between residential radon exposure and the incidence of childhood lymphoma in Texas. The Texas Cancer Registry (n = 2147) provided case information for the period 1995–2011. Denominator data were obtained from the United States Census. Regional arithmetic mean radon concentrations were obtained from the Texas Indoor Radon Survey and linked to residence at diagnosis. Exposure was assessed categorically: ≤25th percentile (reference), >25th to ≤50th percentile, >50th to ≤75th percentile, and >75th percentile. Negative binomial regression generated adjusted incidence rate ratios (aIRR) and 95% confidence intervals (CI). We evaluated lymphoma overall and by subtype: Hodgkin (HL; n = 1248), Non-Hodgkin excluding Burkitt (non-BL NHL; n = 658), Burkitt (BL; n = 241), and Diffuse Large B-cell (DLBCL; n = 315). There was no evidence that residential radon exposure was positively associated with lymphoma overall, HL, or BL. Areas with radon concentrations >75th percentile had a marginal increase in DLBCL incidence (aIRR = 1.73, 95% CI: 1.03–2.91). In one of the largest studies of residential radon exposure and the incidence of childhood lymphoma, we found little evidence to suggest a positive or negative association; an observation consistent with previous studies.

The role of the implementation of policies for the prevention of exposure to Radon in Brazil-a strategy for controlling the risk of developing lung cancer

Lung cancer is the leading cause of cancer death in the United States and other industrialised countries. The most important risk factor is active smoking. However, given the increased incidence of lung cancer in non-smokers, it is necessary to improve knowledge regarding other risk factors. Radon (Rn) is a noble gas and is the most important natural source of human exposure to ionizing radiation. Exposure to high levels of this radioactive gas is related to an increased risk of developing lung cancer. The objective of this work is to highlight the importance of measuring indoor concentration of this gas and identify which steps should be taken for achieving radiological protection. A survey was conducted on the websites of the National Health Surveillance Agency (ANVISA), LAMIN (Mineral Analysis Laboratory), CPRM (Geological Survey of Brazil), Ministry of Health and PubMed. Using the words 'radon', 'lung', 'cancer', and PubMed®, 1,371 results were obtained; when using the words 'radon', 'lung', 'cancer', and with 'Brazil' or 'Brazilians', only six results were obtained. We emphasise that lung cancer is a major public health problem and the exposure to Rn indoors should be considered as a risk factor for lung cancer in non-smokers. Buildings or houses with high concentrations of Rn should be identified. However, currently in Brazil-a country with great potential for mineral extraction-there are no specific regulated recommendations to control indoor exposure to Rn.