1.Health Effects of Radon Exposure
Jin Kyu KANG ; Songwon SEO ; Young Woo JIN
Yonsei Medical Journal 2019;60(7):597-603
Radon is a naturally occurring radioactive material that is formed as the decay product of uranium and thorium, and is estimated to contribute to approximately half of the average annual natural background radiation. When inhaled, it damages the lungs during radioactive decay and affects the human body. Through many epidemiological studies regarding occupational exposure among miners and residential exposure among the general population, radon has been scientifically proven to cause lung cancer, and radon exposure is the second most common cause of lung cancer after cigarette smoking. However, it is unclear whether radon exposure causes diseases other than lung cancer. Media reports have often dealt with radon exposure in relation to health problems, although public attention has been limited to a one-off period. However, recently in Korea, social interest and concern about radon exposure and its health effects have increased greatly due to mass media reports of high concentrations of radon being released from various close-to-life products, such as mattresses and beauty masks. Accordingly, this review article is intended to provide comprehensive scientific information regarding the health effects of radon exposure.
Background Radiation
;
Beauty
;
Beds
;
Epidemiologic Studies
;
Human Body
;
Inhalation Exposure
;
Korea
;
Lung
;
Lung Neoplasms
;
Masks
;
Mass Media
;
Miners
;
Occupational Exposure
;
Radon
;
Smoking
;
Thorium
;
Uranium
2.Radon and Lung Cancer: Disease Burden and High-risk Populations in Korea.
Journal of Korean Medical Science 2018;33(29):e210-
No abstract available.
Korea*
;
Lung Neoplasms*
;
Lung*
;
Radon*
3.Health effects and consultations about radon exposure
Songwon SEO ; Jin Kyu KANG ; Dalnim LEE ; Young Woo JIN
Journal of the Korean Medical Association 2019;62(7):376-382
Radon is a naturally occurring radioactive material classified as a carcinogen by the World Health Organization, and is known to be the factor with the second-greatest impact on lung cancer after smoking. An association between radon and lung cancer has consistently been reported in epidemiological studies on mine workers and residents of homes with indoor radon exposure. However, associations between radon and other diseases, such as leukemia and thyroid cancer, have yet to be confirmed due to a lack of consistent research findings and biological relevance. Such associations are unlikely because there is a very low likelihood that organs other than the lungs are exposed to radon upon inhalation due to the short half-life of radon and its progeny and the low permeability of alpha rays. In spring 2018, the radon bed mattress incident occurred, leading to a spike of concern and interest among the public regarding the health effects of radiation exposure. This paper presents a description of radon exposure and its health effects based on the current literature and provides practical information based on health consultations experienced following the 2018 radon mattress incident.
Alpha Particles
;
Epidemiologic Studies
;
Half-Life
;
Inhalation
;
Leukemia
;
Lung
;
Lung Neoplasms
;
Miners
;
Permeability
;
Radiation Exposure
;
Radon
;
Referral and Consultation
;
Smoke
;
Smoking
;
Thyroid Neoplasms
;
World Health Organization
4.Health effects and consultations about radon exposure
Songwon SEO ; Jin Kyu KANG ; Dalnim LEE ; Young Woo JIN
Journal of the Korean Medical Association 2019;62(7):376-382
Radon is a naturally occurring radioactive material classified as a carcinogen by the World Health Organization, and is known to be the factor with the second-greatest impact on lung cancer after smoking. An association between radon and lung cancer has consistently been reported in epidemiological studies on mine workers and residents of homes with indoor radon exposure. However, associations between radon and other diseases, such as leukemia and thyroid cancer, have yet to be confirmed due to a lack of consistent research findings and biological relevance. Such associations are unlikely because there is a very low likelihood that organs other than the lungs are exposed to radon upon inhalation due to the short half-life of radon and its progeny and the low permeability of alpha rays. In spring 2018, the radon bed mattress incident occurred, leading to a spike of concern and interest among the public regarding the health effects of radiation exposure. This paper presents a description of radon exposure and its health effects based on the current literature and provides practical information based on health consultations experienced following the 2018 radon mattress incident.
5.Increased Screening Rates for Thyroid Cancer Among Residents Living Near Nuclear Power Plants
Ga Bin LEE ; Soojin PARK ; Won Il JANG ; Sunhoo PARK ; Jae Kwan JUN ; Songwon SEO
Journal of Korean Medical Science 2023;38(44):e369-
Frequent screening for thyroid cancer has been suggested as a probable explanation for the observed high risk of thyroid cancer in nuclear power plant (NPP) areas. We aimed to compare thyroid cancer screening rates of residents living near NPPs to those of the general population. This study utilized data from two national survey-based studies in 2016 and in 2014, respectively, for residents (n = 1,200) living in administrative districts within 5 km of NPP sites as the interest group, and the general population (n = 228,712) including distantliving residents (n = 19,100) in administrative districts within 30 km of NPP sites as reference groups. We observed an increase in screening rates in residents near NPPs, which may lead to a higher possibility of thyroid cancer detection. Therefore, further epidemiological studies investigating radiation-induced thyroid cancer risk among residents near NPPs should be carefully designed and interpreted considering possible detection bias.
6.Is the Linear No-Threshold Dose-Response Paradigm Still Necessary for the Assessment of Health Effects of Low Dose Radiation?.
Ki Moon SEONG ; Songwon SEO ; Dalnim LEE ; Min Jeong KIM ; Seung Sook LEE ; Sunhoo PARK ; Young Woo JIN
Journal of Korean Medical Science 2016;31(Suppl 1):S10-S23
Inevitable human exposure to ionizing radiation from man-made sources has been increased with the proceeding of human civilization and consequently public concerns focus on the possible risk to human health. Moreover, Fukushima nuclear power plant accidents after the 2011 East-Japan earthquake and tsunami has brought the great fear and anxiety for the exposure of radiation at low levels, even much lower levels similar to natural background. Health effects of low dose radiation less than 100 mSv have been debated whether they are beneficial or detrimental because sample sizes were not large enough to allow epidemiological detection of excess effects and there was lack of consistency among the available experimental data. We have reviewed an extensive literature on the low dose radiation effects in both radiation biology and epidemiology, and highlighted some of the controversies therein. This article could provide a reasonable view of utilizing radiation for human life and responding to the public questions about radiation risk. In addition, it suggests the necessity of integrated studies of radiobiology and epidemiology at the national level in order to collect more systematic and profound information about health effects of low dose radiation.
DNA Damage/drug effects
;
Environmental Exposure
;
Humans
;
Leukemia/epidemiology/etiology
;
Neoplasms, Radiation-Induced/epidemiology
;
*Radiation Dosage
;
Radiation Tolerance
;
*Radiation, Ionizing
;
Radioactive Hazard Release
;
Risk
7.Estimates of Radiation Doses and Cancer Risk from Food Intake in Korea.
Eun Kyeong MOON ; Wi Ho HA ; Songwon SEO ; Young Woo JIN ; Kyu Hwan JEONG ; Hae Jung YOON ; Hyoung Soo KIM ; Myung Sil HWANG ; Hoon CHOI ; Won Jin LEE
Journal of Korean Medical Science 2016;31(1):9-12
The aim of this study was to estimate internal radiation doses and lifetime cancer risk from food ingestion. Radiation doses from food intake were calculated using the Korea National Health and Nutrition Examination Survey and the measured radioactivity of 134Cs, 137Cs, and 131I from the Ministry of Food and Drug Safety in Korea. Total number of measured data was 8,496 (3,643 for agricultural products, 644 for livestock products, 43 for milk products, 3,193 for marine products, and 973 for processed food). Cancer risk was calculated by multiplying the estimated committed effective dose and the detriment adjusted nominal risk coefficients recommended by the International Commission on Radiation Protection. The lifetime committed effective doses from the daily diet are ranged 2.957-3.710 mSv. Excess lifetime cancer risks are 14.4-18.1, 0.4-0.5, and 1.8-2.3 per 100,000 for all solid cancers combined, thyroid cancer, and leukemia, respectively.
Adolescent
;
Adult
;
Cesium Radioisotopes/chemistry
;
Child
;
Child, Preschool
;
*Eating
;
Food Contamination, Radioactive/*analysis
;
Humans
;
Infant
;
Infant, Newborn
;
Iodine Radioisotopes/chemistry
;
Neoplasms, Radiation-Induced/*etiology
;
Nutrition Surveys
;
Radiation Dosage
;
Republic of Korea
;
Young Adult
8.Radiation-related occupational cancer and its recognition criteria in South Korea
Songwon SEO ; Dalnim LEE ; Ki Moon SEONG ; Sunhoo PARK ; Soo Geun KIM ; Jong Uk WON ; Young Woo JIN
Annals of Occupational and Environmental Medicine 2018;30(1):9-
Ionizing radiation is a well-known carcinogen, and is listed as one carcinogenic agent of occupational cancer. Given the increase in the number of workers exposed to radiation, as well as the increase in concern regarding occupational cancer, the number of radiation-related occupational cancer claims is expected to increase. Unlike exposure assessment of other carcinogenic agents in the workplace, such as asbestos and benzene, radiation exposure is usually assessed on an individual basis with personal dosimeters, which makes it feasible to assess whether a worker's cancer occurrence is associated with their individual exposure. However, given the absence of a threshold dose for cancer initiation, it remains difficult to identify radiation exposure as the root cause of occupational cancer. Moreover, the association between cancer and radiation exposure in the workplace has not been clearly established due to a lack of scientific evidence. Therefore, criteria for the recognition of radiation-related occupational cancer should be carefully reviewed and updated with new scientific evidence and social consensus. The current criteria in Korea are valid in terms of eligible radiogenic cancer sites, adequate latent period, assessment of radiation exposure, and probability of causation. However, reducing uncertainty with respect to the determination of causation between exposure and cancer and developing more specific criteria that considers mixed exposure to radiation and other carcinogenic agents remains an important open question.
Asbestos
;
Benzene
;
Consensus
;
Humans
;
Korea
;
Radiation Exposure
;
Radiation, Ionizing
;
Uncertainty
9.Health effects of exposure to radon: implications of the radon bed mattress incident in Korea
Songwon SEO ; Wi Ho HA ; Jin Kyu KANG ; Dalnim LEE ; Soojin PARK ; Tae Eun KWON ; Young Woo JIN
Epidemiology and Health 2019;41(1):e2019004-
Radon is a naturally occurring radioactive material formed by the slow decay of uranium and thorium found in the earth's crust or construction materials. Internal exposure to radon accounts for about half of the natural background radiation dose to which humans are exposed annually. Radon is a carcinogen and is the second leading cause of lung cancer following smoking. An association between radon and lung cancer has been consistently reported in epidemiological studies on mine workers and the general population with indoor radon exposure. However, associations have not been clearly established between radon and other diseases, such as leukemia and thyroid cancer. Radiation doses are assessed by applying specific dose conversion coefficients according to the source (e.g., radon or thoron) and form of exposure (e.g., internal or external). However, regardless of the source or form of exposure, the effects of a given estimated dose on human health are identical, assuming that individuals have the same sensitivity to radiation. Recently, radiation exceeding the annual dose limit of the general population (1 mSv/yr) was detected in bed mattresses produced by D company due to the use of a monazite-based anion powder containing uranium and thorium. This has sparked concerns about the health hazards for mattress users caused by radiation exposure. In light of this event, this study presents scientific information about the assessment of radon and thoron exposure and its human implications for human health, which have emerged as a recent topic of interest and debate in society.
Background Radiation
;
Beds
;
Carcinogens
;
Construction Materials
;
Epidemiologic Studies
;
Humans
;
Korea
;
Leukemia
;
Lung Neoplasms
;
Miners
;
Radiation Exposure
;
Radon
;
Smoke
;
Smoking
;
Thorium
;
Thyroid Neoplasms
;
Uranium
10.Health effects of exposure to radon: implications of the radon bed mattress incident in Korea
Songwon SEO ; Wi Ho HA ; Jin Kyu KANG ; Dalnim LEE ; Soojin PARK ; Tae Eun KWON ; Young Woo JIN
Epidemiology and Health 2019;41(1):2019004-
Radon is a naturally occurring radioactive material formed by the slow decay of uranium and thorium found in the earth's crust or construction materials. Internal exposure to radon accounts for about half of the natural background radiation dose to which humans are exposed annually. Radon is a carcinogen and is the second leading cause of lung cancer following smoking. An association between radon and lung cancer has been consistently reported in epidemiological studies on mine workers and the general population with indoor radon exposure. However, associations have not been clearly established between radon and other diseases, such as leukemia and thyroid cancer. Radiation doses are assessed by applying specific dose conversion coefficients according to the source (e.g., radon or thoron) and form of exposure (e.g., internal or external). However, regardless of the source or form of exposure, the effects of a given estimated dose on human health are identical, assuming that individuals have the same sensitivity to radiation. Recently, radiation exceeding the annual dose limit of the general population (1 mSv/yr) was detected in bed mattresses produced by D company due to the use of a monazite-based anion powder containing uranium and thorium. This has sparked concerns about the health hazards for mattress users caused by radiation exposure. In light of this event, this study presents scientific information about the assessment of radon and thoron exposure and its human implications for human health, which have emerged as a recent topic of interest and debate in society.
Background Radiation
;
Beds
;
Carcinogens
;
Construction Materials
;
Epidemiologic Studies
;
Humans
;
Korea
;
Leukemia
;
Lung Neoplasms
;
Miners
;
Radiation Exposure
;
Radon
;
Smoke
;
Smoking
;
Thorium
;
Thyroid Neoplasms
;
Uranium