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Cost-benefit analyses of radon mitigation projects.

Radon is a radioactive gas that enters buildings and is known to cause lung cancer. Danish building regulation recommends simple remedial measures for radon levels between 200 and 400 Bqm(-3), and more effective methods for levels above 400 Bqm(-3). The Danish National Board of Health found that radon levels in 4.6% of the dwellings were above the reference level, and that the distribution of radon levels in Danish one-family houses is lognormal with a geometric mean of 57.7 Bqm(-3) and a geometric standard deviation of 2.28. The purpose of the paper is to present a cost-benefit analysis of a possible future governmental intervention against radon in existing Danish one-family houses. In other words, it seeks to answer the question: is it socio-economically worthwhile to avert lung cancer deaths by reducing radon levels in the most exposed dwellings? The results indicate that an intervention based on the anti-radon measures recommended by the Danish building regulation would, if implemented, avert less than 30 deaths each year. By comparison, a total of 300 people die from radon exposure annually in Denmark. The total costs exceed the valuated health benefits by euro 62 million (6% discount rate). It is concluded that it is not socio-economically favourable to reduce radon levels in existing Danish one-family houses. These results are based on a discount rate of 6%, a value of preventing a statistical fatality of euro 1.4 million, and a relatively high cost of remediation in Denmark compared to other countries. Based on the sensitivity analysis, the conclusion will be different if a discount rate of 4.3% or less is used, or if the value of preventing a statistical fatality is euro 2.54 million or higher, or if the cost of remediation is reduced.

Air Pollution, Indoor↗

Radon survey in the high natural radiation region of Niska Banja, Serbia.

A radon survey has been carried out around the town of Niska Banja (Serbia) in a region partly located over travertine formations, showing an enhanced level of natural radioactivity. Outdoor and indoor radon concentrations were measured seasonally over the whole year, using CR-39 diffusion type radon detectors. Outdoor measurements were performed at 56 points distributed over both travertine and alluvium sediment formations. Indoor radon concentrations were measured in 102 living rooms and bedrooms of 65 family houses. In about 50% of all measurement sites, radon concentration was measured over each season separately, making it possible to estimate seasonal variations, which were then used to correct values measured over different periods, and to estimate annual values. The average annual indoor radon concentration was estimated at over 1500 Bq/m3 and at about 650 Bq/m3 in parts of Niska Banja located over travertine and alluvium sediment formations, respectively, with maximum values exceeding 6000 Bq/m3. The average value of outdoor annual radon concentration was 57 Bq/m3, with a maximum value of 168 Bq/m3. The high values of indoor and outdoor radon concentrations found at Niska Banja make this region a high natural background radiation area. Statistical analysis of our data confirms that the level of indoor radon concentration depends primarily on the underlying soil and building characteristics.

Air Pollutants, Radioactive↗

The influence of geological factors on indoor radon concentrations in Norway.

Indoor radon levels in 1618 Norwegian dwellings located in different geological settings are compared with geological information. The results show a significant correlation between indoor radon levels and geological factors. Radium content and permeability of the building ground have been found to be useful indicators of indoor radon concentrations. Based on easily accessible geological data, an assessment of the radon potential of an area can be given. Areas of high radon risk in Norway include: (a) exposed bedrock with elevated levels of radium; and (b) highly permeable unconsolidated sediments derived from all rock types and moderately permeable sediments derived from rock types rich in radium. A comparison of indoor radon with house construction characteristics and ventilation habits suggests that radon concentrations in Norwegian dwellings are also influenced by ventilation system, aeration habits and floor level of the room where the measurements were carried out. The significant correlation between indoor radon levels and geological factors observed in the present investigation indicates that it is possible to outline areas of high radon risk in Norway based on geological information.

Air Pollution, Indoor↗

Origin and health risks of indoor radon.

Radon has always been a component of ground and air and it has been present in increased concentrations from the moment humans first sought shelter inside dwellings. Recent improvements in the energy efficiency of dwellings have led to increased concentrations of radon and to increased risks of lung cancer. To quantify the magnitude of this risk, well-designed epidemiological studies, including surveys of representative dwellings, are needed, and several are being implemented. In the meantime, the EPA and other agencies have offered guidance on monitoring procedures and remedial measures appropriate for the problem on indoor radon. Recent disclosures of relatively high concentrations of radon and radon decay products in homes in several parts of the country have increased public concern about the problem. More information and education are needed about the health risks of radon, the desirability of implementing monitoring procedures for radon, and about remediation measures when detected levels are above average. Educational resources are needed in communities to address local issues when they arise. These resources should include knowledgeable individuals who can work with state and county health officials to put public concerns into perspective within the local context. Physicians, other health professionals, and medical scientists have the knowledge and credentials to be these individuals. To provide health professionals with knowledge and skills to communicate with the public about the health risks of radon, the American Medical Association has prepared an authoritative report and initiated a series of regional seminars on the origin and health risks of radon.(ABSTRACT TRUNCATED AT 250 WORDS)

Air Pollutants↗

The RAGENA dynamic model of radon generation, entry and accumulation indoors.

The complexity generated by the existence of a great number of parameters and processes affecting the generation of radon in the source, its transport in the source medium, its entry into a dwelling and its accumulation in the different rooms of a dwelling has led to the development of partial models and experimental studies that are focused on a given aspect. However, in order to model radon levels and dynamics in real houses, it is necessary to take into account all the parameters and processes affecting radon levels. This is the objective of the dynamic RAGENA model of radon generation, entry and accumulation indoors. The model has been adapted to a Mediterranean climate house under dynamic conditions, and the indoor radon and soil radon dynamics have been compared to experimental results. It has been found (i) that the model gives a soil radon dynamics similar to that obtained experimentally, (ii) a remarkable model-experiment agreement indoors and (iii) that the indoor radon dynamics is given by a permanent radon entry from building materials and a dynamic removal through ventilation, which is driven by indoor-outdoor temperature differences and wind speed.

Air Movements↗

Retrospective radon assessment by means of 210Po activity measurements.

A method for retrospectively assessing the average radon concentration in a dwelling, for a period as long as 40 years or more, is described. It is based on the free penetration of radon gas into bulky spongy materials called volume traps, and subsequent trapping of radon decay products inside them. This leads to a build-up of 210Pb, a radon decay product with a half life of 22.3 years, which reaches an equilibrium with the alpha emitter 210Po, indicative of the average radon concentration over the exposure period. The stuffing of mattresses, chairs, cushions, etc. can be considered a good volume trap. A chemical separation procedure is described, transforming the volume trap into a 210Po alpha source, whose activity is determined through alpha spectroscopy. The technique has been applied in over 300 samples, retrieved from dwellings in Serbia, Germany, Norway and Sweden. The technique has proven to be very robust and reproducible. In cases where radon data were available during the exposure period of the volume trap, a remarkable agreement was found. The best volume traps appeared to be polyester sponges found in many stuffings. The major drawback is the destructive nature of the method, its major advantage is the direct relationship between the radon gas and the 210Po signal. The technique can be useful in epidemiological studies of the lung cancer risk from indoor radon, for assessing the long term radon exposure.

Air Pollutants, Radioactive↗

Indoor residential radon exposure and risk of childhood acute myeloid leukaemia.

Exposure to radon has been identified as a risk factor for lung cancer in uranium miners, but evidence of adverse health effects due to indoor radon exposure is inconsistent. Ecological studies have suggested a correlation between indoor radon levels and leukaemia incidence. We evaluated the risk associated with indoor residential radon exposure within a larger interview-based case-control study of risk factors for childhood acute myeloid leukaemia (AML). A total of 173 cases and 254 controls met the eligibility criteria, and information was collected through telephone interviews with parents and analysis of alpha-track radon detectors placed in the home for a period of 1 year. No association was observed between radon exposure and risk of AML, with adjusted odds ratios of 1.2 (95% confidence interval (CI) 0.7-1.8) for 37-100 Bq m(-3) and 1.1 (95% CI 0.6-2.0) for > 100 Bq m(-3) compared with < 37 Bq m(-3). Although there was an inverse association between radon level and AML risk among children < 2 years at diagnosis, among children > or = 2 years, AML risk was increased among those with higher radon exposure. The observed association after age 2 is most likely due to chance. Overall, there was no association between residential radon and risk of childhood AML.

Acute Disease↗

Glass-based radon-exposure assessment and lung cancer risk.

Lung cancer risk estimation in relation to residential radon exposure remains uncertain, partly as a result of imprecision in air-based retrospective radon-exposure assessment in epidemiological studies. A recently developed methodology provides estimates for past radon concentrations and involves measurement of the surface activity of a glass object that has been in a subject's dwellings through the period for exposure assessment. Such glass measurements were performed for 110 lung cancer subjects, diagnosed 1985 to 1995, and for 231 control subjects, recruited in a case-control study of residential radon and lung cancer among never-smokers in Sweden. The relative risks (with 95% confidence intervals) of lung cancer in relation to categories of surface-based average domestic radon concentration during three decades, delimited by cutpoints at 50, 80, and 140 Bq m(-3), were 1.60 (0.8 to 3.4), 1.96 (0.9 to 4.2), and 2.20 (0.9 to 5.6), respectively, with average radon concentrations below 50 Bq m(-3) used as reference category, and with adjustment for other risk factors. These relative risks, and the excess relative risk (ERR) of 75% (-4% to 430%) per 100 Bq m(-3) obtained when using a continuous variable for surface-based average radon concentration estimates, were about twice the size of the corresponding relative risks obtained among these subjects when using air-based average radon concentration estimates. This suggests that surface-based estimates may provide a more relevant exposure proxy than air-based estimates for relating past radon exposure to lung cancer risk.

Adult↗

A 2-year study of seasonal indoor radon variations in northern Virginia.

The concentrations of indoor radon in the basements of homes located in northern Virginia average about 1.4 times the first-floor radon concentrations. Basement indoor radon concentrations exhibit seasonal variations that can be related to home use patterns of the occupants. Little indoor radon difference was seen between homes that have concrete block basement walls and poured concrete basement walls, but homes that use oil or gas furnaces for heating have approximately 25% lower indoor radon than homes that use electrical heating systems. Particular geological units seem to be associated with elevated indoor radon concentrations, and several units are associated with indoor radon concentrations that exceed 4 pCi/l (the U.S. Environmental Agency "action level") at some time in more than 40% of the homes. Comparative studies between indoor radon and total gamma aeroradioactivity show that aeroradioactivity can be accurately used to estimate community radon hazards. When combined with information about the home heating system, geology and aeroradioactivity can be used to identify problem homes.

Air Pollutants, Radioactive↗

Health effects from radon-222 in drinking water in Algiers.

As part of a national programme, 222Rn in public water supply systems, private wells and in natural mineral waters has been measured in some locations of Algiers City. Radon concentration was determined by means of a passive method based on the use of electret ion chambers (EIC). The determination of radon concentration in the water samples consisted of sealing a known volume of water in a jar and measuring the airborne radon using an E-PERM (electret-passive environmental radon monitor) device. The radon concentrations in natural mineral waters were found to be the highest of all other water samples. It is found that the mean radon concentration of water samples was lower than the value of 11000 Bq m(-3) (11 Bq l(-1)) reported by the US Environmental Protection Agency. These investigations enabled a first estimate of the corresponding annual effective dose to the stomach and the lungs. It was observed that the annual effective dose resulting from direct consumption of water is far greater than that due to inhalation of radon emanating from tap water. Moreover, it is also shown that the annual effective dose due to inhalation of radon emanating from tap water and flushing water is negligible compared to the total annual dose for indoor radon in Algiers.

Algeria↗

Lung cancer deaths attributable to indoor radon exposure in West Germany.

BACKGROUND: There is substantial epidemiological and experimental evidence that exposure to radon at levels found in underground mines can cause lung cancer. Although radon levels measured in homes are normally substantially lower, there is concern about the presence of a known lung carcinogen in a residential setting. METHODS: Using national survey data on radon concentrations in homes in the former West Germany, the proportion and absolute numbers of lung cancer deaths attributable to radon are estimated. As lung cancer risk models derived directly from residential radon studies are not yet available, the risk model developed recently by Lubin et al. from a joint analysis of 11 underground miners' studies is applied. For an estimate of the impact of smoking on radon-attributable lung cancers, three different approaches are used and compared. RESULTS: Our analysis shows that after adjusting for dosimetry differences between mines and homes about 7% of all lung cancer deaths in the western part of Germany may be due to residential radon. This corresponds to a total of about 2000 deaths (95% CI: 500-8200), 400 in females and 1600 in males. Adjusting for the intermediate relationship for smoking and radon, the attributable risk is estimated to be about 4-7% for smokers and 14-22% in non-smokers. CONCLUSIONS: Our analysis basically confirms the results of former calculations with regard to the total number of lung cancer deaths attributable to radon in West Germany. However, we show that the standard practice that applies the same model to smokers and non-smokers may result in biased estimates for these groups.

Air Pollution, Indoor↗

Case-control study of childhood acute lymphoblastic leukemia and residential radon exposure.

BACKGROUND: Several ecologic analyses have shown significant positive associations between mean indoor radon concentrations and risk of leukemia at all ages (acute myeloid leukemia and chronic lymphocytic leukemia) and for children (all leukemia, acute myeloid leukemia, and acute lymphoblastic leukemia [ALL]). As part of an age-matched, case-control study of childhood ALL in the United States, we investigated the association between the incidence of ALL in children under age 15 years and indoor radon exposure. METHODS: Radon detectors were placed in current and previous homes of subjects where they resided for 6 months or longer. Children were included in analyses if radon measurements covered 70% or more of the 5-year period prior to diagnosis for case subjects (or from birth for case subjects under age 5 years) and the corresponding reference dates for control subjects. Radon levels could be estimated for 97% of the exposure period for the eligible 505 case subjects and 443 control subjects. RESULTS: Mean radon concentration was lower for case subjects (65.4 becquerels per cubic meter [Bqm(-3)]) than for control subjects (79.1 Bqm(-3)). For categories less than 37, 37-73, 74-147, and 148 or more Bqm(-3) of radon exposure, relative risks based on matched case-control pairs were 1.00, 1.22, 0.82, and 1.02, respectively, and were similar to results from an unmatched analysis. There was no association between ALL and radon exposure within subgroups defined by categories of age, income, birth order, birth weight, sex, type of residence, magnetic field exposure, parental age at the subject's birth, parental occupation, or parental smoking habits. CONCLUSIONS: In contrast to prior ecologic studies, the results from this analytic study provide no evidence for an association between indoor radon exposure and childhood ALL.

Carcinogens, Environmental↗

Study of a Greek area with enhanced indoor radon concentrations.

In this paper the focus is on Arnea Chalkidikis, an area in Greece with granitic geological background and indications of possible elevated radon concentration indoors. Data are reported of indoor radon measurements with etched track detectors and those are used for dosimetric estimations. Moreover, data are reported on soil gas and soil radon concentrations in Arnea, as well as radon and uranium concentrations in water samples. From the measured radon concentrations in water samples the contribution to the overall dose has been calculated. For a period of 1 month, indoor radon and progeny activity has also been monitored in the dwelling that has the maximum indoor radon concentration in Greece. This dwelling is in Arnea and the dose delivered to the inhabitants has been calculated. The mean annual effective dose due to indoor radon was 4.5 mSv and about 11% of this was due to the use of water. Mean soil gas concentration and soil radon concentration were (90 +/- 30) kBq m(-3) (p<0.05) and (30 +/- 5) kBq m(-3) (p<0.05) respectively. Mean uranium concentration of the water samples was (98 +/- 13) mBq l(-1) (p<0.05).

Air Pollutants, Radioactive↗

Development and management of a radon assessment strategy suitable for underground railway tunnelling projects.

The construction of underground tunnels through radon-bearing rock poses a radiation health risk to tunnelling workers from exposure to radon gas and its radioactive decay products. This paper presents the development and practical application of a radon assessment strategy suitable for the measurement of radon in tunnelling work environments in Hong Kong. The assessment strategy was successfully evaluated on a number of underground railway tunnelling projects over a 3 y period. Radon measurements were undertaken using a combination of portable radon measurement equipment and track etch detectors (TEDs) deployed throughout the tunnels. The radon gas monitoring results were used to confirm that ventilation rates were adequate or identified, at an early stage, when further action to reduce radon levels was required. Exposure dose estimates based on the TED results showed that the exposure of tunnel workers to radon did not exceed 3 mSv per annum for the duration of each project.

Air Pollutants, Radioactive↗

Spatial and temporal indoor radon variations.

This paper examines the ability of standard radon measurement protocols to predict long-term radon concentrations in houses located in the upper Midwest. It was observed that: (1) significant radon variations can occur on a spatial scale as small as a single floor; (2) radon measurements that integrate for periods less than 3 mo are reliable only to within a factor of 2 or more; and (3) contemporary, short-term measurements within existing structures may not accurately reflect past radon concentrations. Two-hundred forty-three occupied houses located in 40 towns were monitored for at least 1 y using alpha-track detectors. If lifetime radon exposure estimates need to be determined accurately, then long-term, integrating radon detectors should be placed in several rooms of each house. In radon atmospheres that may not be stable for long periods of time, it is suggested that multiple, year-long measurements or surface alpha activity measurements in combination with year-long alpha-track measurements are needed for an accurate lifetime radon assessment.

Air Pollution, Indoor↗

Estimating past exposure to indoor radon from household glass.

CR-39 plastic was attached to household glass objects to learn whether residual radioactivity from radon decay products could be measured and correlated with cumulative radon exposures over defined time periods. Such an approach could be used to increase the completeness of exposure data collected in epidemiologic studies of residential radon. Inability to estimate radon concentrations for all residences adversely effects statistical power and thus the ability to detect an effect of radon exposure on lung cancer risk. A feasibility study was performed to determine if affixing CR-39 surface monitors to selected glass, ceramic, or enameled objects provided comparable estimates of past residential radon exposure to those obtained from year-long ambient alpha track-etch measurements. The CR-39 measurements of alpha activity in the surface of selected objects correlated with ambient radon measurements (R2 = 0.48) provided that reliable information was obtained on the history and age of the objects. This technique has now been incorporated into an epidemiologic study of radon and lung cancer to more fully estimate past exposure to indoor radon.

Air Pollution, Indoor↗

Residential radon exposure and lung cancer: evidence of an urban factor in Iowa.

An ecological study of lung cancer, cigarette smoking, and radon exposure was conducted in 20 Iowa counties. County-based lung cancer incidence data for white female residents of Iowa were stratified according to radon level and smoking status. Cancer incidence data for the period 1973-1990 were obtained from the State Health Registry of Iowa. Smoking level was determined from a randomly mailed survey. Radon level was determined according to an EPA supported charcoal canister survey. Within low smoking counties, rates for all lung cancer and small cell carcinoma were significantly lower (p < 0.05) in the high radon counties relative to the medium and low radon counties. However, within high smoking counties, rates for all lung cancer, adenocarcinoma, and small cell carcinoma were significantly higher (p < 0.05) in the high radon counties relative to the low radon counties. Variations in socioeconomic data for these counties, available through the 1980 and 1990 census, did not explain these results. Lung cancer rates also were significantly increased in urban counties even after holding smoking status constant. Multivariate analyses revealed significant interactions between smoking, urbanization, radon levels, and lung cancer. The results of this hypothesis generating study will be tested in a case/control study now ongoing in Iowa. Analysis will need to include separate evaluations by smoking status, radon level, and residence in urban or rural areas for the major morphologic types of lung cancer.

Adenocarcinoma↗

Radon in outdoor air in Nevada.

Measurements of radon at 50 sites with varying geology indicate that outdoor air in Nevada is comparable to that measured nationwide by Hopper et al. (1991). The statewide median of 15 Bq m-3 (0.4 pCi L-1) is essentially the same as the nationwide median. The range is considerable: from 2.6-52 Bq m-3 (0.07-1.40 pCi L-1). Variations in these measurements can generally be correlated with different concentrations of radon in soils and uranium and its progeny in rocks. Silica-rich igneous rocks (rhyolites and granites) appear to be the main sources of high levels of radon in outdoor air in Nevada. Concentrations of radon in outdoor air generally correlate with levels of radon in soil gas. Measurements taken from heights of 0.5, 1.0, and 2.0 m above the ground suggest that radon in outdoor air reflects the local geology throughout this range of heights. Towns for which > 20% of the homes have indoor-air radon concentrations > 48 Bq m-3 (4 pCi L-1) generally have relatively high soil-gas radon, relatively high outdoor-air radon, or both.

Air Pollutants, Radioactive↗