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Protection against radon-222 at home and at work. A report of a task group of the International Commission on Radiological Protection.

The Commission has used an epidemiological basis for the assessment and control of radon exposure in this report. Since all the available epidemiological studies use the quantity inhaled potential alpha energy, this has been used as the primary quantity in this report. The Commission does not recommend the use of the dosimetric human respiratory model (ICRP, 1994) for the assessment and control of radon exposures. The Commission sees practical advantages in the delineation of radon-prone areas where more buildings than usual have elevated radon levels. For dwellings, it is suggested that areas with more than 1% of buildings with radon concentrations exceeding ten times the national average concentration might be designated as radon-prone, but the choice will depend on local conditions. A similar approach might be adopted in non-residential areas. Action against radon should be focused on such radon-prone areas. The imperatives of intervention against adventitious exposure to radon in buildings are clear. Above appropriate action levels, intervention is practicable and usually more cost-effective than other investments in radiological protection. Two types of building need to be considered, dwellings and workplaces. In both cases, radon concentrations are most likely to be elevated by the ingress of soil gas from the subjacent ground. Preventive and remedial measures to avoid this circumstance are recommended. The action levels adopted should fall within the recommended range of values given in Table 7. Proven measures against radon are readily available. For remedial work, the technical procedure that is most likely to maintain the radon level to a value well below the action level should be adopted from the outset. Intervention should take place soon after the discovery of elevated levels, especially if the concentrations are substantially above the action levels adopted by the competent authority. For preventive work, construction codes and building guides should be devised that will consistently achieve low concentrations of radon in the completed buildings. In workplaces, both in buildings and underground, where the radon concentrations remain above the recommended action level after any appropriate remedial measures have been taken, the Commission's system of protection should be applied and radon should be treated in the same way as any other radioactive material at work. The relevant data on conversion coefficients are given in Table 6 and the main quantitative recommendations are summarised in Table 7. Corresponding values in historical units are given in Table 8.

Air Pollution, Indoor↗

Regulating contents and furnishings.

The criteria in the 1991 edition of the Life Safety Code are a first attempt to address the fire hazards associated with upholstered furniture and mattresses. Recognizing that the criteria do not represent a complete hazard analysis, it is anticipated that the subcommittee will continue its efforts and will evaluate the appropriateness of additional criteria. The NFPA Standards Council also has appointed a Technical Committee on Contents and Furnishings, which will meet in August 1991. This committee will have primary responsibility for developing fire hazard calculation procedures and documents that other committees can use to control the fire hazards of contents and furnishings.

Beds↗

Shielding design of a treatment room for an accelerator-based epithermal neutron irradiation facility for BNCT.

Protecting the facility personnel and the general public from radiation exposure is a primary safety concern of an accelerator-based epithermal neutron irradiation facility. This work makes an attempt at answering the questions "How much?" and "What kind?" of shielding will meet the occupational limits of such a facility. Shielding effectiveness is compared for ordinary and barytes concretes in combination with and without borated polyethylene. A calculational model was developed of a treatment room , patient "scatterer," and the epithermal neutron beam. The Monte Carlo code, MCNP, was used to compute the total effective dose equivalent rates at specific points of interest outside of the treatment room. A conservative occupational effective dose rate limit of 0.01 mSv h-1 was the guideline for this study. Conservative Monte Carlo calculations show that constructing the treatment room walls with 1.5 m of ordinary concrete, 1.2 m of barytes concrete, 1.0 m of ordinary concrete preceded by 10 cm of 5% boron-polyethylene, or 0.8 m of barytes concrete preceded by 10 cm of 5% boron-polyethylene will adequately protect facility personnel.

Boron Neutron Capture Therapy↗

Fire fatalities among children: an analysis across Philadelphia's census tracts.

OBJECTIVE: This study investigates the possible causes of high levels of residential fire deaths to children younger than 15 years of age in Philadelphia from 1989 to 2000. METHODS: The authors analyzed 246 deaths from 146 residential fires by census tract in Philadelphia using both individual level data and aggregate level data drawn from the records of the Fire Marshall's Office. Death rates by age and sex were calculated using the 1990 Census. Data on fires from official records were combined with aggregate level data by census tract from the 1990 Census and analyzed using logistic regression. Newspaper articles on the fires analyzed were used to identify residences with possible fire code violations. The authors used data from the Philadelphia Bureau of Licenses and Inspections to provide evidence of code violations. RESULTS: The statistically significant variables that resulted from the logistic regression were census tracts in the highest quartile for low income households, census tracts in the highest quartile for single-parent households with children younger than age 18, census tracts in the highest quartile for houses built before 1939, and the number of children younger than 15 years of age in a census tract. CONCLUSION: Population characteristics by census tract are useful in identifying risk factors for residential fire deaths of children. Census tracts identified as at highest risk can provide fire prevention units with opportunities to take preventative measures such as the distribution of smoke detectors, and the education of residents about the dangers of careless smoking and planning for the rescue of children in the event of a fire.

Adolescent↗

Respiratory disease in a photographer.

Reversible airways obstruction occurred in a photographer after long-term exposure (over many years) to sulfuric and acetic acid fixers. Air-exchange recommendations for darkrooms by the Building Officials Code Administration [1981] differ markedly from those recommended by the American Society of Heating, Refrigerating, and Airconditioning Engineers [1977] and the fixer manufacturer (Eastman Kodak). Use of fume hoods or rates of air-exchange higher than are required by law may be necessary to prevent symptoms and disease in certain workers.

Adult↗

Asbestos exposure of building maintenance personnel.

The exposures of building maintenance personnel and occupants to airborne asbestos fibers, and the effects of operations and maintenance programs on those exposures, continue to be an important public health issue. The subject of this investigation was a large metropolitan county with numerous public buildings which routinely conducted air sampling for asbestos. A total of 302 personal air samples in nine task categories collected during maintenance worker activities in proximity to asbestos-containing materials were analyzed; 102 environmental air samples in four task categories were also analyzed. The arithmetic means of the 8-hr time weighted average exposures for personal sampling for each task category were all below the Occupational Safety and Health Administration permissible exposure level of 0.1 fibers (f)/cc > 5 microm. The highest mean 8-hr time weighted average exposure was 0.030 f/cc > 5 microm for ceiling tile replacement. The maximum asbestos concentration during sample collection for environmental samples was 0.027 f/cc > 5 microm. All asbestos-related maintenance work was done within the framework of an Operations and Maintenance Program (OMP) which utilized both personal protective equipment and controls against fiber release/dispersion. Results are presented in association with specific OMP procedures or controls. These results support the effectiveness of using Operations and Maintenance Programs to manage asbestos in buildings without incurring unacceptable risk to maintenance workers performing maintenance tasks.

Air Pollutants↗

Shielding requirements on-site loading and acceptance testing on the Leksell gamma knife.

On August 14, 1987, the first stereotactic radiosurgical procedure using the gamma knife was performed in North America. Located in a self-contained radiosurgical suite in the basement of Presbyterian-University Hospital in Pittsburgh, Pennsylvania. This device uses 201 highly focused beams 60Co for the single-treatment closed-skull irradiation of brain lesions localized by stereotactic techniques (radiosurgery). One hundred and fifty-two patients with intracranial arteriovenous malformations or brain tumors were treated in the first year of operation. The Presbyterian University Hospital of Pittsburgh gamma knife is the first such unit in which the 60Co sources were loaded on-site. This effort required us to solve some difficult and unusual problems encountered during site preparation, delivery, and loading of the unit in a busy hospital setting. The solutions developed enabled installation and use of the gamma knife with minimal disruption of hospital activities while maintaining acceptable levels of exposure to radiation. Environmental surveys performed during the loading of the 201 radioactive sources (total, 219 TBq) confirmed that on-site loading is possible and practical. Our experience in the design, construction, and implementation of the first North American gamma knife supports the practicality and safety of on-site loading and may be of value in the planning and development of future gamma knife installations.

Brain Neoplasms↗

Regulation of in-place asbestos-containing material.

Approximately two-thirds of New York City's 800,000 buildings contain asbestos. Most of this material is damaged or deteriorating. Legislation pending in the New York City Council (Bill number 453) would require virtually all building owners to inspect for asbestos, to develop management and maintenance plans to prevent disturbance of intact material, and to provide notice of the presence of asbestos to building occupants. This paper reviews the legislation and discusses its features that have been questioned. It concludes that regulation of in-place asbestos is necessary and appropriate.

Animals↗

"Through-glass" injuries.

This prospective trial collected all cases where injuries had resulted from the hand passing through or striking glass and had been referred to a hand injury service during 1 year. Eighty-seven cases were referred and the factors relating to these injuries were examined. A record was made of the structures damaged, the surgery performed and prevailing socioeconomic factors. These injuries were very costly in terms of morbidity, surgical effort and time, with significant resource implications. The study appears to confirm other reports that current legislation on glazing safety was too long delayed and is inadequate now that it is in place.

Adolescent↗

Earthquakes and building design: a primer for the laboratory animal professional.

Earthquakes can occur in most regions of the United States, so it might be necessary to reinforce vulnerable animal facilities to better protect research animals during these unpredictable events. A risk analysis should include an evaluation of the seismic hazard risk at the proposed building site balanced against the estimated consequences of losses. Risk analysis can help in better justifying and recommending to building owners the costs of incorporating additional seismic reinforcements. The planning team needs to specify the level of post-earthquake building function that is desired in the facility, and then design the facility to it.

Animals↗

Facility planning and development in Latin America.

Since the mid-1980s, the author has been involved in the development of healthcare facilities in the Caribbean and Latin America. This article highlights his experiences to date and provides insights relative to the many challenges U.S. developers and contractors might encounter when exporting U.S. healthcare expertise to Caribbean and Latin American countries.

Architecture↗

Effect of prolonged radiation exposure on the thyroid gland of residents living in 60Co-contaminated rebar buildings.

PURPOSE: To evaluate prolonged low dose-rate gamma-exposure effects on the thyroid glands of residents living in 60Co-contaminated steel buildings. MATERIALS AND METHODS: Physical examination and ultrasonography of the thyroid, determination of thyroid function and anti-thyroid microsomal antibodies were performed for 1346 residents. Ultrasound-guided aspiration cytology was done for thyroid nodules. The study subjects were stratified by age at examination (< or = 15 and > 15 years), sex and exposure dose to the body. Dose-response data on the prevalence of various thyroid diseases were analysed by the multiple logistic regression analysis. RESULTS AND CONCLUSIONS: The prevalence of simple goitre was related to the exposure with a dose-response relationship for males of all ages, and for females of < or = 15 years. There was a biological gradient of thyroid cyst prevalence with the increase in exposure dose for females of all ages. The prevalence of elevated serum tri-iodothyronine level showed a dose-response relationship for males of < or = 15 years. A significant increase in thyroid abnormalities with dose was observed for males of all ages, and for females of < or = 15 years.

Adolescent↗