Roentgen Equivalent Man - Health Effects

Health Effects

Ionizing radiation has deterministic and stochastic effects on human health. The deterministic effects that can lead to acute radiation syndrome only occur in the case of high doses (> ~10 rad or > 0.1 Gy) and high dose rates (> ~10 rad/h or > 0.1 Gy/h). A model of deterministic risk would require different weighting factors (not yet established) than are used in the calculation of equivalent and effective dose. To avoid confusion, deterministic effects are normally compared to absorbed dose in units of rad, not rem.

Stochastic effects are those that occur randomly, such as radiation-induced cancer. The consensus of the nuclear industry, nuclear regulators, and governments, is that the incidence of cancers due to ionizing radiation can be modeled as increasing linearly with effective dose at a rate of 0.055% per rem. (5.5%/Sv) Individual studies, alternate models, and earlier versions of the industry consensus have produced other risk estimates scattered around this consensus model. There is general agreement that the risk is much higher for infants and fetuses than adults, higher for the middle-aged than for seniors, and higher for women than for men, though there is no quantitative consensus about this. There is much less data, and much more controversy, regarding the possibility of cardiac and teratogenic effects, and the modelling of internal dose.

The International Commission on Radiological Protection (ICRP) recommends limiting artificial irradiation of the public to an average of 100 mrem (1 mSv) of effective dose per year, not including medical and occupational exposures. For comparison, radiation levels inside the US United States Capitol are 85 mrem/yr (0.85 mSv/yr), close to the regulatory limit, because of the uranium content of the granite structure. According to the ICRP model, someone who spent 20 years inside the capitol building would have an extra one in a thousand chance of getting cancer, over and above any other existing risk. (20 yr X 85 mrem/yr X 0.001 rem/mrem X 0.055%/rem = ~0.1%) That "existing risk" is much higher; an average American would have a one in ten chance of getting cancer during this same 20 year period, even without any exposure to artificial radiation.

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