Abstract

Internal, high-dose exposure with radioiodine is known to increase the risk for thyroid cancer in children and adolescents. Ingestion of contaminated food is generally regarded a dominant route of internal exposure. We analyzed the huge data set of the post-Fukushima food monitoring campaign and deployed a conservative model for the estimation of the doses to the general public in a worst-case scenario. Our data suggest that the committed equivalent ingestion doses to the thyroids of the affected Japanese public, even in the utmost conservative approach, remained below the limit on ingestion of radioiodine in foodstuffs and beverages of 50 mSv (as thyroid equivalent dose). This level of 50 mSv is also the intervention level for the administration of stable iodine, mainly after inhalation. Our study hence suggests that, based on the food data, the internal exposure of Japanese residents was too low to cause a statistically discernible increase in thyroid cancer, even if the contribution from inhalation is taken into account. The data also indicate that the governmental efforts in the food monitoring campaign were successful and cut the thyroid doses to the public by a factor of approximately 3 compared to a scenario without any monitoring.

Highlights

  • Internal, high-dose exposure with radioiodine is known to increase the risk for thyroid cancer in children and adolescents

  • Epidemiological studies have shown that more than 7000 thyroid cancer cases in children and adolescents had to be attributed to the releases from Chernobyl[3, 4] and the lack of professional response to this accident that would have been desirable: rapid evacuation, food safety campaigns, and a far-reaching stable iodine prophylaxis for the affected population

  • Since the evacuation had been completed in a timely fashion, none of the distributed iodine drugs had to be taken by the evacuees, but only by the workers on the Fukushima Daiichi nuclear power plant (FDNPP) site[13, 14]

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Summary

Thyroid Cancer Increase in Japan

High-dose exposure with radioiodine is known to increase the risk for thyroid cancer in children and adolescents. Our study suggests that, based on the food data, the internal exposure of Japanese residents was too low to cause a statistically discernible increase in thyroid cancer, even if the contribution from inhalation is taken into account. Epidemiological studies have shown that more than 7000 thyroid cancer cases in children and adolescents had to be attributed to the releases from Chernobyl[3, 4] and the lack of professional response to this accident that would have been desirable: rapid evacuation, food safety campaigns, and a far-reaching stable iodine prophylaxis for the affected population. Since contaminated food has the potential to affect a much higher fraction of the population than sole exposure from inhalation, this analysis allows a much more comprehensive risk assessment for thyroid cancer as a consequence of the Fukushima nuclear accident than sole estimates on the inhalation of contaminated air. Offers radioanalytical facilities for the checkup of home-grown or privately collected foods

Results and Discussion
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Methods
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