Updated findings from the International Nuclear Workers Study (INWORKS)

Abstract

BACKGROUND Despite being a recognized carcinogen, public exposure to ionizing radiation has increased in recent decades. An update to the International Nuclear Workers Study (INWORKS) is being undertaken to strengthen direct assessments of the risks from low dose, low dose rate exposure to penetrating forms of ionizing radiation. Follow-up has been extended by 10 or more years in each partner country. METHODS We are conducting a pooled analysis of cohort mortality studies of nuclear industry workers in the United Kingdom, France, and the United States of America. Individual annual estimates of whole-body dose due to external exposure to penetrating radiation are derived from personal occupational exposure monitoring data. Vital status has been ascertained through 2012, 2014, and 2016 for workers in the United Kingdom, France, and the United States of America, respectively. RESULTS The updated pooled study includes 309,932 workers and 10.7 million person-years of observation. Over the period of follow-up, there have been 103,553 deaths observed, of which 31,009 are deaths due to cancer. CONCLUSIONS This presentation will describe the motivation for an update of the INWORKS study, the major aims of the project, and the progress that we have made to-date. We will report on a major update of this highly-influential study; the person-time in INWORKS increases by a factor of 1.3 and the number of cancer deaths increases by a factor of 1.6. The updated INWORKS analyses will provide some of the most informative direct estimates of low dose radiation risks reported to-date.