High Radon Areas Research Articles

Indoor air quality, thermal comfort and ventilation in deep energy retrofitted Irish dwellings

Residential building stock energy retrofits will play a key role in EU climate actions. The impact of these retrofits on indoor air quality (IAQ) and occupant comfort needs to be assessed to inform future renovation programmes. This study evaluated IAQ and occupant satisfaction in a sample (n = 14) of deep energy retrofitted Irish residences, at least 12 months post retrofit. Measurements of PM2.5, formaldehyde, total volatile organic compounds (TVOCs), carbon monoxide, radon, and carbon dioxide were made in the main bedroom and living area over a period of two days to three months (depending on the pollutant). Temperature and humidity in most homes were within design comfort limits. Higher concentrations of all pollutants were measured in bedrooms. Only 30% of bedroom data met EN16798 Category I limits for CO2 (within 380 ppm of outdoor concentrations), suggesting that bedrooms maybe under ventilated. Median formaldehyde concentrations of 25.4 and 20.7 μg/m3 were detected in bedroom and living rooms respectively, with building materials likely being the major source. All radon data (apart from one home located in a high radon area) was less than the national reference value of 200 Bq/m3. Measured ventilation extract flow rates in most participating homes would not meet the minimum performance requirements in Irish Regulations of 2019 – introduced post completion of the retrofits in this study. Greater compliance with the ventilation requirements of retrofits and the promotion and use of low emitting construction materials are recommended.

A Potential Serum Biomarker for Screening Lung Cancer Risk in High Level Environmental Radon Areas: A Pilot Study

Radon is a major cause of lung cancer (LC) deaths among non-smokers worldwide. However, no serum biomarker for screening of LC risk in high residential radon (HRR) areas is available. Therefore, the aim of this study was to determine diagnostic values of serum carcinoembryonic antigen (CEA), cytokeratin 19 fragment (Cyfra21-1), human epididymis protein 4 (HE4), interleukin 8 (IL-8), migration inhibitory factor (MIF), tumor nuclear factor-alpha (TNF-α) and vascular endothelial growth factors (VEGF) occurring in high radon areas. Seventy-five LC non-smoker patients and seventy-five healthy controls (HC) were enrolled in this study. Among the HC groups, twenty-five HC were low residential radon (LRR) and fifty HC were HRR. Significantly higher (p < 0.0004) serum levels of CEA, Cyfra21-1, IL-8 and VEGF were found in the LC compared with the LRR and HRR groups. More importantly, significantly higher levels (p < 0.009) of serum CEA, Cyfra21-1 and IL-8 were observed in HRR compared with the LRR group. Likewise, a ROC curve demonstrated that serum CEA and Cyfra21-1 could better distinguish LC risk from HRR groups than IL-8. These results indicated that serum CEA and Cyfra21-1 were significantly increased in the HRR group and may be considered as potential biomarkers for individuals at high-risk to develop LC.

IDENTIFICATION OF NOVEL BIOMARKERS FOR LUNG CANCER RISK IN HIGH LEVELS OF RADON BY PROTEOMICS: A PILOT STUDY.

Radon is the second most important risk factor for lung cancer after tobacco smoking. In Chiang Mai, Thailand, the values of indoor radon activity concentrations are considerably higher than global average values and it is a highest level among East Asian countries. The aim of our study is to identify novel biomarkers for lung cancer risk in high radon areas using a proteomic approach. In our transitional study, a total of 81 participants of non-smokers were examined, consist of 25 lung cancer patients (LC), 16 healthy controls from low levels of natural radiation areas (LLNRA) and 40 healthy controls from high levels of natural radiation areas (HLNRA). The results showed that a total of 799 differentially expressed proteins were identified. Among these, a total of 25 proteins were observed in both LC and HLNRA, but not in LINRA. Owing to the results obtained from this study, we also point out the research direction regarding the validation of some new candidate protein as a biomarker to screen population with high risk for lung cancer in the area with high levels of radon.

REVIEW OF RADON AND THORON RESEARCH IN KENYA: 1997-2017.

Six research studies involving radon and thoron in Kenya were carried out between 1997 and 2007. The studies were mainly small scale and involved a few areas scattered across Nairobi, Rift Valley, Coast and Western regions. The results were captured in seven online journal articles. This paper relooks at the journal articles with the view of underscoring the high radon and thoron areas in Kenya, raising awareness on the sources and risks of radon isotopes in indoor environments and highlighting the need for more research on the isotopes in the country.

An assessment of the effectiveness of UK building regulations for new homes in Radon Affected Areas

Radon, a naturally occurring radioactive gas generated underground by radioactive decay of nuclides contained in certain types of rocks, can concentrate inside buildings, where it poses the second-largest risk factor for lung cancer, after smoking. The highest concentrations of domestic radon in the UK occur in the south-western counties of Devon and Cornwall, but certain areas in Northamptonshire and surrounding counties in the English Midlands also have high levels. It has been shown that it is possible both to reduce the radon concentrations in existing houses and to build new homes with appropriate protection. Since 1999, the UK's Building Regulations have specified that all new homes should be built with a combined radon-proof/damp-proof membrane plus, in Radon Affected Areas, a sump under the building. However, the building regulations do not require that the radon level is measured once the house is built and so there is little information on the effectiveness of these measures. Builders generally do not mention radon, and when asked, just confirm that their houses are built to current standards.To better understand the efficacy or otherwise of the currently mandated radon-protection measures, a cross-sectional investigation was carried out in 26 new housing developments in high-radon areas in Northamptonshire. In a targeted mail-shot, 1056 householders were invited to apply for a free radon test; 124 replied (11.7%). In total, 94 pairs of detectors were returned (70.1% of responders), of which two were spoiled, giving a total of 92 results.Following processing and seasonal correction, the arithmetic mean radon concentration in the target houses was 45% of the arithmetic mean radon concentration in existing houses in the postcode sectors where the houses were built and were approximately log-normally distributed. No results exceeded the UK Action Level of 200 Bq. m−3 but three were above the Target Level of 100 Bq. m−3.The results suggest that the radon-proof membranes in general ensure that radon concentrations in new homes constructed in accordance with the Building Regulations in Radon Affected Areas (RAAs) are satisfactorily low. However, there is a very small statistical probability that levels in a small number of homes will be close to or above the Action Level, particularly in areas of high radon potential. As a result, the Public Health England (PHE) recommendation for testing in the first year of occupation should be adopted as a legal requirement.

DISTRIBUTION OF RADON GAS IN ROMANIAN SHOW CAVES AND RADIATION SAFETY.

In many countries, caves can pose an economic interest for the authorities and stakeholders. The development of a show cave requires, apart from the conservation issues, to ensure the human safety by minimising the exposure to radon for cave personnel and visitors. Radon levels can vary widely from cave to cave, being directly correlated with different internal and external factors. It is therefore important to monitor radon levels before establishing the number of personnel required, so that they are not exposed to health-threatening levels of radiation. A long-term radon survey was carried out for this purpose in five show caves of Romania. The study pointed out the existence of high-radon potential areas inside the caves with concentrations reaching up to 4024 Bqm-3, thus posing radiological hazard to cave personnel and researchers who develop activities underground. Further research focused on personal dosimetry will be necessary for an efficient management of occupational risk.

High Radon Areas and lung cancer prevalence: Evidence from Ireland

This paper examined the relationship between radon risk and lung cancer prevalence using a novel dataset combining spatially-coded survey data with a radon risk map. A logit model was employed to test for significant associations between a high risk of indoor radon and lung cancer prevalence using data on 5590 people aged 50+ from The Irish Longitudinal Study on Ageing (TILDA) and radon risk data from Ireland's Environmental Protection Agency (EPA). The use of data at the individual level allowed a wide range of potentially confounding factors (such as smoking) to be included. Results indicate that those who lived in an area in which 10%–20% of households were above the national reference level (200 Bq/m3) were 2.9–3.1 times more likely to report a lung cancer diagnosis relative to those who lived in areas in which less than 1% of households were above the national reference level.

Update of Ireland's national average indoor radon concentration – Application of a new survey protocol

In 2002, a National Radon Survey (NRS) in Ireland established that the geographically weighted national average indoor radon concentration was 89 Bq m−3. Since then a number of developments have taken place which are likely to have impacted on the national average radon level. Key among these was the introduction of amending Building Regulations in 1998 requiring radon preventive measures in new buildings in High Radon Areas (HRAs). In 2014, the Irish Government adopted the National Radon Control Strategy (NRCS) for Ireland. A knowledge gap identified in the NRCS was to update the national average for Ireland given the developments since 2002. The updated national average would also be used as a baseline metric to assess the effectiveness of the NRCS over time.A new national survey protocol was required that would measure radon in a sample of homes representative of radon risk and geographical location. The design of the survey protocol took into account that it is not feasible to repeat the 11,319 measurements carried out for the 2002 NRS due to time and resource constraints. However, the existence of that comprehensive survey allowed for a new protocol to be developed, involving measurements carried out in unbiased randomly selected volunteer homes. This paper sets out the development and application of that survey protocol. The results of the 2015 survey showed that the current national average indoor radon concentration for homes in Ireland is 77 Bq m−3, a decrease from the 89 Bq m−3 reported in the 2002 NRS. Analysis of the results by build date demonstrate that the introduction of the amending Building Regulations in 1998 have led to a reduction in the average indoor radon level in Ireland.

High radon areas in the Walloon region of Belgium.

Indoor radon data from Southern Belgium are organised in 35 geological units (GUs), most of which are homogeneous with respect to the radon risk. The percentage of cases above the reference level (400 Bq m(-3); 300 Bq m(-3) in the future) is calculated for these GUs from the observations and from the log-normal distribution fitted to the data. Affected areas are defined as areas with more than 1 % of houses above the reference level. In the north of the region, the old Palaeozoic basement is generally covered by Silesian, Cretaceous and Tertiary rocks, which are unaffected. The affected areas here are hot spots associated with specific Palaeozoic outcrops. In the south, there is generally no cover above Palaeozoic formations, which are often radon affected. The affected areas of Ardenne and Condroz dominate this part, but unaffected areas occur like Famenne and Gaume. About 48 % of the Walloon region is expected to be radon affected.

Radon mapping strategies in Austria.

According to current European and international recommendations (e.g. by IAEA, WHO and European Union), countries shall identify high radon areas. In Austria, this task was initiated already in the early 1990s, which yielded the first Austrian Radon Potential Map. This map is still in use, updated with recent indoor radon data in 2012. The map is based on radon gas measurements in randomly selected dwellings, normalised to a standard situation. To meet the current (legal) requirements, uncertainties in the existing Austrian radon map should be reduced. A new indoor radon survey with a different sampling strategy was started, and possible mapping methods are studied and tested. In this paper, the methodology for the existing map as well as the planned strategies to improve this map is discussed.

Differences in Lung Cancer Mortality Trends From 1986–2012 By Radon Risk Areas in British Columbia, Canada

Residential exposure to radon gas is associated with increased risk of lung cancer, especially in smokers. Most evidence about the health effects of radon has been derived from meta-analyses on global epidemiologic studies, but administrative data can help public health authorities to explore the local impacts. Eighty health units in British Columbia (BC), Canada, were classified as having low, moderate, or high radon risk using more than 3,800 residential measurements. Vital statistics records were used to identify deaths due to lung cancer and to all natural causes. The annual ratio of lung cancer mortality to all natural mortality was plotted for the 1986-2012 study period for each radon classification. Visualizations were stratified by gender and by smoking prevalence. The overall ratio increased throughout the study period in high radon areas and remained stable in low and moderate radon areas. The increase was most pronounced for females, especially when plots were stratified by smoking prevalence. These limited but interesting findings confirm that radon is one risk factor for lung cancer mortality in BC and that its effects differ across gender and smoking strata. The results would be strengthened by replication, and more rigorous methods are required to assess other contributing factors.

Radon measurement and mitigation activity in Finland.

Radon prevention, measurement and mitigation activities have been increasing in Finland during the 2000s. Nowadays, many municipal authorities, especially those located in high-radon areas, require radon prevention measures. This has activated radon measurements. Owners of new houses having radon piping installed under the floor slab are the most active group to measure and reduce the found high-radon values. Their radon awareness is apparently better than on the average, and the existing piping makes it easier and cheaper to reduce the radon levels. Local campaigns involving invitation flyers mailed to the residents have been a cost-effective means to activate measurements of older houses. So far 116,611 dwellings in low-rise residential buildings have been measured. At least 15% of the 16,860 dwellings found to exceed the reference level of 400 Bq m(-3) had their indoor radon level reduced below that.

Geographic variation in radon and associated lung cancer risk in Canada.

Radon is an important risk factor for lung cancer. Here we use maps of the geographic variation in radon to estimate the lung cancer risk associated with living in high radon areas of Canada. Geographic variation in radon was estimated using two mapping methods. The first used a Health Canada survey of 14,000 residential radon measurements aggregated to health regions, and the second, radon risk areas previously estimated from geology, sediment geochemistry and aerial gamma-ray spectrometry. Lung cancer risk associated with living in these radon areas was examined using a population-based case-control study of 2,390 lung cancer cases and 3,507 controls collected from 1994-1997 in eight Canadian provinces. Residential histories over a 20-year period were used in combination with the two mapping methods to estimate ecological radon exposures. Hierarchical logistic regression analyses were used to estimate odds ratios for lung cancer incidence, after adjusting for a comprehensive set of individual and geographic covariates. Across health regions in Canada, significant variation in average residential radon concentrations (range: 16-386 Bq/m3) and in high geological-based radon areas (range: 0-100%) is present. In multivariate models, a 50 Bq/m3 increase in average health region radon was associated with a 7% (95% CI: -6-21%) increase in the odds of lung cancer. For every 10 years that individuals lived in high radon geological areas, the odds of lung cancer increased by 11% (95% CI: 1-23%). These findings provide further evidence that radon is an important risk factor for lung cancer and that risks are unevenly distributed across Canada.

The cost effectiveness of radon reduction programmes in domestic housing in England and Wales: The impact of improved radon mapping and housing trends

In the UK, excessive levels of radon gas have been detected in domestic housing. Areas where 1% of existing homes were found to be over the Action Level of 200Bq·m−3 were declared to be Radon Affected Areas. Building Regulations have been introduced which require that, for areas where between 3% and 10% of existing houses are above the Action Level, new homes should be built with basic radon protection using a membrane, and that, where 10% or more of existing homes exceed this level, new homes should be built with full radon protection.Initially these affected areas followed administrative boundaries, known as Counties. However, with increasing numbers of measurements of radon levels in domestic homes recorded in the national database, these areas have been successively refined into smaller units – 5km grid squares in 1999, down to 1km grid squares in 2007.One result is the identification of small areas with raised radon levels within regions where previously no problem had been identified. In addition, some parts of areas that were previously considered radon affected are now considered low, or no, risk. Our analysis suggests that the net result of improved mapping is to increase the number of affected houses. Further, the process is more complex for local builders, and inspectors, who need to work out whether radon protection in new homes is appropriate.Our group has assessed the cost-effectiveness of radon remediation programmes, and has applied this analysis to consider the cost-effectiveness of providing radon protection in both new and existing homes. This includes modelling the potential failure rate of membranes, and whether testing radon levels in new homes is appropriate. The analysis concludes that it is more cost effective to provide targeted radon protection in high radon areas, although this introduces more complexity.The paper also considers the trend in housing to a greater proportion of apartments, the regional variations in types of housing and the decreasing average number of occupants in each dwelling, and concludes that data and methods are now available to respond to the health risks of radon at a local level, in keeping with a general initiative to prioritise responses to health and social welfare issues at a more local level.

The effectiveness of radon preventive and remedial measures in Irish homes

It is estimated that approximately 100 000 Irish homes have radon concentrations above the reference level of 200 Bq m−3. To minimise the number of new homes with this problem, building regulations require that all new homes built since July 1998 in high radon areas are installed with radon barriers during construction. Measurements on local authority homes in a number of high radon areas have allowed the impact of these new regulations to be assessed. In County Cork a reduction of up to 70% in the mean radon concentration was observed in homes built since 1998 relative to those built before this date. A reduction in both the number of homes exceeding the reference level and the maximum concentration measured in homes was also measured. Homes exceeding the reference level were remediated with the use of an active sump. The results of this remedial work are also presented and show that the mean reduction in radon concentration achieved was 92%.

An investigation into the knowledge and attitudes towards radon testing among residents in a high radon area

The aim of this study was to investigate the knowledge and attitudes of residents in the Castleisland area to radon. Castleisland in Co. Kerry was described as a high radon area following the discovery of a house in the area with radon levels 245 times that of the national reference level. Residents in this area were then asked to measure their homes for radon in the Castleisland radon survey. The uptake of this measurement was 17%. In order to investigate this response rate further, a questionnaire was designed and distributed to residents in the Castleisland area. This questionnaire measured the testing history of the participants, the reasons for testing/not testing, the factors important to them when considering having their home tested, radon knowledge and finally intentions to measure their home for radon. It was found that the main reason people do not test their home for radon is that they believe their home does not have a problem. Optimistic bias was thought to play a role here. The subjective norm component of the theory of planned behaviour was found to have a significant independent contribution in the variation in intentions to measure one’s home for radon and this in turn could be targeted to increase uptake of radon measurement in the future.

The use of volunteer radon measurements for radon mapping purposes: an examination ofsampling bias issues

National and regional radon surveys are used in many nations to produce mapsdetailing the spatial variation of indoor radon concentrations. National surveyswhich are designed to be representative use either a geographically-weighted or apopulation-weighted sampling scheme. Additionally, many countries collect alarge number of data on indoor radon concentrations from volunteers who havechosen to have the indoor radon concentration measured in their own dwellings.This work examines the representativeness of volunteer-based samples in radonmeasurement and explores the effect of potential volunteer bias on radon mapping results.We also investigate the influence that media attention has on volunteer sampling ofindoor radon concentrations. The result of our work indicates that volunteermeasurements are biased due to over-sampling of high radon areas. Consequently suchvolunteer radon measurements should not be used for radon mapping purposes.

Experimental study of effectiveness of four radon mitigation solutions, based on underground depressurization, tested in prototype housing built in a high radon area in Spain

The present paper discusses the results of an empirical study of four approaches to reducing indoor radon concentrations based on depressurization techniques in underground sumps. The experiments were conducted in prototype housing built in an area of Spain where the average radon concentration at a depth of 1 m is 250 kBq m −3. Sump effectiveness was analysed in two locations: underneath the basement, which involved cutting openings into the foundation, ground storey and roof slabs, and outside the basement walls, which entailed digging a pit alongside the building exterior. The effectiveness of both sumps was likewise tested with passive and forced ventilation methods. The systems proved to be highly efficient, lowering radon levels by 91–99%, except in the solution involving passive ventilation and the outside sump, where radon levels were reduced by 53–55%. At wind speeds of over 8 m/s, however, passive ventilation across an outside sump lowered radon levels by 95% due to a Venturi effect induced drop in pressure.

Measurement of indoor radon concentration and actual effective dose estimation of schools at high radon area in Korea

On the basis of previous survey results of indoor radon for schools, detailed radon survey was conducted in one hundred three selected schools in Korea during the second semester in 2010. According to the results of effective dose assessment due to inhaled radon of during occupancy time, fourteen schools for requiring urgent mitigation action were selected, and recommended to the government.

Evaluation and equity audit of the domestic radon programme in England

The UK has a radon programme to limit the radon risk to health. This involves advice on protective measures in new buildings, technical guidance on their installation, encouragement of radon measurements and remediation in existing dwellings in high radon areas. We have audited the radon programme at the level of individual homes to identify factors that influence the likelihood of remediation. 49% of the householders responded to our survey and 30% of the respondents stated that they had done some remediation to reduce the indoor radon levels. We found that householders with higher incomes and higher socio-economic status are more likely than others to remediate. Householders are less likely to remediate if they have one of the following: living in a property with a high radon concentration, current smokers in the dwelling, being unemployed or an unskilled worker, long length of time living in that property or elderly (65+ years) living by themselves. Householders appeared to be more likely to remediate if they considered the information on radon and its risk to be very clear and useful. This emphasises the importance of communication with householders.