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      Limited Internal Radiation Exposure Associated with Resettlements to a Radiation-Contaminated Homeland after the Fukushima Daiichi Nuclear Disaster

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          Abstract

          Resettlement to their radiation-contaminated hometown could be an option for people displaced at the time of a nuclear disaster; however, little information is available on the safety implications of these resettlement programs. Kawauchi village, located 12–30 km southwest of the Fukushima Daiichi nuclear power plant, was one of the 11 municipalities where mandatory evacuation was ordered by the central government. This village was also the first municipality to organize the return of the villagers. To assess the validity of the Kawauchi villagers’ resettlement program, the levels of internal Cesium (Cs) exposures were comparatively measured in returnees, commuters, and non-returnees among the Kawauchi villagers using a whole body counter. Of 149 individuals, 5 villagers had traceable levels of Cs exposure; the median detected level was 333 Bq/body (range, 309–1050 Bq/kg), and 5.3 Bq/kg (range, 5.1–18.2 Bq/kg). Median annual effective doses of villagers with traceable Cs were 1.1 x 10 -2 mSv/y (range, 1.0 x 10 -2-4.1 x 10 -2 mSv/y). Although returnees had higher chances of consuming locally produced vegetables, Cochran-Mantel-Haenszel test showed that their level of internal radiation exposure was not significantly higher than that in the other 2 groups (p=0.643). The present findings in Kawauchi village imply that it is possible to maintain internal radiation exposure at very low levels even in a highly radiation-contaminated region at the time of a nuclear disaster. Moreover, the risks for internal radiation exposure could be limited with a strict food control intervention after resettlement to the radiation-contaminated village. It is crucial to establish an adequate number of radio-contaminated testing sites within the village, to provide immediate test result feedback to the villagers, and to provide education regarding the importance of re-testing in reducing the risk of high internal radiation exposure.

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          Internal radiation exposure after the Fukushima nuclear power plant disaster.

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            Internal radiocesium contamination of adults and children in Fukushima 7 to 20 months after the Fukushima NPP accident as measured by extensive whole-body-counter surveys

            The Fukushima Dai-ichi NPP accident contaminated the soil of densely-populated regions in Fukushima Prefecture with radioactive cesium, which poses significant risks of internal and external exposure to the residents. If we apply the knowledge of post-Chernobyl accident studies, internal exposures in excess of a few mSv/y would be expected to be frequent in Fukushima. Extensive whole-body-counter surveys (n = 32,811) carried out at the Hirata Central Hospital between October, 2011 and November, 2012, however show that the internal exposure levels of residents are much lower than estimated. In particular, the first sampling-bias-free assessment of the internal exposure of children in the town of Miharu, Fukushima, shows that the 137Cs body burdens of all children (n = 1,383, ages 6–15, covering 95% of children enrolled in town-operated schools) were below the detection limit of 300 Bq/body in the fall of 2012. These results are not conclusive for the prefecture as a whole, but are consistent with results obtained from other municipalities in the prefecture, and with prefectural data.
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              Psychological and perceived health effects of the Chernobyl disaster: a 20-year review.

              The mental health impact of Chernobyl is regarded by many experts as the largest public health problem unleashed by the accident to date. This paper reviews findings reported during the 20-y period after the accident regarding stress-related symptoms, effects on the developing brain, and cognitive and psychological impairments among highly exposed cleanup workers. With respect to stress-related symptoms, the rates of depressive, anxiety (especially post-traumatic stress symptoms), and medically unexplained physical symptoms are two to four times higher in Chernobyl-exposed populations compared to controls, although rates of diagnosable psychiatric disorders do not appear to be elevated. The symptom elevations were found as late as 11 y after the accident. Severity of symptomatology is significantly related to risk perceptions and being diagnosed with a Chernobyl-related health problem. In general, the morbidity patterns are consistent with the psychological impairments documented after other toxic events, such as the atomic bombings of Hiroshima and Nagasaki, the Three Mile Island accident, and Bhopal. With respect to the developing brain of exposed children who were in utero or very young when the accident occurred, the World Health Organization as well as American and Israeli researchers have found no significant associations of radiation exposure with cognitive impairments. Cognitive impairments in highly exposed cleanup workers have been reported by Ukrainian researchers, but these findings have not been independently confirmed. A seminal study found a significant excess death rate from suicide in cleanup workers, suggesting a sizable emotional toll. Given the magnitude and persistence of the adverse mental health effects on the general population, long-term educational and psychosocial interventions should be initiated that target primary care physicians, local researchers, and high risk populations, including participants in ongoing cohort studies.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2013
                2 December 2013
                : 8
                : 12
                : e81909
                Affiliations
                [1 ]Division of Social Communication System for Advanced Clinical Research, Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo, Japan
                [2 ]Department of Radiation Protection, Soma Central Hospital, Soma, Fukushima, Japan
                [3 ]Hirata Radioactivity Inspection Center, Hirata Central Hospital, Hirata, Fukushima, Japan
                [4 ]Faculty of Policy Management, Keio University, Fujisawa, Kanagawa, Japan
                [5 ]Faculty of Environment and Information Studies, Keio University, Fujisawa, Kanazawa, Japan
                [6 ]Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan
                [7 ]Department of Physics, University of Tokyo, Bunkyo-ku, Tokyo, Japan
                [8 ]Kawauchi Village Mayor, Kawauchi Municipal Government, Kawauchi, Fukushima, Japan
                Kagoshima University Graduate School of Medical and Dental Sciences, Japan
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: MT MN YS HW YE. Performed the experiments: MN YS HW. Analyzed the data: SK TF KU AS SN RH MK. Wrote the manuscript: MT SK.

                Article
                PONE-D-13-31014
                10.1371/journal.pone.0081909
                3846705
                24312602
                92823091-6446-4e14-b819-ab1c842671c7
                Copyright @ 2013

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 30 July 2013
                : 17 October 2013
                Funding
                The authors have no support or funding to report.
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