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RE: Re[2]: Contaminated Residential Waste from I-131 Patients



And what is your opinion of the EPA??
I'm sure there are many very conscientious employees there also.
I don't percieve the issue as the employees, but rather the bureacracy.

> -----Original Message-----
> From:	steve.rima@DOEGJPO.COM [SMTP:steve.rima@DOEGJPO.COM]
> Sent:	Friday, February 11, 2000 11:59 AM
> To:	Multiple recipients of list
> Subject:	Re[2]: Contaminated Residential Waste from I-131 Patients
> 
>      
>      Geez Carol,
>      
>      Lighten up!!! I, for one, am getting a bit tired of your nasty
> diatribes 
>      against the NRC. By now, we all know how you feel about that
> particular 
>      agency. (No, I've never worked for them or for any other branch the 
>      government, except for my Naval service long ago.) Over my 25+ year
> career, 
>      I've met some very conscientious NRC employees, along with some bad
> ones.
>      
>      Maybe I'm mistaken, but I don't believe that the NRC can dictate
> landfill 
>      limits to states. Many states have standards such as Indiana's, where
> there 
>      are detectors at landfills that try to "filter out" all radioactive 
>      material. Even if the NRC tried to come up with a scientifically
> acceptable 
>      method for allowing medical isotopes in, states are still legally
> allowed 
>      to have more conservative regulations. If this is not the case, could
> 
>      someone correct me?
>      
>      I'm definitely NOT defending such practices at landfills, but I don't
> 
>      believe we can lay blame for that problem on the NRC.
>      
>      Many RADSAFERS get upset with flames against individuals via RADSAFE.
> Let's 
>      not have a double standard where it's okay to flame government
> agencies 
>      repeatedly.
>      
>      My opinion only,
>      
>      Please direct any flames to my personal email address below
>      
>      Steven D. Rima, CHP, CSP
>      Manager, Health Physics and Industrial Hygiene
>      MACTEC-ERS, LLC
>      steve.rima@doegjpo.com
> 
> ______________________________ Reply Separator
> _________________________________
> Subject: Re: Contaminated Residential Waste from I-131 Patients
> Author:  carol marcus <csmarcus@ucla.edu> at Internet
> Date:    2/11/00 9:50 AM
> 
> 
>      At 08:21 AM 2/11/00 -0600, you wrote: 
> Dear Richard and Radsafers:
>      
> Hasn't the State of Indiana heard of a really neat invention called a 
> portable MCA?  You can actually identify radionuclides with it, instead of
> 
> trying to do it by halflife. 
>      
> The real problem, of course, is not the medical people, or the patients
> who 
> contaminate everything they touch, but with INSIGNIFICANT LEVELS of 
> contamination.  NRC took that into consideration when, after 7 years of 
> farce, finally passed the "500 mrem rule".  The problem is permitting a 
> state to make a scientifically dumb standard for trash of "zero 
> radioactivity".  That's where the problem is, and that's where it should
> be 
> fixed.  Low levels of radioactive contamination (from patient body fluids)
> 
> which are unregulated and not required to be buried in LLRW sites or
> decayed 
> out should be allowed in garbage dumps or incinerators, just as it is 
> allowed in hospitals and homes.  It merely requires the ability to
> identify 
> and estimate the activity level of medically relevant radionuclides.  This
> 
> is not at all difficult.
>      
> I really must reject the idea that because some naive and uninformed 
> bureaucrats make a scientifically nonsensical standard, that the only
> choice 
> is for the health physics, medical physics, and medical community to kill 
> themselves complying with it.  The answer is to CHANGE THE STANDARD.  It 
> would be nice if NRC did this for us, informing states of unacceptable and
> 
> unreasonable standards for low levels of contaminants unassociated with
> any 
> risk.  Alas, for years, the NRC has not had the balls or the brains to do 
> this. Not after the Commissioners and their staffs screwed up BRC big
> time. 
> There are even those at NRC who would use irrational state garbage dump 
> standards as an excuse to take away the 500 mrem rule, rather than defend 
> good science and cost-effective medicine against irrational hysteria. 
> Hopefully, the NRC Commissioners will not be so foolish, but I don't see
> them 
> making any effort to inform the nation of the basis for safe levels of 
> medical contaminants, either.
>      
> The logical end of this hysteria is to keep all radioactive patients in 
> isolated hospital rooms with dedicated plumbing until total decay of all
> the 
> radionuclides.  This is patently impossible, especially when one considers
> 
> trace contaminants that are present, such as Tc-99 with a halflife of
> about 
> 200,000 years!  The cost of even doing this for most of the radioactivity
> is 
> enormous.  I costed it out once for currently used radionuclides in
> nuclear 
> medicine without even considering the contaminants.  It went well into the
> 
> multibillions of dollars, and would effectively end nuclear medicine. 
> Considering that the average American has three nuclear medicine
> procedures 
> during his lifetime, this is going to affect a lot of people.  
>      
> So, if NRC continues to play the coward, get your state rad health group
> to 
> work with the garbage folks to fix this.  Get your professional 
> organizations to help them do so. EDUCATE people on the safety of harmless
> 
> levels of generally short or rather short-lived medical radionuclides. 
> Explain that with a "no radioactivity" policy, it is illegal to dispose of
> a 
> banana or a piece of hamburger because of K-40, for example. 
>      
> Maybe the National Academy of Sciences could get a contract to make 
> standards for garbage dumps and incinerators, as waiting for the NRC
> appears 
> to be a lost cause.  Maybe there are even better ways.  However, keeping 
> every atom out of the dump or incinerator isn't one of them.
>      
> Ciao, Carol
>      
> Carol S. Marcus, Ph.D., M.D.
> <csmarcus@ucla.edu> 
>      
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information can be accessed at http://www.ehs.uiuc.edu/~rad/radsafe.html