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Re: French Academy denounces LNT and use of collective dose [FW]
From: "Franta, Jaroslav" <frantaj@AECL.CA>
> Anyone know whether the French Academy of Medicine's statement, entitled
> "Medical Irradiation, Radioactive Waste, and Disinformation," is available
> on the internet somewhere ?
>
> Thanks
>
> Jaro
============
Jaro,
See:
http://cnts.wpi.edu/RSH/Docs/Other%20Docs/academy_of_medicine_of_france.htm
I translated "Radioactive Waste" as "Radioactivity Releases," which is more
consistent with the text.
Regards, Jim
> NUCLEONICS WEEK - December 13, 2001
> FRENCH ACADEMY DENOUNCES NEW
> LIMITS, RADIATION MISINFORMATION
>
> France's Academy of Medicine has renewed its opposition
> to a 20-milliSievert (2 rem) annual dose limit for professional
> exposures, saying such a regulation would "bring no
> health benefit while hampering operation of medical radiology
> departments by making it more difficult to develop new techniques."
> The Academy, in a new opinion issued Dec. 4, said
> France should adopt without modification the Euratom radiation
> protection directive, which sets a professional dose limit
> of 100 mSv averaged over five years and doesn't change the
> current annual exposure limit of 50 mSv.
> The French administration is in the final throes of drafting
> decrees to enact the 1996 Euratom general directive, as well
> as a 1997 directive covering rad protection in medical practices.
> The French nuclear industry, too, has railed against the
> current draft which stipulates a strict 12-month dose limit of
> 20 mSv (see related story, page 11).
> The Academy also "denounces" the use of the linear nonthreshold
> (LNT) theory to estimate the health effect of doses
> below a few milliSieverts, the order of magnitude of the variation
> in natural background radiation among French regions.
> It also condemns the use of the collective dose concept to
> estimate health effects, saying "these procedures have no
> scientific validity, even if they appear convenient for administrative
> reasons."
> The Academy's statement, entitled "Medical Irradiation,
> Radioactive Waste, and Disinformation," was signed by Guy de The,
> chairman of its public health commission, and Maurice Tubiana,
> a renowned cancer specialist. Other drafters were Andre Aurengo,
> another well-known radiotherapist, and Roland Masse,
> a former director of rad protection agency OPRI.
> They are in the forefront of French scientists combating
> what they see as the misuse of international radiation
> protection recommendations to fan public concern about the health effects of
> low doses.
> Within the French system, the Academy scientists are
> often considered to represent an extreme view and they have
> clashed on occasion with radiation protection professionals
> who appreciate the current system, including the use of the
> LNT hypothesis and collective dose, because it simplifies their lives.
> The full Academy adopted the opinion in a unanimous vote Dec. 4.
> The statement supplements one issued in October 2000
> and goes into more detail on medical irradiation. In particular,
> the Academy says that radiation protection efforts should be
> increased for medical X-rays to reduce doses for certain exams,
> such as scans for young people, and recommends further
> measures, such as more training for radiology personnel. The
> scientists say it is "unacceptable" that while medical irradiation
> represents 95% of artificial irradiation received by a
> typical Frenchman, "so few resources" are devoted to reducing
> medical doses compared to the "high funding" given to
> rad protection in power industry.
> X-rays represent an effective dose of about 1 mSv/year in
> France, compared to 2-4 mSv from natural sources. The
> Academy makes several recommendations about how to optimize
> medical doses and how to justify them, two principles
> required under the Euratom directive 97/43 that will be enacted
> into national regulations next year.
> 'Disinformation'
> But the Academy goes further to address what it considers
> "disinformation" that has been circulating recently about the
> radiological risks from nuclear waste and the health effects of
> the Chernobyl accident.
> Concerning radwaste, the Academy says that risk studies
> should give priority to isotopes not on the basis of collective
> dose, but on the basis of potential individual doses, "since
> collective doses calculated from individual doses below a few
> microSieverts can have no health significance." Besides supporting
> more epidemiological studies of people living in naturally
> high-radiation areas like India's Kerala state and of ex-USSR
> populations exposed to relatively high doses of nuclear
> and other contaminants over long periods, the doctors call for
> a "significant national effort" in France, similar to that underway
> in the U.S., to study biological mechanisms implicated in
> cellular response below 100 mSv.
> The Academy scientists assert that it is "legitimate" to
> evaluate risks from nuclear plant dismantling and waste transport,
> storage and disposal programs on the basis of what is
> known about millions of people living in high-background
> areas, since the dose levels are lower in the case of industrial
> activities and there's no difference in biological impact of
> natural or artificial radiation. They noted that no adverse
> health effects have been detected in Kerala or other high-background
> areas in studies so far.
> The doctors also say the LNT theory of dose-effect relation
> is disproven by numerous experimental and epidemiological data.
> No increase in cancer has been shown in Hiroshima
> and Nagasaki survivors at doses below 200 mSv for adults
> and 100 mSv for children, they asserted, the only "doubt"
> being for in-utero exposure where 10 mSv could be the limit.
> The Academy railed in particular against the use of the
> LNT hypothesis to evaluate risks from Chernobyl fallout
> outside the ex-USSR. It said high doses to thyroids of children
> in areas near Chernobyl (1-3 Gray average in the most-exposed
> regions) have led to about 2,000 cancers, with about
> 10 deaths so far. But "no increase in thyroid affections that
> can be attributed to Chernobyl fallout has been shown outside
> of the USSR, for example in Poland or other adjacent states," it says.
> France has been plunged for the past several months in
> a controversy over the role of Chernobyl fallout in an increase
> of thyroid cancer, among all age groups, since the 1986 accident.
> The dispute is complicated by disagreement over the
> extent of Chernobyl fallout in France and charges that authorities
> of the time hid the truth about the contamination from the
> French public and failed to take necessary countermeasures.
> Some 100 people who suffer from thyroid cancer have now
> filed suit in Paris court seeking to establish authorities' responsibility
> for their plight, and the matter has received broad publicity.
> Doctors who work with radiation say that the incidence of
> thyroid cancer has risen everywhere over the past 15 years
> thanks to widespread screening, including in areas not affected
> by Chernobyl (NW, 12 April, 1). The Academy's latest
> opinion is designed to press the point that the doses from
> Chernobyl fallout in France could only have been very low,
> given the distance from the Ukrainian reactor, and because
> such low doses haven't been shown to cause any negative
> health impacts elsewhere, they can't be held responsible for a
> perceived increase in thyroid problems in France.
> -Ann MacLachlan, Paris
>
>
>
>
>
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