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Doctors, Patients Caught in Global Security Web involving MedicalIsotopes
I received through another list server.
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IAEA
World Atom:Press Centre
Press Releases
Staff Report
3 September 2004
Doctors, Patients Caught in Global Security
Web Medical Isotopes More Frequently Denied
International Shipment
Doctors and their patients in many countries are
facing increasing problems receiving lifesaving
isotopes for treating a range of illnesses. The
isotopes are used in nuclear medicine for diagnosis
and therapy.
A meeting of experts at the IAEA recently reviewed
the situation, finding a growing incidence of denials
or delays in international shipments of needed
radioactive material, including short-lived isotopes
used for medical diagnosis and treatment. Security and
economic issues are among concerns driving the
problems.
Most countries around the world import isotopes
commonly used in medicine, such as those used to treat
cancer, diagnose heart attacks or sterilize medical
equipment. Hospitals and clinics depend on these
international shipments to arrive on time,
particularly if the isotope has a short half-life and
must be sent by air.
Industry representatives have told the IAEA of
increasing difficulties in delivering lifesaving
isotopes that require urgent international transport.
The precise number of denials occurring worldwide is
not known.
"If an airline or other transport provider refuses to
take a shipment, or is unable to take a shipment, then
this increases the prospect of someone missing a
cancer treatment," Mr. Michael Wangler, IAEA Unit
Head, Safety of Transport of Radioactive Materials
Unit, said.
"There is a risk that if more airlines do deny,
particularly where few airlines serve key regions,
then this does raise a serious issue. It potentially
means that medical clinics and hospitals in specific
areas are at risk from being denied essential medical
supplies," Mr. Wangler said.
Shipments of medical and industrial radioactive
material are regulated by countries and the airline
industry in accordance with the IAEA´s international
Regulations for the Safe Transport of Radioactive
Material. "Radioactive material is very safely
transported, based on standards developed by the IAEA
which have been operating for 43 years. What the
current regulatory system lacks are enhanced efforts
or separate treatment to facilitate the rapid
distribution of medical isotopes when warranted," Mr.
Wangler said.
Across the globe, he said that some airlines have
policies against carrying any radioactive material. In
other instances, a country´s regulatory controls may
make it very difficult for the airlines to meet needed
requirements, creating bottlenecks that have
effectively blocked shipments. In cases involving
isotopes with short half lives - such as iodine used
to treat and detect thyroid tumours - it is rendered
useless, or if it has missed the flight and gets on
another one, its use is more limited.
The July meeting at the IAEA is part of international
fact-finding to gauge the problem, improve the flow of
information, and formulate solutions. Participating
were representatives from regulatory authorities,
producers of radioactive sources, airlines, shippers
and other transport operators, and international
organizations. Previous meetings were held in January
2004.
International transports of radioactive sources
shipped by sea were also said to be experiencing
delays and denials. This involves a wide range of
radioactive material used for everyday applications,
from pacemakers, medical equipment and electricity
generation, to improving the safety of food, checking
for hairline fractures in pipelines or controlling
disease laden insects. Recommendations and actions
stemming from the January and July meetings will go
before the IAEA´s General Conference in September 2004
for adoption.
Story Resources
o General Conference Document
http://www.iaea.org/About/Policy/GC/GC48/Documents/gc48-13.pdf
o 2004 IAEA General Conference
http://www.iaea.org/NewsCenter/Events/index.html
o Fighting Cancer Through Radiotherapy
[Broken Link]
o Nuclear Medicine
http://science.howstuffworks.com/nuclear-medicine.htm
o IAEA Transport Regulations
http://www-pub.iaea.org/MTCD/publications/PDF/Pub1098_scr.pdf
o Radiation Transport Safety
http://www-ns.iaea.org/meetings/rw-summaries/vienna-transport-safety-2003.htm
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The above may be viewed on the IAEA Web site at URL:
http://www.iaea.org/NewsCenter/News/2004/med_isotopes.html
=====
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"Everyone is ignorant, only on different subjects."
Will Rogers
-- John
John Jacobus, MS
Certified Health Physicist
e-mail: crispy_bird@yahoo.com
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