Interpreting short and medium exposure etched-track radon measurements to determine whether an action level could be exceeded.

Radon gas is naturally occurring, and can concentrate in the built environment. It is radioactive and high concentration levels within buildings, including homes, have been shown to increase the risk of lung cancer in the occupants. As a result, several methods have been developed to measure radon. The long-term average radon level determines the risk to occupants, but there is always pressure to complete measurements more quickly, particularly when buying and selling the home. For many years, the three-month exposure using etched-track detectors has been the de facto standard, but a decade ago, Phillips et al. (2003), in a DEFRA funded project, evaluated the use of 1-week and 1-month measurements. They found that the measurement methods were accurate, but the challenge lay in the wide variation in radon levels - with diurnal, seasonal, and other patterns due to climatic factors and room use. In the report on this work, and in subsequent papers, the group proposed methodologies for 1-week, 1-month and 3-month measurements and their interpretation. Other work, however, has suggested that 2-week exposures were preferable to 1-week ones. In practice, the radon remediation industry uses a range of exposure times, and further guidance is required to help interpret these results. This paper reviews the data from this study and a subsequent 4-year study of 4 houses, re-analysing the results and extending them to other exposures, particularly for 2-week and 2-month exposures, and provides comprehensive guidance for the use of etched-track detectors, the value and use of Seasonal Correction Factors (SCFs), the uncertainties in short and medium term exposures and the interpretation of results.

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.

Lung-cancer reduction from smoking cessation and radon remediation: a preliminary cost-analysis in Northamptonshire, UK.

Domestic radon levels in parts of the United Kingdom are sufficiently high as to increase the risk of lung-cancer among residents. Public health campaigns in the county of Northamptonshire, a designated radon Affected Area with 6.3% of homes having average radon levels in excess of the UK Action Level of 200 Bq m(-3), have encouraged householders to test for radon and then, if indicated to be necessary, to carry out remediation in their homes. These campaigns have been only partially successful, since to date only 40% of Northamptonshire houses have been tested, and only 15% of those householders finding raised levels have proceeded to remediate. Those who remediate have been shown to have smaller families, to be older, and to include fewer smokers than the average population, suggesting that current strategies to reduce domestic radon exposure are not reaching those most at risk. During 2004-2005, the NHS Stop-Smoking Services in Northamptonshire assisted 2847 smokers to quit to the 4-week stage, the 15% (435) of these 4-week quitters remaining quitters at 1year forming the subjects of a retrospective study considering whether smoking cessation campaigns contribute significantly to radon risk reduction. Quantitative assessment of the risk of lung-cancer among the study population, from knowledge of the individuals' age, gender, and smoking habits, together with the radon levels in their homes, demonstrates that smoking cessation programmes have significant added value in reducing the incidence of lung-cancer in radon Affected Areas, and contribute a substantially greater health benefit at a lower cost than the alternative strategy of reducing radon levels in the smokers' homes, while they remain smokers. Both radon remediation and smoking cessation programmes are very cost effective in Northamptonshire, with smoking cessation being significantly more cost effective, and these are potentially valuable programmes to drive health improvements through promotion of the uptake or environmental management for radon in the home.

Lorenz Curve and Gini coefficient: novel tools for analysing seasonal variation of environmental radon gas.

Using a methodology derived from Economics, the Lorenz Curve and Gini Coefficient are introduced as tools for investigating and quantifying seasonal variability in environmental radon gas concentration. While the Lorenz Curve presents a graphical view of the cumulative exposure during the course of the time-frame of interest, typically one year, the Gini Coefficient distils this data still further, to provide a single-parameter measure of temporal clustering. Using the assumption that domestic indoor radon concentrations show annual cyclic behaviour, generally higher in the winter months than in summer, published data on seasonal variability of domestic radon concentration levels, in various areas of the UK, Europe, Asia and North America, are analysed. The results demonstrate significantly different annual variation profiles between domestic radon concentrations in different countries and between regions within a country, highlighting the need for caution in ascribing seasonal correction factors to extended geographical areas. The underlying geography, geology and meteorology of a region have defining influences on the seasonal variability of domestic radon concentration, and some examples of potential associations between the Gini Coefficient and regional geological and geographical characteristics are proposed. Similar differences in annual variation profiles are found for soil-gas radon measured as a function of depth at a common site, and among the activity levels of certain radon progeny species, specifically (214)Bi deposited preferentially in human body-fat by decay of inhaled radon gas. Conclusions on the association between these observed measures of variation and potential underlying defining parameters are presented.

Radon remediation of a two-storey UK dwelling by active sub-slab depressurisation: effects and health implications of radon concentration distributions.

Radon concentration levels in a two-storey detached single-family dwelling in Northamptonshire, UK, were monitored continuously throughout a 5-week period during which active sub-slab depressurisation remediation measures were installed. Remediation of the property was accomplished successfully, with both the mean radon levels and the diurnal variability greatly reduced both upstairs and downstairs. Following remediation, upstairs and downstairs radon concentrations were 33% and 18% of their pre-remediation values respectively: the mean downstairs radon concentration was lower than that upstairs, with pre- and post-remediation values of the upstairs/downstairs concentration ratio, R(U/D), of 0.81 and 1.51 respectively. Cross-correlation between upstairs and downstairs radon concentration time-series indicates a time-lag of the order of 1 h or less, suggesting that diffusion of soil-derived radon from downstairs to upstairs either occurs within that time frame or forms a relatively insignificant contribution to the upstairs radon level. Cross-correlation between radon concentration time-series and the corresponding time-series for local atmospheric parameters demonstrated correlation between radon concentrations and internal/external pressure difference prior to remediation; this correlation disappears following remediation. Overall, these observations provide further evidence that radon concentration levels within a dwelling are not necessarily wholly determined by the effects of soil-gas advection, and further support the suggestion that, depending on the precise content of the building materials, upstairs radon levels, in particular, may be dominated by radon exhalation from the walls of the dwelling, especially in areas of low soil-gas radon.

Applying the Ionising Radiation Regulations to radon in the UK workplace.

As a response to the identification of a health risk from workplace radon in the UK, the Ionising Radiations Regulations include the protection of workers from excessive levels of radon. Employers are required to make risk assessments, and the interpretation of the Health and Safety Executive is that the regulations apply to workplace premises in locations already designated as Radon Affected Areas for domestic purposes, with the difference that in workplaces, it is the maximum winter radon concentration rather than the annual average which is the parameter of interest. This paper discusses the rationale behind the current regulatory environment, outlines the role and duties of Accredited Radiation Protection Advisers and summarises the strategies necessary to conform to the regulations.

A detailed evaluation of the individual health benefits arising in a domestic property following radon remediation--a case-study in Northamptonshire, U.K.

Radon gas occurs naturally in the environment with variable distribution, concentrating sufficiently in the built environment in some areas to pose a public health risk. Radon levels can be successfully reduced in affected buildings, and large-scale remediation programmes have been justified in terms of accrued costs and benefits. We present results from a house where radon levels in the main living-room and master bedroom were monitored on an hourly basis over extended periods before and after radon remediation by sub-slab depressurisation. These results were combined with results from a recent occupancy survey to estimate the health impact on occupants spending varying times in the home. Prior to remediation, mean hourly radon exposure is moderately linearly correlated (R(2)=0.66-0.78) with time spent in the house. Following remediation, correlation is significantly enhanced (R(2)=0.91-0.95), but the exposure reduction of an occupant following remediation is less than that predicted using the NRPB protocol.

Lowering the UK domestic radon Action Level to prevent more lung cancers--is it cost-effective?

Case studies have shown that radon gas can accumulate within domestic properties at sufficiently high levels that it can cause lung cancer, and recent studies have suggested that this risk remains significant below the UK domestic Action Level of 200 Bq m(-3). Raised radon levels can be reduced by engineering measures, and it has been shown that domestic radon remediation programmes in UK Affected Areas can result in reduced risks to the population and can be cost-effective. We consider here the benefits and costs of the domestic radon remediation programme in Northamptonshire, UK, and consider the implications for that programme of reducing the UK Action Level below its present value. A radon remediation programme based on an Action Level above 200 Bq m(-3) will cost less and will target those most at risk, but will be less cost-effective and will lead to higher residual dose and greater risk of cancer in the remaining population. Reducing the Action Level below 200 Bq m(-3) will prevent more cancers, but at significantly higher cost. It will also be less cost-effective, because remediation of a significant number of houses with moderate radon levels will provide only a modest health benefit to occupants. Overall, a completed radon remediation programme of the type implemented in Northamptonshire is most cost-effective for an Action Level between 200 and 300 Bq m(-3). The implications for future health policy are discussed.

Domestic radon remediation of UK dwellings by Sub-Slab Depressurisation: evidence for a baseline contribution from constructional materials.

To quantify the effectiveness of Sub-Slab Depressurisation, widely used in the United Kingdom (U.K.) to mitigate indoor radon gas levels in residential properties, a study was made of radon concentration data collected from a set of 170 homes situated in Radon Affected Areas in Northamptonshire and neighbouring counties, remediated using conventional sump/pump technology. A high incidence of satisfactory remediation outcomes was achieved, with 100% of the houses remediated demonstrating post-remediation radon concentrations below the U.K. domestic Action Level of 200 Bq m(-3), while more than 75% of the sample exhibited radon mitigation factors (defined as the ratio of radon concentrations following and prior to remediation) <0.2. Two systematic trends are identified. Firstly, absolute radon concentration reduction following remediation is directly proportional to initial radon concentration, with a mean reduction factor of 0.96 and a residual component of around 75 Bq m(-3). Secondly, houses with lower initial radon concentrations demonstrate poorer (higher) mitigation factors. These observations support a model in which the total indoor radon concentration within a dwelling can be represented by two principal components, one susceptible to mitigation by sub-slab depressurisation, the other remaining essentially unaffected. The first component can be identified with radon emanating from the subsoil and bedrock geologies, percolating through the foundations of the dwelling as a component of the soil-gas, and potentially capable of being attenuated by sub-slab depressurisation or radon-barrier remediation technologies. The second contribution can be identified with radon emanating from materials used in the construction of the dwelling with a further contribution from the natural background level, and is essentially unaffected by ground-level remediation strategies. Modelling of a multi-component radon dependency using ground-radon attenuation factors derived from the experimental data, in conjunction with typical background and structural-radon levels, yields behaviour in good agreement with the observed dependence of mitigation factor on initial radon concentration.

Health implications of radon distribution in living rooms and bedrooms in U.K. dwellings--a case study in Northamptonshire.

Environmental radon exposure of residents of domestic premises in the United Kingdom (UK) and elsewhere in Europe is estimated on the basis of the measured radon concentrations in, and the relative occupancies of, the principal living room and bedroom. While studies on radon concentration variability in the individual units in apartment blocks in various countries have been described, little data has been reported on variability in two-storey single-family dwellings, and the majority of extant studies consolidate living room and bedroom data early in the analysis. To investigate this further, detailed analysis was made of radon concentration data from a set of thirty-four homes situated in areas of Northamptonshire known to exhibit high radon levels. All homes were of typical UK construction of brick/block/stone walls under a pitched tile/slate roof. Approximately 50% of the sample were detached houses, the remainder being semi-detached (duplex) or terraced (row-house). Around 25% of the sample possessed cellars, while 12% were single-storey dwellings (bungalows), reflecting the typical incidence of this type of dwelling in England. In the two-storey homes, all monitored bedrooms were on the upper floor. Distribution of the ratios of bedroom/living room radon concentrations (BR/LR ratio) in individual properties was left-skewed (mean 0.67, median 0.73, range 0.05-1.05) with a tail extending to just above 1.0. The mean is consistent with the outcome of earlier extensive studies in England, while the variability depends principally on the characteristics of the property, and not on seasonal factors. In a small set of homes, the BR/LR ratio was anomalously low, (mean 0.3). BR/LR ratios in single-storey homes clustered around a value of 1.0, indicating that house design, rather than lifestyle, is the dominant factor in determining bedroom radon concentrations. Homes with higher mean annual radon concentrations showed lower BR/LR ratios, supporting our proposal that, in some homes, radon emanation from building materials may comprise a significant component of the overall radon level.

The value of Seasonal Correction Factors in assessing the health risk from domestic radon: a case study in Northamptonshire, UK.

Following an intensive survey of domestic radon levels in the United Kingdom (UK), the former National Radiological Protection Board (NRPB), now the Radiation Protection Division of the Health Protection Agency (HPA-RPD), established a measurement protocol and promulgated Seasonal Correction Factors applicable to the country as a whole. Radon levels in the domestic built environment are assumed to vary systematically and repeatably during the year, being generally higher in winter. The Seasonal Correction Factors therefore comprise a series of numerical multipliers, which convert a 1-month or 3-month radon concentration measurement, commencing in any month of the year, to an effective annual mean radon concentration. In a recent project undertaken to assess the utility of short-term exposures in quantifying domestic radon levels, a comparative assessment of a number of integrating detector types was undertaken, with radon levels in 34 houses on common geology monitored over a 12-month period using dose-integrating track-etch detectors exposed in pairs (one upstairs, one downstairs) at 1-month and 3-month resolution. Seasonal variability of radon concentrations departed significantly from that expected on the basis of the HPA-RPD Seasonal Correction Factor set, with year-end discontinuities at both 1-month and 3-month measurement resolutions. Following this study, monitoring with electrets was continued in four properties, with weekly radon concentration data now available for a total duration in excess of three and a half years. Analysis of this data has permitted the derivation of reliable local Seasonal Correction Factors. Overall, these are significantly lower than those recommended by HPA-RPD, but are comparable with other results from the UK and from abroad, particularly those that recognise geological diversity and are consequently prepared on a regional rather than a national basis. This finding calls into question the validity of using nationally aggregated Seasonal Correction Factors, especially for shorter exposures, and the universal applicability of these corrections is discussed in detail.

Identification of tidal and climatic influences within domestic radon time-series from Northamptonshire, UK.

Analysis of data from extended radon concentration time-series obtained from domestic and public-sector premises in the vicinity of Northampton, UK, and elsewhere, confirms that, in addition to the generally recognised climatic influences, 'Earth Tides' and 'Ocean Tidal Loading' drive periodic radon liberation via geophysically driven groundwater level variations. Regression and cross-correlation with environmental parameters showed some degree of association between radon concentration and mean temperature and rainfall. Fourier analysis of radon time-series identified periodicities of the order of 23.9 h (luni-solar diurnal, K(1)), 24.0 h (solar day, S(1)), 168 h (1 week) and 661.3 h (lunar month, M(m)), while cross-correlation with tidal strength demonstrated periodicity of the order of 14 days (lunar-solar fortnight, M(f)). These results suggest that astronomical influences, including tides, play a part in controlling radon release from the soil.

Radon mitigation in domestic properties and its health implications--a comparison between during-construction and post-construction radon reduction.

Although United Kingdom (UK) Building Regulations applicable to houses constructed since 1992 in Radon Affected Areas address the health issues arising from the presence of radon in domestic properties and specify the installation of radon-mitigation measures during construction, no legislative requirement currently exists for monitoring the effectiveness of such remediation once construction is completed and the houses are occupied. To assess the relative effectiveness of During-Construction radon reduction and Post-Construction remediation, radon concentration data from houses constructed before and after 1992 in Northamptonshire, UK, a designated Radon Affected Area, was analysed. Post-Construction remediation of 73 pre-1992 houses using conventional fan-assisted sump technology proved to be extremely effective, with radon concentrations reduced to the Action Level, or below, in all cases. Of 64 houses constructed since 1992 in a well-defined geographical area, and known to have had radon-barrier membranes installed during construction, 11% exhibited radon concentrations in excess of the Action Level. This compares with the estimated average for all houses in the same area of 17%, suggesting that, in some 60% of the houses surveyed, installation of a membrane has not resulted in reduction of mean annual radon concentrations to below the Action Level. Detailed comparison of the two data sets reveals marked differences in the degree of mitigation achieved by remediation. There is therefore an ongoing need for research to resolve definitively the issue of radon mitigation and to define truly effective anti-radon measures, readily installed in domestic properties at the time of construction. It is therefore recommended that mandatory testing be introduced for all new houses in Radon Affected Areas.

Time-integrating radon gas measurements in domestic premises: comparison of short-, medium- and long-term exposures.

To identify the most applicable technology for the short-term assessment of domestic radon levels, comparative assessments of a number of integrating detector types, including track-etch, electret and activated charcoal were undertaken. Thirty-four unremediated dwellings in a high-radon area were monitored using track-etch detectors exposed for one-month and three-month periods. In parallel, one-week measurements were made in the same homes at one-month intervals, using co-located track-etch, charcoal and electret detectors exposed simultaneously, while three of the homes were also monitored by continuous-sampling detectors at hourly intervals over extended periods. Calibration of dose-integrating devices against each other and against continuous-monitoring systems confirmed good responsivity and linearity. Although track-etch, charcoal and electret devices are suitable in principle for one-week measurements, zero-exposure offset and natural radon variability cause many one-week results to be equivocal, necessitating repetition of the measurement. One-week exposures can be reliable indicators in low-radon areas or for new properties, but in high-radon areas, the use of three-month exposures is indicated. This analysis also established confidence limits for short-term measurements.

Radon anomalies preceding earthquakes which occurred in the UK, in summer and autumn 2002.

During the course of an investigation into domestic radon levels in Northamptonshire, two hourly sampling real-time radon detectors were operated simultaneously in separate locations 2.25 km apart in Northampton, in the English East Midlands, for a 25-week period. This period of operation encompassed the period in September 2002 during which the Dudley earthquake (magnitude - 5.0) and smaller aftershocks occurred in the English West Midlands, UK. We report herein our observations regarding the occurrence of simultaneous short-period radon anomalies and their timing in relation to the Dudley, and other, earthquakes which occurred during the monitoring period. Analysis of the radon time-series reveals a short period when the two time-series displayed simultaneous in-phase short-term (6-9 h) radon anomalies prior to the main Dudley earthquake. Subsequent investigation revealed that a similar period occurred prior to another smaller but recorded earthquake in the English Channel.

The practical use of electrets in a public health radon remediation campaign.

As part of a long-term assessment of domestic radon in Northamptonshire, England, a batch of 50 commercially available electrets was deployed for nearly 1,000 exposures, individual exposure periods ranging from one to eight weeks. Responsivity was comparable with that of recently-calibrated Durridge RAD-7 continuously-monitoring equipment. Voltage history analysis indicated mean voltage decay during manufacturers' QA assessment of 0.059+/-0.026 Vday(-1), increasing to 0.114+/-0.073 Vday(-1) during storage to first use and to 0.204+/-0.49 Vday(-1) during inter-deployment storage. At a representative elevated radon concentration of 500 Bqm(-3), the resulting perturbation is 3% over a 7-day deployment; at the typical mean Northamptonshire level of 80 Bqm(-3) it approaches 22%. Each electret can be used for up to 25 measurements, which makes the technology attractive for organisational use. It is not suited for deployment by individual householders.

Analysis of the individual health benefits accruing from a domestic radon remediation programme.

Although radon can be present within buildings at sufficient levels to pose a health risk, levels can be reduced relatively easily. Recent studies on a group of radon-remediated homes, based on assessment of collective population-average risk coefficients, have estimated the benefits and cost effectiveness accruing from remediation and have confirmed that domestic remediation in UK radon Affected Areas would result in significantly reduced cancer risks to the population in those areas. Although the population-average approach used hitherto has applied occupancy and lung-cancer risk factors, these are potentially misleading in assessing discrete populations. The study reported here uses the recently developed European Community Radon Software (ECRS) to quantify individual risks in a sample of householders who remediated their homes following indications that radon levels exceeded the action level. The study proceeds from population-averaged to 'individual risk' evaluation, successfully comparing individual and collective risk assessments, and demonstrates that those who remediate are not representative of the general population. Health benefits accruing from remediation are three times lower than expected, largely because remediators are older, live in smaller households, and smoke less than the population average, leading to the conclusion that the current strategy employed in the UK is failing to target those most at risk.

Radon in the workplace: implications of studies of post-remediation monitoring.

Radon gas has been shown to cause an increased incidence of lung cancer. In affected areas, levels in the overground workplace can be sufficiently high to be a health risk and remediation is required. In the UK, the workplace Action Level is 400 Bq m(-3). The variation of radon levels in the workplace was studied both before and after remediation. In most rooms, remediation resulted in a greater reduction at night than during the working day. The dose reduction, and therefore the health benefit, to workers is less than that predicted by the drop in radon averaged over 24 h. In order to obtain a health benefit to 75% of workers in our series, the 24 h average radon level in each room must be reduced to <225 Bq m(-3). It is recommended that UK Regulatory Agencies adopt a post-remediation workplace Action Level of 225 Bq m(-3).