Evaluation of Radon Action Plans: Searching for a Systematic and Standardised Method.

Radon, a carcinogenic radioactive gas, is a leading cause of lung cancer according to the World Health Organization. European Member States are required to develop and implement National Radon Action Plans (RAPs) to address its dangerous health effects. However, assessing the effectiveness of these RAPs presents challenges for authorities. This study aims to explore the possibility of a systematic and standardised assessment method to evaluate the effectiveness of RAP strategies and its implementation. The method involved analysing the strategies of 27 EU Member States and the UK, conducting legal document analysis and group interviews with responsible authorities. Additionally, four regional workshops and one final European workshop were held. The research took place from March 2021 to May 2023. Findings indicate that evaluating RAP effectiveness is challenging due to limited existing common criteria or indicators. To address this, the study proposes guiding questions for each element required by the EU Directive, as well as additional questions related to education and training. This contribution benefits RAP owners and European regulatory authorities, supporting the development of effectiveness indicators for RAPs. By improving assessment methods, we can enhance the effectiveness of strategies in mitigating the risks associated with radon exposure.

Cure or Carcinogen? A Framing Analysis of European Radon Spa Websites.

Objectives: Radon, a radioactive gas, is among the leading causes of lung-cancer worldwide. While public health authorities emphasize radon's health risks, there are spas across Europe which claim health benefits of radon. This study investigates how websites of European radon spas frame radon gas, in order to understand the potential controversy between "radon as carcinogen" and "radon as cure," and its potential impact on public health interventions. Methods: A two-phased frame analysis of websites of radon spas (n = 26) situated in the European Union. Results: Five frames are identified, which present radon as a 1) source of health, 2) natural gas, 3) (non) risk, 4) luxury and 5) fountain of youth. These five partly overlapping frames are at times in clear contrast with the ways in which radon is presented in a public health context. Conclusion: Being aware of the existence and contents of radon frames, which potentially challenge or contradict public health interventions, helps responsible authorities in designing more effective campaigns and interventions.

Lifetime Carcinogenic Risk Proportions from Inhalation Exposures in Industrial and Non-Industrial Regions.

The aim of this work was to estimate the share of selected significant risk factors for respiratory cancer in the overall incidence of this disease and their comparison in two environmentally different burdened regions. A combination of a longitudinal cross-sectional population study with a US EPA health risk assessment methodology was used. The result of this procedure is the expression of lifelong carcinogenic risks and their contribution in the overall incidence of the disease. Compared to exposures to benzo[a]pyrene in the air and fibrogenic dust in the working air, several orders of magnitude higher share of the total incidence of respiratory cancer was found in radon exposures, for women 60% in the industrial area, respectively 100% in the non-industrial area, for men 24%, respectively 15%. The share of risks in workers exposed to fibrogenic dust was found to be 0.35% in the industrial area. For benzo[a]pyrene, the share of risks was below 1% and the share of other risk factors was in the monitored areas was up to 85%. The most significant share in the development of respiratory cancer in both monitored areas is represented by radon for women and other risk factors for men.

RAMESIS PROJECT: COLLABORATION WITH SCHOOLS AND INSTITUTIONS ON THE BUILDING OF A CITIZEN MONITORING NETWORK.

In a radiation emergency situation, including its post-emergency recovery phase, substantial needs for radiation measurements can be expected. In such situations, responsible authorities might not be able to satisfy all requirements for measurement. Therefore, involvement of local communities is desirable. Citizen radiation monitoring networks, established in advance as citizen science structures, can serve as a knowledge basis for later participation in self-help protective actions. The article describes the progress of citizen radiation monitoring networks being established in the Czech Republic in the frame of Radiation Monitoring Network for Institutions and Schools project. During the project launch, it has been shown that conducting radiation measurements and results processing have educational effect on students and enhance awareness among interested groups in the field of radiation protection and radiation in general. This article describes the socially oriented part of the project.

ASSOCIATION OF 210Po CONTENT IN URINE WITH CONCENTRATION OF 222Rn IN DWELLINGS.

Effect of indoor radon concentrations higher than 500 Bq m-3 in dwellings on excretion of 210Po was studied in 28 volunteers. The study was further augmented by following eight individuals from the group for 5 months at 1-month intervals. Association between 222Rn concentration in homes and 210Po excretion was found when the dataset containing values of the studied 27 subjects was combined with data on 40 Prague inhabitants from the previous study. Sources of uncertainties involved in the analysis are discussed.

Bagged neural network model for prediction of the mean indoor radon concentration in the municipalities in Czech Republic.

The purpose of the study is to determine radon-prone areas in the Czech Republic based on the measurements of indoor radon concentration and independent predictors (rock type and permeability of the bedrock, gamma dose rate, GPS coordinates and the average age of family houses). The relationship between the mean observed indoor radon concentrations in monitored areas (∼22% municipalities) and the independent predictors was modelled using a bagged neural network. Levels of mean indoor radon concentration in the unmonitored areas were predicted using the bagged neural network model fitted for the monitored areas. The propensity to increased indoor radon was determined by estimated probability of exceeding the action level of 300Bq/m3.

Radon programmes and health marketing.

Being aware of negative health effects of radon exposure, many countries aim for the reduction of the radon exposure of their population. The Czech radon programme was commenced >20 y ago. Since then experts have gathered a lot of knowledge, necessary legislation has been enacted, tens of thousands of inhabitants have been offered free measurement and subsidy for the mitigation. Despite the effort, the effectiveness of the radon programme seems to be poor. Newly built houses still exhibit elevated radon concentrations and the number of houses mitigated is very low. Is it possible to enhance the effectivity of radon programme while keeping it on a voluntary basis? One possible way is to employ health marketing that draws together traditional marketing theories and science-based strategies to prevention. The potential of using marketing principles in communication and delivery of radon information will be discussed.

Radon index of a local administrative unit.

The determination of radon-prone areas is usually based on indoor radon data and on the prognosis of the occurrence of houses exceeding the action level. However, the sample of houses in the survey must be representative and large enough, which is not easy to fulfill. Despite this, the determination of localities with high radon risk is useful not only for planning of indoor radon surveys, but also mainly for predicting the risk in newly built houses. There exist two more sources of data that can be used when assigning radon-related index to territories: soil gas radon measurements and gamma dose rate maps, both having their own inaccuracies. An attempt has been made to combine Czech indoor radon data, soil gas radon data and gamma dose rate maps for municipalities, where available. The radon-related index has been constructed by means of statistical analysis (linear regression). The equations found can be used for predicting the radon risk of the municipalities where the data sets are not large enough.

Soil gas radon, indoor radon and gamma dose rate in CZ: contribution to geostatistical methods for European atlas of natural radiations.

A comparison of Czech indoor radon data, soil gas radon data and gamma dose rate was performed on the data sets of 92,276 indoor radon measurements in existing dwellings (National Radiation Protection Institute - NRPI), database of 9500 test sites of soil gas radon measurements (Czech Geological Survey - CGS) georeferenced to levels of gamma dose rate map. Three methods were used for the study of soil gas Rn-indoor Rn relationship: (1) based on the vectorised point soil gas and indoor data related to vectorised areas of gammadose rate, (2) vectorised soil gas-indoor data based on vectorised geological units and (3) soil gas and indoor data related to grid squares 10 x 10 km2. The first and second methods seem to express the closer correlation compared with the third one, however the correlation using the third method is influenced by the representativeness of data value in the square of 100 km2 area. On the other hand, the third method can be used for the overview coverage of the continental areas with lack of input information.