Federal Funding for Health Security in FY2016.

This article assesses US government funding in 5 domains critical to strengthening health security: biodefense programs, radiological and nuclear programs, chemical programs, pandemic influenza and emerging infectious disease programs, and multiple-hazard and preparedness programs. This year's article also highlights the emergency funding appropriated in FY2015 to enable the international and domestic response to the Ebola outbreak in West Africa.

[Medical and biological consequences of nuclear disasters]. / Medische en biologische gevolgen van kernrampen: medische stralingsrisico's overdreven; psychologische risico's onderschat.

Medical risks of radiation exaggerated; psychological risks underestimated. The discussion about atomic energy has become topical again following the nuclear accident in Fukushima. There is some argument about the gravity of medical and biological consequences of prolonged exposure to radiation. The risk of cancer following a low dose of radiation is usually estimated by linear extrapolation of the incidence of cancer among survivors of the atomic bombs dropped on Hiroshima and Nagasaki in 1945. The radiobiological linear-quadratic model (LQ-model) gives a more accurate description of observed data, is radiobiologically more plausible and is better supported by experimental and clinical data. On the basis of this model there is less risk of cancer being induced following radiation exposure. The gravest consequence of Chernobyl and Fukushima is not the medical and biological damage, but the psychological and economical impact on rescue workers and former inhabitants.

Emergency preparedness and response: compensating victims of a nuclear accident.

The 1986 tragedy at the Chernobyl Nuclear Power Plant in Ukraine motivated the entire international nuclear community to ensure that countries would, in the future, be well prepared to manage the physical, psychological and financial consequences of a serious nuclear accident. Since that event, numerous nuclear emergency preparedness and post-emergency management programmes have been established at national and international levels to ensure that appropriate mechanisms will respond to the threat, and the aftermath, of a nuclear accident. The INEX 2000 Workshop on the Indemnification of Nuclear Damage, jointly organised by the OECD/Nuclear Energy Agency and the French Government, was the first ever international programme to address the manner in which victims of a nuclear accident with trans-boundary consequences would be compensated for damage suffered before, during and after the accident. The Workshop results revealed striking differences in the compensation principles and practices implemented in the 30 participating countries, in the co-ordination measures between different public authorities within an affected state, and in the co-operative procedures between the accident state and its neighbours. All participants agreed on the need for improvement in these areas, particularly for maintaining public confidence in governments' ability to properly manage nuclear emergencies.

Radiation risk in the context of liability for injury.

It is perceived by the man in the street that low-level radiation from a nuclear facility is more dangerous than that from other practices. The radiation protection system, in particular the ALARA principle, leads to concerns that even the smallest exposure to radiation is abnormal and dangerous. Public perception of the radiation risk leads to fear in the minds of the public. A consequence of this fear itself may be damage to health in the form of psychological damage or nervous shock. The paper draws attention to the liability for damages by radiation, in particular under the common law of the UK and US, and how liability, determined by the court, is not necessarily influenced by scientific rationality. A natural conclusion may be that a claimant suffering injury of the type caused by radiation and who had been exposed to radiation, no matter how small a dose, that could be shown to come from a nuclear installation would be awarded damages against the licensee of the site of the installation unless it could be shown that the injury was predominantly caused by another source (radioactive or otherwise).

Remediation strategies for rural territories contaminated by the Chernobyl accident.

The objective of the present paper is to derive remediation strategies for rural settlements contaminated by the Chernobyl accident in which annual doses to a critical group still exceed 1 mSv. Extensive radioecological data have been collected for 70 contaminated settlements. A dose model based on these data resulted in estimates that are on average close to and a bit less than the official dose estimates ('catalogue doses') published by the responsible Ministries of Belarus, Russia and Ukraine. For eight remedial actions that can be applied on a large scale, effectiveness and costs have been assessed in light of their dependence on soil type, contamination level and on the degree of previous application of remedial actions. Remediation strategies were derived for each of the 70 settlements by choosing remedial actions with lowest costs per averted dose and with highest degree of acceptability among the farmers and local authorities until annual doses are assessed to fall below 1 mSv. The results were generalised to 11 contamination/internal-dose categories. The total numbers of rural inhabitants and privately owned cows in the three countries distributed over the categories were determined and predicted until the year 2015. Based on these data, costs and averted doses were derived for the whole affected population. The main results are (i) about 2000 Sv can be averted at relatively low costs, (ii) the emphasis on reducing external exposures should be increased, (iii) radical improvement of hay-land and meadows and application of Prussian blue to cows should be performed on a large scale if annual doses of 1 mSv are an aim to be achieved, (iv) additional remedial actions of importance are fertilising of potato fields, distribution of food monitors and restriction of mushroom consumption, and (v) for inhabitants of some settlements (in total about 8600) annual doses cannot be reduced below 1 mSv by the remedial actions considered.

Estimating the administrative cost of regulatory noncompliance: a pilot method for quantifying the value of prevention.

Routine regulatory inspections provide a valuable independent quality assurance review of radiation protection programs that ultimately serves to improve overall program performance. But when an item of non-compliance is noted, regardless of its significance or severity the ensuing notice of violation (NOV) results in an added cost to both the permit holder and the regulatory authority. Such added costs may be tangible, in the form of added work to process and resolve the NOV, or intangible, in the form of damage to organizational reputation or worker morale. If the portion of the tangible costs incurred by a regulatory agency for issuing NOVs could be quantified, the analysis could aid in the identification of agency resources that might be dedicated to other areas such as prevention. Ideally, any prevention activities would reduce the overall number of NOVs issued without impacting the routine inspection process. In this study, the administrative costs of NOV issuance and resolution was estimated by obtaining data from the professional staff of the Texas Department of Health, Bureau of Radiation Control (TDH-BRC). Based a focus group model, the data indicate that approximately $106,000 in TDH-BRC personnel resources were expended to process and resolve the 6,800 NOVs issued in Texas during 1997 inspection activities. The study's findings imply that an incremental decrease in the number of NOVs issued would result in corresponding savings of agency resources. Suggested prevention activities that might be financed through any resource savings include the dissemination of common violation data to permit holders or training for improving correspondence with regulatory agencies. The significance of this exercise is that any savings experienced by an agency could enhance permittee compliance without impacting the routine inspection process.

Dose and cost considerations for relocation after nuclear accidents.

The results of a comprehensive study of the dose and cost considerations for relocation after nuclear accidents are presented in this paper. These results include the quantification of the dependence of area affected by relocation on dose intervention level and source term, the countermeasures implementation cost-benefit estimate, as well as the application of cost-benefit analysis to optimize the dose intervention level for relocation. In order to explicitly consider the distribution of individual dose among the exposed population to determine the optimal dose intervention level for relocation, the concept of individual dose evaluation function has been introduced in the present work.

The vulnerability of the Nevada visitor economy to a repository at Yucca Mountain.

This article reviews the studies commissioned by the Nevada Nuclear Waste Project Office to estimate the economic impact of a high-level nuclear waste repository at Yucca Mountain. Case studies found that visitor impacts occur for some analogous facilities, but not for others. Assessments of behavioral intent indicate that at least some economic agents would avoid visiting Nevada under repository scenarios. A third set of studies tested the risk-aversion and negative-imagery models of visitor decision making; people avoid visiting places associated with either a significant health risk or negative imagery, but it has yet to be shown that a repository would induce these perceptions in nearby places. In sum, the NWPO-sponsored studies suggest the potential for visitor impacts, but do confirm that these effects will occur.