In mines Rn decay products have been classified by the
International Agency for Research on Cancer as being
carcinogenic to humans, and as a gas that can be inhaled, lung cancer is a particular concern for people exposed to elevated levels of radon for sustained periods. During the 1940s and 1950s, when safety standards requiring expensive ventilation in mines were not widely implemented, radon exposure was linked to lung cancer among non-smoking miners of uranium and other hard rock materials in what is now the Czech Republic, and later among miners from the Southwestern US and
South Australia. Despite these hazards being known in the early 1950s, this
occupational hazard remained poorly managed in many mines until the 1970s. During this period, several entrepreneurs opened former uranium mines in the US to the general public and advertised alleged health benefits from breathing radon gas underground. Health benefits claimed included relief from pain, sinus problems, asthma, and arthritis, but the government banned such advertisements in 1975, and subsequent works have debated the truth of such claimed health effects, citing the documented ill effects of radiation on the body. Since that time, ventilation and other measures have been used to reduce radon levels in most affected mines that continue to operate. In recent years, the average annual exposure of uranium miners has fallen to levels similar to the concentrations inhaled in some homes. This has reduced the risk of occupationally induced cancer from radon, although health issues may persist for those who are currently employed in affected mines and for those who have been employed in them in the past. As the relative risk for miners has decreased, so has the ability to detect excess risks among that population. . Waste from uranium mining has been allowed to settle and is exposed to the atmosphere, leading to the release of radon gas into the air and decay products into the groundwater. The release of radon may be mitigated by covering tailings with soil or clay, though other decay products may leach into
groundwater supplies. Non-uranium mines may pose higher risks of radon exposure, as workers are not continuously monitored for radiation, and regulations specific to uranium mines do not apply. A review of radon level measurements across non-uranium mines found the highest concentrations of radon in non-metal mines, such as
phosphorus and
salt mines. However, older or abandoned uranium mines without ventilation may still have extremely high radon levels. In addition to lung cancer, researchers have theorized a possible increased risk of
leukemia due to radon exposure. Empirical support from studies of the general population is inconsistent; a study of uranium miners found a correlation between radon exposure and
chronic lymphocytic leukemia, and current research supports a link between indoor radon exposure and poor health outcomes (i.e., an increased risk of lung cancer or childhood
leukemia). Legal actions taken by those involved in nuclear industries, including miners, millers, transporters, nuclear site workers, and their respective unions have resulted in compensation for those affected by radon and radiation exposure under programs such as the
compensation scheme for radiation-linked diseases (in the United Kingdom) and the
Radiation Exposure Compensation Act (in the United States).
Domestic-level exposure Radon has been considered the second leading cause of lung cancer in the United States and leading environmental cause of cancer mortality by the EPA, with the first one being
smoking. Others have reached similar conclusions for the United Kingdom Radon exposure in buildings may arise from subsurface rock formations and certain building materials (e.g., some granites). The greatest risk of radon exposure arises in buildings that are airtight, insufficiently ventilated, and have foundation leaks that allow air from the soil into basements and dwelling rooms. Radon exposure (mostly radon daughters) has been linked to lung cancer in case-control studies performed in the US, Europe and China. There are approximately 21,000 deaths per year in the US (0.0063% of a population of 333 million) due to radon-induced lung cancers. In Europe, 2% of all cancers have been attributed to radon; in
Slovenia in particular, a country with a high concentration of radon, about 120 people (0.0057% of a population of 2.11 million) die yearly because of radon. One of the most comprehensive radon studies performed in the US by epidemiologist
R. William Field and colleagues found a 50% increased lung cancer risk even at the protracted exposures at the EPA's action level of 4 pCi/L. North American and European pooled analyses further support these findings. However, the conclusion that exposure to low levels of radon leads to elevated risk of lung cancer has been disputed, and analyses of the literature point towards elevated risk only when radon accumulates indoors and in regions with thorium- and
monazite-rich soil and sand. Thoron is a minor contributor to the overall radiation dose received due to indoor radon exposure, and can interfere with Rn measurements when not taken into account. The actionable concentration of radon in a home varies depending on the organization doing the recommendation, for example, the EPA encourages that action be taken at concentrations as low as 74 Bq/m3 (2 pCi/L), and the
European Union recommends action be taken when concentrations reach 400 Bq/m3 (11 pCi/L) for old houses and 200 Bq/m3 (5 pCi/L) for new ones. On 8 July 2010, the UK's Health Protection Agency issued new advice setting a "Target Level" of 100 Bq/m3 whilst retaining an "Action Level" of 200 Bq/m3. Similar levels (as in the UK) are published by Norwegian Radiation and Nuclear Safety Authority (DSA) with the maximum limit for schools, kindergartens, and new dwellings set at 200 Bq/m3, where 100 Bq/m3 is set as the action level.
Inhalation and smoking Results from epidemiological studies indicate that the risk of lung cancer increases with exposure to residential radon. One well known potential source of error in these studies is
smoking, which is the main risk factor for lung cancer. In the US,
cigarette smoking is estimated to cause 80% to 90% of all lung cancers. Radon, like other known or suspected external risk factors for lung cancer, is a threat for smokers and former smokers. According to the EPA, the risk of lung cancer for smokers is significantly higher when they are exposed to radon due to the
synergistic effects of radon with smoking. For this population, about 62 people in a total of 1,000 will die of lung cancer, compared to 7 people in a total of 1,000 for people who have never smoked. According to Darby, there is a difference in risk for the
histological subtypes of lung cancer and radon exposure.
Small-cell lung carcinoma, which has a high correlation with smoking, has a higher risk after radon exposure. For other histological subtypes, such as
adenocarcinoma, the type that primarily affects non-smokers, the risk from radon appears to be lower. A 2008 study of radiation from post-
mastectomy radiotherapy showed that the simple models previously used to assess the combined and separate risks from radiation and smoking were in need of development. The frequently used
linear no-threshold model that describes how the body responds to and is damaged by radiation is one of these models.
Absorption and ingestion from water The
biological half-life of ingested radon ranges from 30 to 70 minutes, with 90% removal at 100 minutes. In 1999, the US
National Research Council investigated the issue of radon in drinking water. The risk associated with ingestion was considered almost negligible. The
World Health Organization (WHO) recommends a maximum water contamination level of 100 Bq/L, while the US Environmental Protection Agency recommends a maximum of 11.1 Bq/L. The WHO also advises a maximum annual dose of 1 mSv-1 induced by radon from drinking water. Water from underground sources may contain significant amounts of radon depending on the surrounding rock and soil conditions, whereas surface sources generally do not. Radon is also released from water when temperature is increased, pressure is decreased and when water is aerated. Optimum conditions for radon release and exposure in domestic living from water occurred during showering. Water with a radon concentration of 104 pCi/L can increase the indoor airborne radon concentration by 1 pCi/L under normal conditions.226Ra, where measurements of 222Rn concentration have been 1% over various continents. Although areas tested were very shallow, additional measurements in a wide variety of coastal regimes should help define the nature of 222Rn observed.
Testing and mitigation There are relatively simple tests for radon gas. In some countries these tests are methodically done in areas of known systematic hazards. Radon detection devices are commercially available. Digital radon detectors provide ongoing measurements giving both daily, weekly, short-term and long-term average readouts via a digital display. Short-term radon test devices used for initial screening purposes are inexpensive, in some cases free. There are important protocols for taking short-term radon tests and it is imperative that they be strictly followed. The kit includes a collector that the user hangs in the lowest habitable floor of the house for two to seven days. The user then sends the collector to a laboratory for analysis. Long term kits, taking collections for up to one year or more, are also available. An open-land test kit can test radon emissions from the land before construction begins. Radon levels fluctuate naturally, due to factors like transient weather conditions, so an initial test might not be an accurate assessment of a home's average radon level. Radon levels are at a maximum during the coolest part of the day when pressure differentials are greatest. • Sub-slab depressurization (soil suction) by increasing under-floor ventilation; • Improving the ventilation of the house and avoiding the transport of radon from the basement into living rooms; • Installing a radon sump system in the basement; • Installing a positive pressurization or positive supply ventilation system. According to the EPA, the method to reduce radon "...primarily used is a vent pipe system and fan, which pulls radon from beneath the house and vents it to the outside", which is also called sub-slab depressurization, active soil depressurization, or soil suction.
Positive-pressure ventilation systems can be combined with a
heat exchanger to recover energy in the process of exchanging air with the outside, and simply exhausting basement air to the outside is not necessarily a viable solution as this can actually draw radon gas into a dwelling. Homes built on a crawl space may benefit from a radon collector installed under a "radon barrier" (a sheet of plastic that covers the crawl space). For crawl spaces, the EPA states that "[a]n effective method to reduce radon levels in crawl space homes involves covering the earth floor with a high-density plastic sheet. A vent pipe and fan are used to draw the radon from under the sheet and vent it to the outdoors. This form of soil suction is called submembrane suction, and when properly applied is the most effective way to reduce radon levels in crawl space homes." == See also ==