Biological effects Radioactive contamination by definition emits ionizing radiation, which can irradiate the human body from an external or internal origin.
External irradiation This is due to radiation from contamination located outside the human body. The source can be in the vicinity of the body or can be on the skin surface. The level of health risk is dependent on duration and the type and strength of irradiation. Penetrating radiation such as gamma rays, X-rays, neutrons or beta particles pose the greatest risk from an external source. Low penetrating radiation such as alpha particles have a low external risk due to the shielding effect of the top layers of skin. See the article on
sievert for more information on how this is calculated.
Internal irradiation Radioactive contamination can be ingested into the human body if it is airborne or is taken in as contamination of food or drink, and will irradiate the body internally. The art and science of assessing internally generated radiation dose is
Internal dosimetry. The biological effects of ingested
radionuclides depend greatly on the activity, the biodistribution, and the removal rates of the radionuclide, which in turn depends on its chemical form, the particle size, and route of entry. Effects may also depend on the chemical
toxicity of the deposited material, independent of its radioactivity. Some radionuclides may be generally distributed throughout the body and rapidly removed, as is the case with
tritiated water. Some organs concentrate certain elements and hence radionuclide variants of those elements. This action may lead to much lower removal rates. For instance, the
thyroid gland takes up a large percentage of any
iodine that enters the body. Large quantities of inhaled or ingested
radioactive iodine may impair or destroy the thyroid, while other tissues are affected to a lesser extent. Radioactive iodine-131 is a common
fission product; it was a major component of the radioactivity released from the
Chernobyl disaster, leading to nine fatal cases of pediatric
thyroid cancer and
hypothyroidism. On the other hand, radioactive iodine is used in the diagnosis and treatment of many diseases of the thyroid precisely because of the thyroid's selective uptake of iodine. The radiation risk proposed by the
International Commission on Radiological Protection (ICRP) predicts that an effective dose of one
sievert (100 rem) carries a 5.5% chance of developing cancer. Such a risk is the sum of both internal and external radiation doses. The ICRP states "Radionuclides incorporated in the human body irradiate the tissues over time periods determined by their physical half-life and their biological retention within the body. Thus they may give rise to doses to body tissues for many months or years after the intake. The need to regulate exposures to radionuclides and the accumulation of radiation dose over extended periods of time has led to the definition of committed dose quantities". The ICRP further states "For internal exposure, committed effective doses are generally determined from an assessment of the intakes of radionuclides from bioassay measurements or other quantities (e.g., activity retained in the body or in daily excreta). The radiation dose is determined from the intake using recommended dose coefficients". The ICRP defines two dose quantities for individual committed dose:
Committed equivalent dose, H T(
t) is the time integral of the equivalent dose rate in a particular tissue or organ that will be received by an individual following intake of radioactive material into the body by a Reference Person, where
t is the integration time in years. This refers specifically to the dose in a specific tissue or organ, in a similar way to external equivalent dose.
Committed effective dose, E(
t) is the sum of the products of the committed organ or tissue equivalent doses and the appropriate tissue weighting factors
WT, where
t is the integration time in years following the intake. The commitment period is taken to be 50 years for adults, and to age 70 years for children. Forced evacuation from a radiological or nuclear accident may lead to social isolation, anxiety, depression, psychosomatic medical problems, reckless behavior, even suicide. Such was the outcome of the 1986
Chernobyl nuclear disaster in Ukraine. A comprehensive 2005 study concluded that "the mental health impact of Chernobyl is the largest public health problem unleashed by the accident to date". Evacuation and long-term displacement of affected populations create problems for many people, especially the elderly and hospital patients. Such great psychological danger does not accompany other materials that put people at risk of cancer and other deadly illness. Visceral fear is not widely aroused by, for example, the daily emissions from coal burning, although, as a National Academy of Sciences study found, this causes 10,000 premature deaths a year in the
US population of 317,413,000.
Medical errors leading to death in U.S. hospitals are estimated to be between 44,000 and 98,000. It is "only nuclear radiation that bears a huge psychological burden – for it carries a unique historical legacy". ==See also==