Dose conversion factors for radon

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Dose conversion factors for radon James Marsh, John Harrison, Margot Tirmarche, Dominique Laurier, Eric Blanchardon and François Paquet HEIR, New Mexico, May 2009

ICRP C1-task group 64 Headed by Margot Tirmarche Draft report of Radon statement From IRSN : Dominique Laurier, François Paquet (C2), Eric Blanchardon, François Lecomte(C4), Margot Tirmarche (C1) From HPA: John Harrison, James Marsh Consultants : John Boice (US), Doug Chambers (Canada), Ladislav Tomasek (Czech Republic), Francesco Bocchichio (Italy), Colin Muirhead (UK)

Structure of talk Epidemiological studies Residential studies Miner studies Dose conversions factors Epidemiological approach Dosimetry approach ICRP upper reference levels

Domestic exposure The 3 main studies of residential radon are the joint analyses of European, North American and Chinese studies. Risk of lung cancer is increasing with cumulated exposure to radon decay products risk exists at levels < 200 Bq/m 3 RR increases by about 10% per 100 Bq/m 3 increase. A 25 year exposure period was considered. if uncertainty linked to past exposure is taken into account, then this risk coefficient is higher in most studies Absolute risk for smokers is about 25 times greater compared with lifelong non smokers

Pooled residential studies Europe North America Darby et al 2005 Krewski et al 2005

Miner data - Lifetime Excess Absolute Risk (LEAR) Reference Model Background Risk x 10-4 WLM -1 ICRP (1993) Pub 65 (GSF) Pub 60, M+F 2.83 EPA (2003) BEIR VI (a) USA 5.4 Tomasek (2008) Pub 65 Pub 103, M+F 2.7 BEIR VI (b) Pub 103, M+F 5.3 Czech-French Pub 103, M+F 4.4 (a) Combination of the 2 BEIR VI risk models (b) Exposure-age-concentration risk model A lifetime excess absolute risk of 5 10-4 per WLM is proposed for radiation protection purposes.

Epidemiological approach: Dose conversion convention (Effective dose per unit exposure) ICRP Pub 65 (1993) Lung cancer risk in mines: 2.83 x 10-4 per WLM (lung mortality) ICRP Pub 60 (1991): Total detriment per unit effective dose: 5.6 x 10-2 per Sv (worker) Equating total detriment we obtain: Effective dose per WLM = detriment per unit exposure detriment per unit effective dose = 2.83 x 10-4 = 5.05 msv per WLM for workers 5.6 x 10-2

Dose conversion convention (Effective dose per unit exposure) ICRP Pub 65 (1993) dose conversion convention Compare lung cancer risk in miners 2.83 x 10-4 per WLM with total detriment from cancer and hereditary effects from Pub 60 (1991): Workers 5.6 x 10-2 per Sv 5 msv per WLM Public 7.3 x 10-2 per Sv 4 msv per WLM

Publication 60 / 103 detriment x 10-2 per Sv Publication 60 (1991) Cancer Hereditary Total Lung Total Worker 0.6 4.8 0.8 5.6 Public 0.8 6.0 1.3 7.3 Publication 103 (2007) Worker 1.2 4.1 0.1 4.2 Public 0.9 5.5 0.2 5.7

Dose conversion convention (Effective dose per unit exposure) Updated values USE revised value of 5 x 10-4 per WLM for the lung cancer risk Equating total detriment using ICRP Publication 103 values Workers 4.2 x 10-2 Sv -1 12 msv WLM -1 Public 5.7 x 10-2 Sv -1 9 msv WLM -1 -------------------------------------------- Current ICRP values ICRP 65 value: 2.8 x 10-4 per WLM (lung cancer risk) Equating total detriment using ICRP Publication 60 values Workers 5.6 x 10-2 Sv -1 5 msv WLM -1 Public 7.3 x 10-2 Sv -1 4 msv WLM -1

Decay chain Radon gas 222 Rn 3.8 d Polonium 218 Po 3 min Lead 214 Pb 27 min α Bismuth 214 Bi 20 min 214 Po α 160 µs 210 Pb 22 y

Formation of radon progeny aerosol Aerosol particle deposition Ventilation Radon progeny deposition Radon gas Radon gas

Activity size distribution of a radon progeny aerosol in a mine Relative activity 0.1 1 10 100 1000 10000 Particle diameter (nm)

Human Respiratory Tract Model (HRTM), ICRP Pub. 66 Res piratory Tract Regions ET 1 Extrathoracic ET 2 BB Bronchial Bronchiolar Alveolar interstitial bb AI

5 µm 6 10 Bronchial (BB) Wall for Dosimetry Mucus gel Cilia + Sol 30 Secretory cells 5 5 10 10 Macrophages Basal cells Lamina propria 500 Sub-epithelial tissue Alveolar-interstitium 25484

Equivalent dose to lung, H lung Equivalent dose is calculated to each of the 3 regions: H BB = ½ H bas + ½ H sec (bronchial region; airway generations 1-8) H bb (bronchiolar region; airway generations 9-15) H AI (Alveolar- Interstitial region) H lung = 0.333 H BB + 0.333 H bb 0.333 H AI Effective dose to a miner is about 13 msv WLM -1 Region Absorbed dose (mgy WLM -1 ) BB basal cells (D bas ) 5.6 bb secretory cells 12.6 (D sec ) BB ½(D bas + D sec ) 9.1 183 bb 6.1 122 AI 0.4 7 Lung 104 Equivalent dose (msv WLM -1 )

Dosimetric models and radon Effective dose msv per WLM ICRP, 1994 Marsh & Birchall, 2000 15 (home) James et al, 2004 21 (mine, home) Marsh et al, 2005 13 (mine, home) NEA, 1983 ICRP, 1987 6 (indoor) 9 (outdoor) UNSCEAR, 2000 6 (indoor/outdoor) Winkler-Heil et al, 2002 Mine Deterministic airway generation model 8 Stochastic airway generation model 9 HRTM 12

Comparison between epidemiological approach and dosimetry approach Effective dose per WLM Dosimetry, with HRTM: Mines & Homes: 13 msv WLM -1 Marsh et al. 2005 Epidemiological approach: Worker: 12 msv WLM -1, Public: 9 msv WLM -1 Good agreement It is proposed, for radiation protection purposes to calculate doses using the HRTM.

Upper Reference Levels Occupancy Upper reference levels (hours per year) Current (a) Possible y Bq m -3 y Bq m -3 WLM (b) Home 7000 600 300 1.3 Work 2000 1500 800 1.0 (a) ICRP Publication 103. (b) Equilibrium factor, F=0.4 The doubling of the estimated lung cancer risks indicate that the reference levels could be approximately halved.

Upper Reference Levels (y Bq m -3 ) Current Possible Home Work 600 1500 300 800 No final decision As a result of optimisation national authorities should set lower levels taking account of economic and societal circumstances. Doses from radon exposures above the reference level should be considered as part of occupational exposures. Exposures below reference levels should be regarded as a component of natural exposure. It is proposed, for radiation protection purposes, to calculate doses using the HRTM.

Main points Residential radon risk demonstrated to < 200 Bq / m 3 The absolute risk for current smokers is about 25 times greater than for lifelong non-smokers Revised lung cancer risk estimates based on miner data of 5 x 10-4 per WLM Risk management in homes on the basis of exposure to radon gas. Possible reduction of upper reference levels to: 300 Bq / m 3 for homes (annual) 800 Bq / m3 for work (annual) No final decision For radiation protection purposes use HRTM to calculate doses

Thank you for your attention

Sensitivity of effective dose with age, (Marsh, 2005) 14 12 ms per WLM 10 8 6 4 2 0 Adult 15 y 10 y 5 y 1 y 3 m Age Competing effects that tend to cancel out, for example: Children have lower breathing rates so this decreases intake for a given exposure Partly compensated by smaller target tissues

3000 2500 2000 1500 1000 0 500 Frequency Distribution of Effective Dose per WLM in the Home Mean: 15 msv per WLM 1 5 9 13 17 21 25 29 33 37 41 45 msv per WLM Frequency Geometric mean, GM = 13 msv per WLM GSD = 1.7