Relative Risk and Uranium Recovery

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Relative Risk and Uranium Recovery Presented To: National Mining Association (NMA) / Nuclear Regulatory Commission (NRC) Uranium Recovery Workshop Denver April 29, 2008 Presented By: Dr. Douglas B. Chambers 1 28 Years of Environmental Excellence SENES Consultants Limited

Outline of Presentation Radiation Doses from Natural Background Regulation of Radiation Dose from Mining and Milling Risks from Ionizing Radiation Radiation Doses from Mining and Milling Workers Members of the public Context 2

Background Levels of Radiation Natural Background 82% After BEIR VII Nuclear Fuel Cycle 1% Other (17%) - Medical X-Ray 10.3% - Nuclear Medicine 3.8% - Consumer Products 2.7% - Miscellaneous 0.2% 3

Terrestrial Gamma-Ray Exposure at 1m Above Ground 4

Generalized Geologic Radon Potential of the United States 5

Sources of Radiation Exposure to the U.S. Population Source: U.S. EPA 2005. Assessment of Variations in Radiation Exposure in the United States 6

Natural Background Radiation in the U.S. (mrem/yr) Mean Variability Cosmic 27 20-60 Gamma 28 10-80 Internal 40 30-100 Inhaled 200 20-80 Total 300 100-1000 Sources: NCRP 94, NUREG-1496 7

Relative Magnitude of Individual 18 16 14 12 10 8 6 4 2 0 Doses Effective dose (msv) Annual natural background Annual public dose limit ICRP 1 Chest x-ray 1 Abdomen x-ray Trauma CT head>pelvis Average annual dose Chernobyl contamination area 0-10 yr Average total 0-10 yr dose Chernobyl contamination area SOURCE: Fred Mettler, NCRP 2007 8

Outline of Presentation Radiation Doses from Natural Background Regulation of Radiation Dose from Mining and Milling Risks from Ionizing Radiation Radiation Doses from Mining and Milling Workers Members of the public Context 9

Radiation Dose Limits International International Commission on Radiological Protection (ICRP) United States Nuclear Regulatory Commission (NRC) Environmental Protection Agency (EPA) Mine Safety Health Administration (MSHA) 10

ICRP Recommendations Latest recommended dose limits (2007) unchanged from 1990 ICRP 60 limits Limits in terms of effective dose (msv) sum of organ doses weighted according to contribution of that organ to total health detriment resulting from whole body irradiation All occupational exposures consideredinhalation, ingestion, and external Considered equivalent to TEDE (total effective dose equivalent) in US 11

ICRP Dose Limits Workers 100 msv in 5 years In practice 20 msv/year averaged over 5 years Maximum of 50 msv in any single year not to exceed 100mSv in 5 years Public 1 msy/year Overriding Principals Justification (benefit > harm) ALARA (optimization) Note: 1mSv = 100mrem 12

U.S. NRC - 1 10 CFR Part 20 Occupational: 5 rem Public: 0.1 rem Appendix B to Part 20 gives: Annual Limit on Intake (ALI) and Derived Air Concentration (DAC) values (Table 1) Effluent Concentrations (Table 2) Total Effective Dose Equivalent (TEDE): The sum of the deep-dose equivalent (for external exposures) and the committed effective dose equivalent (for internal exposures). 13

U.S. NRC - 2 ALI s are the annual intakes of a given radionuclide by "Reference Man" which would result in either: A committed effective dose equivalent of 5 rem (stochastic ALI) A committed dose equivalent of 50 rem to an organ or tissue (non-stochastic ALI). DAC s are derived limits based on ALI s used to control exposure DAC s are radionuclide concentrations which, if inhaled or ingested continuously over the course of a year, would produce a TEDE of 0.05 rem (50 mrem or 0.5 msv). 14

U.S. NRC - 3 Table 1 Table 2 Rn-222 Class With daughters removed Oral Ingestion ALI (µci) Occupational Values ALI (µci) Effluent Concentrations Inhalation Air Water DAC (µci/ml) (µci/ml) (µci/ml) - 1E+04 4E-06 1E-08 - With daughters present - 1E+02 (or 4 WLM) 3E-08 (or 0.33WL) 1E-10-15

U.S. EPA A licensee with uranium fuel cycle operations shall comply with EPA's 40 CFR part 190 (Subpart B). Operations covered by this subpart shall be conducted in such a manner as to provide reasonable assurance that: The annual dose equivalent does not exceed 25 millirems to the whole body, 75 millirems to the thyroid, and 25 millirems to any other organ of any member of the public as the result of exposures to planned discharges of radioactive materials, radon and its daughters excepted, to the general environment from uranium fuel cycle operations and to radiation from these operations. 16

MSHA 5 rem external and, 4 WLM radon decay products But Applied Independently and Not a Sum Rule 17

Outline of Presentation Radiation Doses from Natural Background Regulation of Radiation Dose from Mining and Milling Risks from Ionizing Radiation Radiation Doses from Mining and Milling Workers Members of the public Context 18

Health Effects of Ionizing Radiation International and National Authorities rely on the work of scientific committees such as: United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR); Biological Effects of Ionizing Radiation (BEIR) Committees; National Council on Radiation Protection and Measurements (NCRP), and others for their scientific evaluation on the health effects of exposure to ionizing radiation 19

General Assembly, public & scientific community Findings UNSCEAR - Levels, effects, risks - Scientific independence Effects Risks ICRP - Protection - Philosophy - Principles & units Recommendations Data Scientific Literature, UN Member States, organizations & NGOs Levels Development FAO, IAEA, ILO, WHO, UNEP - Protection - Standards Implementation Member States 20

UNSCEAR Established by UN General Assembly resolution in 1955 Scientists from 21 UN Member States Other States & organizations provide relevant data Holds annual sessions Assess as scientific information on levels and effects of ionizing radiation Disseminates findings to UN Assembly, UN agencies, scientific community & public 21

Most Recent UNSCEAR Reports (available at unscear.org) SOURCES EFFECTS HEREDITARY EFFECTS were issued every 5-6 years 22

Dose Effect Models 23

Trends In Relative Risk With Dose (and 90% CI) For Leukaemia SOURCE: AFTER UNSCEAR, 2001 24

Trends In Relative Risk With Dose (and 90% CI) For All Malignant Neoplasms Other Than Leukaemia and Lung Cancer SOURCE: AFTER UNSCEAR, 2001 25

Relative Risk Leukaemia Mortality and Incidence SOURCE: AFTER UNSCEAR, 2001 26

Key Observations from UNSCEAR 2006 and BEIR VII Cancer risk estimates have not changed much since 1990 In general, a significant radiation effect is only detectable at doses above (about) 100 msv 27

Non-Cancer Effects (cardiovascular disease) Traditionally, effects of radiation on diseases other than cancer regarded as non-stochastic, i.e., a threshold is assumed to exist Annex focuses on recent follow-up of non-cancer endpoints in Japanese atomic bomb survivors (LSS) cohort and high-dose radiation therapy, in particular cardiovascular disease No clear evidence of risk at radiation doses below about 1 Gy 28

Dose-Response Curves for Non- Cancer Mortality (LSS 1968-1997) After UNSCEAR 2007 29

Epidemiological Studies of Radiation and Cancer Estimates of the Site-Specific Solid Cancer ERR with 90% Confidence Intervals and One-Sided P-Values for Testing the Hypothesis of No Dose Response All estimates and P-values are based on a model in which the effects of age at exposure and of attained age were fixed at the estimates for all solid cancers as a group. The light dotted vertical line at 0 corresponds to no excess risk, while the dark solid vertical line indicates the sex-averaged risk for all solid cancers. After UNSCEAR 2006 30

ICRP Risk Coefficients Latest cancer risk coefficients essentially unchanged from ICRP60 values (about 5% per Sv) Risk of heritable effects reduced 6 to 8 fold (risk now summed over two generations only extending over a very large number of generations not now considered reasonable) LNT assumed for radiation protection purposes 31

ICRP Risk Coefficients (% per Sv) Exposed Population Cancer Heritable Effects Total 2007 ICRP 60 2007 ICRP 60 2007 ICRP 60 Whole 5.5 6.0 0.2 1.3 5.7 7.3 Adult 4.1 4.8 0.1 0.8 4.2 5.6 32

Time Since Exposure *SOURCE: After Howe et al, 2005 33

Smoking is Main Cause of Lung Cancer Darby et al (2005) in a study of 13 European residential case control studies looked at combined effect of smoking and residential radon on the absolute risk of lung cancer and found that for lifetime (75 y) of exposure to 100 Bq m -3 and using the same relative risk factor of 0.16 per 100 Bq m -3 : 0.47% risk from radon to never smokers 11.6% risk from radon to smokers 34

Outline of Presentation Radiation Doses from Natural Background Regulation of Radiation Dose from Mining and Milling Risks from Ionizing Radiation Radiation Doses from Mining and Milling Workers Members of the public Context 35

Radiological Effects of Uranium Mining and Milling Uranium Mine and Mill Workers No recent data for conventional mines in US and therefore illustrate with data from Canada People who live nearby to a uranium mine or mill 36

Average Annual Radiation Dose to Underground Miners at Uranium Mines in Canada 8 Average Dose (msv) 7 6 5 4 3 2 1 Average Dose Dose radon 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 37

Average Annual Radiation Dose to Mill Workers at Uranium Mines in Canada 3 2.5 Average Dose Dose radon 2 Dose in msv 1.5 1 0.5 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 38

Average Annual Radiation Dose to Surface Personnel at Uranium Mines in Canada 0.7 0.6 Average Dose Dose radon 0.5 Dose in msv 0.4 0.3 0.2 0.1 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 39

Total Doses to Mill Workers (All doses given in mrem per year) Source Total Dose (TEDE) Comments Uranium Milling GEIS (NUREG 0706) Canada 1997 to 2004 US Natural Background 380 mrem Data for 17 U.S. uranium mills circa 1975 186 mrem Data for 3 uranium mills in Canada 296 mrem US average (NCRP 1987) 40

Dose to People Living Nearby Source Conventional Mine and Mill Annual Dose (TEDE, mrem per year) Comment 50 mrem NUREG 0706 and Chambers et. al, 1989 ISR 0.52 mrem Average of airborne releases for 3 nearest residences, NUREG 1508 Surface Workers 47 mrem Canadian Data US Natural Background 296 mrem U.S. average (NCRP 1987) 41

Outline of Presentation Radiation Doses from Natural Background Regulation of Radiation Dose from Mining and Milling Risks from Ionizing Radiation Radiation Doses from Mining and Milling Workers Members of the public Context 42

Doses from natural background 300 (200 800) mrem per year from mining and milling Workers (500-1000) mrem Public (50-100) mrem 43

Male - all causes All Ages 8.5 10-3 25-34 1.4 10-3 55-64 11.8 10-3 Male - Neoplasms All Ages 2.0 10-3 25-34 0.06 10-3 55-64 4.0 10-3 Male Accidents All Ages 0.49 10-3 25-34 0.48 10-3 55-64 0,45 10-3 Baseline Risks (NVSS 2005) 44

Risks from Radiation Lifetime risk per 1 mrem 5 10-7 (0.0005 10-3 ) 100 mrem 5 10-5 (0.05 10-3 ) 1000 mrem 5 10-4 (0.5 10-3 ) Annual risk of accidental death 0.49 10-3 Consider Risk of Lung Cancer 45

Lung Cancer Rankings by State: 2004, Male, Lung and Bronchus 46

Age-standardized Death Rates in 2004 Males: 2004 Age Standardized Death Rates per 100,000 for Cancer U.S. New Mexico Colorado Utah Arizona Total 228.3 194.8 189.7 167.4 202.3 Lung and 70.3 44.7 48.2 35.6 57.9 Bronchus a Leukemias b 9.7 8.4 9.5 8.6 8.6 Source: http://apps.nccd.cdc.gov/uscs on 24 April 2008 Notes: a) Four corner area statistically significantly lower than U.S. Average other factors (smoking prevalence, industrial pollution) may differ. b) Four corner area lower than U.S. average, but not statistically significant. 47

Study of Colorado Populations Near U Mining/Milling Operations Boice et al (Rad. Res. 2007) examined mortality rates (1950-2000) around historical mining areas (early 1900s-1980s) No statistically significant increases for any cause of death except LCs in males (associated with historical occupational exposures); no increase in females No evidence that residents experienced increased risk of death due to environmental exposures from uranium mining and milling 48