What about the workers? An update.

IF 1.4 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES
Richard Wakeford
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Abstract

Epidemiological studies of nuclear industry workers are of substantial importance to understanding the risk of cancer consequent to low-level exposure to radiation, and these studies should provide vital evidence for the construction of the international system of radiological protection. Recent studies involve large numbers of workers and include health outcomes for workers who accumulated moderate (and even high) doses over prolonged periods while employed during the earlier years of the nuclear industry. The interpretation of the findings of these recent studies has proved to be disappointingly difficult. There are puzzling patterns of results involving the period of first employment and monitoring for radionuclide intakes, depending on the particular study examined. Explaining these patterns is crucial for a reliable understanding of results in terms of occupational radiation exposure. In this paper, an updated review of nuclear worker studies is presented in the context of these patterns of results, making use of the latest relevant results. It is apparent that the strikingly raised risks for mortality from solid cancers for workers hired in later years reported from the International Nuclear Workers Study (INWORKS) is effectively confined to workers at five nuclear facilities in the USA, and that the notable variation of risks in INWORKS between workers monitored or not for radionuclide intakes is driven by UK workers. These are the areas where effort must be concentrated before a confident derivation of radiation risk estimates can be obtained from these nuclear worker studies.

工人们呢?一个更新。
核工业工作人员的流行病学研究对了解低水平辐射致癌风险具有重要意义,为构建国际辐射防护体系提供重要依据。最近的研究涉及大量工人,并包括在核工业早期受雇期间长期积累中等(甚至高)剂量的工人的健康结果。事实证明,对这些近期研究结果的解释困难得令人失望。根据所检查的具体研究,涉及首次就业期间和监测放射性核素摄入量的结果模式令人费解。解释这些模式对于可靠地了解职业性辐射照射的结果至关重要。在本文中,利用最新的相关结果,在这些结果模式的背景下,对核工作人员的研究进行了最新的回顾。很明显,国际核工人研究(INWORKS)报告的晚年雇用的工人死于实体癌的风险显著增加,实际上仅限于美国五个核设施的工人,而INWORKS中监测或未监测放射性核素摄入的工人之间风险的显著差异是由英国工人造成的。这些是必须集中努力的领域,才能从这些核工作人员的研究中获得可靠的辐射风险估计。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Radiological Protection
Journal of Radiological Protection 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
2.60
自引率
26.70%
发文量
137
审稿时长
18-36 weeks
期刊介绍: Journal of Radiological Protection publishes articles on all aspects of radiological protection, including non-ionising as well as ionising radiations. Fields of interest range from research, development and theory to operational matters, education and training. The very wide spectrum of its topics includes: dosimetry, instrument development, specialized measuring techniques, epidemiology, biological effects (in vivo and in vitro) and risk and environmental impact assessments. The journal encourages publication of data and code as well as results.
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