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Erin N. Marcus, M.D.

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Three Weeks After Japan's Disaster, What Are the Real Risks in the U.S.?

Posted: 03/30/11 09:26 AM ET

Three weeks after the onset of the nuclear power plant disaster in Fukushima, Japan, many residents of the U.S. are fearful about the possible health effects of radiation traveling across the Pacific.

The Union of Concerned Scientists (UCS), an independent scientific research-based environmental advocacy group, has been monitoring the crisis closely. Below is a condensed version of some of the information the UCS has placed on its website regarding the health consequences of the Fukushima disaster, as well as information shared at news briefings by David Lochbaum and Edwin Lyman, nuclear safety experts with the UCS:

What are radioactive isotopes, and which ones are of most concern in a nuclear power accident?

UCS: Radioactive materials decay, releasing particles that can damage living tissue and lead to cancer. Some elements have different forms, called isotopes, that differ in the number of neutrons in the nucleus.

The radioactive isotopes of greatest concern in a nuclear power accident are iodine-131 and cesium-137. Iodine-131 has a half-life of 8 days, meaning half of it will have decayed after 8 days, and half of that in another 8 days, etc. Therefore, it is of greatest concern in the days and weeks following an accident. It is also volatile so it will spread easily.

In the human body, iodine is taken up by the thyroid, and becomes concentrated there, where it can lead to thyroid cancer later in life. Children who are exposed to iodine-131 are more likely than adults to get cancer later in life.

To guard against the absorption of iodione-131, people can proactively take potassium iodine pills so the thyroid becomes saturated with non-radioactive iodine and is not able to absorb any iodine-131.

Cesium-137 has a half-life of about 30 years, so will take more than a century to decay by a significant amount. Living organisms treat cesium-137 as if it were potassium, and it becomes part of the fluid electrolytes and is eventually excreted. It can cause many different types of cancer.

Is there a threat to Americans in Hawaii, Alaska, or the U.S. West Coast? Should residents of these areas take potassium iodide pills to protect against thyroid cancer?

UCS: No. While wind patterns will likely carry the radioactive plume eastward, since Japan is thousands of miles from the United States, radioactive material in the air will be so diffuse by the time it reaches Hawaii, Alaska, or the mainland United States that it is highly unlikely to create significant health concerns.

As a result, people in those locations will not have to worry about direct inhalation of a radiation plume, which is the kind of exposure potassium iodide (KI) pills are most effective against.

Americans could also be exposed to radioactive iodine if agricultural products were contaminated. Radioactive iodine could be ingested by dairy cows, for example, and then would be concentrated in milk. Potassium iodide, however, would not be effective in that situation. Moreover, federal and state health authorities would test for such contamination and could take products off the market if necessary.

The people of Japan should be given priority access to KI pills. Indeed, if there is a run on medication in the United States, or elsewhere, there might not be enough left for Japanese residents who truly need it.

Radioactive Iodine has been found in water supplies as far away as the East Coast of the United States. Should U.S. residents be concerned about the safety of their drinking water supply?

Dr. Lyman: In my judgment, at this point, no. We have to use a disclaimer that no level of radiation is safe, because the scientific consensus is that there's no threshold to the carcinogenic effect of radiation, but the risk is proportional to dose, and the dilution that's experienced as a plume travels many thousands of miles is highly significant.

Also, the quantity of iodine that's available for release is decreasing rapidly in time because of the short half-life of iodine 131. So, provided the reactors don't go critical again, which they take measures to prevent, the total amount of iodine will decrease steadily.

Can you be exposed to dangerous levels of radiation if you fly in a plane across the United States due to the radiation released in Japan?

UCS: No. As noted in the previous question, since Japan is thousands of miles from the United States, radioactive material carried by the wind to Hawaii, Alaska, or the mainland United States will be so diffuse that it is highly unlikely to create significant health concerns. This is true whether you are on the ground or in an airplane.

Can plants in the United States withstand disasters such as the earthquake and tsunami that crippled nuclear reactors in Japan?

UCS: Some U.S. reactors are sister plants to the Fukushima Unit 1 reactor, which is a boiling water reactor (BWR) of General Electric design, and they are operating under similar regulations. If confronted with a similar challenge, it's folly to assume the outcome would not also be similar.

U.S. plants have the same key vulnerability that led to the crisis in Japan. The basic problem is that the Japanese reactors lost both their normal and back-up power supplies, which are used to cool fuel rods and the reactor core. The reactors had batteries that could supply power for eight hours until the back-up system or normal power supply was restored. But officials were unable to fully restore either.

Most U.S. reactors are designed to cope with station power outages (where both primary and back-up power supplies are out) lasting only four hours. Measures that increase the chance of restoring power within the four-hour time period, and provide better cooling options if that time runs out, would make U.S. reactors less vulnerable.

In addition, we know that earthquakes can cause fires at nuclear reactors, and U.S. reactor safety studies conclude that fire can be a dominant risk for reactor core damage by disabling primary and backup emergency systems. Yet dozens of nuclear reactors in the United States have operated for years in violation of federal fire protection regulations, with no plans to address these safety risks any time soon.

Finally, reactor emergency plans in the U.S. assume that a reactor accident would be the only demand on emergency response resources. The accident in Japan is another reminder of the need to revisit emergency plans to ensure that emergency responders are able to respond to both the problem at the power plant and the nearby community's needs.

Since 9/11, the U.S. nuclear industry has implemented additional power plant safeguards. Are we better equipped than the Japanese to cope with such a situation?

Mr. Lochbaum: Well, I think with the situation they have, they have to grasp at straws to try to explain why what happened there can't happen here. They're basically similar reactor designs operating under similar regulations, so if our reactors were faced with a similar challenge, the outcome would be similar.

There are certain things that were done since 9/11 that help, but I don't think that's a panacea that makes any of our reactors invulnerable to the type of problem that Japan faced.

Dr. Lyman: First of all, the plans are secret. So, no member of the public actually knows what those plans involve. Second, what we do know is that because those were addressing what (the Nuclear Regulatory Commission) considers to be a beyond design basis event, mainly an aircraft attack on a currently operating plant, we do know that the equipment, any equipment that would be staged or designated for that post-accident management would not meet the highest nuclear safety standards that are required for protecting its design basis events.

So, for instance, (the) Nuclear Energy Institute (an industry group) already admitted that that equipment is not safety-related and would not be seismically qualified. So, if you have an event other than an aircraft crash, let's say a large earthquake, it's not clear that those plans and that equipment would actually survive to be available, and putting U.S. reactors in the same spot that they were in Japan.

Will washing Japanese produce make it safe? Can Japanese produce be decontaminated?

Dr. Lyman: With regard to iodine, that is a limited problem, and will be cleared in a few months. To the extent there's contamination with cesium, and other longer lived isotopes, frankly, I don't think there are any good answers about how affected produce can be decontaminated. There are both national limits in Japan, international limits for destruction of contaminated produce, and I think those will have to be followed.

The problem is going to be when the contamination is within limits that the authorities say is safe. I think people need to understand more. I think I've said before, understand the potential doses associated with those levels and make their own decisions whether they should consume the produce or not.

But I would think whether or not it can be washed off, because I've been watching NHK and seeing what people are saying, I would be very wary of any unverified information about how to make produce safe at this point.

There have been concerns about radioactive water from the plant entering the ocean. Is seafood safe to eat?

Dr. Lyman: There is the potential, when you're talking about certain types of seafood, that you can have reconcentration. So, even dilute levels of contamination can be enhanced in certain marine life, just like mercury concentrates in large fish, like tuna. Also, plants like seaweed are known to concentrate certain isotopes, and so are certain types of shell fish.

But I would think certainly in the fishing industry in the region, they're most likely going to have to take measures to inspect their catches, and I guess the primary responsibility for that will have to be with the Japanese to inspect and interdict any contaminated seafood. So, it certainly could be an issue.

I would think (dangerous levels of radiation are) unlikely for seafood that is not caught relatively close to the Japanese shore, but, you know, we haven't done any analysis on this, so we can't really speculate.

The FDA has banned the import of milk and fresh produce from the Fukushima region. Should the U.S. ban all Japanese food products?

Dr. Lyman: Obviously it's not just the real risk, but it's also public perception and it's the same, whether it's Mad Cow Disease or melamine or lead. Unfortunately, one of the economic outcomes of this type of event ... is the perception of contamination which can be as damaging as the actual, or more damaging than the actual health risk, and that will have an economic impact whether or not there's actually a significant health risk.

So, unfortunately, it's going to take a long time for Japan to restore confidence in the safety of its exports.


A similar version of this article originally appeared on the website of New America Media.

 

Follow Erin N. Marcus, M.D. on Twitter: www.twitter.com/ErinNMarcusMD

Three weeks after the onset of the nuclear power plant disaster in Fukushima, Japan, many residents of the U.S. are fearful about the possible health effects of radiation traveling across the Pacific.
Three weeks after the onset of the nuclear power plant disaster in Fukushima, Japan, many residents of the U.S. are fearful about the possible health effects of radiation traveling across the Pacific.
 
 
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HUFFPOST SUPER USER
Endogenous Light Nexus
There actually is light within you
10:44 AM on 04/03/2011
This is an excellent article and there should be much more good solid information like this available to people, especially those now dealing with the radiation in Japan, which will be a problem for a very long time.

A fuller treatment on the subject of radiation protection after nuclear disasters with much more background information and practical measures is available in my printable ebook Antinuclear Nutrition at http://AntinuclearNutrition.com. If you have any friends in Japan please let them know of it because it could really help them!
11:11 AM on 04/02/2011
I wonder just what size (or how many) of a typical "Honda" generator would have been big enough to provide the power to keep the water circulating in the holding tanks! Typically, the power drain on a pumping system is not that great.

Understanding that there was a massive catastrophe, why, even after a day had gone by, did no ofne think to look for alternative sources of power rather than alternative sources of water?
HUFFPOST SUPER USER
Danite545
08:44 AM on 03/31/2011
Somebody shoud be looking into the fail-safe plan at the Nuke plant that is 45 miles West of Phoenix, AZ. It is the only plant in the world that is not located near a large body of water for emergency cooling.
HUFFPOST SUPER USER
Danite545
08:41 AM on 03/31/2011
Milk in Washington state was found to have radioactive contamination. Of course, it's still "safe"...
acorus
don't be naive
02:33 AM on 03/31/2011
abundant kelp and miso in the diet are understood to be the primary reason that survivors of nagasaki and hiroshima, who were obviously exposed to quantities of iodide 131, did not suffer from widespread thyroid cancer, and some of which are still alive, even after the fukushima debacle. nuclear accidents emit many radio nucleotides, which are not merely thyroid related. this is the problem, and the absurdity of using fission reactors which are so powerful, so vulnerable (crippled coolant system as in fukushima), and so imminently and infinitely dangerous to our bio-sphere, cannot be over-estimated. esp when considering that human error is inevitable, coupled with the possibility of nefarious human intent (terrorism), then added to the inevitable occurrence of natural disasters, presents a very bleak equation which seems more a question of when and where, rather than if...green tech + conservation is our only future
OverseasVet
Stationed not deployed
03:33 AM on 03/31/2011
The destructive nature of nuclear is nowhere near that of carbon based energy systems which are destroying our atmosphere and changing global climate. Realistically wind and solar are a long way away from providing the approximate 17 billion megawatt-hours the world uses yearly and clearly the conservation message has failed. The three major nuclear accidents, TMI, Chernobyl, Fukushima occured in reactors utilizing 40 year old technology. Face it, if we are to keep our 60 inch 3D LCD's we need to make a wise choice and nuclear is the cleanest option that can provide our electrical needs.
05:02 AM on 03/31/2011
Obviously you haven't read anything about the waste problems involved with nuclear. Also many of the reactors here in the US are aging (40+yrs) and already have problems. Face it, nuclear isn't the way. There are many other ways to power our country, and if we stopped wasting billions on nuclear subsidies and invested that money into developing other technologies, we could easily eliminate nuclear all together.
08:23 PM on 03/31/2011
Always laugh when I see nuclear and clean in the same sentence. As though thousands of years of highly radioactive decaying spent fuel is somehow a "clean" option.
ThinkCreeps
Seriously, it's time.
07:58 AM on 03/31/2011
The total amount of iodine in the ash from the two bombs would be only a few 100 grams, at least a thousand times less than emitted from burning the fuel in a reactor. It's the lack of volume in 1945 that would have avoided extensive thyroid cancers.
02:04 AM on 03/31/2011
The greatest risk to America is to keep on with the use of nuclear. Everybody, without exception can reduce their energy consumption by at least half. i Since the bombing of Nagasaki and Hiroshima the world has indulged itself in electric everything And within forty years there have been three horrific nuclear reactor disasters. None was a result of what caused problems in the others. It is simply not worth it to throw your clothes in the drier while you watch a huge flat screen tv. Hange the clothes out to dry - an early use of wind and solar which cost nothing.
HUFFPOST SUPER USER
morristhewise
10:29 PM on 03/30/2011
Radiation from the Fukushima Dai-ichi plant would be tragically dangerous if mens briefs were contaminated. It would effect the rapidly dividing cells that produce sperm, and decrease the wearers sperm count dramatically. In some instances those cells will not recover, but in most cases they will return to normal in two years. But only if the wearer changes his contaminated briefs shortly after exposure.
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HUFFPOST SUPER USER
altheschrod
common sense over all
09:47 PM on 03/30/2011
Can you believe our chicken-little citizens don't understand what experts have been saying for over a week?! As a senior I must listen to my fellow oldsters worry about muggings, global warming, promiscuous teens--you name it, if it's been in the news they'll worry about it. But Japan is five THOUSAND miles away and even Hawaii is unlikely to have any problem. Continuing to bring the topic up as "news" without major changes in fact does a dis-service to us all.
10:13 PM on 03/30/2011
I heartily disagree. I think what is going on at the Fukushima reactors is being under reported. There has been less than honest reporting of the actual situation from the beginning. Every day brings more bad news about their inability to contain and cool the fuel rods, the breach in the buildings, the release of smoke and radioactive water, the fact that the cooling systems might have been ruined by the introduction of seawater into the system, the measurement of radioactive contamination, etc., etc. From the first day after the quake, it was obvious the problem at the reactors was much worse than "official" reports. This is a Chernobyl level (or worse) nuclear incident. Sticking your head in the sand and pretending it is only a minor concern is foolish, wishful thinking. You may be reassured that being thousands of miles away will minimize your radiation exposure this time, but of greater concern is the nuclear reactor in your figurative back yard. And the reality that an incident (minor or major) will similarly be minimized, by officials of the industry and by the government officials in charge of oversight, is not to be ignored.
10:33 PM on 03/30/2011
The point is to learn by others mistakes and tradegy. I've had some experience with reactor work, and I can tell you that compared to the US, the Japanese were meticulous about maintenance and keeping their plants in good working order. Probably an apt description would be that their reactors were the Toyota's while the US reactors were the Chrysler's. If you take a look at the reactor at San Onofre http://en.wikipedia.org/wiki/San_Onofre_Nuclear_Generating_Station you will see that the reactor is at Sea Level. A good sized Tsunami would wipe this plant off the coast. But don't worry, the "experts" say it can't happen. Just like they did in Japan.
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HUFFPOST SUPER USER
Chuck Bluestein
Always searching for latest health breakthrough
07:12 PM on 03/30/2011
There are many different ways for this radiation to get around the world expecially on the food chain. It is still good for people to use the different supplements and foods that are good for radiation that was mentioned in the Huffington Post article about it, like seaweed. One popular seaweed to get is the kelp. You can sprinkle granulated kelp on foods. http://bit.ly/losingweight-tips Seaweed contains trace mineral and iodine that is too low in the soil. Plus seaweed is a very sustainable food. Kelp supplements have been sold for years to help people lose excess weight.
This user has chosen to opt out of the Badges program
06:27 PM on 03/30/2011
"But I would think certainly in the fishing industry in the region, they're most likely going to have to take measures to inspect their catches..."

You wanna bet?
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Pod-gers
Jeremy Lin = Game Change
03:58 PM on 03/30/2011
I am disapointed with the vaguness of this article. For example, not all people are the same, and those with compromised immune systems, pregnant, nursing babies etc may be at more risk than others.

Also, the question about US nuclear plants safety fails to even mention that over 20 plants in the US do NOT have a back up electric supply.

Then there is the fact that in many plants in the US there is 4xs or more stored material that in the Japanese plant.

Then, completely ignored, is what would happen if water damage were our problem.

I believe it is entirely unfair to refer to our concerns as "fears." Enought with the pablum, we want bare naked facts, not panic control propaganda.
HUFFPOST SUPER USER
deminmo
just looking for answers
03:54 PM on 03/30/2011
If it's true that one or two of the reactors are now in melt-down,
how will that effect the amount of radiation that could be carried
by weather, air currents, and ocean currents?
03:38 PM on 03/30/2011
It's a mystery to me why there is such terrible reporting on the health risks from this accident. Everyone seems to be treating gamma radiation as the main concern, and yes, there is little health risk from full body exposure. But what about particulate emissions … fission products that have long half-lives and short penetration distances, and become internal emitters and bio-accumulate in the environment. We have several reports that suggest emissions now rival Chernobyl: New Scientist, IRPNS, CIMG. What will it take for international community/ IAEA to respond, and send more than 100 workers to site. By this stage in the crisis at Chernobyl, Gorbachev had already sent in tens of thousands. Where is the Hans Blix of this crisis? And from the NYT today … "Kuni Yogo, a former atomic energy policy planner … 'There is some trial and error, but this is the beginning of a 3-5 year effort.'" Really, is it time to start looking at the consequences and impacts of this accident for a very small and densely populated coastal island nation (and for all of us who are put at risk by fission products getting into food, water, and environment). I'm astounded by the silence and complicity of the international community to fail to address the severity and widespread impacts we are likely to see from this accident: today, over last three weeks, and for the next 3-5 years in which the impacts will be continuous and on-going.
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HUFFPOST SUPER USER
mommadona
I paint. I blog. Therefore, I am.
03:24 PM on 03/30/2011
Thank you for the info. This is the one evil I've worked against my adult life. Pandora's Box - open for business. Business doesn't care. They have no children/legacies/fealties to communities. Business IS the Borg. Until everyone in this country 'gets' that - Caveat Emptor
02:58 PM on 03/30/2011
What about the plutonium and what about the infiltration of plutonium and other isotopes into the ocean, ground water and potentially into the currents. Is there any chance that there could be a long term effect, especially if the leakage of the reactors is ongoing? All this somehow pre -supposes that the incident is over when in fact, is it really just now starting? Is this perhaps more like Cherynobel, a centuries long problem that will require perpetual containment?I know the Russians were dumping old reactors into the Arctic ocean to dispose of them, so maybe radiation in the ocean means it just goes away and certainly there is no bigger ocean than the Pacific Ocean, but doesn't the current that runs along Japan directly head up towards the Aleutians and Alaska. What about crab and bottom feeding crustaceans? It's all just so interesting! It makes you kind of wonder what it would be like in a nuclear exchange where reactors would be targeted, as would stockpiles of nuclear waste and weapons. Just imagine how exciting that would be? Thank goodness our fearless leaders are protecting us from such scenarios.