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Commentary No. 27: Implications of Recent Epidemiologic Studies for the Linear-Nonthreshold Model and Radiation Protection

In May 2018, the National Council on Radiation Protection and Measurements (NCRP) published Commentary No. 27, Implications of Recent Epidemiologic Studies for the Linear-Nonthreshold Model and Radiation Protection.

Commentary No. 27 was produced by an interdisciplinary group of radiation experts who critically assessed recent epidemiologic studies of populations exposed to low dose and low dose-rate ionization radiation. The studies were then judged as to their strength of support for the liner non-threshold (LNT) model as used in radiation protection.

NCRP concludes that the recent epidemiologic studies support the continued use of the LNT model for radiation protection. This is in accord with judgements by other national and international scientific committees, based on somewhat older data, that no alternative dose-response relationship appears more pragmatic or prudent for radiation protection purposes than the LNT model.

Guidance for Traveler Screening at Ports of Entry Following an International Radiological Incident

The National Alliance for Radiation Readiness developed this guide as an introduction to screening travelers arriving at U.S. ports of entry (POE) who may be contaminated with or exposed to radioactive material following an international radiological incident. The information contained in this guide is intended to be used by state, local, and tribal public health professionals to supplement existing jurisdictional emergency operations plans and procedures during traveler screening activities.

This document aims to provide state, local, and tribal planners with guidance on how to:

  • Screen, decontaminate, or provide medical follow-up and long-term follow-up for travelers, staff at U.S. international POE, and others with contamination or exposure.
  • Communicate information and risk effectively with travelers, who may need urgent medical referrals, decontamination, or reassurance that they are not contaminated or exposed.
  • Collect and use exposure and epidemiologic data to provide situational awareness and determine the radiological incident’s future public health impacts.

As an informational resource, planners may use this guide as a tool to develop and refine jurisdictional plans. The guide is designed to support scalable and flexible planning. This includes exploring and considering all locally-available resources along with traditional and non-traditional responder governmental and non-governmental agencies for collaboration and partnerships.

A Decision Makers Guide: Medical Planning and Response for a Nuclear Detonation

Successful detonation of an improvised nuclear device would be a catastrophic event, causing an unprecedented number of injuries and lives lost, as well as economic, political, and social disruption. However, an effective medical response and an infrastructure prepared to protect itself from fallout could save tens of thousands of lives. Since 2001, all levels of government, academic institutions, and professional organizations have done significant work to enhance our ability to prepare for and respond to a nuclear detonation.

The Office of the Assistant Secretary for Preparedness and Response developed A Decision Makers Guide: Medical Planning and Response for a Nuclear Detonation to simplify and translate the necessary protective actions and medical response modalities in order to make them more accessible and easier to translate into practice. The approach of this manual is to provide a common baseline application for various allied response disciplines (to include senior operational responders, emergency managers, public health advisors, and municipal, State, and Federal executives and elected officials). This manual will enhance mutual understanding of the basics of nuclear response.

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