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      A Glance at the Errors of Some Studies on the Health Effects of High Background Natural Radiation Areas

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          Abstract

          There is no place on the Earth, the planet we live on, where the natural background radiation level is zero. Since the birth and even in our fetal stage, we have been exposed to different sources of natural radiation. Life, in fact, evolved in a radiation environment that was much more harsh than today. Earth serves as a source of terrestrial radiation. Uranium, thorium, and radium are among the radioactive materials that naturally exist in soil and rock. Moreover, the air, we breathe, contains radon, a colorless, odorless, radioactive gas that is created naturally by the radioactive decay of uranium and radium. The crucial importance of the studies on the health effects of living in areas with high levels of background radiation for understanding the biological impact of exposure to low doses of ionizing radiation is well documented. Despite the undeniable need for accurate information about the health effects of exposure to high levels of background radiation, many published papers suffer from methodological and other common types of errors. In this paper, we review three articles published on high background radiation areas. The first paper has addressed the frequencies of unstable (dicentrics& rings), stable (translocations & inversions), and other types of chromosome aberration in adult men from both high background radiation areas of Kerala and areas with normal background radiation. The second paper has addressed different aspects of the world’s high background natural radiation areas. Finally, the third paper has tried to address the role of background radiation on males to females’ ratio at birth. The author has mainly referred to the studies performed on the impact of radiation exposures from nuclear testing (worldwide) and Chernobyl fallout (in Europe).The major shortcomings of these three papers, especially methodological errors, which affected the accuracy of their findings and conclusions are discussed.

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          Most cited references34

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          Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources--1950-2007.

          The U.S. National Council on Radiation Protection and Measurements and United Nations Scientific Committee on Effects of Atomic Radiation each conducted respective assessments of all radiation sources in the United States and worldwide. The goal of this article is to summarize and combine the results of these two publicly available surveys and to compare the results with historical information. In the United States in 2006, about 377 million diagnostic and interventional radiologic examinations and 18 million nuclear medicine examinations were performed. The United States accounts for about 12% of radiologic procedures and about one-half of nuclear medicine procedures performed worldwide. In the United States, the frequency of diagnostic radiologic examinations has increased almost 10-fold (1950-2006). The U.S. per-capita annual effective dose from medical procedures has increased about sixfold (0.5 mSv [1980] to 3.0 mSv [2006]). Worldwide estimates for 2000-2007 indicate that 3.6 billion medical procedures with ionizing radiation (3.1 billion diagnostic radiologic, 0.5 billion dental, and 37 million nuclear medicine examinations) are performed annually. Worldwide, the average annual per-capita effective dose from medicine (about 0.6 mSv of the total 3.0 mSv received from all sources) has approximately doubled in the past 10-15 years. (c) RSNA, 2009.
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            Very high background radiation areas of Ramsar, Iran: preliminary biological studies.

            People in some areas of Ramsar, a city in northern Iran, receive an annual radiation absorbed dose from background radiation that is up to 260 mSv y(-1), substantially higher than the 20 mSv y(-1) that is permitted for radiation workers. Inhabitants of Ramsar have lived for many generations in these high background areas. Cytogenetic studies show no significant differences between people in the high background compared to people in normal background areas. An in vitro challenge dose of 1.5 Gy of gamma rays was administered to the lymphocytes, which showed significantly reduced frequency for chromosome aberrations of people living in high background compared to those in normal background areas in and near Ramsar. Specifically, inhabitants of high background radiation areas had about 56% the average number of induced chromosomal abnormalities of normal background radiation area inhabitants following this exposure. This suggests that adaptive response might be induced by chronic exposure to natural background radiation as opposed to acute exposure to higher (tens of mGy) levels of radiation in the laboratory. There were no differences in laboratory tests of the immune systems, and no noted differences in hematological alterations between these two groups of people.
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              Cancer Mortality Among People Living in Areas With Various Levels of Natural Background Radiation

              There are many places on the earth, where natural background radiation exposures are elevated significantly above about 2.5 mSv/year. The studies of health effects on populations living in such places are crucially important for understanding the impact of low doses of ionizing radiation. This article critically reviews some recent representative literature that addresses the likelihood of radiation-induced cancer and early childhood death in regions with high natural background radiation. The comparative and Bayesian analysis of the published data shows that the linear no-threshold hypothesis does not likely explain the results of these recent studies, whereas they favor the model of threshold or hormesis. Neither cancers nor early childhood deaths positively correlate with dose rates in regions with elevated natural background radiation.
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                Author and article information

                Journal
                J Biomed Phys Eng
                J Biomed Phys Eng
                Journal of Biomedical Physics & Engineering
                Journal of Biomedical Physics and Engineering (Iran )
                2251-7200
                August 2019
                01 August 2019
                : 9
                : 4
                : 389-394
                Affiliations
                [1 ]School of Midwifery and Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
                [2 ]Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
                [3 ]Biophotonics Lab, Department of Electrical Engineering, University of Wisconsin Milwaukee, Milwaukee, WI, 53211 USA
                [4 ]School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
                Author notes
                *Corresponding author:S. A. R Mortazavi, School of Medicine, Imam Hossein Square, Shiraz, Iran
                Article
                JBPE-9-4
                10.31661/jbpe.v0i0.671
                6709348
                aa31344e-3eb7-447c-a00c-e255683ace2f
                Copyright: © Journal of Biomedical Physics and Engineering

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 December 2016
                : 11 October 2016
                Categories
                Short Communication

                background radiation ,biology , health
                background radiation , biology , health

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