Standard-setting Preliminaries
The complexity of setting health standards for exposure to the mixture
of radioactive chemicals and ionising particles released in fissioning
should be apparent. As a first move towards a reasonable subdivision of
the hazard itself, separate standard setting was done
for external radiation exposure, i.e. when the radioactive source was
outside the body, and internal radiation exposure, i.e. when the
radioactive source was inside the body.
Both
these categories can then be subdivided into exposures to
particular parts of the body or particular internal organs. The
biological effect of an X-ray of the pelvic area differs from the
biological effect of a dental X-ray, even if the radiation dose to the
skin is the same. Plutonium lodged in the lungs has a different
biological consequence from plutonium lodged in the reproductive
organs. One can also consider exposures to X-rays, gamma rays, alpha
or beta particles and neutrons separately, taking each as internal or
external to the body.
There
are further differences in health effects based on differences
between people receiving the radiation. Special consideration needs
to be given to those who, because of heredity or previous experience,
are more susceptible to further damage than the norm or average. Special
consideration should be given to an embryo or foetus, a young
child, the elderly or those chronically ill.
The
severity of health effects caused by internal exposures will
depend on the biological characteristic of the radioactive chemical
and the length of time it may be expected to reside in the
body. Radioactive cesium, for example, lodges in muscles and is probably
completely eliminated from the body in two years. Radioactive
strontium lodges in bone and remains there for a lifetime, constantly
irradiating the surrounding cells. The usual time required by the body
to rid itself of half the radioactive chemical is called the `biological
half-life' of that chemical.
Some
radiation health effects are observable in the persons
exposed; some effects are only seen in their children or grandchildren
because the damage was to sperm or ovum.
X-rays,
gamma rays and neutrons are able to inflict harm on
humans even when the radioactive chemical emitting them is outside
the body. Beta particles outside the body can cause serious burns and
other skin anomalies, including skin cancer. Ionising radiations
emitted from within the body by radioactive chemicals taken in by
inhalation, ingestion or absorption are even more damaging because
they are so close to delicate cell structures. The body is not able to
distinguish between radioactive and nonradioactive chemicals and
will as readily incorporate the one as the other into tissue, bone,
muscle or organs, identifying them as ordinary nutrients. The
radioactive chemicals remain in the body until biologically
eliminated in urine or faeces, or until they decay into other
chemical forms (which may or may not be radioactive). These
daughter products and their chemical and radiological properties may
be quite different from those of the parent radioactive chemical,
for example, radioactive carbon decays into nitrogen. Radiochemical
analysis of urine or faeces is the preferred test for
most types of internal contamination with alpha or beta particles.
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