Description: In the event of a nuclear or radiological accident or terrorist event, it is important to identify individuals that can benefit from prompt medical care and to reassure those that do not need it. Achieving these goals will maximize the ability to manage the medical consequences of radiation exposure that unfold over a period of hours, days, weeks, years, depending on dose. Medical interventions that reduce near term morbidity and mortality from high but non-lethal exposures require advanced medical support and must be focused on those in need as soon as possible. There are two traditional approaches to radiation dosimetry, physical and biological. Each as currently practiced has strengths and limitations. Physical dosimetry for radiation exposure is routine for selected sites and for individual nuclear workers in certain industries, medical centers and research institutions. No monitoring of individuals in the general population is currently performed. When physical dosimetry is available at the time of an accident/event or soon thereafter, it can provide valuable information in support of accident/event triage. Lack of data for most individuals is a major limitation, as differences in exposure can be significant due to shielding, atmospherics, etc. A smaller issue in terms of number of people affected is that the same dose may have more or less biological effect on subsets of the population. Biological dosimetry is the estimation of exposure based on physiological or cellular alterations induced in an individual by radiation. The best established and precise biodosimetric methods are measurement of the decline of blood cells over time and measurement of the frequency of chromosome aberrations. In accidents or events affecting small numbers of people, it is practical to allocate the resources and time (days of clinical follow-up or specialists laboratory time) to conduct these studies. However, if large numbers of people have been ...
Date: February 3, 2006
Creator: Jones, I M; A.Coleman, M; Lehmann, J; Manohar, C F; Marchetti, F; Mariella, R et al.
Partner: UNT Libraries Government Documents Department