BMJ  2004;328:1074 (1 May), doi:10.1136/bmj.328.7447.1074-a

Letter

Response to radiation incidents and radionuclear threats

Other threats may be more serious

The first 150 words of the full text of this article appear below.

EDITOR—I agree with Turai et al that radiation injury could occur by accident in countries where disintegrating political entities such as the former Soviet Union leave the debris of their nuclear programmes lying around for an unsuspecting public to pick up.1 2 However, I am less sure of the real, as against hysterical, threat in Western Europe and North America.

Outside closely guarded nuclear power stations, weapons establishments, and waste stores the most available stores of radioactive materials are in hospitals or industry. Solid sources used in industry and radio-therapy are well shielded and sealed. If these seals were broken by a terrorist the most likely person injured would be him or her.

The radiation would have to be dispersed, presumably by an explosive device. However, this would not ensure ingestion—the best way to get a lot of radiation into someone—and would be easily detected. Also, once the radiation . . . [Full text of this article]

John R Buscombe, consultant in nuclear medicine

Royal Free Hospital, London NW3 2QG j.buscombe@rfc.ucl.ac.uk


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Relevant Article

Medical response to radiation incidents and radionuclear threats
István Turai, Katalin Veress, Bengül Günalp, and Gennadi Souchkevitch
BMJ 2004 328: 568-572. [Extract] [Full Text] [PDF]




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