Search Results (15)

Background/Objectives: Climate change is a major factor exacerbating non-communicable diseases (NCDs) such as cardiovascular diseases, neoplasms, respiratory diseases, and diabetes, especially in vulnerable Latin American regions. This study analyzes the impact of environmental exposures related to climate change on the NCD burden in eight Latin American countries by quantifying the disability-adjusted life years (DALYs) attributable to these factors. Using Global Burden of Disease (GBD) data (1990–2021), we performed multiple linear regression to assess associations between DALYs and environmental risk factors—air pollution (particulate matter, nitrogen dioxide), radon, lead, and extreme temperatures—in Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, Peru, and Uruguay. The study included major NCDs, and the population was stratified by age and sex. Results: Ischemic heart disease was the leading cause of DALYs in most countries. Particulate matter pollution was the main environmental risk factor contributing to the NCD burden, mainly affecting cardiovascular and respiratory diseases. Mexico showed the highest DALYs from particulate and ozone pollution; temperature and lead exposure also contributed in some countries. Nitrogen dioxide was the primary risk factor for asthma. Statistically significant relationships between environmental factors and DALYs were confirmed. Conclusions: Climate change-related exposures significantly increase the burden of NCDs in Latin America. Targeted interventions in industry, transportation, and energy, along with sustainable urban policies, are essential to mitigate health impacts and reduce disparities. Integrating environmental health into public policies can improve health outcomes amid ongoing climate challenges. Full article

The application of energy-saving policies in buildings could lead to a decrease in the air exchange rate in dwellings, which could consequently lead to an increase in indoor radon concentration and, therefore, to an increase in resident exposure to ionizing radiation. The aim of the research presented in this paper is to investigate radiological exposure to residents due to the usage of different granites commonly used in Serbia as a building material. From the total of 10 analysed granite samples, a wide range of radon and thoron exhalation rates were found: from <161 μBq m⁻² s⁻¹ to 5220 ± 200 μBq m⁻² s⁻¹ and from <7 mBq m⁻² s⁻¹ to 5140 ± 320 mBq m⁻² s⁻¹, respectively. Assuming a low air exchange rate of 0.2 h⁻¹, the contribution of the measured granite material to the indoor radon concentration could go up to 150 Bq m⁻³. The estimated annual effective doses due to exposure to radon and thoron exhalation from the granite samples were (0.05–3.79) mSv and (<0.01–1.74) mSv, respectively. The specific activity of radionuclides ranged from 6.6 ± 0.5 Bq kg⁻¹ to 131.8 ± 9.4 Bq kg⁻¹ for ²²⁶Ra, from 0.5 ± 0.1 Bq kg⁻¹ to 120.8 ± 6.5 Bq kg⁻¹ for ²³²Th, and from 0.22 ± 0.01 Bq kg⁻¹ to 1321 ± 86 Bq kg⁻¹ for ⁴⁰K. The obtained external hazard index ranged from 0.03 to 1.48, with three samples above or very close to the accepted safety limit of 1. In particular, dwellings with a low air exchange rate (causing elevated radon) could lead to an elevated risk of radiation exposure. Full article

This review study examines the relationship between radon and geology, including its origins, transmission, and accumulation, as well as its impact on human health and mitigation strategies. The decay of uranium and thorium produces radon, a radioactive gas. Its concentration in the environment fluctuates based on local geology, soil permeability, climate, and terrain, as well as regional, seasonal, and daily meteorological conditions. Exposure to radon indoors is associated with an increased risk of lung cancer, making it a significant public health concern. Measuring radon concentrations in indoor environments is essential for identifying high-risk areas and devising effective mitigation strategies, such as ventilation, fissure sealing, and exhaust installation. The need for greater knowledge of regional and seasonal fluctuations in radon concentration, as well as the development of more effective and cost-effective measuring and mitigation strategies, has implications for future research. To influence public health policies and practices, more research on the long-term health effects of radon exposure is required. The focus of public health policy should be on increasing awareness of the dangers associated with radon exposure, supporting regular measurement and monitoring of radon concentrations in indoor areas, and encouraging the adoption of effective mitigation techniques. When selecting construction sites, urban planning regulations and building codes should consider the local geology and radon levels in the soil. Full article

Indoor radon is a natural radioactive gas and is one of the leading causes of lung cancer. Despite multiple policy and communication interventions to increase radon testing and mitigation, the uptake of these measures remains insufficient. A participatory research design was applied in Belgium and Slovenia to probe the barriers and facilitators homeowners experience regarding radon protective behavior on the one hand and co-designing communication tools on the other hand. The results show that there remains a need for interventions on all levels (i.e., policy, economic interventions, and communication). Moreover, results indicated a need for a communication strategy that follows the different steps between awareness and performing mitigation measures. Further, involving the target group in the early stages of intervention design was beneficial. Future research is needed to test the effectiveness of the proposed communication strategies in a controlled setting. Full article

Protection of the population and of workers from exposure to radon is a unique challenge in radiation protection. Many coordinated actions and a variety of expertise are needed. Initially, a National Radon Action Plan (NRAP) has been developed and implemented by some countries, while it is currently recommended by international organizations (e.g., World Health Organization) and required by international regulations, such as the European Council Directive 2013/59/Euratom and the International Basic Safety Standards on Radiation Protection and Safety of Radiation Sources, cosponsored by eight international organizations. Within this framework, the Heads of the European Radiological Protection Competent Authorities (HERCA) have organized activities aimed at sharing experiences to contribute toward the development and implementation of effective NRAPs. Two workshops were held in 2014 and 2015, the latter on radon in workplaces. As a follow-up to these, an online event took place in March 2021, and a second specific workshop on NRAP is planned for June 2022. These workshops were attended by experts from the competent authorities of European countries, relevant national and international organizations. The experience of several countries and the outcomes from these workshops have highlighted the need for adequate indicators of the effectiveness and progress of the actions of NRAPs, which could also be useful to implement the principle of optimization and the graded approach in NRAPs. In this paper, the activities of HERCA to support the development and implementation of effective NRAPs are described and some examples of effectiveness indicators are reported, including those already included in the NRAP of some European countries. Full article

Exposure to the indoor air pollutant radon is considered to be a significant health risk globally, as has been demonstrated by many studies over time. A recent WHO statement on radon estimates that, worldwide, approximately 80,000 people may die every year due to lung cancer associated with radon exposure. The recent years have also seen huge improvements in radon policies in European countries, as a consequence of the issuing, in 2013, of the Council Directive 2013/59/Euratom. Although the protection of workers from radon exposure is well established, the protection of the general public needs more improvements. The main objective of this paper is, first, to acknowledge and recognise the improvements in radon protection policies, but also to show that there are many areas where improvements are desirable and possible. The final goal is to suggest better ways to protect the general population from exposure to radon gas. The suggestions are based on the experiences of the co-authors, who come from different disciplines related to radon management. The following fields or areas where improvements are possible are identified: risk communication, building codes, radon policies, including funding, research and protection of children. We describe the work that has been conducted, and the possible improvements and solutions in these fields. Full article

Report back is active sharing of research findings with participants to prompt behavior change. Research on theory-driven report back for environmental risk reduction is limited. The study aim is to evaluate the impact of a stage-tailored report back process with participants who had high home radon and/or air nicotine levels. An observational one-group pre-post design was used, with data collection at 3, 9, and 15 months post intervention. Participants from the parent study (N = 515) were randomized to the treatment or control group and this sample included all 87 treatment participants who: (1) had elevated radon and/or air nicotine at baseline; and (2) received stage-tailored report back of their values. Short-term test kits measured radon; passive airborne nicotine samplers assessed secondhand smoke (SHS) exposure. Stage of action was categorized as: (1) ‘Unaware’, (2) ‘Unengaged’, (3) ‘Deciding’, (4) ‘Action’, and (5) ‘Maintenance’. Interventions were provided for free, such as in-person radon and SHS test kits and a brief telephonic problem-solving consultation. Stage of action for radon mitigation and smoke-free policy increased from baseline to 3 months and remained stable between 3 and 9 months. Stage of action for radon was higher at 15 months than baseline. Among those with high baseline radon, observed radon decreased by 15 months (p < 0.001). Tailored report back of contaminant values reduced radon exposure and changed the health behavior necessary to remediate radon and SHS exposure. Full article

The objective of this study was to establish a test method for assessing radon exhalation rates from building materials considering radon related environmental policy and research in Korea. This method was established in consideration of cost-effectiveness based on the International Standards Organization (ISO) method and the closed chamber method, which is an evaluation method for the emission of hazardous chemical substances from building materials in Korea. The assessment of radon exhalation rates from five types each of granite and marble used in the construction industry in Korea gave mean radon exhalation rates of 0.497 ± 0.467 Bq/m²∙h from granite and 0.193 ± 0.113 Bq/m²∙h from marble, indicating higher radon exhalation rates from granite. These results are consistent with those of a previous study, indicating that granites are more likely to show higher radon exhalation rates than marbles. Full article

One in three homes in Utah (USA) contains dangerous levels of radon. Except for a radon mitigation certification law, Utah’s radon laws are nonexistent. To determine public perception of state policies on radon testing and mitigation, a social cognitive theory-based 52-item questionnaire was administered to residents (N = 307) who visited the Utah County Health Department (UCHD) during the study period. Respondents were divided into an Environmental Health Group (n = 110), who purchased a radon kit, and Vital Records Control Group (n = 197), who filed/obtained birth/death certificates at UCHD. Ninety percent responded they had never tested their homes for radon, and 99% were not aware of state policies regarding radon. Support for various radon policies was significantly associated with older age (odds ratios (OR): 0.37–0.52), being female (OR: 2.60–7.79), lower annual family income (OR: 2.27), and theoretical constructs of behavioral modeling (OR: 2.31–2.55) and risk perception (OR: 2.55–3.71). To increase awareness, testing, and remediation, respondents suggested increasing public education/awareness, requiring testing in homes, businesses, and public buildings, and increasing access to testing. Multi-sectoral radon risk reduction programs could incorporate behavioral modeling and risk perception as components to create a radon testing and mitigation culture in Utah. Full article

Radon, a known carcinogen, becomes a health risk when it accumulates inside buildings. Exposure is of particular concern for children, as their longer life expectancy increases their lifetime risk of developing cancer. In 2016, 5.5 million students were enrolled in Canadian elementary and secondary schools. With no national policy on radon testing in schools, children may be at risk from radon exposure while attending school and school-based programs. This study explored radon testing efforts in publicly funded Canadian schools and summarizes where testing programs have occurred. Radon testing in schools was identified through a systematic qualitative enquiry, surveying members from different levels of government (health and education) and other stakeholders (school boards, research experts, among others). Overall, this research found that approaches to radon testing varied considerably by province and region. Responsibility for radon testing in schools was often deferred between government, school boards, building managers and construction parties. Transparency around radon testing, including which schools had been tested and whether radon levels had been mitigated, also emerged as an issue. Radon testing of schools across Canada, including mitigation and clear communication strategies, needs to improve to ensure a healthy indoor environment for staff and students. Full article

Radon, a naturally occurring radioactive gas that can accumulate inside dwellings, represents the second biggest cause of lung cancer globally. In Ireland, radon is linked to approximately 300 lung cancer cases every year, equating to 12% of all lung cancer deaths. Despite the health risks posed by radon air pollution, Ireland lacks well-defined and universally applicable air pollution-related public health policies. Through purposive literature sampling, we critically examine the case of indoor radon policy development in Ireland. Specifically, we analyse the evidence-based policymaking process relating to indoor radon pollution from three different knowledge dimensions, namely political, scientific, and practical knowledge. In doing so, we identify various challenges inherent to pollution-related public policymaking. We highlight the difficulties of balancing and integrating information from multiple disciplines and perspectives and argue that input from multiple scientific areas is crucial, but can only be achieved through continued, dialogic communication between stakeholders. On the basis of our analysis, we suggest that a transdisciplinary perspective, defined as a holistic approach which subordinates disciplines and looks at the dynamics of whole systems, will allow evidence-based policymaking to be effective. We end with recommendations for evidence-based policymaking when it comes to public health hazards such as radon, which are applicable to sustainable air pollution management beyond Ireland. Full article

Exposure to indoor radon at home and in workplaces constitutes a serious public health risk and is the second most prevalent cause of lung cancer after tobacco smoking. Indoor radon concentration is to a large extent controlled by so-called geogenic radon, which is radon generated in the ground. While indoor radon has been mapped in many parts of Europe, this is not the case for its geogenic control, which has been surveyed exhaustively in only a few countries or regions. Since geogenic radon is an important predictor of indoor radon, knowing the local potential of geogenic radon can assist radon mitigation policy in allocating resources and tuning regulations to focus on where it needs to be prioritized. The contribution of geogenic to indoor radon can be quantified in different ways: the geogenic radon potential (GRP) and the geogenic radon hazard index (GRHI). Both are constructed from geogenic quantities, with their differences tending to be, but not always, their type of geographical support and optimality as indoor radon predictors. An important feature of the GRHI is consistency across borders between regions with different data availability and Rn survey policies, which has so far impeded the creation of a European map of geogenic radon. The GRHI can be understood as a generalization or extension of the GRP. In this paper, the concepts of GRP and GRHI are discussed and a review of previous GRHI approaches is presented, including methods of GRHI estimation and some preliminary results. A methodology to create GRHI maps that cover most of Europe appears at hand and appropriate; however, further fine tuning and validation remains on the agenda. Full article

In general, this study was developed to assess the radon contamination in groundwater intended for human consumption, to raise awareness among policy-makers to implement a legal framework for drinking water management and the radiological protection of groundwater resources. Thus, we analyzed with parallel coordinate visualization (PCV) plots what features may influence the water–rock interaction and promote high-radon concentrations in water intended for human consumption. The results show that in granitic areas composed by biotite granites (Group V), although there is a higher radon production in the rocks, the radon transfer to groundwater was not effective, mainly due to the physical and chemical properties of the water. The main conclusions show that in all springs sampled (n = 69) for the entire study area, there are only four springs that must have an immediate intervention, and 22 of them are above the limit imposed by the Portuguese legislation. These results are intended to promote a Portuguese Action Plan for Radon that can be framed in the guidelines on the management and protection of groundwater resources. Full article

Exposure to Radon, a colorless, naturally occurring radioactive gas, is one of leading causes of lung cancer, and may pose a significant long-term risk for school age children. We examined the regulations and statutes in each US state related to radon in schools to delineate key features of policies and discrepancies among states that may have public health implications. Search terms such as “radon”, “school”, “mitigation”, “certification”, “licensing”, and “radon resistant new construction” were used to scan current statutes from each state legislature’s website and regulations from official state government websites for relevant regulatory and statutory requirements concerning radon in schools. State regulations related to the testing, mitigation, and public dissemination of radon levels in schools are inconsistent and the lack of nationwide indoor radon policy for schools may result in unacceptably high radon exposure levels in some US schools. We highlight the features and discrepancies of state laws and regulations concerning radon in schools, and offer several constructive means to reduce risks associated with radon exposure in school children. Full article

Radon is a naturally occurring, colorless, odorless, and tasteless radioactive gas. Without testing, its presence is unknown. Using nationally representative data from the 2012 School Health Policies and Practices Study, we examined whether the prevalence of school district policies for radon testing and for radon-resistant new construction practices varied by district location in relation to the U.S. Environmental Protection Agency Map of Radon Zones. Among school districts located in counties with high predicted average indoor radon, 42.4% had policies for radon testing and 37.5% had policies for radon-resistant new construction practices. These findings suggest a critical need for improved awareness among policy makers regarding potential radon exposure for both students and school staff. Full article