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NON-RADIOLOGICAL IMPACT OF A NUCLEAR EMERGENCY: PREPAREDNESS AND RESPONSE WITH THE FOCUS ON HEALTH

机译:核应急的非放射学影响:对健康的预防和反应

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摘要

Available experience from Chernobyl and Fukushima clearly demonstrate that nuclear emergencies may result in low and very low exposure levels, at which psychological and social effects among the affected population will dominate over the actual biological effects of ionising radiation. International protection standards and guidelines request, that both radiological and non-radiological health consequences have to be considered in preparedness and response to an actual emergency and there is a need to broaden the radiation protection system's philosophy beyond the metrics of radioactivity and radiation dose. During the past decade a number of multidisciplinary projects were set up with the aim of evaluating management options according to social, economic and ethical criteria, in addition to technical feasibility to achieve this goal. WHO and partners from the Inter-Agency Standing Committee Task Force on Mental Health and Psychosocial Support in Emergency Settings have developed a comprehensive framework and guidelines, which can be applied to any type of an emergency or disaster regardless of its origin. There is a need to include the available scientific expertise and the technical, managerial and personal resources to be considered within a similar 'decision framework' that will apply to radiation emergencies. Key areas of the required expertise needed to develop such a framework are radiation protection, medical support (especially primary care and emergency medicine, mental health support), social sciences (anthropology, psychology, ethics) and communications experts. The implementation of such a multidisciplinary concept in the operational world requires education and training well beyond the level currently available.
机译:切尔诺贝利核电站和福岛核电站的现有经验清楚地表明,核紧急情况可能会导致辐射水平低到非常低,在这种情况下,受影响人群的心理和社会影响将超过电离辐射的实际生物学影响。国际保护标准和准则要求,在准备和应对实际紧急情况时必须同时考虑放射线和非放射线的健康后果,并且有必要将放射线防护系统的哲学范围扩大到放射线和放射线剂量指标之外。在过去的十年中,除了实现这一目标的技术可行性之外,还建立了许多跨学科项目,旨在根据社会,经济和道德标准评估管理方案。世卫组织和紧急情况下心理健康和社会心理支持机构​​间常设委员会工作队的合作伙伴已经制定了全面的框架和准则,无论其起源如何,均可将其应用于任何类型的紧急情况或灾难。有必要将可用的科学专业知识以及技术,管理和个人资源纳入将适用于辐射紧急情况的类似“决定框架”内。建立这样一个框架所需的专门知识的关键领域是辐射防护,医疗支持(尤其是初级保健和急诊医学,心理健康支持),社会科学(人类学,心理学,伦理学)和传播专家。在作战世界中实施这样一个多学科概念需要的教育和培训远远超出了目前的水平。

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  • 来源
    《Radiation Protection Dosimetry》 |2018年第1期|112-119|共8页
  • 作者单位

    Holderlinstr 31, D-79312 Emmendingen, Germany;

    Norwegian Univ Life Sci, Ctr Environm Radioact CERAD, As, Norway;

    WHO, Dept Publ Hlth Environm & Social Determinants Hlt, Geneva, Switzerland;

    Fukushima Med Univ, Fukushima, Japan;

  • 收录信息 美国《科学引文索引》(SCI);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
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