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DOE-HDBK-1109-97
Radiological Safety Training for Radiation-Producing (X-Ray) Devices
Student's Guide
iv. Latent Effects from Radiation Exposure.
The probability of a latent effect appearing several years after radiation exposure depends
on the amount of the dose. The higher the dose, the greater the risk of developing a health
effect. When an individual receives a large accidental exposure and the prompt effects of
that exposure have been dealt with, there still remains a concern about latent effects years
after the exposure. Although there is no unique disease associated with exposure to
radiation, there is a possibility of developing fatal cancer. The higher the accumulated
dose, the greater is the risk of health effect, based on the linear-no threshold model.
v. Risk of Developing Cancer from Low Doses.
It is not possible to absolutely quantify the risk of cancer from low doses of radiation
because the health effects cannot be distinguished from the relatively large natural cancer
rate (approximately 20 percent of Americans die from cancer). The risk of health effects
from low doses must be inferred from effects observed from high acute doses. The risk
estimates for high doses were developed through studies of Japanese atomic bomb
survivors, uranium miners, radium watch-dial painters, and radiotherapy patients. These
risk factors are applied to low doses with a reduction factor for chronic exposures.
However, below 10 rem, health effects are too small to measure. The dose limits and
administrative control levels listed in Module 101 have been established so that the risk to
workers is on a par with the risks to workers in safe industries, assuming a linear
relationship between dose and health effects. However, these are maximum values and the
ALARA principle stresses maintaining doses well below these values.
vi. Effects of Prenatal Exposure (Teratogenic Effects).
The embryo/fetus is especially sensitive to radiation. The embryo is sensitive to radiation
because of the relatively high replication activity of the cells and the large number of
nonspecialized cells.
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