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Feedback assessment from the audience as part of health literacy training for health professionals: a case from Fukushima after the nuclear accident. 作为卫生专业人员卫生素养培训一部分的听众反馈评估:核事故后福岛的一个案例。
Pub Date : 2021-07-01 Epub Date: 2021-07-13 DOI: 10.1177/01466453211010919
A Goto, Y Yumiya, K Ueda

Following the accident at Fukushima Daiichi nuclear power plant in 2011, a series of health literacy training workshops for local health workers was developed and implemented. This study aimed to analyse who among the intended audience gained the greatest benefit from the training. Nine health workers attended a workshop consisting of classroom training and a follow-up feedback assessment of materials they created in the workshop. The materials were assessed by a total of 131 intended readers. Using Sakai's tool, those items asking readers to rate the accessibility of written information were used to compare the materials before and after revision. The total score for Sakai's measure showed a significant improvement, and the elderly and those without regular doctor visits were more likely to notice improvements after revision. Such health literacy training could serve as a model programme to prevent inequity in access to health information in the face of a regional health crisis.

2011年福岛第一核电站发生事故后,为当地卫生工作者制定并实施了一系列卫生知识普及培训讲习班。本研究旨在分析目标受众中谁从培训中获益最大。9名卫生工作者参加了一个讲习班,包括课堂培训和对他们在讲习班上编写的材料进行后续反馈评估。这些材料由131名预期读者进行评估。使用酒井的工具,那些要求读者评价书面信息可及性的项目被用来比较修订前后的材料。酒井井的测量总分显示出显著的改善,老年人和没有定期看医生的人更有可能在修订后注意到改善。这种卫生知识普及培训可以作为一种示范方案,防止在面临区域卫生危机时在获取卫生信息方面出现不平等现象。
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引用次数: 1
The institutional structure for decommissioning Fukushima Daiichi nuclear power plant. 福岛第一核电站退役的制度结构。
Pub Date : 2021-07-01 Epub Date: 2021-07-14 DOI: 10.1177/01466453211015396
Hajimu Yamana

This paper does not necessarily reflect the views of the International Commission on Radiological Protection.This article describes the institutional structure established for decommissioning Fukushima Daiichi nuclear power plant. To deal with the aftermath of the unprecedented nuclear accident in Fukushima, several responsible institutions such as Ministry of Economy, Trade and Industry (METI), Ministry of Education, Culture, Sports, Science and Technology (MEXT) have worked together at the initiative of the Government of Japan. In this structure, Tokyo Electric Power Company Holdings (TEPCO) implements the decommissioning due to its legal responsibility, while the essential direction and milestones are set by the Nuclear Emergency Response Headquarters of the Government of Japan. Nuclear Damage Compensation and Decommissioning Facilitation Corporation, a government-affiliated organisation, oversees and facilitates the decommissioning by TEPCO, and the Nuclear Regulatory Authority regulates safety from an independent standpoint. The main basic elements essential for the success of this long-term project have been developed, such as the technical strategy, financial system, and organisational capability. Decommissioning is making progress.

这篇论文不一定反映国际放射防护委员会的观点。本文描述了为福岛第一核电站退役而建立的制度结构。为了应对史无前例的福岛核事故的后果,在日本政府的倡议下,经济产业省(METI)、教育、文化、体育、科学技术省(MEXT)等几个负责机构共同努力。在这种结构中,东京电力公司(TEPCO)因其法律责任而实施退役,而日本政府核应急总部则确定了基本方向和里程碑。核损害赔偿和退役促进公司是一个政府附属机构,负责监督和促进东京电力公司的退役工作,而核监管机构则从独立的角度监管安全问题。这个长期项目成功的主要基本要素已经开发出来,比如技术战略、财务系统和组织能力。退役工作正在取得进展。
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引用次数: 0
Chornobyl exclusion zone: current status and challenges. 切尔诺贝利隔离区:现状与挑战。
Pub Date : 2021-07-01 Epub Date: 2021-07-19 DOI: 10.1177/01466453211028032
Olena Pareniuk, Nakahiro Yasuda

Comparisons of the large nuclear accidents that occurred at the nuclear power plants in Chornobyl and Fukushima usually focus on the emission of radionuclides, the contamination area, doses to the public and liquidation workers, etc. However, little attention has been paid to various factors that affect decisions regarding the future development of these territories, such as the sociopolitical and economic situation in the countries during the accident and at the present time, the density and structure of the population, climate change, media coverage, and accessibility of information to the public. This article attempts to discuss the above factors, speculates about the paths for future development of both exclusion zones, and suggests the most promising areas for joint research in the future.

对发生在切尔诺贝利核电站和福岛核电站的大型核事故的比较通常集中在放射性核素的排放、污染区域、对公众和清理工作人员的剂量等方面。然而,很少有人注意到影响这些领土未来发展决策的各种因素,例如事故发生时和目前各国的社会政治和经济状况、人口密度和结构、气候变化、媒体报道以及公众获取信息的机会。本文试图对上述因素进行探讨,并对两个隔离区未来的发展路径进行推测,提出未来最有希望共同研究的领域。
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引用次数: 0
From a policy perspective: what is at stake? 从政策角度来看:什么是利害攸关的?
Pub Date : 2021-07-01 Epub Date: 2021-07-13 DOI: 10.1177/01466453211006817
N Ban

This paper does not necessarily reflect the views of the International Commission on Radiological Protection.What is at stake? It was one of the most frequently asked questions in a series of fora with concerned parties on the rehabilitation of living conditions in the aftermath of the accident at Fukushima Daiichi nuclear power plant. It was obvious that radioactive contamination was the source of the problem, and people were at a loss over how to cope with the situation. Various measures were taken under such circumstances, including detailed radiation monitoring, a decontamination programme to reduce the level of radiation in the living environment, and activities related to communication about radiation risk. Nevertheless, this question was asked repeatedly. Measures against radiation exposure were certainly necessary, but it is a reality that they were not enough to solve the difficulties experienced by people in the affected areas. This article presents the author's personal view of the underlying reasons for this, and discusses the way to facilitate recovery after a nuclear accident.

这篇论文不一定反映国际放射防护委员会的观点。这其中的利害关系是什么?在与有关各方就福岛第一核电站事故后生活条件的恢复问题举行的一系列论坛上,这是最常被问到的问题之一。很明显,放射性污染是问题的根源,人们不知道如何处理这种情况。在这种情况下采取了各种措施,包括详细的辐射监测、减少生活环境中的辐射水平的去污方案,以及关于辐射危险的宣传活动。然而,这个问题被反复提出。防止辐射暴露的措施当然是必要的,但现实是,这些措施不足以解决受影响地区人民所经历的困难。这篇文章提出了作者个人对这一潜在原因的看法,并讨论了促进核事故后恢复的方法。
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引用次数: 0
Activities to support individual dosimetry of children in Kawamata Town. 支持川俣镇儿童个体剂量测定的活动。
Pub Date : 2021-07-01 Epub Date: 2021-07-14 DOI: 10.1177/01466453211010918
Hirokuni Yamanishi, Tetsuo Ito, Makoto Hosono

This paper does not necessarily reflect the views of the International Commission on Radiological Protection.Kawamata Town in Date District, Fukushima Prefecture is located more than 30 km north-west of Fukushima Daiichi nuclear power plant, but on 22 April 2011, part of the Yamakiya District of Kawamata Town was designated as a planned evacuation area. The exposure of children was a concern in Kawamata Town. Based on the proposal of Kindai University, Kawamata Town Board of Education took the initiative to measure individual radiation doses with an integrated dosimeter (glass badge) for all kindergarten children, nursery school children, elementary school students, and junior high school students in the town. These measurements were continued for nearly 3 years from June 2011 until the end of March 2014. The total number of measurements was approximately 16,800 across 11-cycle measurement, with 3 months' accumulation taken as one-cycle measurement. Kindai University provided financial support for the glass badge measurement service, and cooperated in the analysis of measured values and the development of advice based on the results. The main body implementing the measurements was Kawamata Town Board of Education, and the data obtained belong to Kawamata Town. When measurements were starting to be taken, schools got involved in the collection and distribution of dosimeters after explanations were provided to principals and school nurses who were in charge of risk communication. Thanks to the efforts of the schools, the recovery rate exceeded 90%, increasing the reliability of the measurements. It was clear who needed the information - the children and their parents. Kawamata Town Board of Education summarised the cumulative dose results for each measurement and notified parents via personal reports. These were sent to parents with advice on measurement results prepared by Kindai University, and care was taken to ensure that people could understand the measured results. Further briefing sessions were held as appropriate. At the briefing sessions, at the request of Kawamata Town Board of Education, the faculty members of Kindai University explained the measurement results from a professional point of view, and a professor from the Faculty of Medicine provided individual health consultations. Kawamata Town took the lead in using specialists to gain peace of mind, and this was key to the project's success. The situation was managed by taking measurements by dosimetry, and asking experts to interpret the data and provide advice to help reassure the residents.

这篇论文不一定反映国际放射防护委员会的观点。福岛县Date区的Kawamata镇位于福岛第一核电站西北30多公里处,但在2011年4月22日,Kawamata镇Yamakiya区的一部分被指定为计划疏散区。儿童的暴露是川俣镇的一个问题。川俣市教育委员会根据近代大学的提议,在全镇所有幼儿园、幼儿园、小学、初中学生中,率先使用综合剂量计(玻璃胸牌)测量个人辐射剂量。从2011年6月到2014年3月底,这些测量持续了近3年。在11个周期的测量中,总测量次数约为16,800次,以3个月的积累作为一个周期的测量。近畿大学为玻璃徽章测量服务提供了资金支持,并合作分析测量值并根据结果制定建议。测量的实施主体为河俣镇教育局,所得数据归河俣镇所有。当开始测量时,学校在向负责风险沟通的校长和学校护士提供解释后,参与了剂量计的收集和分发。由于学校的努力,回收率超过90%,提高了测量的可靠性。很明显,谁需要这些信息——孩子们和他们的父母。河俣市教育委员会总结了每次测量的累积剂量结果,并通过个人报告通知了家长。这些信件连同由近畿大学准备的测量结果的建议一起发给了家长,并小心翼翼地确保人们能够理解测量结果。还酌情举行了进一步的情况介绍会。在简报会上,应川俣市教育委员会的要求,近台大学的教职员工从专业角度解释了测量结果,医学院的一位教授提供了个人健康咨询。Kawamata镇率先使用专家来获得内心的平静,这是项目成功的关键。这种情况是通过剂量测量来控制的,并请专家解释数据并提供建议,以帮助安抚居民。
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引用次数: 0
RECOVERY AFTER NUCLEAR ACCIDENTS. 核事故后的恢复。
Pub Date : 2021-07-01 Epub Date: 2021-06-18 DOI: 10.1177/01466453211020845
Christopher H Clement
Coincidentally, the International Commission on Radiological Protection (ICRP) released Publication 111 ‘Application of the Commission’s recommendations to the protection of people living in long-term contaminated areas after a nuclear accident or a radiation emergency’ (ICRP, 2009), based largely on experience from the Chernobyl accident, just a year before the Fukushima accident occurred. One reason it took so long is that many people felt that the Chernobyl accident was an anomaly. In the decades since Chernobyl, progress had been made to prepare for the immediate emergency response to another large accident, but little consideration had been given to the aftermath.
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引用次数: 0
Involvement of stakeholders during the preparedness phase of post-accident situation management. 在事故后情况管理的准备阶段,利益相关者的参与。
Pub Date : 2021-07-01 Epub Date: 2021-06-06 DOI: 10.1177/01466453211006805
J M Bertho, F Gabillaud-Poillion, C Reuter, O Rivière, J L Lachaume

The Steering Committee for Post-accident Management Preparedness (CODIRPA) was commissioned by the French Government in 2005 with the aim of establishing the main principles to be set up for population protection and recovery in the long term. From the beginning, one of the main principles was the pluralistic nature of the working groups (WGs), including scientific and technical experts, representatives from state departments, nuclear operators, and representatives of civil society (i.e. stakeholders). Stakeholders were mainly associated with the various WGs of CODIRPA. In order to foster the involvement of stakeholders from civil society in the works of CODIRPA, a new organisation was implemented with two WGs: one mainly composed of technical experts for tackling technical issues, and one for evaluating the proposals made by the experts from the stakeholders' point of view. This article presents the results of this new strategy.

2005年,法国政府委托成立了事故后管理准备指导委员会(CODIRPA),目的是为人口保护和长期恢复确立主要原则。从一开始,主要原则之一就是工作组(wg)的多元化,包括科学技术专家、国家部门代表、核运营商和民间社会代表(即利益相关者)。利益相关者主要与CODIRPA的各种工作组相关联。为了促进民间社会利益相关者参与CODIRPA的工作,成立了一个新的组织,由两个工作组组成:一个主要由技术专家组成,负责解决技术问题,另一个负责从利益相关者的角度评估专家提出的建议。本文介绍了这一新策略的成果。
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引用次数: 1
As a resident and a counsellor. 作为住院医生和顾问。
Pub Date : 2021-07-01 Epub Date: 2021-06-10 DOI: 10.1177/01466453211015399
Maiko Momma, Ryoko Ando

At the time of the accident at Fukushima Daiichi nuclear power plant in 2011, I was living in Iwaki City with my two children and my husband. With our home damaged by the tsunami and the deteriorating status following the situation at the nuclear power plant, we spent 2 years as evacuees before returning to Iwaki City. Subsequently, I decided to work as a radiation counsellor in the Suetsugi district of Iwaki City. I would like to describe my experience of taking measurements and helping to communicate with the residents while respecting the lives of local people.

2011年福岛第一核电站发生事故时,我和我的两个孩子以及我的丈夫住在磐城。由于我们的家在海啸中被毁,再加上核电站事故后的状况不断恶化,我们作为撤离者过了两年才回到磐城。后来,我决定在磐城水杉区做一名辐射咨询师。我想描述一下我在尊重当地居民生活的同时,采取措施并帮助与居民沟通的经验。
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引用次数: 0
Development of an application tool to support returnees in Fukushima. 开发一个应用程序工具,以支持福岛返回者。
Pub Date : 2021-07-01 Epub Date: 2021-06-10 DOI: 10.1177/01466453211006815
T Ohba, A Goto, H Nakano, K E Nollet, M Murakami, Y Koyama, K Honda, K Yoshida, Y Yumiya, Y Kuroda, A Kumagai, T Ohira, K Tanigawa

To promote radiation protection and health promotion among returning residents (returnees) in coastal areas of Fukushima, eHealth principles were used to develop a new application tool (app) that can record radiation exposure and health status while providing comprehensive support to returnees. Intended users are returnees and health and welfare workers. After assessing their needs, a flowchart and prototype for operational logic were created using commercially available software tools. Professional developers will focus on improving the user interface and ensuring data security. The finished app will be compatible with mobile telephones and tablets. Utility and ease of use are paramount to serve returnees of all ages effectively.

为了促进福岛沿海地区返回居民(回返者)的辐射防护和健康促进,利用电子健康原则开发了一种新的应用工具(应用程序),可以记录辐射暴露和健康状况,同时为回返者提供全面支持。预期使用者是回返者和保健和福利工作者。在评估了他们的需求之后,使用商业上可用的软件工具创建了操作逻辑的流程图和原型。专业开发人员将专注于改进用户界面和确保数据安全。完成后的应用程序将与手机和平板电脑兼容。实用性和易用性对于有效地为所有年龄的回返者服务至关重要。
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引用次数: 1
Radiocaesium in the environment of Fukushima. 福岛环境中的放射性铯。
Pub Date : 2021-07-01 Epub Date: 2021-06-14 DOI: 10.1177/01466453211006808
H Tsukada

It has been 10 years since the accident at Fukushima Daiichi nuclear power plant in 2011. Large quantities of 131I, 134Cs, and 137Cs were released into the environment, and 80% of 137Cs still remains. In addition to the decrease by attenuation, the transfer of 137Cs to plants, animals, and humans is decreasing due to movement and changing fractions with elapsed time. The activity concentration of 137Cs in the atmosphere has decreased drastically, and the internal radiation dose due to inhalation is negligible. The activity concentration of 137Cs in agricultural plants is decreasing due to decontamination of soil, application of potassium, and lower levels in irrigation water. The activity concentration of 137Cs in wild animals is decreasing, and shows seasonal variation in wild boars. The activity concentration of 137Cs in offshore seawater has decreased to 0.01 Bq l-1. Therefore, the radiation dose is <1 mSv of the additional radiation dose.

2011年福岛第一核电站事故已经过去了10年。大量的131I、134Cs和137Cs被释放到环境中,其中80%的137Cs仍然存在。除了衰减减少外,137Cs向植物、动物和人类的转移也在减少,这是由于移动和随着时间流逝而变化的分数。大气中137Cs的活度浓度急剧下降,吸入的内辐射剂量可以忽略不计。137Cs在农业植物中的活性浓度由于土壤净化、施用钾和灌溉水中浓度降低而下降。野生动物体内137Cs活性浓度呈下降趋势,野猪体内137Cs活性浓度呈季节性变化。近海海水中137Cs的活度浓度降至0.01 bql -1。因此,辐射剂量为
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引用次数: 1
期刊
Annals of the ICRP
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