使用电离辐射源时的卫生和流行病学要求的专题问题

A. N. Barkovsky
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引用次数: 0

摘要

俄罗斯联邦目前关于处理含有或人为电离辐射源的产品的管制要求制度没有充分考虑到各种类型的辐射设备在辐射危害方面的差异。对于不同类别的潜在辐射危害的辐射对象,基本是相同的。在所有情况下,都需要就电离辐射源的工作条件是否符合卫生规则和许可证作出卫生和流行病学结论,在这种情况下,卫生规则和许可证实际上是相互重复的。作为在考虑到各种来源的实际危险的情况下确保更大程度地区分监管要求的可能方法之一,建议对使用技术源的电离辐射源形成一个三级卫生和流行病学监管体系。第一级是辐射设备产品,在其设计的任何使用条件下,人们因使用而受到的辐射剂量不能超过既定的人口卫生标准。它们的处理不受监管,应与不构成辐射危害的产品一样进行。第二级是辐射技术产品,这些产品不会对人类造成严重的潜在辐射危害,但需要对其处理进行一定的监管,以确保社会可接受的辐射安全水平。允许在有卫生流行病学结论的情况下进行处理,并可以采用简化的辐射监测系统。第三级是辐射技术的产品,对人类构成重大的潜在辐射危害。如果违反处理这类产品的规则和发生辐射事故,就可能对人类健康造成严重损害。有卫生流行病学结论和许可证的,准予办理。这种做法在保持已达到的辐射安全水平的同时,将大大简化管理制度,消除扩大使用辐射技术的不合理障碍。还必须考虑是否可能制定特别标准,以确保使用电离辐射源的移动和移动医疗诊断符合卫生和流行病方面的要求。这种标准的缺乏阻碍了现代x射线诊断方法的实施。
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Topical issues of sanitary and epidemiological requirements when using technogenic sources of ionizing radiation
The current system of regulatory requirements in the Russian Federation for the handling of products containing or being man-made sources of ionizing radiation does not sufficiently take into account differences in the radiation hazard of various types of radiation equipment. For radiation objects of different categories of potential radiation hazard, it is largely the same. In all cases, it is required to issue a sanitary and epidemiological conclusion on the compliance of working conditions with ionizing radiation sources with sanitary rules and licenses, which in this case practically duplicate each other. As one of the possible ways to ensure greater differentiation of regulatory requirements taking into account the real danger of various sources, the formation of a three-level system of sanitary and epidemiological regulation of the use of technogenic sources of ionizing radiation is proposed. The first level is radiation equipment products, the radiation doses of people due to the use of which cannot exceed the established hygienic standards for the population under any conditions of the use for which these products are designed. Their handling is exempt from regulatory control and should be carried out as with products that do not pose a radiation hazard. The second level is radiation technology products that do not pose a serious potential radiation hazard to people, but require certain regulation of their handling to ensure a socially acceptable level of radiation safety. Handling of them is allowed in the presence of sanitary and epidemiological conclusion, and a simplified radiation monitoring system may be allowed. The third level is the products of radiation technology that pose a significant potential radiation hazard to humans. A serious harm to human health is possible in case of violations of the rules for handling such products and in the event of a radiation accident. Handling them is allowed if there is a sanitary and epi- demiological conclusion and a license. Such an approach, while maintaining the achieved level of radiation safety, will significantly simplify the regulatory system and eliminate unreasonable obstacles to the expanded use of radiation technology. It is also necessary to consider the possibility of developing special standards to ensure sanitary and epidemiological requirements of the use of mobile and mobile medical diagnostics using sources of ionizing radiation. The absence of such standards hinders the implementation of modern methods of X-ray diagnostics.
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