JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Medical Radiology and Radiation Safety. 2020. Vol. 65. No. 3. P. 66–72
E.G. Metlyaev, L.S. Bogdanova, M.I. Grachev, Yu.A. Salenko, G.P. Frolov, A.M. Lyaginskaya
International and National Approaches to the Conducting of Iodine Thyroid Blocking in the Accident of a Nuclear Reactor
A.I. Burnasyan Medical Biophysical Center, Moscow, Russia, This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract
Purpose: Carry out a comparative analysis of the criteria and practices of conduct Iodine thyroid blocking (ITB) in various countries from the standpoint of WHO publication (2017) “Iodine thyroid blocking. Guidelines for use in planning for and responding to radiological and nuclear emergencies” (WHO Guidelines) and national Rules and requirements 2.6.1.2523-09 (NRB-99/2009) and other documents, including facility and territorial Emergency plans and instructions contained therein.
Results: The WHO Guidelines, prepared using the GRADE method, determine the conditional recommendation in favor of conduct ITB in the event of a release of radioactive iodine: “During a radiation or nuclear emergency, the provision of ITB for people who are at risk of exposure to radioactive iodine should be implemented as urgent protective action as part of a justified and optimized protection strategy”. In the WHO Guidelines, such a recommendation is recognized as qualitatively low, and the strength of this recommendation is conditional, due to insufficient data on the use of stable iodine drugs. However, after studying the implementation of this protective measure, it was determined that the benefits of the intervention outweigh the disadvantages and associated costs. The article contains a selective discussion and opinion of the authors on a number of key issues of organization and conduct ITB.
Conclusion: A comparative analysis revealed the similarities and differences between foreign and national practices of conduct ITB. The convergence of positions is necessary and aimed at harmonizing national and international criteria and practices. To date, there is no federal level document in the Russian regulatory framework that regulates the planning, organization and conduct of ITB in relation to people who are not associated with work at radiation hazardous facilities and do not live on territories served by the FMBA of Russia. Based on this, a range of priority important issues that need to be addressed has been identified.
Key words: radiation safety, emergency preparedness, emergency medical response, iodine thyroid blocking, radiation accident, dose criteria
For citation: Metlyaev EG, Bogdanova LS, Grachev MI, Salenko YuA, Frolov GP, Lyaginskaya AM. International and National Approaches to the Conducting of Iodine Thyroid Blocking in the Accident of a Nuclear Reactor. Medical Radiology and Radiation Safety. 2020;65(3):66-72. (In Russ.).
DOI: https://naukaru.ru/en/nauka/article/38947/view
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PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 08.08.2019.
Accepted for publication: 24.06.2020.