Radiation protection and public health of nuclear professionals and the public living in the vicinity of radiation hazardous facilities in Russia

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Federal Medical Biological Agency Radiation protection and public health of nuclear professionals and the public living in the vicinity of radiation hazardous facilities in Russia Vladimir Romanov 1

Table of contents 1. FMBA of Russia: Scope of Responsibility (3-5 slides) 2. Public health indications & Doses to workers.fmba s Registers. Emergency response (6-14 slides) 3. Radiation Protection & Safety Regulation. Challenges in the radiation safety:nuclear & uranium legacy (15-26 slides) 4. Conclusions (27-29 slides) 5. Participation in International IAEA Forum on Regulatory Supervision of Legacy Sites(RSLS)(30-38 slides) 2

The main regulatory and legislative acts of FMBA activity Order of the RF President of 11 October 2004 1304 On the Federal Medical Biological Agency The RF Government Directive of 11 April 2005 206 On the Federal Medical Biological Agency FMBA is responsible for especially hazardous industrial branches in areas of professional and public health and for health-care situation around radiation hazardous facilities 3

Facilities under Service of FMBA Nuclear fuel cycle Nuclear fleet Weapons Nuclear weapons test Nuclear power plants Total number of workers of the subordinated organizations is 154265 persons. The number of the contingence under medical service is 10 millions of persons 4

FMBA s service covers More than 190 thousands of nuclear workers, including about 72 thousands of persons under dose monitoring In 10 CTF (close territorial formations) located in the areas of nuclear sites, more than 747000 persons are under medical service More than 40 thousands of medical staff are involved in medical service 5

Table of contents 1. FMBA of Russia: Scope of Responsibility (3-5 slides) 2. Public health indications & Doses to workers. FMBA s Registers. Emergency response (6-14 slides) 3. Radiation Protection & Safety Regulation. Challenges in the radiation safety:nuclear & uranium legacy (15-26 slides) 4. Conclusions (27-29 slides) 5. Participation in International IAEA Forum on Regulatory Supervision of Legacy Sites(RSLS)(30-38 slides) 6

Demographic indications in close territorial formations Indication Born rate (over 1 thousand of the members of the public) Baby mortality (over 1 thousand of the members of the public) Total mortality (over 1 thousand of the members of the public) Incidence of malignant neoplasm (over 100 thousand of the members of the public) Incidence of tuberculosis (over 100 thousand of the members of the public) FMBA of Russia Russian Federation 10.1 12.6 4.8 7.5 12.4 14.3 412.1 365.4 32.8 66.6 7

Occupational pathology (over 10 thousand of the members of the public) Russia Rosatom New cases of radiation induced diseases, such as acute and chronic radiation disease, local radiation injuries have not been registered over the recent 10 years 8

Doses to workers, msv/year Statutory norm is 20 msv/year Over many years, excessive radioactive effluents and discharges to the environment from nuclear facilities have not been registered 9

Tasks to improve the health care Development and implementation of methods of early revelation of social significant diseases, which make the main contribution to the labor loses in nuclear industry Development of up-to-date requirements to prevent professional and occupational induced diseases for uranium mining and milling facilities Introducing of psycho-physiological selection in the practice of medical examination of workers at radiation hazardous plants 10

Specialized medical dosimetry registers Scientific basis - indexes of radiogenic risk (cancer risk) Information basis: -doses -non-radiological factors - health effects data 11

FMBA s Registers Branch medical dose register of workers involved in mitigation of consequences of the accident at the Chernobyl NPP Rosatom s workers Regional medical dose register of workers of the production association Mayak (Ozersk city) Regional medical dose register of workers of the Siberian Chemical Combine (Seversk) Regional medical dose register of workers of the Mine Chemical Combine (Zheleznogorsk) Register of acute radiation injuries of the human Branch register of persons with professional diseases Joint cohort of the personnel about 57 thousands workers 12

Radiological accidents 13

Emergency response under FMBA of Russia 14

1. FMBA of Russia: Scope of Responsibility (3-5 slides) 2. Public health indications & Doses to workers.fmba s Registers. Emergency response (6-14 slides) 3. Radiation Protection & Safety Regulation. Challenges in the radiation safety: nuclear & uranium legacy (15-26 slides) 4. Conclusions (27-29 slides) Table of contents 5. Participation in International IAEA Forum on Regulatory Supervision of Legacy Sites(RSLS)(30-38 slides) 15

Radiation Protection & Safety Regulation 16

Normative and methodical documents Over the recent 10 years, more than 70 health care regulations, 150 methodical documents have been developed, including 19 health rules, among which: Radiation safety standards Main rules for radioactive waste management Rules to NPP design and operation, including floating NPP Regulations to control the radiation safety assurance during the overall dismantlement of nuclear submarines 17

Doses to the Russian population Public doses due to activities of facilities in nuclear power engineering below 0.01 msv/year (under regulation 1 msv/year) 18

Publications 19

Challenges in the radiation safety Ageing of the key resources in Russia Insufficient isolation from the environment of some near-plant radioactive waste storage facilities Large multi-million amounts of liquid waste A lack of reserve amounts in storage facilities at NPP s and more than hundreds of nuclear submarines 20

Legacy of the nuclear submarine fleet 21

Uranium legacy 22

Regulatory decisions and practice Resettlement of Octyabrsky 23

Uranium legacy Participation in the Inter-state target programme EurAsES 2013-2018 Reclamation of areas of the EurAsEC member-states affected by the activities of uranium mining and milling facilities 24

In the preparation phase of the EurAsEC Programme Development of some target indicators and indexes together with parameters for their evaluation Development of the Method for the impact assessmentof mines on the public healthand risk assessment of radiation induced diseases Development of the Method and radiation monitoring performance at areas of facilities under restoration 25

Four expeditions Work Arrangement It s already made in 2013-2014 Identification of inspected and control regionswith maximum lose quality of medical and social service Radiation monitoring System of the comprehensive and dynamic surveillance including the long-term continuous control of radiation parameters and doses of residents. Specialized rules include the types of environmental objects, scope and periodicity of sampling, methodological and technical requirements, etc. Population health monitoring Accumulation of necessary copies of the national state medical statistic reports Database arrangement 26

Table of contents 1. FMBA of Russia: Scope of Responsibility (3-5 slides) 2. Public health indications & Doses to workers.fmba s Registers. Emergency response (6-14 slides) 3. Radiation Protection & Safety Regulation. Challenges in the radiation safety:nuclear & uranium legacy (15-26 slides) 4. Conclusions (27-29 slides) 5. Participation in International IAEA Forum on Regulatory Supervision of Legacy Sites(RSLS)(30-38 slides) 27

Conclusions (1) 1. The results achieved over almost 70 years the Agency's activities as an integral part of national health care, projected on the healthcare professionals to support workers of the defense sectors of our country and the people living in the vicinity of the appropriate facilities fully justified it. This statement is confirmed, in particular, on the above mentioned levels both of the public health and radiation safety and protection. 2. Within the further improvement of health care support of nuclear workers and the public living in the areas of nuclear facilities impact, FMBA of Russia considers the following scientific and practical priorities: 28

Conclusions (2) Improvement and development of new and updated health care technologies aimed at radiation safety and protection assurance in the course of work at nuclear facilities and in the areas of so-called nuclear military legacy, in the vicinity of NPP (study of zero background) Completion of development of the a single system of radiation-hygienic response and medical aspects of protection in the case of radiological accidents at north, south, west and east of Russia, where nuclear facilities are and will be built and located Further search for and development of methods and means of prevention and treatment of individual radiation pathology, including newly innovative biomedical technologies (cell therapy etc.) Enhancing methods of study of long-term health effects of radiation exposure to workers of radiation hazardous facilities and to the public 29

1. FMBA of Russia: Scope of Responsibility (3-5 slides) 2. Public health indications & Doses to workers.fmba s Registers. Emergency response (6-14 slides) 3. Radiation Protection & Safety Regulation. Challenges in the radiation safety:nuclear & uranium legacy (15-26 slides) 4. Conclusions (27-29 slides) Table of contents 5. Participation in International IAEA Forum on Regulatory Supervision of Legacy Sites (RSLS) (30-38 slides) 30

WG No 1 Enhancing the Regulatory Infrastructure Participation of FMBA in IAEA International Forum on regulatory supervision of nuclear legacy 31

Objective To study and summarize experience of the regulatory bodies when planning and implementing the process of the regulatory supervision of nuclear legacy sites, and to develop recommendations on enhancing regulatory infrastructure 32

Work organization (2011-2014) Development of the questionnaire to assess the state of the national legacy regulation Analysis and summary of materials provided by the RSLS memberstates in their filled questionnaires Development of the resume on the national strategy of the legacy regulation taking into account the questionnaire-based information Generalization of the experience in the regulatory supervision of legacy sites using development of the normative-and-methodical framework in the Russian Federation and some other countries as an example Development working materials of our Working Group to be included in IAEA TECDOC 33

3 main areas to be analyzed: 1.The state of the legislative and governmental framework to regulate radiation safety of legacy sites and facilities 2.The infrastructure and responsibilities of the regulatory body 3.The governmental programmes on remediation of legacy sites and facilities 34

Conclusion Reviewed and analyzed the legislative framework of legacy regulation Review and summarize of the experience accumulated by the regulators of countries having nuclear and uranium legacy, when planning the such legacy management Analyzed the experience of the regulatory supervision and monitoring of the nuclear legacy Recommendations on enhancing the regulatory infrastructure and normative and legislative framework of the legacy management 35

IAEA Expert Meeting - July 2014 Objective: to revise and update RSLS TECDOC, which will describe case-studies and additional informational materials received by the Forum Chair 36

RSLS TECDOC: Table of contents 1. INTRODUCTION: BACKGROUND, OBJECTIVES AND SCOPE, STRUCTURE 2. GENERAL LEGACY SITE CONSIDERATIONS 3. REGULATORY PROCESSES FOR LICENSING, DECOMMISSIONING AND REMEDIATION OF LEGACY SITES: discuss laws, regulations, guides, licensing, inspections, remediation plans; SPECIFIC (Discuss country specific examples); CONCLUDING SUMMARY 4. SUCCESSFUL PRACTICES FOR MANAGING AND PREVENTING URANIUM LEGACY SITES: MANAGING EXISTING LEGACY SITES; PREVENTING FUTURE LEGACY SITES 5. WORKING GROUP SUMMARIES 6. SUMMARY AND CONCLUSIONS: REGULATORY STRUCTURE, SAFETY ANALYSIS AND ENVIRONMNETAL IMPACVT ASSESSMENTS, PROFESSIONAL QUALIFICATIONS 37

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