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CONTENTS

Goals and Objectives

Case Study and Pretest

Exposure Pathways

Who's At Risk

Biologic Fate

Physiologic Effects

Clinical Evaluation

Treatment and Management

Standards and Regulations

References and Suggested Reading List

Answers to Pretest and Challenge Questions
 

Additional Sources of Information

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Case Studies in Environmental Medicine 

Radiation Exposure
From Iodine 131

 

Standards and Regulations
  Environmental Protection Standards
  Table 3. Summary of Recommended Maximum Concentrations
    of I-131 in Specific Media and for Occupational Exposure

Standards and Regulations

  • Standards and regulations have been established to limit the use of I-131 for medical purposes and the concentration of I-131 released into the environment.

Environmental Protection Standards

The United States (FDA and EPA) and the World Health Organization (WHO) have issued standards that limit the amount of contamination in food, water, and air.

Table 3 provides a summary of standards for environmental and occupational exposures to I-131. The FDA food concentration guidelines both (a) restrict the flow of contaminated food out of an affected area into the regional or global food supply and (b) set limits on local consumption of affected food and water. If limits are exceeded for the local population, uncontaminated food should be provided from outside the affected area. This also applies to drinking water with I-131 levels above EPA limits.

Occupational limits for radionuclide exposure address ingestion, inhalation, and external exposure and are set by the Nuclear Regulatory Commission (NRC) for NRC licensees and by the Department of Energy for DOE facilities. The NRC limits for I-131 are as follows:

  • 2 ×10-8 µCi/mL (for occupational air exposure)
  • 2 ×10-10 µCi/mL (for effluent air to which the public could be exposed)
  • 1 ×10-6 µCi/mL (in effluent water), and
  • 1 ×10-5 µCi/mL (for monthly average releases to sewers from medical facilities).

These NRC limits are intended to ensure that no worker exceeds 50 mSv (5 rem) of I-131 to the whole body or 500 mSv (50 rem) to the thyroid, and that no member of the public exceeds 1 mSv (0.1 rem) to the whole body.

Table 3. Summary of Recommended Maximum Concentrations
of I-131 in Specific Media and for Occupational Exposure

Agency Media Standard
U.S. Environmental Protection Agency Drinking water 4 Becquerels per liter
(108 pCi/L)
 
Air 100 pCi/m3
     
Food and Drug Administration Food in commerce
(derived intervention level)*
170 Becquerels per kilogram
(4,600 pCi/kg)
     
NRC, DOE, OSHA, National Council on Radiation Protection and Measurement (NCRP), and International Commission on Radiological Protection (ICRP) Annual occupational exposure limits† 50 mSv (5 rem) for whole body dose
500 mSv (50 rem) for thyroid dose

*Foods destined for general consumption and also for infant milk and drinking water.
†Additional limits of 100 mSv (10 rem) over 5 years or a cumulative dose limit of 10 mSv (1 rem) times age in years (ICRP).


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This page last updated on January 16, 2004
Wilma López / wbl8@cdc.gov
 

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