caesium-137 and ferric-ferrocyanide

Follow-up studies after the Chernobyl and Fukushima accidents have shown that

Topics: Cesium Radioisotopes; Ferrocyanides; Humans; Iodine Radioisotopes; Post-Exposure Prophylaxis; Potassium Iodide; Pre-Exposure Prophylaxis; Radiation Exposure; Radioactive Hazard Release

In September 1987, two men in Goiânia, Brazil, discovered an abandoned international standard capsule containing less than 100 g of cesium-137 chloride. The material was unguarded, and the warning systems were inadequate and inscrutable. The men took the capsule and sold it for scrap, and within days the city would be contaminated with highly radioactive material. Within weeks, 112,000 individuals would be screened for radioactive contamination, 249 would be exposed to radioactive materials, 46 would receive medical treatment for radioactive contamination, and four would die from acute radiation sickness. The citywide radioactive contamination occurred, in part, due to arbitrary and unfamiliar written warning systems. The individuals who discovered the cesium-137 capsule were illiterate and unfamiliar with the radiation trefoil logo, which was first used in 1946 in California, United States of America. As a result, written language and visual symbols were useless warnings against the dangerous contents of the capsule.. Cesium-137 enters the body through ingestion or inhalation. This isotope emits beta and gamma radiation, both forms of ionizing radiation which damage living tissues. The radiation dose lethal to 50% of an exposed population within 60 days (LD50/60) is approximately 3.5 to 4 Gray (Gy) without medical intervention. However, this dose increases to around 6-7 Gy when medical support is provided, which typically includes antibiotics, blood transfusions, granulocyte-macrophage colony-stimulating factor, and Prussian blue. Prussian blue binds to cesium, thereby facilitating its elimination from the body.. The radiological disaster in Goiânia was due in large part to the failures of various agencies to warn of danger and minimize access to radioactive material. Barriers to risk communication included a lack of a universal semiotic language regarding radioactive hazards, which was compounded by the illiteracy of the scrappers and their inability to recognize the radioactivity warning trefoil. There is no society in which every member understands written language or recognizes every symbol. Given that the teletherapy unit was abandoned in an urban environment, there were no administrative or engineering controls in place to prevent human beings from becoming exposed to radioactive material.. As little as 100 g of highly radioactive material, such as cesium-137, may lead to massive environmental contamination, fatalities and permanent disability due to acute radiation sickness, wreak havoc, and disrupt society on a scale that is challenging for public health officials to manage. Thousands of tons of radioactive materials from the waste products of nuclear weapons and power plant manufacture will have to be stored for at least 100,000 years to prevent danger to human life and society. Public health officials and governments must build systems to keep humans safe and physically isolated from these radioactive materials for as long as possible.

Topics: Cesium Radioisotopes; Ferrocyanides; Humans; Male; Radiation Injuries

Fish in lakes situated within the Chornobyl exclusion zone have been highly contaminated since the accident and have not been utilized as food for humans. In the present study, field experiments with less-contaminated silver Prussian carp (Carassius gibelio (Bloch, 1782)) caged in contaminated lake within the Chornobyl exclusion zone was performed from June to October 2021 to investigate the effectiveness of clean feed containing potassium ferric hexacyanoferrate (KFCF) KFe[Fe(CN)

Topics: Animals; Chernobyl Nuclear Accident; Fishes; Humans; Lakes; Radiation Monitoring

Accidents or radiological attacks may lead to ingestion of Cs by large numbers of the public. This work models the efficacy of Prussian blue, the medical countermeasure for internal contamination with Cs, to prevent acute radiation syndrome as a function of the duration of treatment and the time that treatment starts after uptake. Risk of acute radiation syndrome is modeled using the International Commission on Radiological Protection's acute radiation hazard model. Dose rates to target organs from Cs ingestion were based on the data published by the US Environmental Protection Agency and the retention of Cs in the reference man. Modeling found that treatment is most effective if begun within 15 d of ingestion, and the course length should be at least 75 d to mitigate cancer risk and 290 d to mitigate fatalities due to acute radiation syndrome. Both of these course lengths are much longer than the minimum Prussian blue treatment regimen of 30 d. Extending the treatment time for contaminated individuals would increase demand for Prussian blue following an accident or attack and in turn, would require a larger stockpile of Prussian blue to meet demand. Not enough data is available to determine if this longer treatment time would lead to adverse medical outcomes due to the toxicity of the treatment itself.

Topics: Acute Radiation Syndrome; Adult; Antidotes; Cesium Radioisotopes; Decontamination; Eating; Ferrocyanides; Humans; Male; Phantoms, Imaging; Radiation Exposure; Radiation Injuries; Radiation Protection; Young Adult

Topics: Adsorption; Cellulose; Cesium; Cesium Radioisotopes; Ferrocyanides; Industrial Waste; Ions; Kinetics; Thermodynamics; Wastewater

In the case of an attack by a "dirty bomb" with cesium-137 there is a risk of internal contamination. The excretion of cesium-137 can be enhanced by Prussian Blue (PB), and thus the committed effective dose be reduced. We analyzed the benefit and costs of PB decorporation treatment. We simulated the reduction of the radiological dose by PB treatment after cesium-137 incorporation by inhalation. The saving of life time was quantified using the monetary "value of a statistical life" (VSL). Treatment costs were based on the market price of PB in Germany. Moreover we considered the holding costs of stockpiling. The benefit of PB treatment increases with its duration up to about 90 days. If treatment initiation is delayed, the maximum achievable benefit is decreased. For a VSL of 1.646 million €, the net benefit of a 90-days treatment started 1 day after the incorporation remains positive up to a stockpiling duration of 10 years. If starting PB treatment as late as the 180th day after incorporation, the costs will surpass the benefit. We conclude that a prompt decision making and early treatment initiation greatly impacts on the medical but also economic efficiency of a PB treatment.

Topics: Cesium Radioisotopes; Cost-Benefit Analysis; Decontamination; Ferrocyanides; Health Care Costs; Humans; Radiation-Protective Agents; Strategic Stockpile; Time Factors