INFORMATION SHEET FINAL

October 2002

RADON AND HEALTH

What is radon and where does it come from?

Radon is a natural radioactive gas without odour, colour or taste. It cannot be detected
without special equipment. Radon occurs as a product of uranium decay. Uranium is a
natural radioactive material found in varying amounts in all rocks, soil, concrete and
bricks. It occurs everywhere on earth, especially in rocky and mountainous areas. Radon
is an unstable radionuclide that disintegrates through short lived decay products before
eventually reaching the end product of stable lead. The short lived decay products of
radon are responsible for most of the hazard by inhalation.

Radon and its decay products called radon daughters or radon progeny emit highly
ionizing alpha-radiation. Decay products are suspended in the air which we breathe.
Although the risk is very low when radon is diluted to extremely low concentrations in
the open, radon in room air typically contributes up to 50% to the background radiation
(fig 1.). However, in places such as caves and mines, it can accumulate up to dangerous
concentrations and may cause substantial health damage after long-term exposure.
Radon can also be found in drinking water and this can sometimes present a hazard.
Certain types of geology, such as granite and volcanic soils, as well as aluminous shales,
are more likely to contain radon. Conversely, low concentrations of this gas are expected
in sedimentary rocks.

Figure 1. Sources and average distribution of natural background radiation

for the world population (UNSCEAR, 2000).

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How radon is measured

Radioactivity of a radionuclide, for instance radon, is reported in becquerels, Bq.

1 becquerel (1 Bq) = 1 disintegration of atom per second
Radon concentrations in the air are measured as the amount of radioactivity (Bq) in a
cubic metre of air (Bq/m3). The average radon level outdoors is 5 Bq/m3 and in the homes
of the United Kingdom, for instance, is 20 Bq/m3 of air.

How does radon enter houses?

Radon gas enters houses from the ground through cracks in concrete floors and walls,
through gaps between floor and slab, and around drains and pipes, and small pores of
hollow-block walls (fig.2). Consequently, radon levels are usually higher in basements,
cellars and ground floors. Depending on a number of factors, the concentration of radon
indoors varies with the time of the year, from day to day, and from hour to hour. Because
of this time-variation, reliable measurements of mean concentrations in air should be
made for at least three months. The level of radon in homes can be measured with simple
device that are returned to the testing company to interpret the results.

Health effects of radon

The adverse health effects of exposure to radon are caused primarily by damage due to
alpha-particles. The possible effects will depend on exposure level. The main danger
from high radon exposure is an increased risk of lung cancer. Radon as a noble gas is
rapidly exhaled after being breathed in; however, radon progeny, combine with other
molecules in the air and with particles of dust, aerosols or smoke, and readily deposit in
the airways of the lung. While lodged there, the progeny emit ionizing radiation in the
form of alpha particles, which can damage the cells lining the airways. Experiments have
confirmed that ionizing radiation affecting bronchial epithelial cells could cause cancer.

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Epidemiological studies on thousands of uranium miners in different countries, including
Germany, USA, Canada, Czechoslovakia, and others, also support this fact. Analyses
have been undertaken of several miner studies, totalling 68,000 men of whom 2,700 died
from lung cancer. An increased risk of all histological types of lung cancer, including
small cell carcinoma, adenocarcinoma, and squamous cell carcinoma, has been associated
with occupational exposure to radon. But exposure to radon in houses can also lead to
lung cancer. It is believed, for example, that every year more than 15 000 deaths from
lung cancer occur due to radon exposure in the United Sates and more than 2 500 deaths
in the United Kingdom.

Lung cancer risk is much higher when radon exposure is

combined with smoking. According to the BEIR IV report of
the US National Academies of Sciences, for men exposed to
radon at work, smokers were 10 times more likely to get
lung cancer risk than non-smokers.

The risk of lung cancer from radon in home can be estimated by two ways: by direct
epidemiological studies of residential radon and by projecting occupational risk estimates
to lower levels of radon in homes. The uncertainties associated with residential studies
are larger than those with miner studies, primarily because the risk is smaller at the low
exposures encountered in most homes. It is also difficult to estimate the radon exposures
that people have received over their lifetimes, probably in several houses. Despite the
uncertainties , it is clear that far more lung cancers are caused by smoking than are
caused by radon.

It is believed that the relationship between radon and risk of lung cancer is linear. In
other words, doubling the exposure doubles the risk and halving the exposure halves the
risk. Doubling of the risk means much more for a smoker, who is already at high risk of
lung cancer, than for a non-smoker with a very small base line risk. Lung cancer risk
from residential radon exposure is substantially lower since the exposure in homes is
much lower than in mines, although the risk increases with radon concentration level and
duration of exposure. For life-time exposure to radon of 20 Bq/m3 level at home the risk
of lung cancer is estimated to be 0.3% (or 3 deaths in 1000 people). For comparison, risk
of accidental death at home is 0.7% (or 7 in 1000).

It has been suggested that other effects of radon exposure include increased risk of non-
malignant respiratory diseases but this is much less clearly established than the lung
cancer risk. It is still not clear whether children are more sensitive to radon exposure.
Studies on childhood leukaemia (the most common form of cancer in childhood) have
not found clear evidence of risk associated with radon concentrations in homes.

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Radon in drinking water

Ninety-five percents (95%) of exposure to radon is from

indoor air; about one percent (1%) is from drinking water
sources. Most of this 1% drinking water exposure is from
inhalation of radon gas released from running water
activities, such as bathing, showering, and cleaning. Only
0.1% of exposure is from swallowing drinking water
contaminated with radon gas. Although the effects of
ingested radon are not fully understood, calculations
suggest that the great majority of the radiation dose from
such exposure is in the stomach.

In many countries, some homes obtain drinking water from groundwater sources
(springs, wells, adits, and boreholes). Because of its volatility, radon contamination
occurs primarily in ground, not surface, water sources of drinking water. Underground,
this water often moves through rock containing natural uranium that releases radon to the
water. That is why, water from wells normally has much higher concentrations of radon
than surface water such as rivers, lakes, and streams. The U.S. National Academy of
Sciences reports that the average concentration of radon in public water supplies derived
from surface waters is usually less than 0.4 Bq/l, and it is about 20 Bq/l in ground water
sources in the United States.

Radon in the air is easy to detect

It is possible for one house to have elevated levels of radon while a neighbouring one
does not. Measurement is the only reliable way to determine levels of radon in a house.
Measurements are normally carried out using passive detectors which are left in the home
for periods from days to months. Because radon levels vary from day to day and from
season to season, measurements over several months are better than short-term
measurements for estimating annual average radon levels.

Detectors can be purchased from testing companies, but must be returned to them for
assessment. To accurately reflect peoples true exposure to radon, detectors must be
placed in rooms where people spend most of the time (living room, bedrooms, offices).
Instructions should be followed carefully when installing the detectors. They should not
be placed in rooms that are rarely used.

There are three main types of passive radon detector:

Etched track (or alpha track) detectors are normally placed for a period of one to 12
months.
Electret ion chambers are available with different sensitivities, some being suitable
for measurements over a few days and some being suitable for measurements over
months.
Charcoal detectors measure average radon levels over a few days, so give less
accurate estimates of annual average radon levels. They may be used for screening
measurements.

A list of suppliers of radon detectors may be obtained from the national or regional health
authorities or from research workers or specialists in this field.

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Action level of radon concentration in the air and water

Many countries have defined an Action Level of radon concentration to guide their
program to control domestic exposure to radon. The Action Level is not a boundary
between safe and unsafe, but rather a level at which action on reduction of radon level
will usually be justified. Some people may choose to take action when the Action Level
is approached. For example, many countries consider radon concentration in the air of
200 Bq/ m3 as an Action Level at which mitigation measures should be taken to reduce
radon level in homes. Guideline values (action levels) of radon vary among countries
(Table 1).
The United States set a Maximum Contaminant Level for radon in drinking water of 150
Bq/l for radon concentration in drinking water from private water supplies, The European
Union Commission recommended Action Level of 1000 Bq/l. This is set so that the risk
to a typical person drinking such water is similar to the risk from breathing air which
contains radon at the Action Level of 200 Bq/m3.

Table 1. Domestic radon concentrations and Action Levels in different countries

Average radon
Country concentration Action Level
in homes (Bq/m3) (Bq/m3)

Czech Republic 140 200

Finland 123 400
Germany 50 250
Ireland 60 200
Israel * 200
Lithuania 37 100
Luxembourg * 250
Norway 51-60 200
Poland * 400
Russia 19-250 *
Sweden 108 400
Switzerland 70 1000
United Kingdom 20 200
European Community * 400
USA 46 150
Canada * 800

* not available at the moment

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Radon may be reduced at Your Home

Radon levels in room air can be lowered in a number of ways, from sealing cracks in
floors and walls to changing the flow of air into the building. The five principle ways of
reducing the amount of radon entering a house are:

Improving the ventilation of the house;

Sealing floors and walls;

Increasing under-floor ventilation;

Installing a radon sump system;

Installing a whole house positive pressurization or positive supply ventilation system.

Some of these solutions are not suitable for all types of houses, nor are they suitable for
all levels of radon. In some cases, more than one solution is needed in resolving the radon
problem.
Radon safety needs to be considered when new houses are built. In many countries, for
instance in England and in the United States, including protective measures in new
buildings has become a routine procedure. These measures have been proven to keep
radon levels well below the recommended action level, both in the short and long term.

Related Information Links on the Web

More information on Radiation, Radon, Health Effects of Radon, Radon Measurements

and Mitigation could be found on the following websites:

United Kingdom National Radiation protection Board

http://www.nrpb.org

US Environmental Protection Agency

http://www.epa.gov/iaq/radon/index.html

Swiss Public Health Department

http://www.bag.admin.ch/strahlen/ionisant/radon/d/index.php

US National Radon Safety Board

http://www.nrsb.org/

US National Research Council, Board on Effects of Ionising Radiation VI Report on

Health Effects of Exposure to Radon (full text)
http://www.nap.edu/books/0309056454/html/index.html

Find state Radon Service Officials in the U.S.A.

http://www.epa.gov/iaq/contacts.html

US Nuclear Regulatory Committee

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http://www.nrc.gov

American Lung Cancer Association

http://www.lungusa.org/air/radon_factsheet99.html

Environmental Radon Newsletter published by NRPB, UK

http://www.nrpb.org/publications/newsletters/environmental_radon/index.htm

Building Research Establishment, Foundation for the Built Environment, UK

www.bre.co.uk

Health Canada: Radon

http://www.hc-sc.gc.ca/ehp/ehd/catalogue/general/iyh/radon.htm