The International Radon Project (IRP) is a World Health Organization initiative to reduce the lung cancer risk around the world.
The IRP released their guidance to member countries in September 2009. [1]
The WHO states on its website, "Exposure to radon in the home and workplace is one of the main risks of ionizing radiation causing tens of thousands of deaths from lung cancer each year globally. In order to reduce this burden it is important that national authorities have methods and tools based on solid scientific evidence and sound public health policy. The public needs to be aware of radon risks and the means to reduce and prevent these." [2]
In 1996[ citation needed ], WHO published a report containing several conclusions and recommendations covering the scientific understanding of radon risk and the need for countries to take action in the areas of risk management and risk communication.
Recent findings from case-control studies on lung cancer and exposure to radon in homes completed in many countries allow for substantial improvement in risk estimates and for further consolidation of knowledge by pooling data from these studies. The consistency of the findings from the latest pooled analyses of case-control studies from Europe and North America as well as China provides a strong argument for an international initiative to reduce indoor radon risks.
To fulfill these goals, WHO has developed a program on public health aspects of radon exposure. This project enjoys high priority with WHO's Department of Public Health and Environment. The key elements of the International Radon Project include:
To achieve these aims, WHO has formed a network of key partner agencies from some 40 Member States. This network is the basis for the WHO International Radon Project which was launched in 2005. Working groups will collect and analyse information on radon risk, radon policies, radon mitigation and prevention as well as risk communication. The project members meet regularly and work towards achieving the outlined objectives.
Lung cancer, also known as lung carcinoma, is a malignant tumor that begins in the lung. Lung cancer is caused by genetic damage to the DNA of cells in the airways, often caused by cigarette smoking or inhaling damaging chemicals. Damaged airway cells gain the ability to multiply unchecked, causing the growth of a tumor. Without treatment, tumors spread throughout the lung, damaging lung function. Eventually lung tumors metastasize, spreading to other parts of the body.
Radon is a chemical element; it has symbol Rn and atomic number 86. It is a radioactive noble gas and is colorless and odorless. Of the three naturally occurring radon isotopes, only 222Rn has a sufficiently long half-life for it to be released from the soil and rock where it is generated. Radon isotopes are the immediate decay products of radium isotopes. The instability of 222Rn, its most stable isotope, makes radon one of the rarest elements. Radon will be present on Earth for several billion more years despite its short half-life, because it is constantly being produced as a step in the decay chains of 238U and 232Th, both of which are abundant radioactive nuclides with half-lives of at least several billion years. The decay of radon produces many other short-lived nuclides, known as "radon daughters", ending at stable isotopes of lead. 222Rn occurs in significant quantities as a step in the normal radioactive decay chain of 238U, also known as the uranium series, which slowly decays into a variety of radioactive nuclides and eventually decays into stable 206Pb. 220Rn occurs in minute quantities as an intermediate step in the decay chain of 232Th, also known as the thorium series, which eventually decays into stable 208Pb.
Indoor air quality (IAQ) is the air quality within buildings and structures. Poor indoor air quality due to indoor air pollution is known to affect the health, comfort, and well-being of building occupants. It has also been linked to sick building syndrome, respiratory issues, reduced productivity, and impaired learning in schools. Common pollutants of indoor air include: secondhand tobacco smoke, air pollutants from indoor combustion, radon, molds and other allergens, carbon monoxide, volatile organic compounds, legionella and other bacteria, asbestos fibers, carbon dioxide, ozone and particulates.
Environmental health is the branch of public health concerned with all aspects of the natural and built environment affecting human health. To effectively control factors that may affect health, the requirements that must be met to create a healthy environment must be determined. The major sub-disciplines of environmental health are environmental science, toxicology, environmental epidemiology, and environmental and occupational medicine.
Passive smoking is the inhalation of tobacco smoke, called passive smoke, secondhand smoke (SHS) or environmental tobacco smoke (ETS), by individuals other than the active smoker. It occurs when tobacco smoke diffuses into the surrounding atmosphere as an aerosol pollutant, which leads to its inhalation by nearby bystanders within the same environment. Exposure to secondhand tobacco smoke causes many of the same health effects caused by active smoking, although at a lower prevalence due to the reduced concentration of smoke that enters the airway.
Preventive healthcare, or prophylaxis, is the application of healthcare measures to prevent diseases. Disease and disability are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices, and are dynamic processes that begin before individuals realize they are affected. Disease prevention relies on anticipatory actions that can be categorized as primal, primary, secondary, and tertiary prevention.
Emergency management is a science and a system charged with creating the framework within which communities reduce vulnerability to hazards and cope with disasters. Emergency management, despite its name, does not actually focus on the management of emergencies; emergency management or disaster management can be understood as minor events with limited impacts and are managed through the day-to-day functions of a community. Instead, emergency management focuses on the management of disasters, which are events that produce more impacts than a community can handle on its own. The management of disasters tends to require some combination of activity from individuals and households, organizations, local, and/or higher levels of government. Although many different terminologies exist globally, the activities of emergency management can be generally categorized into preparedness, response, mitigation, and recovery, although other terms such as disaster risk reduction and prevention are also common. The outcome of emergency management is to prevent disasters and where this is not possible, to reduce their harmful impacts.
Mitigation is the reduction of something harmful that has occurred or the reduction of its harmful effects. It may refer to measures taken to reduce the harmful effects of hazards that remain in potentia, or to manage harmful incidents that have already occurred. It is a stage or component of emergency management and of risk management. The theory of mitigation is a frequently used element in criminal law and is often used by a judge to try cases such as murder, where a perpetrator is subject to varying degrees of responsibility as a result of one's actions.
Radon mitigation is any process used to reduce radon gas concentrations in the breathing zones of occupied buildings, or radon from water supplies. Radon is a significant contributor to environmental radioactivity and indoor air pollution. Exposure to radon can cause serious health problems such as lung cancer.
Radium and radon are important contributors to environmental radioactivity. Radon occurs naturally as a result of decay of radioactive elements in soil and it can accumulate in houses built on areas where such decay occurs. Radon is a major cause of cancer; it is estimated to contribute to ~2% of all cancer related deaths in Europe.
A non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, heart diseases, cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and others. NCDs may be chronic or acute. Most are non-infectious, although there are some non-communicable infectious diseases, such as parasitic diseases in which the parasite's life cycle does not include direct host-to-host transmission.
Disease burden is the impact of a health problem as measured by financial cost, mortality, morbidity, or other indicators. It is often quantified in terms of quality-adjusted life years (QALYs) or disability-adjusted life years (DALYs). Both of these metrics quantify the number of years lost due to disability (YLDs), sometimes also known as years lost due to disease or years lived with disability/disease. One DALY can be thought of as one year of healthy life lost, and the overall disease burden can be thought of as a measure of the gap between current health status and the ideal health status. According to an article published in The Lancet in June 2015, low back pain and major depressive disorder were among the top ten causes of YLDs and were the cause of more health loss than diabetes, chronic obstructive pulmonary disease, and asthma combined. The study based on data from 188 countries, considered to be the largest and most detailed analysis to quantify levels, patterns, and trends in ill health and disability, concluded that "the proportion of disability-adjusted life years due to YLDs increased globally from 21.1% in 1990 to 31.2% in 2013." The environmental burden of disease is defined as the number of DALYs that can be attributed to environmental factors. Similarly, the work-related burden of disease is defined as the number of deaths and DALYs that can be attributed to occupational risk factors to human health. These measures allow for comparison of disease burdens, and have also been used to forecast the possible impacts of health interventions. By 2014, DALYs per head were "40% higher in low-income and middle-income regions."
R. William Field is an academic scholar and Professor in the Department of Occupational and Environmental Health and Department of Epidemiology within the College of Public Health at the University of Iowa. He received a BS and MS degree in Biology from Millersville University of Pennsylvania and a PhD in Preventive Medicine from the College of Medicine at the University of Iowa in 1994. Field is currently an occupational and environmental epidemiologist as well as an internationally recognized expert on the measurement and health effects of radon gas.
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society". According to the World Health Organization, an explicit health policy can achieve several things: it defines a vision for the future; it outlines priorities and the expected roles of different groups; and it builds consensus and informs people.
Air pollution is the contamination of air due to the presence of substances called pollutants in the atmosphere that are harmful to the health of humans and other living beings, or cause damage to the climate or to materials. It is also the contamination of the indoor or outdoor environment either by chemical, physical, or biological agents that alters the natural features of the atmosphere. There are many different types of air pollutants, such as gases, particulates and biological molecules. Air pollution can cause diseases, allergies, and even death to humans; it can also cause harm to other living organisms such as animals and crops, and may damage the natural environment or built environment. Air pollution can be caused by both human activities and natural phenomena.
Household air pollution (HAP) is a significant form of indoor air pollution mostly relating to cooking and heating methods used in developing countries. Since much of the cooking is carried out with biomass fuel, in the form of wood, charcoal, dung, and crop residue, in indoor environments that lack proper ventilation, millions of people, primarily women and children face serious health risks. In total, about three billion people in developing countries are affected by this problem. The World Health Organization (WHO) estimates that cooking-related pollution causes 3.8 million annual deaths. The Global Burden of Disease study estimated the number of deaths in 2017 at 1.6 million. The problem is closely related to energy poverty and cooking.
The health effects of radon are harmful, and include an increased chance of lung cancer. Radon is a radioactive, colorless, odorless, tasteless noble gas, which has been studied by a number of scientific and medical bodies for its effects on health. A naturally-occurring gas formed as a decay product of radium, radon is one of the densest substances that remains a gas under normal conditions, and is considered to be a health hazard due to its radioactivity. Its most stable isotope, radon-222, has a half-life of 3.8 days. Due to its high radioactivity, it has been less well studied by chemists, but a few compounds are known.
Exposure to ionizing radiation is known to increase the future incidence of cancer, particularly leukemia. The mechanism by which this occurs is well understood, but quantitative models predicting the level of risk remain controversial. The most widely accepted model posits that the incidence of cancers due to ionizing radiation increases linearly with effective radiation dose at a rate of 5.5% per sievert; if correct, natural background radiation is the most hazardous source of radiation to general public health, followed by medical imaging as a close second. Additionally, the vast majority of non-invasive cancers are non-melanoma skin cancers caused by ultraviolet radiation. Non-ionizing radio frequency radiation from mobile phones, electric power transmission, and other similar sources have been investigated as a possible carcinogen by the WHO's International Agency for Research on Cancer, but to date, no evidence of this has been observed.
The World Health Organization guidelines were most recently updated in 2021. The guidelines offer guidance about these air pollutants: particulate matter (PM), ozone (O3), nitrogen dioxide (NO2), sulfur dioxide (SO2) and carbon monoxide (CO). The WHO first released the air quality guidelines in 1987, then updated them in 1997. The reports provide guidelines intending to give guidelines to reduce the health effects of air pollution.
One aspect of energy poverty is lack of access to clean, modern fuels and technologies for cooking. As of 2020, more than 2.6 billion people in developing countries routinely cook with fuels such as wood, animal dung, coal, or kerosene. Burning these types of fuels in open fires or traditional stoves causes harmful household air pollution, resulting in an estimated 3.8 million deaths annually according to the World Health Organization (WHO), and contributes to various health, socio-economic, and environmental problems.