Answer to Question #4548 Submitted to "Ask the Experts"
Category: Nuclear or Radioactive Devices — Emergency Response
The following question was answered by an expert in the appropriate field:
Q
I am a full-time physician faculty member of a medical school and
prepare many disaster medicine presentations for both laypersons and
healthcare providers.
I would like to know if the "old" teaching of "time, distance,
shielding" is still relevant today in light of the (unlikely) threat
posed by radiological terrorism or (even more remotely) a nuclear
detonation.
I did read your recent position paper "Guidance for Protective Actions Following a Radiological Terrorist Event"
about protective action guidelines. It seems that "time and distance"
have assumed more relevance, while "shielding" has been deemphasized.
In other words, is it better for folks to "get the heck out of there as
far and as fast as possible" than to "duck and cover"?
Please elaborate and/or refer me to additional sources.
A
Time, distance, and shielding are all still very relevant to
radiation protection. However, the most effective and relevant of the
three depends entirely on the situation causing the exposure.
"Duck and cover" (along with designated bomb shelters, etc.)
[i.e., shielding] was the radiation protection strategy of the civil
defense approach in the '50s and '60s when the greatest concern for
radiation protection of the public was from a detonation of a nuclear
bomb delivered by an enemy country. This approach was based on a
scenario of a well-designed nuclear weapon with a large yield exploding
over a urban or strategic city with a few (10-20) minutes warning. The
"duck and cover" approach was appropriate because the first concern for
protection for this scenario was protection from the physical blast and
then from the immediate radiation dose from the detonation (hence
"duck and cover" under the structural material of your desk or in the
school halls with thick walls away from glass windows). The nuclear
weapon blast would have been so rapid and immense there was no way to
run from it (distance) or to reduce the time you would be exposed to
the short-lived immediate radiation dose (time) from the blast. The
follow-up action of "hunkering down" in a bomb shelter that was
prestocked with food and water for the ensuing days was based on the
belief there would be wide-spread contamination with unusable
transportation means or routes. So, it continued to be "shelter" from
the outside contamination because it would take a long time to get any
distance between you and the contamination, not to mention an
uncertainty of vital supplies like food and water.
With the passing of the threat of a well-designed nuclear weapon
delivered by an organized country in the '50s and '60s, in 1979 Three
Mile Island response focused the need for radiation protection for the
public on the possibility of an accident in a nuclear power plant. In
this case, the most likely scenario involved a series of miscues in a
nuclear plant that would take hours, if not days or a week, to develop
into a "meltdown" with a release of a radioactive cloud that could last
for days or weeks. (Of course, the Three Mile Island accident never
developed into this, but it put the focus on the possibility). For this
scenario, the radiation protection strategy became to evacuate the area
where the cloud would pass (i.e., time and distance). Evacuation was
the first protective action of choice, with sheltering the next
protective action if it was shown that it was more protective than
evacuation, because there would most likely be time to evacuate before
the radioactive cloud started or because it would last long enough that
getting out of the cloud would reduce the dose more than staying
sheltered in the cloud. (When there is a persistent cloud of
radioactive material, a home or building loses its "sheltering
effectiveness" due to the air exchange with outside air that exists in
every home or building.)
Now, with the latest threat of radiological terrorism, there are
two general scenarios of concern. One is that a "homemade" nuclear
explosive device, called an Improvised Nuclear Device or IND, would be
exploded without warning in an urban area, and the second is the
detonation of a "dirty bomb."
For an IND, the concern again is to protect the public from the
blast and the immediate radiation dose, or to "duck and cover." The
problem is there may be no warning so the opportunity to shelter before
the blast may be lost. After the blast, like in the case of a nuclear
weapon, the next concern is the contamination from the fallout of the
bomb. However, in the case of an IND it is not expected the area will
be nearly as widespread and it is expected emergency services and
responders will be available to help, so the protective action is to
stay sheltered until emergency responders/managers give directions on
evacuation from the area.
For a "dirty bomb," that is, a high-explosive device (bomb) laced
with radioactive material, the immediate danger is the bomb blast
itself. Then the radiation protection approach is to get out of, or
stay out of, the area where the radioactive material has been spread by
the bomb. Although there have been many different "scenarios" reported
on how far and wide radioactive material can be spread with a dirty
bomb, the most likely expectation is that it will be a relatively small
area. That is, about the area covered by the bomb fragments. So, for
someone in the area of the blast, the best action is to get inside to
be out of the contaminated area until emergency responders/managers
direct an orderly evacuation that reduces or eliminates the spreading
of the contamination beyond its original area.
In summary, the same principles of radiation protection—time,
distance, and shielding—apply now as before but the most effective one
depends on the manner of exposure.
Keith H. Dinger, CHP
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