According to the aims of ICRP publication 60/90. the AIRM (Italian Association of Medical Radiation Protection) has carried out a review of the statements and the management of health surveillance, to provide a guide in line with the principles defined by ICRP, especially the restrictions on individual dose. Actually, in these years, the goal of the health surveillance passed from avoiding the deterministic effects to limiting the stochastic ones. The guidelines are structured in 15 chapters, which consider on all account the scientific and applicative criteria of health surveillance. Starting from the main principles of radiation protection, the guidelines provide an overview on several issues of this matter, explaining its goals and the different conducts of health sunvillance to be applied in case of deterministic and stochastic effects. To the last ones the guidelines dedicate one chapter on oncological epidemiology, radioepidemiology and individual susceptibility. Then follow the main Italian legislative references, together with examples and explanations. Guidelines also pay particular attention to internal contamination, either for radio toxicology aspects, which allow to understand data of direct and indirect measures and to assess the dose due to the introduction of a radionuclide, or for aspects of control management. We then find a whole chapter about radon exposure and its possible consequences on health. An important section deals with diagnostic program and determination of fitness, which takes into account the certainties and doubts linked to this central and delicate aspect. The following section describes the accidental events and the medical actions to be performed before and after the accident. The guidelines last deal with the forensic aspects, explaining the PC (probability of causation) methodology, also used in Italy to evaluate the connection between tumours and exposures to ionizing radiations.
|Pages (from-to)||388 - 389|
|Number of pages||2|
|Journal||Giornale Italiano di Medicina del Lavoro ed Ergonomia|
|Publication status||Published - Jul 2006|
All Science Journal Classification (ASJC) codes
- Public Health, Environmental and Occupational Health
Moccaldi, R., Breuer, F., Campurra, G., Pennarola, R., Righi, E., & Trenta, G. (2006). Linee guida per la sorveglianza medica dei lavoratori esposti a radiazioni ionizzanti. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 28(3), 388 - 389.