福島県立医科大学 学術機関リポジトリ

Title

IAEA consultancy meeting on low-dose radiation for patientsand population

Author(s)Murakami, Michio; Osuga, Kenichi; Ohto, Hitoshi; Kamiya,Kenji; Saito, Kiyoshi; Scholz, Uwe; Abdel-Wahab, May

Citation

Fukushima Journal of Medical Science. 67(2): 89-93

Issue Date

2021

URL

http://ir.fmu.ac.jp/dspace/handle/123456789/1589

Rights© 2021 The Fukushima Society of Medical Science. This
article is licensed under a Creative Commons [AttributionNonCommercial-ShareAlike 4.0 International] license.

DOI

10.5387/fms.2021-21

Text Version publisher

This document is downloaded at: 2024-10-16T10:10:46ZFukushima Medical University

Fukushima J. Med. Sci.,
Vol. 67, No. 2, 2021

IAEA consultancy meeting 2020 report89[Meeting report]

IAEA consultancy meeting on low-dose radiation forpatients and population
Michio Murakami1), Kenichi Osuga1), Hitoshi Ohto1), Kenji Kamiya1), Kiyoshi Saito2),
Uwe Scholz3) and May Abdel-Wahab4)
1)

Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical
University, Fukushima, Japan, 2)Fukushima Global Medical Science Center, Fukushima Medical
University, Fukushima, Japan, 3)International Advisor Technical Cooperation, Germany, 4)Division of
Human Health, International Atomic Energy Agency, Vienna, Austria(Received June 29, 2021)
Abstract
This paper reports on the IAEA’s Consultancy Meeting on “low-dose radiation for patients and population —Science, Technology and Society (STS) concepts for communication and perception among
medical doctors and stakeholders—”, which was held on October 21 and 22, 2020. The meeting
consisted of seven presentation sessions, with a total of 27 presentations and 39 participants fromseven countries. The meeting focused on various areas including environmental, food, and personal dosimetry ; radiation and other secondary health effects after nuclear disasters ; communication
between medical professionals and patients or residents ; and medical education on nuclear accidents. This meeting was convened to discuss STS perspectives related to nuclear emergencies, toshare the findings of the Fukushima Health Management Survey and the current situation in Fukushima with international experts. The meeting confirmed the importance of coordinated recoveryof affected areas and global preparedness in the aftermath of nuclear accidents.
Key words : Education, Fukushima Health Management Survey, IAEA, Science, Technology andSociety—Science, Technology and Society (STS) concepts
for communication and perception among medical
doctors and stakeholders—” was held on October 21and 22, 2020. This paper reports on the meeting.
In the past, the meetings were held face-toface, but due to the global outbreak of COVID-19,
this meeting was held online, jointly organized by
FMU and the IAEA. The presentation time wasshortened in account of the time difference between
countries. Infection control measures were thor­
oughly implemented at the FMU meeting hall,where many participants of FMU convened for themeeting. Sufficient time for discussion wasallocated.
The presentations consisted of seven sessions(four on the first day and three on the second day),

Since December 2012, the International Atomic
Energy Agency (IAEA) and Fukushima Medical
University (FMU) have concluded Practical
Arrangements on collaborative cooperation. The
IAEA and FMU have been holding international
meetings several times a year and prepared publi­ca­tions on medical education addressing various issues
related to nuclear emergencies, including socio scientific and technological issues, communication,and education in the setting of low radiation doses 1 4).
Domestic and international researchers have been
involved and shared the findings of the Fukushima
Health Management Survey5) as well as updates on
the current situation in Fukushima. Within thisframework, the IAEA’s Consultancy Meeting on“Low - dose radiation for patients and population-Corresponding author : Michio Murakami   E-mail : michio@fmu.ac.jp©2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
https://creativecommons.org/licenses/by-nc-sa/4.0/
89

IAEA

Opening remarks

Opening remarks

Presentation title

The affiliations are as of the time of the meeting.

National Research Center for Radiation Medicine of the Experience of implementation of the International Chernobyl Research and Information
Academy of Medical Sciences of Ukraine, Ukraine
Network (ICRIN) project in Ukraine

FMU, Japan

Dimitry Bazyka

Toyoaki Sawano

National Institutes for Quantum and Radiological Scienceand Technology, Japan

Science, Technology, and Society (STS) Cluster, Asia Research Institute (ARI), National University of Singapore(NUS), USA

Department of Radiation Oncology, National Cancer Institute, Egypt

Atsushi Kumagai

Greg Clancey

Samy El-Badawy

Connecting the boundaries : The importance of radiation education to different professionals and members of the publicRadiation medicine education during emergencies

Dealing with the uncertainties around low-dose radiation in health-care education froman STS perspective

We need medical professionals to take ownership of their learning

Following Fukushima, following COVID : Leading education

FMU, Japan

Nagasaki University, Japan

Oita University of Nursing and Health Sciences, Japan

National Institutes for Quantum and Radiological Scienceand Technology/ National Institute of Advanced Industrial
Science and Technology, Japan

Takashi Ohba

Noboru TakamuraMichiaki Kai

Momo Takada

Challenges with local residents in Yamakiya toward resumption of Satoyama usage

10 years of radiological protection after the Fukushima — Need to share what radiological criteria are

Recovery efforts of the community after the nuclear disaster in Fukushima

In hand, on hand : A new eHealth application with radiation records to connect returning evacuees to human services after a radiation accident

Session 3A
Challenges encountered by medical professionals with the returning population “The Fukushima Perspective” (Chair : May Abdel-Wahab and Tomoaki Tamaki)Chryzel Angelica B. Hiroshima University, Japan
GonzalesFMU, Japan

Kenneth Nollet

Session 2
The role of radiation in medicine education : The way forward (Chair : Michio Murakami and Uwe Scholz)

Lesson learnt from Fukushima disaster for nuclear disaster preparedness for vulnerable population

Toward improved communication and engagement on low-dose radiation risk with thegeneral population

Tohoku University, Japan

Hiroko Yoshida

Mental health issues after Fukushima disaster : Depression, risk perception and stigmatization

FMU, Japan

Masaharu Maeda

Session 1
STS Communication addressing low-dose radiation : The future (Chair : May Abdel-Wahab and Kenji Kamiya)

FMU, JapanMay Abdel-WahabAffiliation

Hitoshi Ohto

Opening

Presenter

Table 1. Presenters, affiliations, and presentation titles.

90
M. Murakami et al.

FMU, Japan

Hiroshima University, Japan

Nagasaki University, Japan

Tomoaki Tamaki

Satoshi Tashiro

Takuya Nakamura

How to face medical radiation as radiological technologist – Experiencing the changes
after the Fukushima nuclear accident

Biological effect of low-dose medical radiation

Dose and effect of radiation exposure for medical purposes

Doctor-patient communication

JAEA, JapanSBPC (Brazilian Society for Advancement of Science),
BrazilNational Institute for Environmental Studies, Japan

Kimiaki Saito

Aldo Malavasi

Mai Takagi

Preserving traditional food cultures in ’Satoyama’ — Radiation dose from edible wild
plants and mushrooms

Contamination of agricultural products after a nuclear accident

Temporal change of air dose rates in living environment

Estimation of internal exposure dose from diet in daily life

FMU, Japan

Futaba Medical Center, Japan

Masaharu Tsubokura

Koichi Tanigawa

FMU/ Hiroshima University, JapanFMU, Japan

Kenji Kamiya

Kiyoshi Saito

FMU, JapanIAEA

Kiyoshi Saito

May Abdel-Wahab

Closing

International Advisor Technical Cooperation, Germany

Uwe Scholz

Session 5
Plan for potential future activities (Chair : Arifumi Hasegawa and Kenneth Nollet)

FMU, Japan

Michio Murakami

Closing remarks

Closing remarks

Plan of FMU activities to support education in radiation health risk science

Strategic planning for risk communication of low dose radiation in the context of STS

Opportunities for STS concepts and risk communications regarding low-dose radiation
in medical education and training

How do we leave the lessons learned from the Fukushima Daiichi Nuclear Power Plant
accident ?

Overviews of secondary health issues after the Fukushima incident

Perspectives for risk perception studies after the Fukushima nuclear disaster

Session 4
Establishing appropriate dissemination approaches (Chair : May Abdel-Wahab and Seiji Yasumura)

National Institutes for Quantum and Radiological Scienceand Technology, Japan

Tatsuo Aono andYutaka Yamada

Session 3C
Challenges encountered by professionals with the returning population : Agriculture, food, fisheries and environment (Chair : Masaharu Tsubokura and Uwe Scholz)

IAEA

May Abdel-Wahab

Session 3B
Challenges encountered by medical professionals with patients exposed to medical radiation : The experiences of FMU medical doctors (Chair : Kiyoshi Saito and UweScholz)

IAEA consultancy meeting 2020 report91

92

M. Murakami et al.

with a total of 27 presentations (Table 1). Of these,
five presentations were by young researchers.
Session 1, “STS Communication addressing
low dose radiation : The future,” consisted of four
presentations by Masaharu Maeda, Hiroko Yoshida,
Dimitry Bazyka, and Toyoaki Sawano. The speakers
addressed mental health, communication with thecommunity, information network activities, andissues around vulnerable people evacuated after thenuclear accident. The participants also discussed
the issues of risk perception after nuclear disasters,
the significance of summarizing scientific findings asa unified message, and the evacuation process innatural and nuclear accidents.
In Session 2, “The role of radiation in medicine
education : The way forward,” Kenneth Nollet, Atsu­
shi Kumagai, Greg Clancey, Samy El-Badawy, andChryzel Angelica B. Gonzales gave presentations.
The presenters introduced the state of education
after the Fukushima accident and amid COVID-19
pandemic, the methodology of radiation education
using active discussion among participants, thesignificance and examples of medical education on
low-dose radiation protection, the implementation ofradiation medicine education during the COVID-19
pandemic, and the importance of radiation education
for multiple professions and the public. The discus­
sion focused on the effects of radiation education for
medical personnel, the significance of patient andpublic education, and the duplication of educational
initiatives.
Session 3A, entitled “Challenges encounteredby medical professionals with the retur ningpopulation ‘The Fukushima Perspective,’ ” consistedof four presentations, done by Takashi Ohba, Noboru
Takamura, Michiaki Kai, and Momo Takada. They
introduced the development of electronic applications
for returnees, community recovery activities in theaffected areas, updates on radiation protection in thedecade after the Fukushima accident, and collabora­
tive activities with local residents for the use ofsatoyama (community-based forests) in the affectedareas. Discussions were held on the characteristics
and commonalities between crisis communication
and risk communication, the uncertainty of thelinear no-threshold model and its impact on dialogue
with residents, the benefits of dialogue withresidents for researchers, and the significance ofproviding information to returning residents.
Session 3B, “Challenges encountered by medical professionals with patients exposed to medicalradiation : The experiences of FMU medical doctors,” was presented by May Abdel-Wahab, Tomoaki

Tamaki, Satoshi Tashiro, and Takuya Nakamura.
They introduced the factors that should be considered in communication between doctors and patients, the dose and effects of radiation exposure for
medical purposes, the biological effects of low-dose
medical treatment such as Computed Tomographyscans, and the post-disaster experience of how radiologists should deal with medical radiation. There
were discussions on how to explain the advantages
and disadvantages of medical exposure, and how
much detail should be given on and the relevant uncertainties.
In Session 3C, “Challenges encountered by professionals with the returning population : Agriculture, food, fisheries and environment,” Tatsuo Aonoand Yutaka Yamada presented insights on internal
dose from daily diet after the Fukushima accident.
Kimiaki Saito introduced temporal changes in air
dose rates in the environment. Aldo Malavasi talked about pathways and countermeasures for crop
contamination by radiation. Mai Takagi informed
about dose measurements for wild vegetables andmushrooms in satoyama. The issues raised during
the discussion included the attenuation of cesium
concentration in fish and shellfish, measures to reduce cesium concentration in wild vegetables, methods to utilize airborne monitoring, as well as lessons
to present information on food monitoring results
and difficulties in communicating with residents regarding internal exposure results.
Session 4, “Establishing appropriate dissemination approaches,” consisted of three presentations :Michio Murakami on the perspectives of risk perception research after a nuclear disaster, Masaharu
Tsubokura on secondary health effects such as lifestyle-related diseases, and Koichi Tanigawa on thesignificance of communicating lessons learned fromthe Fukushima disaster in terms of information, education, culture, and institutions. During the discussion, insights were exchanged on the relationshipbetween risk perception and education, the relationship between return to former evacuation zones andpsychological distress, other future potential issues
for returnees, and how to effectively allocate resources for future information dissemination.
Session 5, “Plan for potential future activities,”
included three presentations. Uwe Scholz presented STS concepts and risk communication in medical
education and training. Kenji Kamiya talked aboutrisk communication strategies in the context of STS.
Kiyoshi Saito introduced educational activities inhealth risk science at FMU. The participants discussed several topics including differences in risk

IAEA consultancy meeting 2020 report

perception among countries, the significance of involving medical personnel as communicators after
disasters, and the importance of learning and communicating with the media.
In the end, 39 participants from 7 countries
gathered from various fields such as medicine, radiation protection, and social sciences, demonstrating
the diversity of this meeting. The areas presented
also included environmental, food, and personal
dosimetry ; radiation and other secondary health effects after nuclear disasters ; communication between medical professionals and patients or residents ; and medical education on nuclear disasters.
The meeting reaffirmed the significance ofbringing together divers international and Japaneseexperts to share knowledge, and highlighted the importance of coordinated recovery of affected areas
and global preparedness in the aftermath of nuclear
accidents.

Reference
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Acknowledgements
We acknowledge the presenters, participants,
and staff who helped with the meeting. This
manuscript was supported by the national “HealthFund for Children and Adults Affected by theNuclear Incident.” The findings and conclusions of
this article are solely the responsibility of theauthors and do not represent the official views ofFukushima Prefecture Government.

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