Gong2014.ppt

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Gong2014.ppt

The Role of
Radiation Health Research Institute
in the case of NPPs’ accident
Hajung GONG, Senior Researcher
Korea Hydro & Nuclear Power Co., Ltd.
2014-10-14
2014-10-14
Korea Hydro & Nuclear Power
1
Research Institute affiliated in KHNP
Established
▶ To Prepare the radiation emergency medical system for the
NPP accidents
▶ To Evaluate the health effects of radiation exposure
scientifically
▶ Preparing the radiation emergency medical system for the
NPP accidents
▶ Studying the health effects of radiation exposure
- Study on : radiation epidemiology
low dose radiation effect
health physics
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2
Main Activities in RHRI
Radiation Emergency Medical
Preparedness & Response
for the NPP’s Emergency
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3
Radiation Emergency Medical Preparedness System
for NPPs’ accident
Operation of
appointed
hospitals
Medical
Dispatch
Management
24hr/365day,
Incident
response
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Advanced
medical
management
REMP
For NPP’s em.
Education &
Training
Radiation Dose
Evaluation
System
Global and
Domestic
Networks
4
Every NPP site has primary & Secondary appointed
hospitals(9) for the emergency
Primary
 Located 15~20 minutes apart from NPPs by car
 Emergency medical treatment for the NPP workers
 Transferring over exposed patients to the 2ndary hosp &RHRI
2ndary

The University Hospital in the NPP region

Equipped with stem cell transplantation facility

Treatment more serious patients
RHRI supports to the appointed hospitals
•
Education/ training for radiation emergency treatment
•
Applying Essential Item for treating radiation accident victim
- Isolation rooms, Decontamination equipments & protective equipment
•
•
Financial support for developing REMP capabilities
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5
Medical counseling in case of radiation accident occur
Organization of RHRI in NPP Emergency
Emergency RHRI
On site
Medical
Team
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Stand-by
Medical
Team
Status
Control
Team
Administrative
Team
Support
Team
6
Organization of RHRI in NPP Emergency
National System
HQ of Medical Support
(KIRAMS)
RHRI




On Site Medical Team
Emergency Medical
Treatment
Radiological Protection
Dose Evaluation
Status Control
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Joint Emergency
Medical Center
Cooperation
On site Emergency
Center
(n1, n2, …….N)
7
Treatment flow of Radiation accident victim in NPP
First Aid
Medical Tx
Advanced Tx
(esp, Internal Decorporation)
TeleConsultation
Isolation Room
- Air filter system
- Drainage system
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TRIAGE algorithm for radiation accident victim
RR>30
Capillary refill>2sec
Don’t obey commands
Vomiting<30m
Diarrhea<3hr
Don’t obey commands
No
External Contamination
Delayed
Trauma
Serious injuries
Stimulation therapy
- Vomiting <1hr
- Headache
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Radiological
Exposure
Yes
Immediate
(Immediate transport)
Yes
Immediate
Tf to stem cell
transplantation hospital
Yes
Decontamination
Expectant
Minor
Walking wounded
Unlikely to survive
Supportive Care
9
Flow for Radiation accident victim in RHRI
Monitor
room
Lobby
Medical Office
Isolation Room
Changing
room
Shower
room
Lab of
Health Physics
Shower Decontamination &
Operation room
Examination room
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Radiation Dose Evaluation System of RHRI, KHNP
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Health Risk Assessment in Radiation Emergency
Epidemiological survey for
emergency workers & victims
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Lifetime risk estimation based on
radiation dose
12
Study on Health Effects of
NPP workers
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Evaluation ofComprehensive
occupational disease
(cancer)
for NPP workers
Health
Evaluation
Health Examination
DB Construction
Health Surveillance
 Act based practice
 Clinical evaluation
 Construction of health ex
 About 300 items
 High risk group
amination DB
selection

Biological Material Bank
Health Management & Research on Disease Incidence
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Epidemiological Study for NPP workers in Korea
• Korean NPP workers cohort
Total N=49,510 (1977~)
• Epidemiological study (1990~)
• IARC 15-country collaborative study
Standardized Mortality Ratio in cancer
1.2
1
0.8
0.6
0.4
Lower cancer rates
in NPP workers
compared to general
population
0.2
0
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Evaluation of
(cancer)
forfor
NPP
workers
Evaluation
of occupational
Occupationaldisease
Disease
(cancer)
NPP
workers
RHRI-PEPC (Probability of Causation)
First compensation for
occupational disease of NPP
workers (2001)
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• Program to evaluate occupational
disease (cancer) for Korean NPP
workers
• Support a nationwide occupational
disease evaluation system
16
Low Dose Radiation Effect Research
Cell
- Cell survival effects
- Immune activation
- Protection mechanism
Animal
- Life span/Aging
- Animal disease model
- Disease therapy tech.
Npp workers
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- Chromosomal
Aberration
- Individual radio
Korea
Hydro & Nuclear Power
sensitivity
17
New Planned Proposal of REMP
after Fukushima accident by KHNP
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New Organization of REMP System
Radiation Emergency Medical Center at every NPP site
Composed of 6 medical personnel in each NPP site.
Normal : Perform Intensive Health Management for NPP workers
Emergency : Perform Radiation Emergency Medical Treatment for workers
Emergency Response Facility of NPP
NPP
Operational Support
Technical Support
Emergency Operations
Radiation Emergency
Center
Center
Facility
Medical Center
OSC
TSC
EOF
REMC
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Radiation Dose Evaluation System
for the Large Scaled Accident
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20
Thank you
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21

Gong2014.ppt

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