12 Thyroid Cancer Cases Confirmed in Fukushima Children: Preliminary Results of FY2011/FY2012 Fukushima Thyroid Examination

The Eleventh Planning Committee of the Prefecture Health Management Survey met on June 5, 2013.  The preliminary data for the thyroid ultrasound examination was released to the press at the meeting.

Overall, a higher percentage of Fukushima children, tested in the Fiscal Year Heisei 24 (FY2012), are showing thyroid ultrasound abnormalities than the Fiscal Year Heisei 23 (FY2011) in all assessment categories.  In addition, the average diameter of the tumor increased.



Higher percentages of children have nodules larger than 5.1 mm or cysts larger than 20.1 mm, which put them in the assessment B category, qualifying for the secondary examination consisting of thyroid blood tests, a more detailed thyroid ultrasound examination, and a fine-needle aspiration biopsy if warranted.



The press is reporting that there are 28 cases suspected of thyroid cancer out of 174,000 children tested and that 12 of the 28 have been confirmed to have papillary thyroid cancer.  This is a bit misleading, as not all the children in the B assessment category in the Fiscal Year 2012 have finished or even begun the process of secondary examination.  In other words, there could be more cases of thyroid cancer diagnosed in these 174,000 children.


There were 205, of 40,302 examined, qualifying for the secondary examination in FY2011, and 7 of the 12 suspected cases were confirmed to have papillary thyroid cancer.  In FY2012, 16 were suspected of having thyroid cancer, and 5 of them were confirmed to have papillary thyroid cancer.  However, 16 is not by any means the final count for the FY2012 group, as only 27.3% of the eligible 935 children have begun the process of the secondary examination.



Notable is the fact that 442 of 935 eligible for the secondary examination are from Koriyama, where the appeal for a group evacuation was denied recently.  To date, only 1.1% or 5 of the 442 Koriyama children underwent secondary examination, yet 2 are already suspected of having thyroid cancer.

Shunichi Yamashita's Graph Alteration

At the Annual Meeting of the National Council on Radiation Protection & Measurements (NCRP) held in Bethesda, Maryland, on March 11, 2013, Shunichi Yamashita, the Radiation Risk Management Advisor for Fukushima Prefecture and then vice president of Fukushima Medical University, gave a keynote address.

NCRP http://www.ncrponline.org/.
Yamashita's keynote address video http://echo.colostate.edu:8080/ess/echo/presentation/d6ddb666-85bd-48a3-8d83-a691910906be
Yamashita's keynote address PowerPoint presentation PDF http://www.ncrponline.org/Annual_Mtgs/2013_Ann_Mtg/Yamashita.pdf

His PowerPoint presentation included a version of a graph from the 2005 study by Cardis et al., Risk of Thyroid Cancer After Exposure to 131I in Childhood, linked here http://jnci.oxfordjournals.org/content/97/10/724.long. Yamashita was one of the co-authors of the study, and the graph he referred to is "Fig. 2 Comparison of odds ratios (ORs) predicted by the best-fitting risk models with categorical odds ratios estimated in 11 dose categories," on page 729.

On page 727 of the Cardis study, it is stated:
"Figure 2 shows the variation in odds ratios as a function of dose level. A strong dose-response relationship was observed (P<.001); the odds ratio appeared to increase linearly with dose up to 1.5-2 Gy and then to plateau at higher doses. Statistically significant increases in risk were associated with all radiation dose categories greater than 0.2 Gy.
The statistical models that best describe these data are the linear excess relative risk model up to 1 Gy, the linear excess relative risk model up to 2 Gy, and the linear-quadratic excess relative risk model over the entire dose range. As shown in Fig. 2, however, the latter model tended to underestimate risks up to 2 Gy. "

Here's Yamashita's version, which is slide 12 of his PowerPoint presentation titled "Risk of Childhood Thyroid Cancer around Chernobyl."
 

       

Here's the original Cardis version:

     
 

It appears that he omitted the curve 1, the ERR model - linear-quadratic dose-response model over the entire dose range, which was considered one of the best-fit models. Is it because it "tended to underestimate risks up to 2 Gy"?

The videotape of Yamashita's keynote address revealed the following statement (sic) associated with this slide:
"According to other joint project on the case control studies, it's also clearly shown the increase of thyroid cancer by in dose-responsibly by radioactive iodine.   These data also reconfirmed by United States and Belarus and United States-Ukranian cohort project recently. This is really important to understand the dose-responsiveness of how much they received thyroid dosing."

Apparently he used the slide to show the dose-response of thyroid cancer risk.

Alfred Korblein, a physicist from Germany who has analyzed post-Chernobyl and post-Fukushima birth and mortality data, plotted the data points from Yamashita's graph as well as the original Cardis version, as shown below.


   


A question remains unanswered as to the reason behind Yamashita's decision to leave out the curve 1. In addition, a question arises as to if it's appropriate for him to cite the original study, as he did in the slide, when the graph has been "altered" by him.

Is this ethical as a researcher?

A consensus by a group of international researchers was that it probably wasn't. Cardis was contacted with the above information multiple times, but she never responded.

When asked what he thought of Yamashita's action of making his own graph yet citing the Cardis study as a source, Korblein said, "I would call it deception or fraud."

 



Radiological Analysis of Namie Street Dust

Jun Ohnishi from Ibaraki Prefecture sent a sample of highly radioactive street dust from Namie, Fukushima, to Marco Kaltofen for analysis.

From Jun Ohnishi:
The sample was collected at the coordinate 37.4752, 140.9461.
The address is 102-1 Shimizu Onoda Namie-machi, Futaba-gun, Fukushima Prefecture.


Onoda district is designated as the "restricted zone," but anybody can enter without permission.  If you proceed westward about 50m past the collection point, you come to a barricade at the entrance to the "exclusion zone."

Here's the video showing the actual collection of the sample.
 "2013.4.6 Namie street dust 86.09 μSv/h at 1 cm above ground"

 
Truth we must face

By Jun Ohnishi

*****

Radiological analysis of Namie street dust

May 31, 2013

Marco Kaltofen, MS, PE
Boston Chemical Data Corp.
2 Summer Street Suite 14
Natick, MA USA 01760

Department of Civil and Environmental Engineering,
Worcester Polytechnic Institute
Worcester, Massachusetts, USA
Email: Kaltofen@wpi.edu


AbstractA sample of street dust was received from a location about 17 Km from the
Fukushima-Daiichi accident site. The street is in Namie-machi, Futaba-gun,
Fukushima Prefecture. This is in the restricted zone, close to, but is just outside
of the exclusion zone. The dust sample was analyzed by Scanning Electron
Microscopy with Energy Dispersive X-ray analysis and by sodium iodide gamma
spectrometry. An autoradiograph was prepared from the sample using bluesensitive
X-ray film. The sample contained 1,500 Bq/gram of combined Cs-134 +
Cs-137 as well as 0.3 Bq/gram of Co-60. The sample was uniformly radioactive
when analyzed by autoradiography. Analysis by SEM/EDS found widely
scattered particles of suspected fission products among larger aggregates of
mineral matter.

Introduction and Methods
Airborne dusts can transport radioactive materials in the form of isolated
individual particles containing high concentrations of radioisotopes. The specific
activity of an individual particle can be significantly higher than that of the
surrounding particles in a dust sample. These high activity particles, called hot
particles, are isolated and analyzed by scanning electron microscopy / energydispersive
X-ray analysis. (SEM/EDS).

A portion of the Namie dust sample was mounted on a glass slide with conductive
tape, and carbon coated and scanned by a LEO/Brucher SEM/EDS system, using
a lithium drifted silicon semiconductor X-ray detector for the electron
microscopy analyses. All SEM/EDS analyses were performed at Microvision
Labs of Chelmsford, MA, a commercial microscopy laboratory. The electron beam
current was 0.60 nAmperes, accelerated at a voltage of < 0.5 to 60 keV.
Backscattered electrons are detected and provide imaging contrast determined by
the atomic number of the nuclei with which it interacts. Characteristic X-rays are
emitted by ions in excited states created by interaction with the electron beam.
These characteristic X-rays are detected by the lithium drifted silicon detector.

SEM / EDS does not distinguish between stable and unstable, (radioactive),
nuclei of a given element. Additional information is required to determine
whether a particle contains radioactive materials. For certain elements, including
uranium, thorium, and plutonium, the known isotopes are radioactive. For other
elements, including lead, yttrium and many rare earths, the known isotopes are
both radioactive and stable. For elements with both stable and radioactive forms,
gamma spectrometry provides confirmation of the presence of radioactive
isotopes in bulk particulate samples. In this analysis, initial gamma spectrometry
analyses were performed with an Amptek CdTe gamma detector and MCA,
scanning the range from 10 to 2060 keV, equipped with a copper/lead multilayer
shield. Laboratory-based gamma spectrometry analyses were performed with an
Ortech 2 inch NaI gamma detector and lead shield.

Results and Discussion
This analysis focused on fission products that are released from damaged nuclear
fuels. The most common fission products found in radioactively-contaminated
dusts from Fukushima Prefecture include Cs-134 and Cs-137. Nuclear reactors
tend to produce both heavy (atomic weight 125 to 155) and light (atomic weight
80 to 110) byproducts. These include light radioactive isotopes of the elements
yttrium and silver, plus the heavier isotopes tin, antimony, cesium, cerium,
neodymium, and lanthanum. All of these were detected in this dust sample by
SEM/EDS, in the form of tiny particles on the order of 10 microns in size.
Examples of the SEM/EDS-detected particles in the small, (100 milligram), dust
sample included thorium-containing rare earth particles, lead titanate, and yttrium
lanthanide particles. These were in the 2 micron to 10 micron size range.
The sample of street dust was also analyzed by sodium iodide gamma
spectrometry. (See Figure 1) An autoradiograph was prepared from the sample.
(See Figure 2) Gamma spectroscopy detected 153 Bq total of radioactive cesium,
(Cs-134 + Cs-137), and uranium daughter isotopes in the 100 milligram sample.
This is equivalent to 1530 Bq, per gram or 1.5 MBq per kg. Cobalt-60 was present
at 0.3 Bq per gram. The most active uranium daughter isotope found by gamma
spectroscopy was radium-226. (See Figure 1)

The dust sample had numerous particles containing mostly lead, yttrium, various
rare earths, and thorium. Some of these lead and rare earth particles were in the
respirable size range, measuring only 1 or 2 microns in size. (See examples in
Figures 3, 4, and 5)

This dust was collected just a few hundred feet outside the exclusion zone around
Fukushima-Daiichi. Occasionally observers have reported small deposits of
windblown black sediment which measures higher than normal for radioactive
forms of cesium and other radioisotopes. This is the first time we have examined
a sample that was clearly distinct from surrounding soils and dusts, by virtue of
its high radioactivity. The sample had the highest radium-226 levels of the
approximately 200 dust and soil samples analyzed by this laboratory.
This analysis is a limited one, since the subject is a single (and small) dust
sample. This sample is not representative of the Namie region as a whole. This
data demonstrates that isolated street dusts can reach radiation levels well in
excess of their general surroundings.

There is not enough data in a single sample to explain why a small street dust
sample was so contaminated with radioactive substances compared to
surrounding materials. Clearly some environmental mechanism has allowed this
more radioactive dust to remain segregated rather than dispersing into the soils
or being washed away by rains. Given the resistance to dispersion of this
radioactive dust, this analysis suggests that small localized radioactive hot spots
can persist despite the passage of months and years since the Great Northern
Japan Earthquake and subsequent radiation releases.

Author Disclosure Statement
The author declares that no competing financial interests exist. The author
gratefully acknowledges the efforts of Mr. Jun Ohnishi, who provided the sample
for this analysis.

Following pages: Figures 1 to 5

Figure 1: Sodium Iodide gamma spectrum of Namie street dust

 
Figure 2: Namie dust sample X-ray film autoradiograph (right) and scaled true color scan (left).


 Figure 3: Scanning Electron Micrograph w/ Robinson Detector image of a lead particle imbedded in a larger aggregate with a chart showing percent elemental composition of the particle.


Figure 4: Scanning Electron Micrograph w/ Robinson Detector image of a thorium-containing particle imbedded in a larger aggregate with a chart showing percent elemental composition of the particle.


 Figure 5: Scanning Electron Micrograph w/ Robinson Detector image of a yttrium-lanthanide particle imbedded in a larger aggregate with a chart showing percent elemental composition of the particle.


Kaltofen report PDF https://docs.google.com/file/d/0B3fFCVXEJlbvbTFUdWFoekRhaDQ/edit
Japanese translation by Yuri Hiranuma https://docs.google.com/file/d/0B3fFCVXEJlbvYURON25Bamp3akE/edit
Article in Japanese http://fukushimavoice2.blogspot.com/2013/06/blog-post.html






A Letter to the Editor Regarding the Congenital Hypothyroidism Study by Mangano and Sherman


Alfred Körblein wrote this letter to the editor of OJPed in response to the study by Mangano and Sherman.  However, he was notified by the OJPed that the journal did not accept a letter to the editor.

The letter was also sent to both authors, Mangano and Sherman.  Mangano never replied, and Sherman only sent a cursory thank you, merely acknowledging the receipt of the e-mail.



              *****

Letter to the editor of OJPed in response to:

Joseph J. Mangano, Janette D. Sherman. Elevated airborne beta levels in Pacific/West Coast US States and trends in hypothyroidism among newborn after the Fukushima nuclear meltdown. Open Journal of Pediatrics, 2013, 3, 1-9.

Alfred Körblein, alfred.koerblein@gmx.de

Mangano and Sherman’s idea to study congenital hypothyroidism (CH) case numbers among newborn babies is new and seems to be promising. Their approach is reasonable; they compare the CH case numbers after Fukushima with those before Fukushima in 5 Pacific/West Coast states (Hawaii, Alaska, Washington, Oregon, and California: the study region) where the fallout from the Fukushima plumes was higher than in other parts of the USA. And they also look at the 2010-2011 change of CH cases in 36 other US states (the control region).


Mangano and Sherman state:

“The 2010-2011 ratio representing the change in CH cases was 1.16 for the five Pacific/West Coast States, rising from 281 to 327 confirmed cases. The 1.16 ratio exceeded the 0.97 ratio (decline in cases from 1208 to 1167) for the 36 control states; the difference is significant at p < 0.03. Increases in ratios were observed in the exposed areas for the periods March 17-June 30 (1.28, significant at p < 0.04) and July 1-December 31 (1.10, not significant at p < 0.21).”

Unfortunately the authors (M&S) do not clearly say how they tested the significance of their result. In their method section they state:

“CH cases for births in the periods March 17 to December 31 (2010 and 2011) will be compared, for the Pacific/West Coast States and the remainder of the US Portions of this 290 day period will also be compared. Significance testing will be conducted using a t test, where n equals the number of Pacific/West Coast cases in 2010 and 2011, the observed change will be the change in the Pacific/West Coast, and the expected change will be the change for the remainder of the US.”

So their hypothesis to be tested is whether there is a significant difference in 2010-2011 ratios between the study region and the control region. To check whether the reported p-values of p<0.03 and p<0.04 are correct, I applied a Poisson regression of CH numbers from their Table 4 in the two years (2010 and 2011) and in the two regions (study and control) and used two dummy variables: “d11”, which is 1 for 2011 and zero for 2010, and “study”, which is 1 for the study region and zero for the control region. A third dummy variable is the interaction dint=d11*study. Dummy variable “dint” is used to estimate the difference in 2010-2011 ratios between the study and control region.

The result of the Poisson regression was a 20.5% increase in CH cases in 2011 for March 17 to December 31 (p=0.041) and a 35.6% increase for March 17 to June 30 (p=0.049). So both results are statistically significant, albeit not at their stated p<0.03 or p<0.04 levels.

But it turns out that the estimate of the parameter for “d11” is not significant; the p-value s are p=0.400 for March 17 to December 31 and p=0.451 for March 17 to June30. As a rule, parameters that have no meaningful influence on the goodness of fit should be omitted in the regression and, per convention, p>0.2 is considered not meaningful. There is also a criterion that helps choosing the best model, the so called Akaike criterion (AIC), see http://en.wikipedia.org/wiki/Akaike_information_criterion, which is a measure for the goodness of fit. This is smaller for the regression model without d11 (AIC=35.2) than for the model with d11 (AIC=36.6).

The regression without d11, yields the following result for the shorter period March 17 through June 30:


       Estimate    Std. Error  z value    Pr(>|z|)
(Intercept) 5.96229     0.03587   166.197     <2e-16 ***
study      -1.40842     0.10869   -12.958     <2e-16 ***
dint        0.25014     0.13683     1.828     0.0675 . 

 
Now the parameter for dint (which estimates the 2010-2011 change in CH cases in the study region) is not significant (p=0.0675). A similar result is obtained for the longer period March 17 through December 31 (p=0.0624).

The use of CH case numbers instead of CH incidences, however, means that their inferences can only be made if the live birth numbers don’t change between 2010 and 2011, or if the 2010-2011 relative change in birth numbers is the same in both the study and control region. 
 
Official numbers of live births for 2011 are not available yet, but the US Centers for Disease Control and Prevention provide preliminary annual live birth data for 2011 for individual US states on their website [1]. The respective data for 2010 can be found on the statehealthfacts website [2]. Therefore I was able to determine the numbers of live births for 2010 and 2011 in the two periods (March 17-December 31 and March 17-December 31) and calculate the incidence rates. I used a logistic regression of CH incidence rates for the two time windows with only one dummy variable (dint) to estimate the excess in 2011 in the study region. This yielded a 16.6% increase in March 17-December 31 2011 p=0.0087) and a 32.5% increase in March 17-June 30 2011 (p=0.0036). Both results are significant at the p<0.01 level.

The main reason for the lower p-values compared to the regression of the CH case numbers is that in 2010 the incidences agree fairly well in the study and control region (the p-value for the dummy variable study is p=0.735) so study can be omitted. There is also good agreement between the incidences in 2010 and 2011 in the study region, so the dummy variable d11 (p=0.578) can also be omitted.

Essentially, the use of incidence rates instead of case numbers increases the statistical significance of Mangano and Sherman’s findings.


Several technical gremlins appear in the published tables. The confidence intervals in Table 1 and the ratios in the last two columns of Table 3 are incorrect, and the case numbers for the 36 control states in the last two rows do not sum up to the numbers in the first row in Table 4. Also page 3 states “Results showed that for I-131, the highest depositions, in becquerels per cubic meter....“. This should read “per square meter“. This was first spotted on the ex-skf.blogspot website [3].

However these glitches have no influence on the authors’ main finding.

References
[1] http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05.pdf
[2] http://www.statehealthfacts.org/profileind.jsp?rgn=1&cat=2&ind=34
[3] http://ex-skf.blogspot.de/2013/04/ot-slight-problem-with-mangano-sherman.html


A Rebuttal to the January 11, 2013 Article by James Conca, "Like We've Been Saying -- Radiation is Not A Big Deal," Posted on Forbes Website


A Rebuttal to the January 11, 2013 Article by James Conca,
"Like We've Been Saying -- Radiation is Not A Big Deal,"
Posted on Forbes Website

(This article was originally posted on February 6, 2013 in the original FukushimaVoice site).
                       Japanese version: http://fukushimavoice.blogspot.ca/2013/02/117.html


In the January 11th Forbes article titled “Like We’ve Been Saying--Radiation Is Not A Big Deal,” the author, James Conca, claims that “the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) has finally admitted that we can’t use the LNT (linear no-threshold dose) hypothesis to predict cancer from low doses of radiation.”  


He refers to the “UNSCEAR 2012” as the source of information.  His claim is that “radiation doses less than 10 rem (0.1 Sv) are “no big deal” and that the linear no-threshold dose hypothesis does not apply to doses less than 10 rem (0.1 Sv), which is the region encompassing background levels around the world, and is the region of most importance to nuclear energy, most medical procedures and most areas affected by accidents like Fukushima.”


The “UNSCEAR 2012” that he actually refers to by the link, http://www.world-nuclear-news.org/RS_UN_approves_radiation_advice_1012121.html, is a post titled “UN approves radiation advice” on the World Nuclear News site.  It was published on December 10, 2012, and appears to, somewhat misleadingly, refer to the contents of the Report of the United Nations Scientific Committee on the Effects of Atomic Radiation Fifty-ninth session (21-25 May 2012), which is the United Nations General Assembly Official Records Sixty-seventh session Supplement No. 46 (hereafter referred to as “UN document A/67/46”).   http://www.un.org/ga/search/view_doc.asp?symbol=A/67/46  (Conca added this link at the end of the second paragraph of his article over a week after it was published.  When the article was printed out on January 17, this link wasn’t there, necessitating the hunt for the source of his information in the corresponding United Nations General Assembly proceedings).


In particular, it appears to refer to the section (f) of paragraph 25 on page 10, as below, to declare that “the United Nations is to adopt advice on radiation that clarifies what can be said about its health effects on individuals and large populations.”

“(f) In general, increases in the incidence of health effects in populations cannot be attributed reliably to chronic exposure to radiation at levels that are typical of the global average background levels of radiation. This is because of the uncertainties associated with the assessment of risks at low doses, the current absence of radiation-specific biomarkers for health effects and the insufficient statistical power of epidemiological studies. Therefore, the Scientific Committee does not recommend multiplying very low doses by large numbers of individuals to estimate numbers of radiation-induced health effects within a population exposed to incremental doses at levels equivalent to or lower than natural background levels;”

However, the UNSCEAR report merely states that it “does not recommend,” which isn’t the same as declaring it will regulate what “can be said.”  The unidentified author of the post seems to be inferring that the UNSCEAR controls who says what about the radiation effects.

Conca, in the Forbes article, takes it one step further, by placing the statement below the “official” UNSCEAR logo: “The United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) has finally admitted that we can’t use the LNT (linear no-threshold dose) hypothesis to predict cancer from low doses of radiation.  Now the Japanese people can start eating their own food again and stop being as afraid.  Source: United Nations.”  This juxtaposition of his opinion next to the UNSCEAR logo could easily make readers misconstrue that the statement is the official statement by the UNSCEAR.

As for Conca’s claim that radiation doses less than 10 rem (0.1 Sv) are “no big deal” and that
“the linear no-threshold dose hypothesis does not apply to doses less than 10 rem (0.1 Sv), which is the region encompassing background levels around the world,” it simply is a mystery how he seems to have reached such a conclusion, seemingly straight out of thin air.  

First, nowhere in the UNSCEAR document he links to, “UN document A/67/46,” does it mention 10 rem (0.1 Sv) as “no big deal” or applying to “the region encompassing background levels around the world.”  However, the paragraph 25(f) excerpted above does refer to “chronic exposure to radiation at levels that are typical of the global average background levels of radiation.”  Is it possible that he took a liberal interpretation of “the global average background levels of radiation” to mean the highest background levels in rare locations, HBRAs, such as Ramsar, Iran?
According to paragraph 92 on page 111 of UNSCEAR 2000 Annex B: Exposures from natural radiation sources, “worldwide annual exposures to natural radiation sources would generally be expected to be in the range 1-10 mSv, with 2.4 mSv being the present estimate of the central value.”

Secondly, radiation doses less than 10 rem (0.1 Sv or 100 mSv) are not a “no big deal” situation as claimed by Conca.  The 2012 meta-analysis by evolutionary biologists Anders Moller (France) and Timothy Mousseau (United States), “The effects of natural variation in background radioactivity on humans, animals and other organisms,” found evidence of significant effects of natural variation in background radiation on mutation rates, DNA damage/repair, immunology and disease including cancer.  

Radiation effects from exposures well below 10 rem (0.1 Sv or 100 mSv), including background radiation, medical exposure, leukemias in Chernobyl clean-up workers as well as leukemias near nuclear power stations, are discussed by the British radiation biologist, Ian Fairlie.

Thirdly, it is untrue that the LNT hypothesis does not apply to doses below 10 rem (0.1 Sv or 100 mSv).  Fairlie discusses very large studies with statistically significant results at very low doses, even down to background levels, showing the linear shape of the dose response relationship down to low doses.

Contrary to Conca’s claim that Japan cut the accepted global limit of 1,000 Bq/kg cesium level in half hoping it would have a calming influence on public’s radiation fear, Japan actually already had guidelines established to be used in case of emergency.  So the initial regulatory limit of 500 Bq/kg of cesium was not a compromise by the Japanese government for the purpose of “easing” the public fear.  It has now been lowered to 100 Bq/kg.  The U.S. regulatory limit is outrageously high at 1,200 Bq/kg.  This means any radiation tests conducted on Japan imports in the United States immediately after the accident were practically useless, even though the result might have been below the derived intervention level (DIL) of 1,200 Bq/kg.
Besides, the current regulatory limit for milk Conca mentioned in his article is not even accurate in that it is not 200 Bq/kg, but 50 Bq/kg.

The statement, “Accepted global limits on radioactivity levels in foods is 1,000 Bq/kg (1,200 Bq/kg in the U.S.),” is a little misleading in terms of who “accepts” these numbers.  These high numbers are apparently set by those interested in protecting and promoting advancement of nuclear energy and imposed upon people who don’t really even know what the numbers mean.  On the other hand, those whose interests lie in protecting physical well-being and lives of people, apparently have other perspectives, such as not accepting these limits of 1,000 and 1,200 Bq/kg.

The primary fact is that there is no dose of radiation that is recognized to be harmless, as excerpted from the report, “Calculated Fatalities from Radiation.”

Setting official maximum levels of radionuclides to be tolerated in food is supposed to protect the population from danger. But, in contrast to chemical toxins, there is no threshold below which radioactivity is harmless. Thus there is also no dose of radiation, no matter how small, that is harmless, benign or unobjectionable. The authority (government or international organization) that recommends or sets standards, or maximum permissible value limits, basically decides on how many fatalities or cases of illness will be acceptable in a given situation.”
In fact, foodwatch, an European consumer rights group, and International Physicians for the Prevention of Nuclear War (IPPNW) Germany called for lowering of the permissible limits of radioactive cesium to 8 Bq/kg for baby food and 16 Bq/kg for all other foods, based on the maximum annual effective radiation dose of 0.3 mSv, which is the maximum exposure limit set out in Germany’s radiation protection legislation for normal operations in nuclear power plants.

Based on Conca’s statements in the comment section of his article, he seems to think a “little bit of cesium ingested” is harmless as it is excreted from the body.  But is it really harmless?  Does radioactive cesium simply get distributed to mostly muscles, as generally recognized, and eventually excreted without doing any harm?

An exiled Belarusian anatomical pathologist Bandazhevsky, now living in Ukraine, showed that radioactive cesium accumulated in various organs in the body, other than skeletal muscles.  He claimed that radioactive cesium affected multiple organ systems, especially cardiac muscles, causing arrhythmia and sudden cardiac deaths.  

In the study published on January 23, 2013, “Artificial Radionuclides in Abandoned Cattle in the Evacuation Zone of the Fukushima Daiichi Nuclear Power Plant,” a team of Japanese researchers showed how cesium accumulated in various organs of cows.  

We have no way of knowing if the accumulated cesium would have eventually caused cancer in these cows, or if they were physically ill before euthanized according to the government order to kill animals left behind in the evacuation zone.  However, it is a little hard to imagine the accumulated radioactive cesium causing no harm in delicate cells and tissues of these organs, such as heart, kidney, liver, lungs, bladder, thyroid, etc.  

Conca states that as UNSCEAR found no observable health effects from the Fukushima nuclear accident, the Japanese people can start eating their own food again and moving back into areas only lightly contaminated with radiation levels that are similar to background in many areas of the world.

According to paragraph 8 on page 4 of the UNSCEAR report, “UN document A/67/46,” sources of data for the Committee’s evaluation included the Japanese government, United Nations Member States, and other organizations such as the Comprehensive Nuclear-Test-Ban Treaty Organization, the Food and Agriculture Organization of the United Nations (FAO), the International Atomic Energy Agency (IAEA), the World Health Organization (WHO) and World Meteorological Organization (WMO).  They also used information and analyses published in peer-reviewed scientific journals as well as measurements uploaded by the public on crowdsourcing websites.  

As the UNSCEAR only considers cancer and heritable effects important in establishing radiation risk estimates for low dose exposures, it is not surprising that they concluded that
“No health effects have been attributed to radiation exposure observed among workers or children or any other members of the population.” in paragraph 9(a).  At 22 months after the accident, it is considered too soon for radiation-induced cancer to develop, and Japanese government and Fukushima Prefecture do not seem to be actively conducting epidemiological studies in showing heritable effects such as congenital deformities.  

However, in reality, there are unofficial accounts of birth defects such as anencephaly and leukemia, not only in Fukushima Prefecture but also in Tokyo and the Kanto region surrounding Tokyo.  In addition, a variety of symptoms such as nosebleeds, rash, fatigue, and spread as well as recurrence of infections have been reported in Tokyo and the Kanto region, in addition to increased incidence of abnormal EKG in school children in some areas.  Reports of thyroid disorders, such as Hashimoto’s disease and subacute thyroiditis are heard more frequently.  Leukopenia has been reported in children in Tokyo and the Kanto region.

TEPCO workers and external contractors involved in the on-site clean-up activities are not reported to have any health effects, but there are no studies or data published to back up that claim.  In other words, we have no objective evidence that no health effects have occurred to those workers.  There have been at least 5 workers who have died since the accident, with the last reported death being from August 2012, and in some cases their causes of death were not revealed by TEPCO, citing privacy protection.  Other than these five, two other TEPCO employees were found dead in the reactor 4 turbine building.

It is not clear where Conca derived information in the following clause, “Radiation played no role in the coincidental deaths of six Fukushima workers in the time since the accident, who died from accidents, e.g. being crushed by debris or being swept out to sea.”  Insinuating, without any concrete evidence, that six workers died from accidents is absurd - are there videotapes or eye witness reports to corroborate his claim?  Does he honestly know what "really" happened in Japan after the earthquake and tsunami?

The first worker to die was a 60-year-old man who died of “heart attack” on his second day of work.  He was one of many “seasonal nuclear power plant workers” who would go to various nuclear power plants on demand.  These workers might not know what their cumulative radiation exposure doses are.  Sudden cardiac deaths are often called “heart attacks.”  In view of this, this man’s “heart attack” could be the result of long-term exposure.

A worker in his 40’s died of acute leukemia in mid-August, 2011, after working at Fukushima Dai-ichi NPP for one week in the beginning of August.  His exposure dose was supposedly 0.5 mSv, and TEPCO denied any relationship between his leukemia and radiation.  It was not known if he might have had any other occupational radiation exposure prior to his work at Fukushima Dai-ichi, but TEPCO had no intention of investigating his death any further.  

Another worker whose circumstance of death has been publicized, was a 57-year-old man who was found unconscious as he was resting after not feeling well on August 22, 2012.  He was dead on arrival at the hospital.  After working at Fukushima Dai-ichi for one year, his cumulative dose was  25 mSv.  

Paragraph 9(e) mentions thyroid monitoring, which was conducted on 1,083 children (544 boys and 539 girls) in Iitate village, Kawamata town and Iwaki-city in late March, 2011, showing no individual exceeding a screening level of 0.2 μSv/h that was derived from a thyroid dose of 100 mSv.  

The following is excerpted from the proceedings of the United Nations Sixty-seventh General Assembly Fourth Committee, which was held on November 13, 2012.

“Maximum dose reported was ‘35 mSv,’ which , he said, was reassuring, because that was significantly lower than what had been observed after the Chernobyl incident.  ‘That good news must be underlined,’ asserted the representative of Argentina.”

This thyroid screening was done on March 26-27, 2011 in Iwaki-city, on March 28-30, 2011 in Kawamata town, and on March 29-30, 2011 in Iitate village.  In Iitate village, the background radiation level was so high, over 10 μSv/h in some cases, and they had to scurry around to find almost a cubby-hole like area in a city hall with a background level of 0.2 μSv/h, where 300 children were screened.  For the whole group including Iitate village children, 55% was 0 μSv/h and 26% was 0.01 μSv/h,  and 99% was under 0.04 μSv/h.  The highest was 0.1 μSv/h.  Under such high background conditions, can accurate measurements verifiably be conducted?

Nevertheless, the most recently published results of the thyroid ultrasound examination, conducted as part of the Fukushima Prefecture Health Management Survey, shows 38,327 (39.9%) of 95,954 children with abnormalities.  There are about 360,000 children in Fukushima Prefecture, and the initial round of the ultrasound examination is still ongoing.

Although Conca wrote in the Forbes article, “UNSCEAR also found no observable health effects from last year’s nuclear accident in Fukushima.  No effects,”  truth might be far from it.

With due respect, the studies by WHO and Tokyo University which Conca refers to, apparently excerpted from his favorite source, the World Nuclear News post, might not reflect accurate information, although exactly which studies he is referring to is unclear.  If it is WHO’s “Preliminary Dose Estimation from the nuclear accident after the 2011 Great East Japan Earthquake and Tsunami” that he is referring to, it was most likely based on official information from the Japanese government.  http://www.who.int/ionizing_radiation/pub_meet/fukushima_dose_assessment/en/index.html

The Japanese government did issue an evacuation order for the 20-km zone, but the actual evacuation process was chaotic, and in some cases people went in the direction of the radioactive plume as the government failed to disclose information from the System for Prediction of Environment Emergency Dose Information (SPEEDI).  Some evacuees simply went to other parts of Fukushima Prefecture, which also received radioactive plume.  It is not so cut-and-clean “evacuating Fukushima Prefecture quickly” type of business.  Stable iodine was not administered to people other than one municipality, Miharu town, whose mayor bravely decided to administer it to the town residents against the advice of Fukushima Prefecture.  Such details are often not included in the official documentation and not readily available to those seeking information from overseas.  

Actually, it is not just Fukushima Prefecture that received a significant amount of radiation contamination.  The path of the plume went north and east initially, but then it turned south and covered a wide area including Tokyo and the surrounding Kanto region.

This is a recently broadcast simulation of iodine 131 using newly discovered data from a monitoring post located 5 km west of Fukushima Dai-ichi NPP.  Tokyo received a radioactive plume,  especially highly concentrated between 9am and 12pm on March 15, 2011.



In regards to the Tokyo University studies, Conca could be referring to “Internal Radiation Exposure After the Fukushima Nuclear Power Plant Disaster,” which reports “low exposure levels.”  http://jama.jamanetwork.com/article.aspx?articleid=1346169

However, the validity of the results of this study may be in question for a few reasons.  First, internal radiation exposure was measured using a whole body counter (WBC), which only measures gamma radiation.  Radioactive cesium actually emits beta radiation and decays to radioactive barium, which emits gamma radiation.  Therefore, a WBC count, only including gamma radiation measurements, is not a true reflection of internal radiation exposure from all potential radionuclides which might have been released as a result of the accident.  In addition, the detection limits were rather high at 210 to 250 Bq.  

It is curious how Conca is encouraging consumption of still contaminated food, albeit how little or large, and resettlement of “only lightly contaminated areas.”  The very same things have been pushed by the Japanese government in the name of “recovery” effort.  In fact, Nikkei Newspaper, a major financial newspaper in Japan, published a full Japanese translation of Conca’s Forbes article online on January 17, 2013.

It is indeed curious that both Forbes and Nikkei Newspaper are “financial” publications.  It appears that those whose interests are “finances” want to minimize health effects of radiation or radioactive contamination so that they can push their “peaceful” use of nuclear power, and they seem blind to the basic human rights of being able to breathe clean air and eat clean food.

He certainly seems excited about his specialty area of nuclear waste disposal, and at least Conca is correct in pointing out that decontamination effort that is passing for clean-up so far has been a huge waste of money by just moving dirt and leaves around.  However, does he even know that some disaster debris with some degree of radioactive contamination is being transported all over Japan, at a great expense, to be incinerated?  He probably doesn’t know, as he seems to spend very little time conducting research verifying facts prior to writing his articles.

Are the Japanese people being punished for some unspoken reason by having lower radiation levels in food?  Is it really criminal to continue applying LNT dose effects for doses less than 100 mSv?  

He is certainly entitled to having his own opinions, no matter how ”prevaricating” it sounds.  (Conca himself used the word “prevaricating” in his article, stating that UNSCEAR needs to stop procrastinating and “prevaricating.”)  However, observing the way he rants about “less than 100 mSv being nothing,” the infamous “Mr. 100 mSv” Shunichi Yamashita of Fukushima Medical University might have a newfound friend.  And what is really criminal is to make Japanese people eat food contaminated with radiation no matter how little the contamination is, regardless of the “accepted global limits.”


Fukushima Thyroid Examination August 2024: 284 Surgically Confirmed as Thyroid Cancer Among 338 Cytology Suspected Cases

Overview      On August 2, 2024,  t he 52nd session of the Oversight Committee  for the  Fukushima Health Management Survey  (FHMS) convened...