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Intercomparison of radon and decay product measurements in an underground mine and EPA Radon Laboratory: a study organized by the IAEA International Radon Metrology Programme. International Atomic Energy Agency.

The International Atomic Energy Agency (IAEA) in Vienna and the European Union (EU) in Bruxelles formed the "International Radon Metrology Programme" (IRMP, scientific secretary: F. Steinhäusler, University of Salzburg, Austria). The IRMP is designed to assess and foster the improvement of radon and decay product measurements that are made around the world. Within the framework of the IRMP, the U.S. Environmental Protection Agency Radiation and Indoor Environments National Laboratory (EPA) in Las Vegas, Nevada, organized jointly with the U.S. Bureau of Mines an international intercomparison exercise at a former uranium mine (Twilight Mine, Colorado) and the EPA Radon Laboratory. The main objective of this exercise was to compare radon and radon decay product instruments under both well-controlled as well as widely fluctuating exposure conditions. The laboratory exposures occurred under relatively steady radon and decay product conditions, with a moderate equilibrium ratio, while the conditions in the mine fluctuated greatly and the equilibrium ratio was low. An additional purpose of the exercise was to provide a forum for manufacturers and measurement organizations worldwide to exchange information and plan improvements in their operations and calibration programs. Altogether 19 organizations from seven countries intercomparing 32 different radon and radon decay product instruments participated in this exercise. This paper summarizes the results from the analysis of the experimental data obtained in the Bureau of Mines Twilight Mine in July of 1994, as well as the results from the EPA Radon laboratory in August of 1994.

Calibration↗

Measurement of radon and radon progenies at the German radon reference chamber.

The activity concentration of radon in the environment can vary over five orders of magnitude. Radon and its progenies thus concern all people involved in radiation protection as well as in low-level experiments. In the German radon reference chamber at the PTB, radon and its progenies are measured with different systems for alpha- and gamma-spectrometry with the full set of environmental parameters, e.g. temperature, humidity and aerosol concentration being controlled. Control of air pressure is also possible by use of an extention chamber. The sampling and measuring technique for radon and its short-lived progenies at the German radon reference chamber are the basis for fundamental studies with regard to the understanding of the equilibrium factor and the unattached fraction of progenies. The facility also serves for the calibration of radon progeny detectors.

Environmental Monitoring↗

Radon testing behavior in a sample of individuals with high home radon screening measurements.

Although radon exposure has been identified as the second leading cause of lung cancer, fewer than 6% of U.S. homeowners test their homes for radon. This report examines participants' follow-up radon testing behavior subsequent to receiving an initial screening radon level greater than 20 pCi/L. Sixty-two participants in the Iowa State-Wide Rural Radon Screening Survey who had radon screening measurements over 20 pCi/L were questioned by phone survey 3 months after receipt of their radon screening result to assess: whether participants were aware of radon's health risk; if participants recalled the radon screening results; how participants perceived the relative health risk of radon and whether participants planned follow-up radon testing. Only 19% of the respondents specifically identified lung cancer as the possible adverse health outcome of high radon exposure, and the majority of participants underestimated the health risks high radon levels pose when compared to cigarettes and x-rays. In addition, less than one third (29%) of the participants actually remembered their radon screening level within 10 pCi/L 3 months after receiving their screening results. Only 53% of the individuals correctly interpreted their screening radon level as being in the high range, and only 39% of the participants planned follow-up radon measurements. Receipt of radon screening test results indicating high radon levels was not an adequate motivational factor in itself to stimulate further radon assessment or mitigation. Our findings suggest that free radon screening will not result in a dramatic increase in subsequent homeowner initiated remediation or further recommended radon testing.

Environmental Exposure↗

Assessment and management of residential radon health risks: a report from the health Canada radon workshop.

Epidemiologic studies of uranium miners and other underground miners have consistently shown miners exposed to high levels of radon to be at increased risk of lung cancer. More recently, concern has arisen about lung cancer risks among people exposed to lower levels of radon in homes. The current Canadian guideline for residential radon exposure was set in 1988 at 800 Bq/m(3). Because of the accumulation of a considerable body of new scientific evidence on radon lung cancer risks since that time, Health Canada sponsored a workshop to review the current state-of-the-science on radon health risks. The specific objectives of the workshop were (1) to collect and assess scientific information relevant to setting national radon policy in Canada, and (2) to gather information on social, political, and operational considerations in setting national policy. The workshop, held on 3-4 March 2004, was attended by 38 invited scientists, regulators, and other stakeholders from Canada and the United States. The presentations on the first day dealt primarily with scientific issues. The combined analysis of North American residential radon and lung cancer studies was reviewed. The analysis confirmed a small but detectable increase in lung cancer risk at residential exposure levels. Current estimates suggest that radon in homes is responsible for approximately 10% of all lung cancer deaths in Canada, making radon the second leading cause of lung cancer after tobacco smoking. This was followed by a perspective from an UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) working group on radon. There were two presentations on occupational exposures to radon and two presentations considered the possibility of radon as a causative factor for cardiovascular disease and for cancer in other organs besides the lung. The possible contribution of environmental tobacco smoke to lung cancers in nonsmokers was also considered. Areas for future research were identified. The second day was devoted to policy and operational issues. The presentations began with a perspective from the U.S. Environmental Protection Agency, followed by a history of radon policy development in Canada. Subsequent presentations dealt with the cost-effectiveness of radon mitigation, Canadian building codes and radon, and a summary of radon standards from around the world. Provincial representatives and a private consultant were given opportunities to present their viewpoints. A number of strategies for reducing residential radon exposure in Canada were recognized, including testing and mitigation of existing homes (on either a widespread or targeted basis) and changing the building code to require that radon mitigation devices be installed at the time a new home is constructed. The various elements of a comprehensive national radon policy were set forth.

Air Pollutants, Radioactive↗

Radon mitigation survey among New York State residents living in high radon homes.

Residential exposure to radon has been considered an important environmental risk factor for lung cancer. Since 1986, U.S. EPA has recommended that all dwellings below the third floor be tested for the presence of radon and be mitigated to reduce indoor radon in homes with levels exceeding 148 Bq m(-3). In order to evaluate the effectiveness of New York State Department of Health's efforts to increase public awareness about radon risk and to promote radon testing and mitigation in compliance with EPA's guideline, a statewide radon mitigation survey was conducted between September 1995 and January 1996 among New York State residents whose homes had radon levels equal to or greater than 148 Bq m(-3) on the first floor (or above) living areas. The survey found that about 60% of 1,113 participants had taken actions for radon mitigation. The percentage of respondents who took actions to reduce radon levels in their homes increased with increasing education level as well as household income level. The method of installing a powered system to provide more ventilation was a more effective mitigation method than opening widows/doors or sealing cracks/openings in the basement. Mitigation performed by contractors was more effective in reducing radon levels than mitigation performed by residents. The reasons for performing radon mitigation given by the majority of respondents were those strongly related to radon health risk. High home radon level was an important motivational factor to stimulate radon mitigation. On the other hand, the cost of radon mitigation was a major barrier in decision making for performing radon mitigation and for selecting mitigation measures. Thus, public educational campaigns that focus on increasing awareness and knowledge about radon health risks and development of less expensive radon mitigation methods may help in promoting radon mitigation.

Adolescent↗

Relationship of perception of radon as a health risk and willingness to engage in radon testing and mitigation.

PURPOSE/OBJECTIVES: To gather data on radon levels and determine correlations among subjects' characteristics, willingness to test for radon, and perceptions of radon as a health risk. DESIGN: Descriptive correlational. SETTING: Rural DeKalb County in northern Illinois. SAMPLE: 473 respondents from a group of 1,620 randomly selected county residences. METHODS: Participants were surveyed via telephone using the Community Radon Program questionnaire. Radon measurements were taken with home radon test kits. MAIN RESEARCH VARIABLES: Gender, income, age, educational level, smoking status, race, home ownership, willingness to test for radon, and radon risk perception. FINDINGS: Most participants were familiar with radon but did not view it as an immediate health hazard and would not have screened for radon on their own. 88% of the radon measurements exceeded the U.S. Environmental Protection Agency's moderate risk potential level, and 53% exceeded the action level (i.e., 4 pCi/L). CONCLUSIONS: Perception of radon as a health risk was correlated positively with planning to conduct further radon testing and to employ radon mitigation methods. More research is needed on people's willingness to obtain radon emission levels and the cancer rates in areas that have high potential for radon. IMPLICATIONS FOR NURSING: According to the environmental literature, the effect of household radon emissions on the development of lung cancer is as great a health risk as secondhand smoke. Virtually no nursing literature on the subject has been published. As the primary source of health information in many rural counties, nurses, especially public health nurses, are at the forefront in public health educational efforts. Nurses are the most likely healthcare professionals to enter patients' homes and can play a significant role in disseminating information about radon as a potential carcinogen.

Adult↗

The Iowa radon lung cancer study--phase I: Residential radon gas exposure and lung cancer.

Exposure to high concentrations of radon (222Rn) progeny produces lung cancer in both underground miners and experimentally-exposed laboratory animals. The goal of the study was to determine whether or not residential radon exposure exhibits a statistically significant association with lung cancer in a state with high residential radon concentrations. A population-based, case-control epidemiologic study was conducted examining the relationship between residential radon gas exposure and lung cancer in Iowa females who occupied their current home for at least 20 years. The study included 413 incident lung cancer cases and 614 age-frequency-matched controls. Participant information was obtained by a mailed-out questionnaire with face-to-face follow-up. Radon dosimetry assessment consisted of five components: (1) on-site residential assessment survey; (2) on-site radon measurements; (3) regional outdoor radon measurements; (4) assessment of subjects' exposure when in another building; and (5) linkage of historic subject mobility with residential, outdoor, and other building radon concentrations. Histologic review was performed for 96% of the cases. Approximately 60% of the basement radon concentrations and 30% of the first floor radon concentrations of study participants' homes exceeded the US Environmental Protection Agency action level of 150 Bq m(-3) (4 pCi l(-1)). Large areas of western Iowa had outdoor radon concentrations comparable to the national average indoor value of 55 Bq m(-3) (1.5 pCi l(-1)). Excess odds of 0.24 (95% CI = -0.05-0.92) and 0.49 (95% CI = 0.03-1.84) per 11 WLM(5-19) were calculated using the continuous radon exposure estimates for all cases and live cases, respectively. Slightly higher excess odds of 0.50 (95% CI = 0.004-1.80) and 0.83 (CI = 0.11-3.34) per 11 WLM(5-19) were noted for the categorical radon exposure estimates for all cases and the live cases. A positive association between cumulative radon gas exposure and lung cancer was demonstrated using both categorical and continuous analyses. The risk estimates obtained in this study indicate that cumulative radon exposure presents an important environmental health hazard.

Adult↗

Radon mitigation in domestic properties and its health implications--a comparison between during-construction and post-construction radon reduction.

Although United Kingdom (UK) Building Regulations applicable to houses constructed since 1992 in Radon Affected Areas address the health issues arising from the presence of radon in domestic properties and specify the installation of radon-mitigation measures during construction, no legislative requirement currently exists for monitoring the effectiveness of such remediation once construction is completed and the houses are occupied. To assess the relative effectiveness of During-Construction radon reduction and Post-Construction remediation, radon concentration data from houses constructed before and after 1992 in Northamptonshire, UK, a designated Radon Affected Area, was analysed. Post-Construction remediation of 73 pre-1992 houses using conventional fan-assisted sump technology proved to be extremely effective, with radon concentrations reduced to the Action Level, or below, in all cases. Of 64 houses constructed since 1992 in a well-defined geographical area, and known to have had radon-barrier membranes installed during construction, 11% exhibited radon concentrations in excess of the Action Level. This compares with the estimated average for all houses in the same area of 17%, suggesting that, in some 60% of the houses surveyed, installation of a membrane has not resulted in reduction of mean annual radon concentrations to below the Action Level. Detailed comparison of the two data sets reveals marked differences in the degree of mitigation achieved by remediation. There is therefore an ongoing need for research to resolve definitively the issue of radon mitigation and to define truly effective anti-radon measures, readily installed in domestic properties at the time of construction. It is therefore recommended that mandatory testing be introduced for all new houses in Radon Affected Areas.

Air Pollutants, Radioactive↗

Contribution of radon and radon daughters to respiratory cancer.

This article reviews studies on the contribution of radon and radon daughters to respiratory cancer and proposes recommendations for further research, particularly a national radon survey. The steady-state outdoor radon concentration averages 200 pCi/m3, and indoor levels are about 4 times higher. The primary source of radon in homes is the underlying soil; entry depends on multiple variables and reduced ventilation for energy conservation increases indoor radon levels. Occupational exposures are expressed in units of radon daughter potential energy concentration or working level (WL). Cumulative exposure is the product of the working level and the time exposed. The unit for cumulative exposure is the working level month (WLM). The occupational standard for radon exposure is 4 WLM/year, and 2 WLM/year has been suggested as a guideline for remedial action in homes. Epidemiologic studies show that miners with cumulative radon daughter exposures somewhat below 100 WLM have excess lung cancer mortality. Some 3% to 8% of miners studied have developed lung cancer attributable to radon daughters. All of the underground mining studies show an increased risk of lung cancer with radon daughter exposure. All cell types of lung cancer increased with radon exposure. If radon and smoking act in a multiplicative manner, then the risk for smokers could be 10 times that for nonsmokers. The potential risk of lung cancer appears to be between 1 and 2 per 10,000/WLM, which yields a significant number of lung cancers as some 220 million persons in the United States are exposed on average to 10 to 20 WLM/lifetime.

Carcinoma, Bronchogenic↗

Simultaneous measurements of indoor radon, radon-thoron progeny and high-resolution gamma spectrometry in Greek dwellings.

Simultaneous indoor radon, radon-thoron progeny and high-resolution in situ gamma spectrometry measurements, with portable high-purity Ge detector were performed in 26 dwellings of Thessaloniki, the second largest town of Greece, during March 2003-January 2005. The radon gas was measured with an AlphaGUARD ionisation chamber (in each of the 26 dwellings) every 10 min, for a time period between 7 and 10 d. Most of the values of radon gas concentration are between 20 and 30 Bq m(-3), with an arithmetic mean of 34 Bq m(-3). The maximum measured value of radon gas concentration is 516 Bq m(-3). The comparison between the radon gas measurements, performed with AlphaGUARD and short-term electret ionisation chamber, shows very good agreement, taking into account the relative short time period of the measurement and the relative low radon gas concentration. Radon and thoron progeny were measured with a SILENA (model 4s) instrument. From the radon and radon progeny measurements, the equilibrium factor F could be deduced. Most of the measurements of the equilibrium factor are within the range 0.4-0.5. The mean value of the equilibrium factor F is 0.49 +/- 0.10, i.e. close to the typical value of 0.4 adopted by UNSCEAR. The mean equilibrium equivalent thoron concentration measured in the 26 dwellings is EEC(thoron) = 1.38 +/- 0.79 Bq m(-3). The mean equilibrium equivalent thoron to radon ratio concentration, measured in the 26 dwellings, is 0.1 +/- 0.06. The mean total absorbed dose rate in air, owing to gamma radiation, is 58 +/- 12 nGy h(-1). The contribution of the different radionuclides to the total indoor gamma dose rate in air is 38% due to 40K, 36% due to thorium series and 26% due to uranium series. The annual effective dose, due to the different source terms (radon, thoron and external gamma radiation), is 1.05, 0.39 and 0.28 mSv, respectively.

Air Pollution, Indoor↗

Mitigation of indoor radon in an area with unusually high radon concentrations.

In an area of unusually high indoor radon concentrations of up to 270,000 Bq m-3, four houses were selected for mitigation of indoor radon. Methods used were basement sealing, soil depressurization, a mechanical intake and outlet ventilation system with heat exchanger in the basement, and a multilayer floor construction using a fan to suck radon from a layer between bottom slab and floor. Basement sealing proved unsuccessful, the radon concentration remained unchanged after the mitigation attempt. The most successful remedial measure was soil depressurization using two fans and loops of drainage tubes to withdraw radon from the region under the floor and outside the walls of the basement and from soil under the part of the house without a basement. This method reduced the basement radon level in winter by about a factor of 200, i.e., from 100,000 Bq m-3 to 500 Bq m-3, and the ground-floor level by about a factor of 400. As regards the mechanical intake and outlet ventilation system with heat exchanger in the basement, it is essential to ensure that ventilation provides increased air pressure in the basement compared to outdoors. Unbalanced mechanical intake and outlet ventilation may decrease the air pressure indoors compared to outdoors, leading to increased radon concentrations. Optimization of this method reduced radon concentrations from 200,000 Bq m-3 to 2,000-3,000 Bq m-3 in winter. In one house with only a very small basement, a multilayer floor construction using a fan to suck radon from a layer between the bottom slab and floor was found to reduce radon concentrations on the ground floor from 25,000 Bq m-3 to about 1,700 Bq m-3 in winter. The results show that even in areas with extremely high radon concentrations, effective mitigation of indoor radon can be accomplished if suitable techniques are used. The evaluation of the different mitigation methods shows good coincidence with the ICRP 65 report.

Air Pollutants, Radioactive↗

Experience from retrospective radon exposure estimations for individuals in a radon epidemiological study using solid-state nuclear track detectors.

The relation between increased risk of lung cancer and exposure to indoor radon is assessed in epidemiological studies. Both the quality and reliability of smoking data and the radon exposure data are of primary importance. Contemporary measurement of radon concentration in the dwellings of individuals in a case-control study is traditionally used to assess past history of radon exposure. These assessments are somewhat unreliable since presently measured radon concentration might not be representative for a given location long ago. The measurement of long-lived decay products from 222Rn remaining indoors on hard surfaces, such as glass, makes it possible to assess the exposure to indoor radon. At the Swedish Radiation Protection Institute, a combination of two different solid-state nuclear track detectors has been developed to assess the 210Pb activity implanted in glass surfaces by measuring 210Po alpha activity. This detector (a RETRO detector) is used in the Swedish radon epidemiological case-control study of non-smokers with the aim to provide an alternative estimate of individual radon exposure and to evaluate the usefulness of RETRO measurements. A total of 576 different objects were found and 568 were measured. For 225 individuals, we measured two personal objects that had been in the same person's possession for more than 20 years. The standard deviation of the average radon concentration obtained from these two objects had a median value of 13 Bq/m3 indicating a precision of exposure of approximately 20%. The correlation between 210Po surface activity measured earlier and the mean values of radon concentrations in a number of Swedish dwellings is used to estimate the historical, average radon concentration. This average correlation factor seems also to be valid for measurements in the non-smoker epidemiological study.

Air Pollutants, Radioactive↗

Diurnal and seasonal variations of radon levels, effects of climatic conditions, and radon exposure assessment in a former uranium metal production facility.

Storage of radon-producing material in two silos and two waste pits is one of the major environmental and occupational issues at a former uranium production facility, now a Superfund site. In addition, up to 100 metric tons of thorium is stored on the northeast side of the site. Concentrations of radium up to 17,600 Bq g(-1) (477,000 pCi g(-1)) or higher for silos and up to 45 Bq g(-1) (1,200 pCi g(-1)) for waste pits have been reported. This study was conducted to identify factors and climatic conditions that contribute to higher radon levels and to assess workers' exposure at the site. Data covering a 12-mo period were compiled from monitoring hourly real-time radon levels at indoor (within 3 buildings) and outdoor (at 14 on-site and 2 off-site monitoring stations) locations and from hourly site-specific meteorological information. The ranges of radon levels were as follows: 1.8-3,655 Bq m(-3) (0.05-98.8 pCi L(-1)) outdoor on-site, 3.7-329 Bq m(-3) (0.1-8.9 pCi L(-1)) outdoor off-site, and 1.8-111 Bq m(-3) (0.05-3.0 pCi L(-1)) indoor on-site. Only radon levels in the vicinity of the storage silos were significantly higher than levels off-site. Radon concentrations showed diurnal variations, with maximum levels occurring in the early morning and minimum levels in the afternoon. Seasonal variation was also observed, with radon levels higher during the summer through early fall and lower during the late winter through spring. Wind speed, relative humidity, and wind direction appeared to be the most significant predictors of radon concentration. The estimated radon dose to workers, calculated by using exposure models and annual average levels of radon in the work area, was below recommended exposure limits. These results suggest that the emission control methods at this site have been effective in maintaining environmental radon contamination and workers' exposure at acceptable levels.

Climate↗

[Dynamics of radon decay product activity in saliva following therapeutic radon exposure].

Radon decay product activity was measured in saliva of 10 male patients 20-30 min after a 1-hour radon exposure in the gallery of the Gasteiner Heilstollen (radon activity 36.2 kBq/m(3), radon progeny activity 20.3 kBq/m(3)). In 1 patient showing relatively high activity (75th percentile) measurements were continued until 65 min after exposure. Patients were asked to collect about 2 ml of saliva in the mouth and produce it on a filter. After drying the filter at 300 degrees C, radon progeny activity was measured. Activity (median) at 20-30 min after leaving the treatment area was 4.5 Bq (25th percentile 1 Bq; 75th percentile 21 Bq). In the patient who underwent additional measurements the activity showed a further increase up to 29 Bq (35 min after radon exposure) before it continuously decreased to a very low activity (1-3 Bq) at 65 min after exposure. The results show that a significantly increased radon decay product activity is found in saliva after speleotherapeutic radon exposure. Maximum values were observed 35 min after radon exposure. Radon decay product activity almost disappeared after about 1 h.

Complementary Therapies↗

Radon and radon daughter levels in energy efficient housing.

Radon and radon daughter concentrations have been measured in 33 "energy-efficient" homes in a small subdivision in Kanata, Ontario. Integrated radon measurements were determined over three month periods for a year using solid state nuclear track detectors. Radon and radon daughter grab sample determinations were made during corresponding periods and confirm the distributions of the integrated radon measurements. Annual average individual home radon concentrations show an 8 fold concentration range between homes. This variability in radon concentrations is not reflected in the range of air exchange rates for the homes. A distinct seasonal variation is noted for the median values of the radon and radon daughter concentrations and the equilibrium factor F in the dwellings.

Energy-Generating Resources↗

Radon permeability and radon exhalation of building materials.

High radon concentrations indoors usually depend on the possibilities of radon penetration from the surrounding soil into the buildings. Radon concentrations in dwellings up to 100 kBq/m3 were found in some special regions (i.e. Schneeberg/Saxony, Umhausen/Tyrol), where the soil shows a high uranium content and additionally, a fast radon transport in the soil is possible. To reduce the radon exposure of the inhabitants in these 'radon prone areas' it is necessary to look for building and insulating materials with low radon permeability. We examined several building materials, like cements, concretes and bricks of different constitutions for their diffusion coefficients and their exhalation rates. The insulating materials, like foils and bitumen were tested also on their radon tightness. The measurements were performed with an online radon measuring device, using electrostatic deposition of 218Po ions onto a surface barrier detector and subsequent alpha spectroscopy. The mean diffusion lengths for the investigated building materials range from lower than 0.7 mm (i.e. for plastic foil), up to 1.1 m for gypsum. The diffusion length R was calculated from the diffusion coefficient D with R = square root(D/lambda). If the thickness of the material is more than 3 times the diffusion length, then it is called radon-tight. The mean 222Rn exhalation rates for the building materials varied between 0.05 and 0.4 mBq/m2s. The samples were investigated as stones, plates, blocks, foils, coatings, powders etc., no statement can be made about working at the construction site of a building. Also the fabrication and processing of the materials has to be considered, because the material characteristics may have changed.

Air Pollutants, Radioactive↗

Carcinogenic and cocarcinogenic effects of radon and radon daughters in rats.

It has been previously established that lung cancer could be induced in rats by exposure to radon and radon daughters. Although the oat-cell carcinomas that are common in humans were not found in rats, other histological types of lung carcinomas, especially squamous cell carcinomas and primitive lung adenocarcinomas, were similar to those observed in humans. A dose-effect relationship was established for cumulative doses varying from 25 to 3000 working-level-months (WLM), which was similar for medium and high cumulative doses to that observed in uranium miners. This experimental protocol was also used to study the potential cocarcinogenic effects of other environmental or industrial airborne pollutants such as tobacco smoke, mineral fibers, diesel exhausts, or minerals from metallic mine ores that may act synergistically with radon exposure. In rats exposed to radon and tobacco smoke combined, the incidence of lung cancers was higher by a factor of 2-4 according to the cumulative radon exposure and the duration of tobacco smoke exposure. When mineral fibers were injected intrapleurally, an increased incidence of malignant thoracic tumors was observed in rats exposed to radon and fibers combined, but synergistic effects resulted in additivity. With diesel exhausts or minerals from metallic ores, a slight, nonsignificant increase in the incidence of lung carcinomas was observed compared with rats exposed to radon alone. These results demonstrated that it is possible to establish the potential cocarcinogenic action, showing either multiplicative, additive, or no effect of various environmental or industrial airborne pollutants combined with radon exposure. This radon model is valid for investigating possible interactions between two occupational exposures.

Air Pollutants↗