The Pooled Uranium Miners Analysis (PUMA) study is the largest uranium miners cohort with 119,709 miners, 4.3 million person-years at risk and 7754 lung cancer deaths. Excess relative rate (ERR) estimates for lung cancer mortality per unit of cumulative exposure to radon progeny in working level months (WLM) based on the PUMA study have been reported. The ERR/WLM was modified by attained age, time since exposure or age at exposure, and exposure rate. This pattern was found for the full PUMA cohort and the 1960 + sub-cohort, i.e., miners hired in 1960 or later with chronic low radon exposures and exposure rates. The aim of the present paper is to calculate the lifetime excess absolute risk (LEAR) of lung cancer mortality per WLM using the PUMA risk models, as well as risk models derived in previously published smaller uranium miner studies, some of which are included in PUMA. The same methods were applied for all risk models, i.e., relative risk projection up to <95 years of age, an exposure scenario of 2 WLM per year from age 18-64 years, and baseline mortality rates representing a mixed Euro-American-Asian population. Depending upon the choice of model, the estimated LEAR per WLM are 5.38 × 10-4 or 5.57 × 10-4 in the full PUMA cohort and 7.50 × 10-4 or 7.66 × 10-4 in the PUMA 1960 + sub-cohort, respectively. The LEAR per WLM estimates derived from risk models reported for previously published uranium miners studies range from 2.5 × 10-4 to 9.2 × 10-4. PUMA strengthens knowledge on the radon-related lung cancer LEAR, a useful way to translate models for policy purposes.

• MeSH
• dospělí MeSH
• kohortové studie MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• nádory plic * epidemiologie   etiologie   MeSH
• nádory vyvolané zářením * epidemiologie   etiologie   MeSH
• nemoci z povolání * epidemiologie   MeSH
• pracovní expozice * škodlivé účinky   MeSH
• proteiny regulující apoptózu MeSH
• radon * škodlivé účinky   MeSH
• uran * škodlivé účinky   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• Publikační typ
• časopisecké články MeSH

BACKGROUND: The Pooled Uranium Miners Analysis (PUMA) study draws together information from cohorts of uranium miners from Canada, the Czech Republic, France, Germany and the USA. METHODS: Vital status and cause of death were ascertained and compared with expectations based upon national mortality rates by computing standardized mortality ratios (SMRs) overall and by categories of time since first hire, calendar period of first employment and duration of employment as a miner. RESULTS: There were 51 787 deaths observed among 118 329 male miners [SMR = 1.05; 95% confidence interval (CI): 1.04, 1.06]. The SMR was elevated for all cancers (n = 16 633, SMR = 1.23; 95% CI: 1.21, 1.25), due primarily to excess mortality from cancers of the lung (n = 7756, SMR = 1.90; 95% CI: 1.86, 1.94), liver and gallbladder (n = 549, SMR = 1.15; 95% CI: 1.06, 1.25), larynx (n = 229, SMR = 1.10; 95% CI: 0.97, 1.26), stomach (n = 1058, SMR = 1.08; 95% CI: 1.02, 1.15) and pleura (n = 39, SMR = 1.06; 95% CI: 0.75, 1.44). Lung-cancer SMRs increased with duration of employment, decreased with calendar period and persisted with time since first hire. Among non-malignant causes, the SMR was elevated for external causes (n = 3362, SMR = 1.41; 95% CI: 1.36, 1.46) and respiratory diseases (n = 4508, SMR = 1.32; 95% CI: 1.28, 1.36), most notably silicosis (n = 814, SMR = 13.56; 95% CI: 12.64, 14.52), but not chronic obstructive pulmonary disease (n = 1729, SMR = 0.98; 95% CI: 0.93, 1.02). CONCLUSIONS: Whereas there are important obstacles to the ability to detect adverse effects of occupational exposures via SMR analyses, PUMA provides evidence of excess mortality among uranium miners due to a range of categories of cause of death. The persistent elevation of SMRs with time since first hire as a uranium miner underscores the importance of long-term follow-up of these workers.

• MeSH
• kohortové studie MeSH
• lidé MeSH
• nádory plic * MeSH
• nemoci z povolání * MeSH
• pracovní expozice * škodlivé účinky   MeSH
• radon * MeSH
• uran * MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, U.S. Gov't, P.H.S. MeSH
• Geografické názvy
• Evropa MeSH
• Francie MeSH
• Kanada MeSH
• Německo MeSH
• Severní Amerika MeSH

Fundamental estimates of radon-associated health risk have been provided by epidemiological studies of miners. In total, approximately 15 studies have been conducted worldwide since the 1960s. These results have contributed directly to radiological protection against radon. The present article summarises the main results, with a focus on analyses of miners exposed more recently, estimates of radon lifetime attributable risk, and interaction between radon and smoking. The potential for the upcoming Pooled Uranium Miner Analysis project to further improve our knowledge is discussed.

• MeSH
• hornictví MeSH
• karcinogeny životního prostředí škodlivé účinky   MeSH
• lidé MeSH
• radiační expozice prevence a kontrola   MeSH
• radiační ochrana normy   statistika a číselné údaje   MeSH
• radon škodlivé účinky   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

Eleven underground miners studies evaluated the risk of lung cancer from exposure in underground mines. Nearly 68,000 miners were included in the joint study, contributing to nearly 2700 lung cancers. The resulting model of the Biological Effects of Ionizing Radiation (BEIR) VI Committee considered linear exposure response relationship, which was modified by time since exposure (TE), attained age and exposure rate. The effect of age at exposure (AE) was not explicitly evaluated. The presentation aims to show that the modifying effect of AE is substantial if time-since-exposure modification is simultaneously used in the model. When the excess relative risk per unit exposure (ERR/WLM) is adjusted for TE, the ERR/WLM corresponding to AE<15 is 0.013 and in subsequent categories decreased gradually up to the AE of 40 and more years, which was only 0.004. In comparison with the BEIR VI model, the present model predicts higher risks at younger ages and the risk decreases more rapidly.

• MeSH
• dospělí MeSH
• hornictví * MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• nádory plic etiologie   MeSH
• nádory vyvolané zářením etiologie   MeSH
• následné studie MeSH
• pracovní expozice škodlivé účinky   MeSH
• prognóza MeSH
• radioaktivní znečišťující látky škodlivé účinky   MeSH
• radon škodlivé účinky   MeSH
• rizikové faktory MeSH
• senioři MeSH
• uran škodlivé účinky   MeSH
• věkové faktory MeSH
• vztah dávky záření a odpovědi MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• srovnávací studie MeSH
• Geografické názvy
• Česká republika MeSH

During the 7th European Conference on Protection Against Radon at Home and at Work held in the autumn of 2013 in Prague, the second intercomparison of measuring instruments for radon and its short-lived decay products and the first intercomparison of radon/thoron gas discriminative passive detectors in mix field of radon/thoron were organised by and held at the Natural Radiation Division of the National Radiation Protection Institute (NRPI) in Prague. In total, 14 laboratories from 11 different countries took part in the 2013 NRPI intercomparison. They submitted both continuous monitors for the measurement of radon gas and equivalent equilibrium radon concentration in a big NRPI chamber (48 m3) and sets of passive detectors including radon/thoron discriminative for the measurement of radon gas in the big chamber and thoron gas in a small thoron chamber (150 dm3).

• MeSH
• dceřiné produkty radonu analýza   MeSH
• lidé MeSH
• mezinárodní spolupráce MeSH
• monitorování radiace přístrojové vybavení   MeSH
• plyny analýza   MeSH
• radiační ochrana přístrojové vybavení   MeSH
• radioaktivní látky znečišťující vzduch analýza   MeSH
• radon analýza   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• srovnávací studie MeSH
• Geografické názvy
• Česká republika MeSH

In this paper, repeated measurements of radon progeny concentration in dwellings in the Czech Republic are described. Two distinct data sets are available: one based on present measurements in 170 selected dwellings in the Central Bohemian Pluton with a primary measurement carried out in the 1990s and the other based on 1920 annual measurements in 960 single-family houses in the Czech Republic in 1992 and repeatedly in 1993. The analysis of variance model with random effects is applied to data to evaluate the variability of measurements. The calculated variability attributable to repeated measurements is compared with results from other countries. In epidemiological studies, ignoring the variability of measurements may lead to biased estimates of risk of lung cancer.

• MeSH
• bydlení * MeSH
• časové faktory MeSH
• dceřiné produkty radonu * MeSH
• kalibrace MeSH
• lidé MeSH
• monitorování radiace MeSH
• nádory plic epidemiologie   etiologie   MeSH
• radioaktivní znečištění ovzduší analýza   MeSH
• radon analýza   MeSH
• reprodukovatelnost výsledků MeSH
• řízení kvality MeSH
• roční období MeSH
• statistické modely MeSH
• znečištění vzduchu ve vnitřním prostředí analýza   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH

Urinary excretion of uranium of 40 uranium miners was determined by the high-resolution inductively coupled mass spectrometry method. The concentration of uranium in the urine of the miners was converted to daily excretion of (238)U either under the assumption that the daily urinary excretion is 1.6 l or daily urinary excretion of creatinine is 1.7 g and compared with the excretion of (238)U calculated with a biokinetic model. Input data to the excretion model were derived from personal three- component ALGADE dosemeters, using the component for the estimation of inhalation of long-lived alpha radionuclides. Experimentally found contents of uranium in the urine of uranium miners are generally lower than the modelled ones, which means that the dosimetric approach is conservative. The uncertainty of inhalation intakes, derived from the measurements of filters from personal dosemeters, and the uncertainty of the concentration of uranium in the urine are discussed.

• MeSH
• alfa částice * MeSH
• dávka záření MeSH
• hmotnostní spektrometrie MeSH
• lidé MeSH
• monitorování radiace * MeSH
• pracovní expozice škodlivé účinky   MeSH
• uran moč   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

This paper presents the results of the personal exposure monitoring conducted in the RoŽná uranium mine in the Czech Republic. In this mine, which has been operated since the late 1950s, personal ALGADE dosemeters have been used since 1998. A group of 600 miners employed during the period 2000-09 has been analysed. Annual exposures to radon decay products, long-lived alpha emitters and external gamma radiation are described. These components play an essential role in the estimation of the total effective dose. The dependence of the exposures on the type of mining job is also assessed.

• MeSH
• hornictví MeSH
• lidé MeSH
• pracovní expozice MeSH
• radon MeSH
• uran MeSH
• záření gama MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• přehledy MeSH
• Geografické názvy
• Česká republika MeSH

The study is based on a case-control study nested within a cohort study (11 000 miners and 1074 lung cancers). The controls were individually matched by year of birth and attained age. Smoking data were collected in person or from relatives of deceased subjects or from medical files. The study resulted in 850 cases of lung cancer with smoking data. The linear dependence of lung cancer relative risk (RR) on radon exposure adjusted for smoking was not substantially different from analyses when smoking was ignored and reflected mainly the risk among smokers. However, the excess RR per unit exposure among never smokers (70 cases) was substantially higher in comparison with that in smokers, reflecting differences in lung morphometry and clearance. The RRs from combined effects are substantially lower than the risk derived from the multiplicative model, but somewhat higher than those from the additive model. The work was supported by the Czech Ministry of Health (IGA NS 10596).

• MeSH
• dospělí MeSH
• hornictví MeSH
• kohortové studie MeSH
• kouření škodlivé účinky   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory plic etiologie   MeSH
• nádory vyvolané zářením etiologie   MeSH
• pracovní expozice MeSH
• radioaktivní látky znečišťující vzduch škodlivé účinky   MeSH
• radon škodlivé účinky   MeSH
• rizikové faktory MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• studie případů a kontrol MeSH
• uran MeSH
• vztah dávky záření a odpovědi MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• srovnávací studie MeSH

Uranium in the urine of 10 uranium miners (hewers), 27 members of general population and 11 family members of miners was determined by the High-Resolution ICP-MS method. Concentration of uranium in urine of the miners was converted to daily excretion of (238)U under the assumption that the daily excretion of urine is 2 l and compared with the modelled excretion of (238)U. Daily excretion of (238)U was modelled using input data from personal dosemeters from a component for measurement of intake of long-lived alpha radionuclides. A reasonable agreement between evaluated and measured values was found. The uncertainty of inhalation intakes, derived from measurements of filters from personal dosemeters, and uncertainty of concentration of uranium in urine are discussed.

• MeSH
• alfa částice MeSH
• dávka záření MeSH
• dospělí MeSH
• hmotnostní spektrometrie MeSH
• hornictví MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• monitorování radiace MeSH
• pilotní projekty MeSH
• pracovní expozice analýza   MeSH
• radioizotopy cesia analýza   MeSH
• senioři MeSH
• uran moč   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH