Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
Exposure of the thyroid gland to ionizing radiation at a young age is the main recognized risk factor for differentiated thyroid cancer. After the Chernobyl and Fukushima nuclear accidents, thyroid cancer screening was implemented mainly for children, leading to case over-diagnosis as seen in South...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Environment International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0160412020321851 |
| _version_ | 1819057348920999936 |
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| author | Enora Cléro Evgenia Ostroumova Claire Demoury Bernd Grosche Ausrele Kesminiene Liudmila Liutsko Yvon Motreff Deborah Oughton Philippe Pirard Agnès Rogel An Van Nieuwenhuyse Dominique Laurier Elisabeth Cardis |
| author_facet | Enora Cléro Evgenia Ostroumova Claire Demoury Bernd Grosche Ausrele Kesminiene Liudmila Liutsko Yvon Motreff Deborah Oughton Philippe Pirard Agnès Rogel An Van Nieuwenhuyse Dominique Laurier Elisabeth Cardis |
| author_sort | Enora Cléro |
| collection | DOAJ |
| description | Exposure of the thyroid gland to ionizing radiation at a young age is the main recognized risk factor for differentiated thyroid cancer. After the Chernobyl and Fukushima nuclear accidents, thyroid cancer screening was implemented mainly for children, leading to case over-diagnosis as seen in South Korea after the implementation of opportunistic screening (where subjects are recruited at healthcare sites). The aim of cancer screening is to reduce morbidity and mortality, but screening can also cause negative effects on health (with unnecessary treatment if over-diagnosis) and on quality of life.This paper from the SHAMISEN special issue (Nuclear Emergency Situations - Improvement of Medical And Health Surveillance) presents the principles of cancer screening, the lessons learned from thyroid cancer screening, as well as the knowledge on thyroid cancer incidence after exposure to iodine-131.The SHAMISEN Consortium recommends to envisage systematic health screening after a nuclear accident, only when appropriately justified, i.e. ensuring that screening will do more good than harm. Based on the experience of the Fukushima screening, the consortium does not recommend mass or population-based thyroid cancer screening, as the negative psychological and physical effects are likely to outweigh any possible benefit in affected populations; thyroid health monitoring should however be made available to persons who request it (regardless of whether they are at increased risk or not), accompanied with appropriate information and support. |
| first_indexed | 2024-12-21T13:37:53Z |
| format | Article |
| id | doaj.art-f86646d20ec94d1cb8bed95058b6d442 |
| institution | Directory Open Access Journal |
| issn | 0160-4120 |
| language | English |
| last_indexed | 2024-12-21T13:37:53Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Environment International |
| spelling | doaj.art-f86646d20ec94d1cb8bed95058b6d4422022-12-21T19:02:07ZengElsevierEnvironment International0160-41202021-01-01146106230Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accidentEnora Cléro0Evgenia Ostroumova1Claire Demoury2Bernd Grosche3Ausrele Kesminiene4Liudmila Liutsko5Yvon Motreff6Deborah Oughton7Philippe Pirard8Agnès Rogel9An Van Nieuwenhuyse10Dominique Laurier11Elisabeth Cardis12Health and Environment Division, Institute for Radiological Protection and Nuclear Safety (IRSN), Fontenay-aux-Roses, France; Corresponding author at: Institute for Radiological Protection and Nuclear Safety, PSE-Santé/SESANE/LEPID, BP 17, F-92262 Fontenay-aux-Roses Cedex, France.International Agency for Research on Cancer (IARC), World Health Organization, Lyon, FranceRisk and Health Impact Assessment Unit, Sciensano, Brussels, BelgiumFederal Office for Radiation Protection (BfS), Munich, GermanyInternational Agency for Research on Cancer (IARC), World Health Organization, Lyon, FranceInstitute for Global Health (ISGlobal), Barcelona, Spain; Pompeu Fabra University (UPF), Barcelona, Spain; Spanish Consortium for Research and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, SpainSanté publique France, Saint-Maurice, FranceNorwegian University of Life Sciences (NMBU), Center for Environmental Radioactivity (CERAD), Aas, NorwaySanté publique France, Saint-Maurice, FranceSanté publique France, Saint-Maurice, FranceRisk and Health Impact Assessment Unit, Sciensano, Brussels, Belgium; Centre for Environment and Health, Department of Public Health and Primary Care, Leuven, BelgiumHealth and Environment Division, Institute for Radiological Protection and Nuclear Safety (IRSN), Fontenay-aux-Roses, FranceInstitute for Global Health (ISGlobal), Barcelona, Spain; Pompeu Fabra University (UPF), Barcelona, Spain; Spanish Consortium for Research and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, SpainExposure of the thyroid gland to ionizing radiation at a young age is the main recognized risk factor for differentiated thyroid cancer. After the Chernobyl and Fukushima nuclear accidents, thyroid cancer screening was implemented mainly for children, leading to case over-diagnosis as seen in South Korea after the implementation of opportunistic screening (where subjects are recruited at healthcare sites). The aim of cancer screening is to reduce morbidity and mortality, but screening can also cause negative effects on health (with unnecessary treatment if over-diagnosis) and on quality of life.This paper from the SHAMISEN special issue (Nuclear Emergency Situations - Improvement of Medical And Health Surveillance) presents the principles of cancer screening, the lessons learned from thyroid cancer screening, as well as the knowledge on thyroid cancer incidence after exposure to iodine-131.The SHAMISEN Consortium recommends to envisage systematic health screening after a nuclear accident, only when appropriately justified, i.e. ensuring that screening will do more good than harm. Based on the experience of the Fukushima screening, the consortium does not recommend mass or population-based thyroid cancer screening, as the negative psychological and physical effects are likely to outweigh any possible benefit in affected populations; thyroid health monitoring should however be made available to persons who request it (regardless of whether they are at increased risk or not), accompanied with appropriate information and support.http://www.sciencedirect.com/science/article/pii/S0160412020321851Thyroid cancerScreeningHealth monitoringNuclear accidentRecommendation |
| spellingShingle | Enora Cléro Evgenia Ostroumova Claire Demoury Bernd Grosche Ausrele Kesminiene Liudmila Liutsko Yvon Motreff Deborah Oughton Philippe Pirard Agnès Rogel An Van Nieuwenhuyse Dominique Laurier Elisabeth Cardis Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident Environment International Thyroid cancer Screening Health monitoring Nuclear accident Recommendation |
| title | Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident |
| title_full | Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident |
| title_fullStr | Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident |
| title_full_unstemmed | Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident |
| title_short | Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident |
| title_sort | lessons learned from chernobyl and fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident |
| topic | Thyroid cancer Screening Health monitoring Nuclear accident Recommendation |
| url | http://www.sciencedirect.com/science/article/pii/S0160412020321851 |
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