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US Screening of International Travelers for Radioactive Contamination After the Japanese Nuclear Plant Disaster in March 2011

Published online by Cambridge University Press:  08 April 2013

Abstract

On March 11, 2011, a magnitude 9.0 earthquake and subsequent tsunami damaged nuclear reactors at the Fukushima Daiichi complex in Japan, resulting in radionuclide release. In response, US officials augmented existing radiological screening at its ports of entry (POEs) to detect and decontaminate travelers contaminated with radioactive materials. During March 12 to 16, radiation screening protocols detected 3 travelers from Japan with external radioactive material contamination at 2 air POEs. Beginning March 23, federal officials collaborated with state and local public health and radiation control authorities to enhance screening and decontamination protocols at POEs. Approximately 543 000 (99%) travelers arriving directly from Japan at 25 US airports were screened for radiation contamination from March 17 to April 30, and no traveler was detected with contamination sufficient to require a large-scale public health response. The response highlighted synergistic collaboration across government levels and leveraged screening methods already in place at POEs, leading to rapid protocol implementation. Policy development, planning, training, and exercising response protocols and the establishment of federal authority to compel decontamination of travelers are needed for future radiological responses. Comparison of resource-intensive screening costs with the public health yield should guide policy decisions, given the historically low frequency of contaminated travelers arriving during radiological disasters.

(Disaster Med Public Health Preparedness. 2012;6:291–296)

Type
Concepts in Disaster Medicine
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2010

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References

REFERENCES

1.Obe, MSekiguchi, T.Japan imposes ban on nuclear zone. Wall Street Journal Online. September 10, 2011. http://online.wsj.com/article/SB10001424052748703922504576273930625967622.html.Google Scholar
2.International Atomic Energy Agency. China Detects 10 Cases of Radiation.August 31, 2011. IAEA Daily Press Review. http://www.iaea.org/blog/feeds/?p=4702.Google Scholar
3.Schwartz, J.Emergency preparedness and response: compensating victims of a nuclear accident. J Hazard Mater. 2004;111 (1-3):8996.Google Scholar
4.Kelly, GNJones, RCrick, MJ, et alSummary and conclusions: capabilities and challenges. Radiat Prot Dosimetry. 2004;109 (1-2):155164.CrossRefGoogle ScholarPubMed
5.Ugletveit, FAaltonen, H.Enhancing nuclear emergency response through international cooperation. Radiat Prot Dosimetry. 2004;109 (1-2):147148.CrossRefGoogle ScholarPubMed
6.Hick, JLWeinstock, DMColeman, CN, et alHealth care system planning for and response to a nuclear detonation. Disaster Med Public Health Prep. 2011;5(suppl 1)S73S88.CrossRefGoogle ScholarPubMed
7.Roberts, PJ.Chernobyl: response of medical physics departments in the U.K. Int J Radiat Biol. 1986;50 (6):11231125.Google Scholar
8. McMillan, P.Radiation worries: Soviet souvenirs: confusion, anger. LA Times. May 13, 1986. http://articles.latimes.com/1986-05-13/local/me-5953_1_radiation-worries. Accessed August 31, 2011.Google Scholar
9.Shaw, KAnders, KOlowokure, B, et alHealth Protection Agency Overseas Advice Team. The international follow-up of individuals potentially exposed to polonium-210 in London 2006. Public Health. 2010;124 (6):319325.Google Scholar
10.Rotella, SStobart, J.Radiation trail leads to British Airways planes. LA Times. November 30, 2006. http://articles.latimes.com/2006/nov/30/world/fg-planes30. Accessed August 31, 2011.Google Scholar
11.Bureau of Transportation Statistics. Air carriers: T-100 International Segment (all carriers) 2011. http://transtats.bts.gov/DL_SelectFields.asp?Table_ID=261. Accessed August 31, 2011.Google Scholar
12.Centers for Disease Control and Prevention. Quarantine stations: a comprehensive quarantine system. http://www.cdc.gov/quarantine/QuarantineStations.html. Accessed October 1, 2011.Google Scholar
13.National Council on Radiation Protection and Measurement. Management of Persons Contaminated With Radionuclides: Handbook.Bethesda, MD: National Council on Radiation Protection and Measurement; 2009.Google Scholar
14.Centers for Disease Control and Prevention. Information for Public Health Professionals: Form for Follow-up of Travelers Identified at US Points of Entry with Radioactive Material on their Bodies Associated with the Incident at Fukushima Daiichi, Japan:Purpose and Sample Consent Language; 2011. http://www.bt.cdc.gov/radiation/pdf/Japan_IncidentEpidemiologyFormforPublicHealthFollow-UpofTravelers.pdf.Google Scholar
15.Malone, JDBrigantic, RMuller, GA, et alU.S. airport entry screening in response to pandemic influenza: modeling and analysis. Travel Med Infect Dis. 2009;7 (4):181191.Google Scholar
16.Code of Federal Regulations, Public Health Title 42, Chapter 1, Part 71, Foreign Quarantine.Washington, DC: US Government Printing Office; October 1, 2003. http://www.access.gpo.gov/nara/cfr/waisidx_03/42cfr71_03.html. Accessed October 11, 2011.Google Scholar
17.Ould-Dada, Z.Dealing with uncertainty in the assessment of human exposure to radioactivity in food and the environment. Environ Int. 2006;32 (8):977982.Google Scholar
18.Greenstone, MLooney, A.Investing in the Future: An Economic Strategy for State and Local Governments in a Period of Tight Budgets; February 2011.Washington, DC: Brookings Institution Press; 2011. http://www.brookings.edu/~/media/Files/rc/papers/2011/02_state_budgets_greenstone_looney/02_state_budgets_greenstone_looney.pdf. Accessed September 15, 2011.Google Scholar
19.Khan, AS.Public health preparedness and response in the USA since 9/11: a national health security imperative. Lancet. 2011;378 (9794):953956.Google Scholar
20.International Civil Aviation Organization. Current situation for travel and transport to and from Japan; April 14, 2011. http://www2.icao.int/en/NewsRoom/Lists/News/Attachments/40/PIO.07.11.EN.pdf. Accessed October 14, 2011.Google Scholar
21.Ministry of Land Infrastructure Travel and Tourism. Japanese air transport after the 2011 Tohoku - Pacific Ocean earthquake. http://www.mlit.go.jp/koku/flyjapan_en/index.html. Accessed October 14, 2011.Google Scholar