This paper describes an ecological study investigating whether there is an excess incidence of acute leukaemia among children aged 0–14 years living in the vicinity of the nuclear sites in Belgium. Poisson regression modelling was carried out for proximity areas of varying sizes. In addition, the hypothesis of a gradient in leukaemia incidence with increasing levels of surrogate exposures was explored by means of focused hypothesis tests and generalized additive models. For the surrogate exposures, three proxies were used, that is, residential proximity to the nuclear site, prevailing winds and simulated radioactive discharges, on the basis of mathematical dispersion modelling. No excess incidence of acute leukaemia was observed around the nuclear power plants of Doel or Tihange nor around the nuclear site of Fleurus, which is a major manufacturer of radioactive isotopes in Europe. Around the site of Mol-Dessel, however, two- to three-fold increased leukaemia incidence rates were found in children aged 0–14 years living in the 0–5, 0–10 and the 0–15 km proximity areas. For this site, there was evidence for a gradient in leukaemia incidence with increased proximity, prevailing winds and simulated radioactive discharges, suggesting a potential link with the site that needs further investigation. An increased incidence of acute leukaemia in children aged 0–14 years was observed around one nuclear site that hosted reprocessing activities in the past and where nuclear research activities and radioactive waste treatment are ongoing.

Background: Public health concern about nuclear activities have existed since the 1980s. Most studies on this subject investigated childhood leukemia. Thyroid cancer may be another health outcome of interest, because some nuclear installations are a potential source of radioactive iodine isotopes in the environment and because thyroid cancer is known to occur after exposure to these isotopes. Methods: This study describes an ecological study investigating whether there is excessive thyroid cancer incidence among residents living in the vicinity of nuclear sites. Single-site analyses using indirect standardization (standardized incidence ratios [SIRs]) and Poisson regression modeling (rate ratios [RRs]) were conducted. The proximity area is typically defined as a circular zone with a radius of 20km centered on the site. However, the choice of the size of this area is somewhat arbitrary. Therefore, a sensitivity analysis was carried out to investigate whether the results vary with radii of increasing proximity. Results: No increased thyroid cancer incidence was found within the 20km proximity area around the nuclear power plants of Doel (SIR=0.74 [95% confidence interval (CI)=0.64; 0.84] and RR=0.72 [95% CI=0.63; 0.83]) and Tihange (SIR=0.86 [95% CI=0.70; 1.01] and RR=0.85 [95% CI=0.70; 1.02]). For the sites of Mol-Dessel and Fleurus, where a combination of nuclear research and industrial activities are located, the incidences of thyroid cancer within the 20km proximity area were higher than expected (Mol-Dessel: SIR=1.19 [95% CI=1.01; 1.36] and RR=1.19 [95% CI=1.02; 1.38]; Fleurus: SIR=1.15 [95% CI=1.02; 1.28] and RR=1.17 [95% CI=1.04; 1.33]). For Chooz, a French nuclear power plant close to the Belgian border, the results were unstable as a result of the small population denominator. For all Belgian nuclear sites, the results were generally insensitive to the choice of the proximity area. Conclusions: No evidence for excessive thyroid cancer incidence around the Belgian nuclear power plants was found. On the other hand, an increased incidence of thyroid cancer was observed around the sites with other nuclear activities. Further research is recommended to verify whether the observed increases could be related to the site-specific nuclear activities.

Background: In a recent ecological study among residents living around Belgian nuclear sites (the NUCABEL study), significant increased incidences of thyroid cancer were observed around the two nuclear facilities with industrial and research activities (Mol-Dessel and Fleurus), prompting further research.Methods: The data from the NUCABEL study were reanalysed to test the hypothesis of a gradient in cancer incidence with increasing levels of exposure from these sites using three measures of surrogate exposure, being (i) residential proximity, (ii) prevailing wind directions and (iii) simulated dispersion of radioactive discharges. Single-site focussed hypothesis tests were complemented with Generalized Additive Models to estimate the exposure-response relationships.Results: For Mol-Dessel, the results of the focussed hypothesis tests were far from significant. For Fleurus, the p-values were much closer to significance with p = 0.05 for Bithell's Linear Risk Score using radioactive discharge estimates as surrogate.Conclusions: The re-analyses refute an association with the nuclear facilities for the site of Mol-Dessel. For the site of Fleurus, one of Europe's major production sites of radio-iodines, the results were less conclusive and further research suggests itself. (C) 2014 The Authors. Published by Elsevier

The red mud accident of October 4, 2010, in Ajka (Hungary) contaminated a vast area with caustic, saline red mud (pH 12) that contains several toxic trace metals above soil limits. Red mud was characterized and its toxicity for plants was measured to evaluate the soil contamination risks. Red mud radioactivity (e.g., (238)U) is about 10-fold above soil background and previous assessments revealed that radiation risk is limited to indoor radon. The plant toxicity and trace metal availability was tested with mixtures of this red mud and a local noncontaminated soil up to a 16% dry weight fraction. Increasing red mud applications increased soil pH to maximally 8.3 and soil solution EC to 12 dS m(-1). Shoot yield of barley seedlings was affected by 25% at 5% red mud in soil and above. Red mud increased shoot Cu, Cr, Fe, and Ni concentrations; however, none of these exceed toxic limits reported elsewhere. Moreover, NaOH amended reference treatments showed similar yield reductions and similar changes in shoot composition. Foliar diagnostics suggest that Na (>1% in affected plants) is the prime cause of growth effects in red mud and in corresponding NaOH amended soils. Shoot Cd and Pb concentrations decreased by increasing applications or were unaffected. Leaching amended soils (3 pore volumes) did not completely remove the Na injury, likely because soil structure was deteriorated. The foliar composition and the NaOH reference experiment allow concluding that the Na salinity, not the trace metal contamination, is the main concern for this red mud in soil.

Radon is responsible for more than thirty percent of the radiation exposure of the Belgian population. In order to reduce the exposure to radon, the Federal Agency for Nuclear Control (FANC) has developed a radon action plan. The objectives of the action plan are to eliminate the high existing exposure situations in public buildings, workplaces and dwellings, and to limit exposures in new buildings. Radon-safe building techniques include the application of an anti-radon barrier at the soil- slab interface and of an underlying permeable layer that can be actively or passively ventilated. A tool for decision-making, raising public awareness and aiding local governments to establish a radon safe building culture is the development of detailed scale radon hazard maps showing municipality scale variations in the geogenic radon hazard. Indoor and soil gas measurements and information on the sub- surface are used to optimise the radon hazard maps and to assess the potential radon risk in building extension zones on the scale of the municipalities. The characterisation of the building extension zones in terms of radon hazard increases the efficiency of radon reducing policies.