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Latest reports from Japan reveal a country drowning in sorrow from last weeks devastating earthquake and tsunami, and it will now have to give undivided attention to a disaster of surging radiation levels at Fukushimas Daiichi nuclear facility. Scientists are warning that the fires associated with explosions at the Daiichi nuclear plant, where fuel storage pools have overheated, may be letting off radioactive steam. David Lochbaum, nuclear engineer at the Union of Concerned Scientists, said: “If the spent fuel pool is on fire, the chances of radioactivity getting to the public are very much higher,” the Guardian reports. Lochbaum said a shutdown last year at the No. 4 reactor led to the emptying of its reactor core into the spent fuel pool. “There is much more material there because there is at least one reactor core plus what there was to start with, and it is in a building that has a big hole in the side of it.” According to Reuters, there are no longer flames at the No. 4 reactor which exploded on Tuesday. Workers have been attempting to clear debris for road construction so fire trucks can access the Daiichi complex. But news about a crack appearing at another reactor unit sparked more concerns about the plant. The New York Times reports the damage at the No.3 reactor worsened the already perilous conditions at the plant, a day after officials said the containment vessel in the No. 2 reactor had also cracked. The Japanese government still insists the radiation levels discharging from the Fukushima site are low. “People would not be in immediate danger if they went outside with these levels. I want people to understand this,” Chief Cabinet Secretary Yukio Edano said in a televised news conference, Reuters reports. Latest reports from TEPCO call the brewing nightmare a “specific incident,” defining it as an Extraordinary increase of radiation dose at site boundary.TEPCO also reports there are no longer signs of fire at the No. 4 reactor The Japanese government has instructed evacuations for those within a 20km radius of the site, and all citizens within a 30km radius of the site should remain indoors. That area involves some 140,000 people. High radiation levels at the site prevented a helicopter from a planned operation of dropping water on No. 3 reactors fuel rods, in an attempt to cool them. The No. 3 reactor is now the priority, as Reuters reports it is the only reactor at Daiichi using plutonium in its fuel mix. Plutonium is highly toxic to humans, lingering for years in bone marrow and liver, leading to cancer. High winds have also hindered attempts at using helicopters for dropping water and boric acid at the No. 4 reactor in an effort at slowing the nuclear reaction, even as Edano indicated doubts of that plan. “Its not so simple that everything will be resolved by pouring in water. We are trying to avoid creating other problems,” Edano said, the Guardian reports. “We are actually supplying water from the ground, but supplying water from above involves pumping lots of water and that involves risk. We also have to consider the safety of the helicopters above,” Edano added. Emperor Akihito made his first public comments since last Fridays Tohoku-Taiheiyou-Oki Earthquake. “I am deeply concerned about the nuclear situation because it is unpredictable,” he said on live television. “With the help of those involved I hope things will not get worse,” according to the Guardian. Winds at the Daiichi plant on Wednesday were blowing offshore, pushing any contamination over the Pacific Ocean. Many flights to Tokyo have been halted or rerouted over fear of increased radiation levels. On Wednesday, Australia and France have urged their nationals to depart the country. Adding to the devastating plight of Japans citizens, a cold front moved through the region, dumping snow in some of the heaviest-hit areas of the earthquake and tsunami. Health effects of radiation exposureConcern remains over the potential effect on human health from radiation leaks at the stricken Fukushima Daiichi nuclear plant.A 20km (12 mile) evacuation zone affecting about 70,000 people has been imposed around the plant, and is being extended to five communities outside the zone to the north west of the plant, where radioactive contamination is most significant.Residents living within 30km (18 miles) have been advised to leave the area, or to stay indoors, and try to make their homes airtight.Experts believe that swift action of this sort should have minimized the risk to human health, but there are worries about the level of radiation to which emergency workers have been exposed, and about possible contamination of food and water supplies. What are the immediate health effects of exposure to radiation?Exposure to high levels of radiation - above one gray (the standard measure of the absorbed dose of radiation) - can result in radiation sickness, which produces a range of symptoms.Nausea and vomiting often begin within hours of exposure, followed by diarrhoea, headaches and fever.After the first round of symptoms, there may be a brief period with no apparent illness, but this may be followed within weeks by new, more serious symptoms.At higher levels of radiation, all of these symptoms may be immediately apparent, along with widespread - and potentially fatal - damage to internal organs. Exposure to a radiation dose of four gray will typically kill about half of all healthy adults. For comparison, radiation therapy for cancer typically involves several doses of between one and seven gray at a time - but these doses are highly controlled, and usually specifically targeted at small areas of the body.A sievert is a gray weighted by the effectiveness of a particular type of radiation at causing damage to tissues, and is used to measure lower levels of radiation, and for assessing long-term risk, rather than the short-term acute impact of exposure. There are 1,000 millisieverts (mSv) in a sievert.People are exposed on average to around 2mSv of radiation a year from the natural environment, although there is considerable variation in this dose between individuals. In the UK, the legal limit for radiation exposure from sources such as nuclear plants for members of the public is 1mSv a year, based on recommendations from the International Commission on Radiological Protection. For emergencies, the upper limit is set higher - 5mSv or more - but these figures are set conservatively, at levels far below those that would significantly raise health risks. How is radiation sickness treated?The first thing to do is to try to minimize further exposure to contamination by removing clothes and shoes, and gently washing the skin and hair with soap and water.Drugs are available that increase white blood-cell production to counter any damage that may have occurred to the bone marrow, and to reduce the risk of further infections due to immune-system damage.There are also specific drugs that can help to reduce the exposure of internal organs caused by radioactive material by speeding up its removal from the body.How does radiation have an impact on health?Radioactive materials decay spontaneously to produce ionising radiation, which has the capacity to cause significant damage to the bodys internal chemistry, breaking the chemical bonds between the atoms and molecules that make up our tissues. Damage to the DNA of a cell is particularly important.The body responds by trying to repair this damage, but at high doses it is too severe or widespread to make repair possible, leading to short-term acute health effects.There is also a danger of mistakes in the natural DNA repair process, which can lead in the long-term to cancer.Regions of the body that are most vulnerable to acute radiation damage include the cells lining the intestine and stomach, and the blood-cell producing cells in the bone marrow.The extent of the damage caused is dependent on how long people are exposed to radiation, and at what level.What are the most likely long-term health effects?Cancer is the biggest long-term risk. Usually when the bodys cells reach their sell-by date they commit suicide. Cancer results when cells lose this ability, and effectively become immortal, continuing to divide and divide in an uncontrolled fashion. The body has various processes for ensuring that cells do not become cancerous, and for replacing damaged tissue.But the damage caused by exposure to radiation can completely disrupt these control processes, raising the risk of cancer.Failure to properly repair the damage caused by radiation can also result in changes - or mutations - to the bodys genetic material (DNA), which are not only associated with cancer, but may also be potentially passed down to offspring, leading to deformities in future generations. These can include smaller head or brain size, poorly formed eyes, slow growth and severe learning difficulties.Radiation and cancer Most experts agree even low doses of ionizing radiation can increase the risk of cancer - this risk becomes clear at doses above 100 millisieverts - but by a very small amount. In general, the risk of cancer increases as the dose of radiation increases. Exposure to one sievert of radiation spread out over time is estimated to increase the lifetime risk of fatal cancer by around 5% on average. The thyroid gland and bone marrow are particularly sensitive to ionizing radiation, especially in children. Leukaemia, a type of cancer that arises in the bone marrow, is the most sensitive radiation-induced cancer. Leukaemia may appear as early as a few years after radiation exposure. Other cancers can also result from exposure to radiation, but may not develop forWhat risk does Fukushima pose currently?The Japanese authorities have recorded a radiation level of up 400 millisieverts per hour at the nuclear plant itself.Professor Richard Wakeford, an expert in radiation exposure at the University of Manchester, said exposure to a dose of 400 millisieverts was unlikely to cause radiation sickness - that would require a dose of around twice that level (one sievert/one gray).However, it could start to depress the production of blood cells in the bone marrow, and was likely to result in a lifetime risk of fatal cancer of 2-4%. Typically, a Japanese person has a lifetime risk of fatal cancer of 20-25%.A dose of 400 millisieverts is equivalent to the dose from 20 -100 CT scans.Prof Wakeford stressed only emergency workers at the plant were at risk of exposure to such a dose - but it was likely that they would only be exposed for short periods of time to minimize their risk.The upper limit of their exposure during this emergency is 250 millisieverts - around 12 times the normal permitted annual exposure limit in the workplace. The lower legs of two workers came into contact with highly contaminated water, which led to a high localized dose to the skin (1-2 gray) that was sufficient to cause temporary skin reddening. The dose to the trunks of their bodies was much less, at 100-200 mSv.However, even a dose of 100 millisieverts over a year is enough to raise the risk of cancer, and a dose of 250 millisieverts could produce an additional lifetime risk of around 1-2%.The level of exposure for the general population, even those living close to the plant, was unlikely to be anywhere near as high. However, levels equivalent to around 25 millisieverts a year have been recorded in the village of Iitate, to the north west of the plant. Professor Wakeford said estimating the impact on human health of such a level was difficult, but there was some evidence to suggest that it could raise the risk of cancer - albeit by a small amount.The pattern of contamination around the plant is patchy, reflecting wind direction and rainfall at the time of any release. The risk to people living in less contaminated communities will be much lower than the areas to the north-west of the plant.What radioactive materials have been released? Experts are concerned about two types of radioactive material, created as by-products of the nuclear fission process, both of which are easily released and can contaminate the soil relatively easily, and get into the food chain. This is why foodstuffs sourced from some areas have been banned.The radioactive form of iodine - iodine-131 - is easily absorbed by the thyroid, the gland which regulates growth and cell production.This would raise the risk of thyroid cancer in those exposed as children.To counter that risk, people - in particular children - can be given tablets containing a stable form of iodine which would prevent the body absorbing the radioactive version. Radioactive iodine decays quite quickly and will disappear from the environment within weeks or months.The Japanese already have a lot of iodine in their natural diet, so that should help too.Another potential source of contamination is the radioactive form of the metal cesium (caesium-134 and caesium-137), which once released into the environment continues to pose a potential risk for many years.Unlike iodine, cesium does not concentrate in one particular tissue, but gets into soft tissues, where it can cause cancer. How can the Japanese authorities minimize the cost to human health? Prof Wakeford said that provided the Japanese authorities acted quickly, most of the general population should be spared significant health problems. He said in those circumstances the only people likely to be at risk of short-term serious health effects were emergency workers at the plant potentially exposed to high levels of radiation. The top priority would be to evacuate people from the area and to make sure they did not eat food contaminated above the limit. Distribution of iodine pills would also help to minimize the risk of thyroid cancer in the general population should high levels of radioactive iodine be present in the environment.Is there evidence that food has been contaminated?Yes. Japans health ministry has urged some residents near the plant to stop drinking tap water after samples showed elevated levels of radioactive iodine - about three times the limit in Japan. Radioactive iodine has also been found in water supplies in Tokyo at twice the levels deemed safe in Japan for babies and infants to drink, although still some way short of the safety level for adults. Raised radiation levels have also been found in samples of milk and spinach, in some cases well outside the 20km exclusion zone, particularly to the north west of the plant.Japans chief cabinet secretary Yukio Edano, said the level of radioactivity found in the spinach would, if consumed for a year, equal the radiation received in a single CT scan. For the milk, the figure would be much less.Professor Wakeford stressed that safe limits in Japan for radiation in food were kept very low and assumed long-term consumption, so people should not necessarily be unduly worried by reports that they had been breached.For instance, an infant would have to drink over 100 liters of water containing iodine-131 at the limit to reach the dose of radiation received in a year from natural background sources.However, Professor Wake ford said it would be advisable to stop young children from eating products contaminated over the limit. But he stressed that contamination levels have fallen sharply since mid-March.What is the threat to Tokyo residents from contaminated tap water?Officials said the tap water showed 210 Becquerel per liter of iodine-131 - more than twice the recommended limit of 100 Becquerel per liter for infants. The recommended limit for adults is 300 Becquerel per liter. (Becquerels is a measure of radioactivity whereas millisieverts is a measure of dosage to the body of the radiation emitted on radioactive decay).Professor Richard Wakeford says that infants who drank 100 litres of water contaminated at the Japanese limit of 100 Becquerel of iodine-131 per litre would receive a radiation dose of about 2 millisieverts of radiation.The Japanese limit for adults is 300 becquerels of iodine-131 per liter because adults are less sensitive to the effects of radiation.In comparison, the average person is exposed to 2-2.5 millisieverts from natural background radiation in a year, although variations about this average can be large.In theory, drinking water contaminated at 210 Becquerel of iodine-131 per liter for a year would cause a very small additional risk of cancer - but in practice nothing much more than you could expect to get from normal background levels of radiation.Is it safe to bathe or wash food in contaminated tap water?Yes, because only small amounts of water would be ingested into the body from these practices.What about contaminated seawater?Levels of radioactive iodine-131 in seawater near the nuclear plant have reached 3,355 times the legal safety limit, but this limit is set at a very low level for normal operations.Japanese officials admitted the reading was a concern - but said there was no immediate threat to human health.Professor Wakeford said it woul

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