Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident

Cléro, Enora; Ostroumova, Evgenia; Demoury, Claire; Grosche, Bernd; Kesminiene, Ausrele; Liutsko, Liudmila; Motreff, Yvon; Oughton, Deborah; Pirard, Philippe; Rogel, Agnès; Van Nieuwenhuyse, An; Laurier, Dominique; Cardis, Elisabeth

Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident

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dc.contributor.author Cléro, Enora
dc.contributor.author Ostroumova, Evgenia
dc.contributor.author Demoury, Claire
dc.contributor.author Grosche, Bernd
dc.contributor.author Kesminiene, Ausrele
dc.contributor.author Liutsko, Liudmila
dc.contributor.author Motreff, Yvon
dc.contributor.author Oughton, Deborah
dc.contributor.author Pirard, Philippe
dc.contributor.author Rogel, Agnès
dc.contributor.author Van Nieuwenhuyse, An
dc.contributor.author Laurier, Dominique
dc.contributor.author Cardis, Elisabeth
dc.date.accessioned 2022-05-09T06:36:23Z
dc.date.available 2022-05-09T06:36:23Z
dc.date.issued 2021
dc.description.abstract 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.
dc.description.sponsorship This work was funded by OPERRA (Open Project for the European Radiation Research Area: EC FP7, grant agreement 604984) and the Norwegian Research Council (NFR project number 263856). ISGlobal acknowledges support from the Spanish Ministry of Science, Innovation and Universities through the “Centro de Excelencia Severo Ochoa 2019–2023” Programme (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Programme (http://cerca.cat/en/).
dc.format.mimetype application/pdf
dc.identifier.citation Cléro E, Ostroumova E, Demoury C, Grosche B, Kesminiene A, Liutsko L, Motreff Y, Oughton D, Pirard P, Rogel A, Van Nieuwenhuyse A, Laurier D, Cardis E. Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident. Environ Int. 2021 Jan;146:106230. DOI: 10.1016/j.envint.2020.106230
dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2020.106230
dc.identifier.issn 0160-4120
dc.identifier.uri http://hdl.handle.net/10230/53018
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Environ Int. 2021 Jan;146:106230
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/604984
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keyword Health monitoring
dc.subject.keyword Nuclear accident
dc.subject.keyword Recommendation
dc.subject.keyword Screening
dc.subject.keyword Thyroid cancer
dc.title Lessons learned from Chernobyl and Fukushima on thyroid cancer screening and recommendations in case of a future nuclear accident
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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Articles (Barcelona Institute for Global Health (ISGlobal) – Campus Mar)
Articles (Departament de Medicina i Ciències de la Vida)
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