Liutsko, LiudmilaOughton, DeborahSarukhan, AdelaidaCardis, ElisabethSHAMISEN Consortium2022-05-112022-05-112021Liutsko L, Oughton D, Sarukhan A, Cardis E; SHAMISEN Consortium. The SHAMISEN recommendations on preparedness and health surveillance of populations affected by a radiation accident. Environ Int. 2021 Jan;146:106278. DOI: 10.1016/j.envint.2020.1062780160-4120http://hdl.handle.net/10230/53047This paper, the last in the Special Issue (SI) on the SHAMISEN project, presents an overview of the SHAMISEN Recommendations for Preparedness and Health Surveillance of Populations Affected by a Radiation Accident. The recommendations are based on the lessons learnt from previous nuclear accidents, and the engagement activities with different stakeholder groups, described in the other papers of this SI. The SHAMISEN project developed a total of 28 recommendations. They include general recommendations, applicable across all phases of an accident, and specific recommendations for each of the three main phases: preparedness, early and intermediate, and long-term recovery. The recommendations are subdivided by topic: health surveillance, epidemiological studies, dose reconstruction, evacuation, and training of and communication with health personnel and other actors involved in liaising with affected populations. Each recommendation is divided into 3 sections - why, how and who - thus providing background and concrete advice as to how each SHAMISEN recommendation should be implemented and by whom. It is notable that many recommendations are also applicable to other disaster types, including the current SARS-CoV-2 pandemic.application/pdfeng© 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).info:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.envint.2020.106278CommunicationDisastersHealth surveillancePreparednessNuclear accidentsStakeholdersinfo:eu-repo/semantics/openAccess