The Criticality Accident in Sarov

The Criticality Accident in Sarov

Author: International Atomic Energy Agency

Publisher:

Published: 2001

Total Pages: 64

ISBN-13:

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On 17 June 1997 a physicist working as a senior technician at the Nuclear Centre, Sarov, in the Russian Federation, was severely exposed as a result of a criticality accident with an assembly of highly enriched uranium. This is the first report that the IAEA has published on a criticality accident.


The Radiological Accident in Istanbul

The Radiological Accident in Istanbul

Author: International Atomic Energy Agency

Publisher:

Published: 2000

Total Pages: 92

ISBN-13:

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A serious radiological accident occurred in Istanbul, Turkey, in December 1998 and January 1999 when two packages used to transport 60Co teletherapy sources were sold as scrap metal. This report gives an account of the circumstances which led to the accident and the medical aspects, and the lessons learned.


The Radiological Accident in Soreq

The Radiological Accident in Soreq

Author: International Atomic Energy Agency

Publisher:

Published: 1993

Total Pages: 102

ISBN-13:

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On 21 June 1990 a fatal radiological accident occurred at an industrial irradiation facility at Soreq, Israel. An operator entered the irradiation room by circumventing safety systems and was acutely exposed, with an estimated whole body dose of 10-20 Gy. The accident, like earlier accidents at similar irradiators, was the consequence of the contravention of operating procedures. An IAEA review team investigated the causes of the accident. This report presents its findings and recommendations and describes the clinical management of the patient, particularly of the haematological phase. The medical treatment included the use of emerging therapies with haematopoietic growth factor drugs which may rescue the overexposed patient, albeit in this case only temporarily. The report is intended for regulatory authorities responsible for the regulation and inspection of irradiators, operating organizations and physicians who may need to treat overexposed patients.


The Radiological Accident in Cochabamba

The Radiological Accident in Cochabamba

Author: International Atomic Energy Agency

Publisher: IAEA

Published: 2004

Total Pages: 70

ISBN-13:

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In April 2002 an accident involving an industrial radiography source containing Ir-192 occurred in Cochabamba, Bolivia, some 500 km from the capital, La Paz. The source, in a remote exposure container, remained exposed within a guide tube, although this was not known at the time. The container, the guide tube and other equipment were transported from Cochabamba to La Paz as cargo on a passenger bus. This bus had a full load of passengers for most of the eight hour journey. The equipment was subsequently collected by employees of the company concerned and transferred by taxi to the company's shielded facility. This publication gives an account of the event, the doses received and the medical assessment. It also presents information relevant to national authorities and regulatory organizations, emergency planners and a broad range of specialists, including physicists, radiation protection officers and medical specialists. It is hoped that dissemination of the information contained in the report will help reduce the likelihood of similar accidents occurring or, if they do occur, help mitigate their consequences


The Radiological Accident in Lilo

The Radiological Accident in Lilo

Author: International Atomic Energy Agency

Publisher:

Published: 2000

Total Pages: 122

ISBN-13:

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The radiological accident described in this report took place in Lilo, Georgia, when sealed radiation sources were abandoned by a previous owner at a site without following established regulatory safety procedures. As a consequence, 11 individuals at the site were exposed for a long period of time to high doses of radiation which resulted inter alia in severe radiation induced skin injuries. The present report, which is co-sponsored by the World Health Organization, provides information on the medical management of radiation induced skin injuries as well as a comprehensive report on the circumstances and details of the accident and the lessons to be learned.


The Radiological Accident in San Salvador

The Radiological Accident in San Salvador

Author: International Atomic Energy Agency

Publisher: International Atomic Energy Agency

Published: 1990

Total Pages: 126

ISBN-13:

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On 5 February 1989, a radiological accident occurred at an industrial irradiation facility near San Salvador, El Salvador. Medical products are sterilized at the facility by irradiation by means of an intensely radioactive cobalt-60 source in a movable source rack. This source rack became stuck in the irradiation position. The operator bypassed the irradiator's degraded safety systems and entered the radiation room with two other workers to free the source rack manually. The three men were exposed to high radiation doses and developed the acute radiation syndrome. They received initial hospital treatment in San Salvador and subsequent, more specialized treatment in Mexico City. The legs and feet of two men were so seriously injured that amputation was required. The worker who had been most exposed died six and a half months after the accident from lung damage due to irradiation complicated by injury sustained during treatment. The report describes the accident and the response to it and presents lessons derived for operators and suppliers of irradiators, national authorities, medical staff and international organizations. Detailed information on dosimetric and medical aspects of the accident is presented in appendices and annexes.


Accidental Overexposure of Radiotherapy Patients in Białystok

Accidental Overexposure of Radiotherapy Patients in Białystok

Author: International Atomic Energy Agency

Publisher: IAEA

Published: 2004

Total Pages: 120

ISBN-13:

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In February 2001, an accident occurred in the Bialystok Oncology Centre in Poland, which caused five patients undergoing radiotherapy treatment to be given significantly higher does than intended. This report reviews this accidental medical overexposure, the subsequent dose assessment and the clinical consequences to the patients. It also discusses the lessons learned and provides recommendations for preventing similar events from occurring.


The Radiological Accident in Samut Prakarn

The Radiological Accident in Samut Prakarn

Author:

Publisher:

Published: 2002

Total Pages: 68

ISBN-13:

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In late January and February 2000 a radiological accident occurred in Samut Prakarn, Thailand, when a disused Co-60 teletherapy head was partially dismantled, taken from an unsecured storage location and sold as scrap metal. This report gives an account of the circumstances which led to the accident, the medical aspects and the lessons learned.


The Radiological Accident in Gilan

The Radiological Accident in Gilan

Author:

Publisher:

Published: 2002

Total Pages: 62

ISBN-13:

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On 24 July 1996 a serious accident occurred at the Gilan combined cycle fossil fuel power plant in the Islamic Republic of Iran. This report gives a detailed account of the medical aspects of the accident and the lessons learned.