How do we know radon is a carcinogen?
The World Health Organization (WHO), the National Academy of Sciences, the US Department of Health and Human Services, as well as EPA, have classified radon as a known human carcinogen, because of the wealth of biological and epidemiological evidence and data showing the connection between exposure to radon and lung cancer in humans.
There have been many studies conducted by many different organizations in many nations around the world to examine the relationship of radon exposure and human lung cancer. The largest and most recent of these was an international study, led by the National Cancer Institute (NCI), which examined the data on 68,000 underground miners who were exposed to a wide range of radon levels. The studies of miners are very useful because the subjects are humans, not rats, as in many cancer research studies. These miners are dying of lung cancer at 5 times the rate expected for the general population. Over many years scientists around the world have conducted exhaustive research to verify the cause-effect relationship between radon exposure and the observed increased lung cancer deaths in these miners and to eliminate other possible causes.
In addition, there is an overlap between radon exposures received by miners who got lung cancer and the exposures people would receive over their lifetime in a home at EPA's action level of 4 pCi/L, i.e., the lung cancer risk in miners has been documented at exposure levels comparable to those which occur in homes/residences.What's the Debate on Radon?
There is no debate about radon being a lung carcinogen in humans. All major national and international organizations that have examined the health risks of radon agree that it is a lung carcinogen. The scientific community continues to conduct research to refine our understanding of the precise number of deaths attributable to radon. The National Academy of Sciences BEIR VI Report has estimated that radon causes about 15,000 to 22,000 lung cancer deaths annually based on their two-preferred models. Major scientific organizations continue to believe that approximately 12% of lung cancers annually in the United States are attributable to radon.
What is the Average Level of Radon Found in a Home?
Based on a national residential radon survey completed in 1991, the average indoor radon level is about 1.3 picocuries per liter (pCi/L) in the United States. The average outdoor level is about 0.4 pCi/L.
What are the Health Effects From Exposure to Radon
No immediate symptoms. Based on an updated Assessment of Risk for Radon in Homes, radon in indoor air is estimated to cause about 21,000 lung cancer deaths each year in the United States. Smokers are at higher risk of developing Radon-induced lung cancer. Lung cancer is the only health effect which has been definitively linked with radon exposure. Lung cancer would usually occur years (5-25) after exposure. There is no evidence that other respiratory diseases, such as asthma, are caused by radon exposure and there is no evidence that children are at any greater risk of radon induced lung cancer than adults.
Surgeon General Releases National Health Advisory On Radon
U.S. Surgeon General Richard H. Carmona warned the American public about the risks of breathing indoor radon by issuing a national health advisory today. The advisory is meant to urge Americans to prevent this silent radioactive gas from seeping into their homes and building up to dangerous levels. Dr. Carmona issued the advisory during a two-day Surgeon General's Workshop on Healthy Indoor Environment.
"Indoor radon is the second-leading cause of lung cancer in the United States and breathing it over prolonged periods can present a significant health risk to families all over the county," Dr. Carmona said. "It's important to know that this threat is completely preventable. Radon can be detected with a simple test and fixed through well-established venting techniques."
Radon is an invisible, odorless and tasteless gas, with no immediate health symptoms, that comes from the breakdown of uranium inside the earth. Simple test kits can reveal the amount of radon in any building. Those with high levels can be fixed with simple and affordable venting techniques. According to U.S. Environmental Protection Agency (EPA) estimates, one in every 15 homes nationwide have a high radon level at or above the recommended radon action level of 4 picoCuries (pCi/L) per liter of air.
National Health Advisory on Radon
Radon gas in the indoor air of America's homes poses a serious health risk. More than 20,000 Americans die of radon-related lung cancer every year. Millions of homes have an elevated radon level. If you also smoke, your risk of lung cancer is much higher. Test your home for radon every two years, and retest any time you move, make structural changes to your home, or occupy a previously unused level of a house. If you have a radon level of 4 pCi/L or more, take steps to remedy the problem as soon as possible.
"Americans need to know about the risks of indoor radon and have the information and tools they need to take action. That's why EPA is actively promoting the Surgeon General's advice urging all Americans to get their homes tested for radon. If families do find elevated levels in their homes, they can take inexpensive steps that will reduce exposure to this risk," said Jeffrey R. Holmstead, Assistant Administrator, Office of Air and Radiation, U.S. Environmental Protection Agency (EPA).
"Based on national averages, we can expect that many of the homes owned or financed by federal government programs would have potentially elevated radon levels. The federal government has an opportunity to lead by example on this public health risk. We can accomplish this by using the outreach and awareness avenues we have, such as EPA's Web site, to share information and encourage action on radon to reduce risks," said Edwin Piñero, Federal Environmental Executive, Office of the Federal Environmental Executive (OFEE).
A national Public Service Announcement (PSA) that was released to television stations across America in January, National Radon Action Month, is reinforcing this recently updated health advisory. In the television spot, the camera scans a neighborhood with rooftop banners that remind the occupants of the importance to test their homes for radon. The television PSA can be viewed at: http://www.epa.gov/radon/rnpsa.html.
For more information about radon go to EPA's Web site www.epa.gov/radon; or call your state radon office; or call a national toll-free hotline at 1-800-SOS-RADON (1-800-767-7236).
The Surgeon General's Workshop on Healthy Indoor Environment is bringing together the best scientific minds in the nation to discuss the continuing problem of unhealthful buildings. Indoor environments are structures including workplaces, schools, offices, houses and apartment buildings, and vehicles. According to a recent study, Americans spend between 85 and 95 percent of their time indoors.
In just the past 25 years, the percentage of health evaluations that the National Institute for Occupational Safety and Health at the Centers for Disease Control and Prevention (CDC) has conducted related to indoor-air quality has increased from 0.5 percent of all evaluations in 1978, to 52 percent of all evaluations since 1990. This means that in those years, the evaluations related to air quality concerns have increased from one of every 200 evaluations to one of every two.
The problem is also adversely affecting our children's health as millions of homes and apartments and one in five schools in America have indoor air quality problems. This can trigger various allergies and asthma. Asthma alone accounts for 14 million missed school days each year. The rate of asthma in young children has risen by 160 percent in the past 15 years, and today one out of every 13 school-age children has asthma. Dr. Carmona is especially focusing on how unhealthy indoor environment affects children, as he promotes 2005 as The Year of the Healthy Child.


