United States
Environmental Protection
Agency
520/1-89-026
October 1989
Air and Radiation (ANR-464)
Reporting  on  Radon
                 REPORTER'S NOTEBOOK
              A Journalist's Guide
                  to Covering
                  the Nation's
             Second-Leading Cause
                of Lung Cancer
Environmental Health Center
of the National Safety Council
                          Printed on Recycled Paper

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     Reporting  on  Radon

A Journalist's Guide to Covering
   the  Nation's Second-Leading
     Cause of Lung  Cancer
             Produced by:

    The Environmental Health Center,
           a division of the
        National Safety Council

      Under cooperative agreement
          No. CX-815922-01-0
              with the
            Radon Division
       Office of Air and Radiation
   U.S. Environmental Protection Agency

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                   Table of Contents
Preface                                                  v
Introduction                                             1

Chapter 1:    Understanding Radon -- The Four Ws         3

What is Radon?                                          5
Where is Radon?                                         8
Who is at Risk from Radon?                             11
When was the Radon Threat Discovered?                   12

Chapter 2:    Testing for Radon;
             Appropriate Follow-up Actions               15

How to Test                                            18
Deciding Whether to Fix Your Home                      20
Using Your Test Results                                 20
Things to Consider                                      21
Short-term Actions to Reduce Radon Exposure             23
Long-term Actions to Reduce Radon Exposures             24

Chapter 3:    Reporting on  Radon:  Should Radon's
             Differences Make It LESS Newsworthy?       27

Chapter 4:    Disputing the  Radon Risks                   35

Quantifying Chronic Health Risks                          37
Estimating the Number of Lung Cancer Deaths             38
Fretting Over 'Routine' Risks                             39
Target Worst Radon Homes  First?                         40
Risks for Smokers vs. Nonsmokers                         41
Is EPA Being Overly Cautious?                            43
... Or is the Agency Leaving People at Risk?               44

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Radon Questions and Answers                             47



Sources                                                 53



Glossary                                                 57

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                           Preface

                       Radon As News:
            Challenging Fundamental News Concepts?
     Finding a cure for cancer would be big news.  That's easy.
Even a cure for some cancers would make banner headlines.

     But when it comes to cancer prevention, as in avoiding radon-
induced lung cancers, the story is different.  In this context, radon
flaunts the notion that an ounce of prevention is worth a pound
of cure.  As a news story, radon indeed challenges many of the
fundamental concepts involved in the journalism riddle:  "What is
news?"

     Rutgers University Environmental Communications Professor
Peter Sandman recites  a dozen factors involving how citizens and
the media perceive environmental health risks.  Collectively, they
almost  spell-out  a challenge to the press's approach  to what
constitutes news when it comes to public health. Collectively, too,
they help explain why  many feel radon-induced lung cancers are
among the most under-reported cancer risks.

     As for challenging fundamental news precepts, consider a few
of the factors Sandman cites:

     There is no villain.   No one puts radon into the environment.
No industry emits or releases or spills radon  into the environment.
Radon  occurs  naturally in most  soils and  rocks.   It  enters
individual homes  and  buildings  through  cracks  and  fissures
common to  many  structures. Those cracks and fissures  are the
"fault" of no one in particular.

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     There is no "victim."  You can't point to a lung cancer victim
and  conclude that radon was the cause of death.   Cancer deaths
come with no "Radon-Induced" label. Radon's lethal effects are
chronic rather than acute; they show up  as lung cancer only after
decades. In those cases, showing a cause-and-effect relationship is
impossible.

     There is usually no immediate emergency, and "contror of the
problem  rests with the individual.    In  most cases,  there's  no
additional  cancer risk  from radon by waiting a day or a week or
more  before  reducing  the  radon concentrations  in  one's
environment.  The risk here is controlled  not by some outside
force upon whom pressures can be brought, but rather by the
individual. Call it human nature: Because the timing is up to the
individual, the problem often goes  unaddressed.   "I can  do it
tomorrow, so I won't do it today . . . . "

     The threat is unseen and unfelt, and the risk occurs in that most
unlikely and most trusted of places. . . at home.  Radon is invisible.
People  can't  see, taste, or  smell  it.   It doesn't repulse  them
physically or offend  their senses.  Rather, it lurks silently in the
background, working its mischief only after years of exposure.  And
it does  so often  in that haven where people feel most  safe . . .
the home.  That fact creates  a psychological barrier against seeing
a familiar situation as  a risky one.

     From a journalistic standpoint, the irony is  that the radon
health risk issue has arisen  at a time when much of the public
feels powerless to address and manage many of the environmental
health risks they perceive as harming them the most.   And yet
here is one that they can control.  Although  radon is the nation's
second  leading cause  of dreaded lung cancer, informed citizens
have the wherewithal to assess and, if necessary, reduce their own
exposure risks easily and  usually inexpensively.  They can do so
without  incurring large capital expenses and without  enduring
difficult life-style changes.

     Reporting on Radon  has key information reporters need to
communicate effectively on the nation's second leading cause of
lung cancer.   It provides a "one-stop read" on the environmental
cancer risk that outnumbers all others in annual mortalities.  This
VI

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 guide also raises the question  of whether radon is  an under-
 reported news  story precisely  because it  challenges  traditional
 approaches to  evaluating the newsworthiness  of environmental
 health issues.

     One point is obvious:  The public depends on the media for
 their understanding  of environmental health risk issues.  Citizens
 will understand an  issue no better than the reporter himself or
 herself does. A second essential  point:  informed citizens, actively
 involved in environmental  risk  policies, are the key to making
 environmental  programs work in the first place. The media's role
 in that process is critical.

     That point -- informed citizens actively engaged  in managing
 environmental  risks  -- is particularly relevant to radon,  given that
 radon risks in the end can be individually controlled. Audiences
 besieged with countless threats over which they have little control
 will find radon an exception to that general rule.

     Reporting  on Radon was  prepared by  the  National Safety
 Council's Environmental Health  Center (EHC) with a grant  from
 the  U.S. Environmental Protection Agency's  Radon Division,
 Office of Air and Radiation.  The National Safety Council is a 76-
 year-old    not-for-profit,   nongovernmental   public   service
 organization, headquartered in  Chicago.

     This guide is part of a continuing series of  environmental
 journalism activities  undertaken by the Environmental  Health
 Center since its establishment in January 1988.   EHC also has
 published a reporters' guide on coverage of community chemicals,
 and each month it  publishes  Environment  Writer, a newsletter
 aimed exclusively at print and electronic  journalists covering
 environmental health and pollution control issues.

     EHC  appreciates  the  substantive  contributions   to  this
 reporters'  guide  from  free-lance writers  and researchers  Rob
 Taylor, former environmental reporter for The Wall Street Journal',
 Lani Sinclair; and Harold I. Sharlin. In addition, EHC benefited
 substantially from critical reviews by Los Angeles-based  science
writer Sandra Blakeslee and by San Jose, California, environmental
journalist Mitchel Benson of the  San Jose Mercury News.
                                                           vn

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    EHC  in  particular  appreciates the commitment of  EPA
project  manager Peyton  Lewis,  in  the Radon  Division,  to
protecting the journalistic integrity and purpose of the guide. The
approach  by her and her colleagues  in  the  Radon  Division is
testimony  to   their  expressed   commitment   to  effective
environmental journalism.

                                                  Bud Ward
                                          Executive Director,
                                 Environmental Health Center
Vlll

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                        Introduction

               Radon - The Uninvited House Guest


     Radon may be our most underestimated cause of cancer.

     In a Roper poll reported early in  1988, Americans rated
 radon second lowest of 28 health threats, just ahead of microwave
 ovens. Almost half the people surveyed said radon posed little or
 no risk, or said they didn't know.

     In fact, many scientists say radon  should lead the list of
 environmental public health risks.  This radioactive gas is blamed
 for causing more  lung  cancer deaths  than  any  other  single
 pollutant except tobacco smoke.  Some 20,000 Americans die each
 year because of radon-induced lung cancers, the Environmental
 Protection Agency now estimates.  That figure  means that  radon
 causes more mortalities than any other environmental  pollutant
 under the agency's vast jurisdiction.

     Despite the risk, governments  are  unlikely to take  direct
 regulatory responsibility for radon control, but are more likely to
 assess radon risks  and advise the public on appropriate actions.
 The job is  mammoth, with this uninvited guest turning  up in
 homes almost everywhere.  In many ways,  radon problems  are
 ideally suited for individual response and action.  And there's no
 industry to  carry blame or bill  for damages.   So officials have
 assessed radon  risks and have told the public  what it  needs  to
 know  to  take  effective  action.   Beyond that,  however,  it  is
 primarily up to individuals to investigate their own radon problems
 and solve  them.

    For most of us, however, that's not easy.

    In fact, most people  have done nothing.  Sure, testing spurts
from time to time  in response to flurries of news media interest.
But to date, few U.S. homes have even been actually tested, and


Introduction                                                 1

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even fewer homes have been "mitigated" to reduce radon levels.

     The slow response isn't unusual.  Findings on cancer risks are
complicated, especially when it comes to separating big risks from
the small.   Many consumers are skeptical  or numbed  by the
drumbeat of cancer alarms.  Look how long cigarette smoking has
lingered.

     All this magnifies the news media's role.  If they don't explain
radon's   risks  and  put  them   into  perspective  with  other
environmental risks, few people will protect themselves. Without
"news you can use" on  how to test and fix radon problems, even
many interested consumers will remain confused and frustrated.

                                               Robert Taylor
                               (former environmental reporter)
                                       The Wall Street Journal
                                    Washington, D.C., bureau
                                         Reporting on Radon

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        Chapter 1
   Understanding Radon:
       The Four Ws
What, Where, Who and When

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                       Summary
A radioactive gas, radon occurrs naturally in most rocks and
soils.  It can  be found at various concentrations practically
anywhere on earth, but it's when concentrations rise in closed-
in buildings that health risks become a concern.

Radon is at the root of the problem, but the resulting lung
cancers  actually  arise  as  a  result of two of radon's decay
products,  isotopes  of polonium.     These  so-called  radon
"daughters"  or "progeny" lodge deep  in  the  lungs and emit
damaging alpha  radiation.   That can be  the onset of a lung
cancer manifested onfy years or decades later.

The "Reading  Prong*  in the  mid-Atlantic states  has become
something of a household term in public health circles because
of perilously high  radon levels. But scientists caution now about
thinking that radon risks are isolated to a few geographical "hot
spots."

Radon risks can endanger "anyone  who breathes."  The cancer
risks dwarf those responsibly linked to most other environmental
pollution problems.  The young and smokers  are  especially at
risk.

The federal government has established a level offourpicocuries
of radon per liter of air as a guidance  deserving follow-up
actions.  But it would be a mistake to suggest that a level of
"four" is safe or free  of the risk of inducing increased incidences
of lung cancer.

Radon-induced lung  cancers, like all cancers, are chronic rather
than acute.  That is, they develop onfy after prolonged exposures.

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                        Chapter 1

                Understanding Radon:
                     The  Four Ws
            •What, Where, Who and  When-
 What is Radon?

    Radon-222  is a radioactive gas.  Humans can neither see,
smell, nor taste it, but it turns up almost everywhere.

    Radon occurs naturally in rocks and soil. Radon atoms are
uranium's direct  descendants. When atoms of uranium-238 decay,
they produce several generations of other radioactive elements.
The fifth generation is radium, which in turn decays into radon.

    Though great concentrations of uranium are rare, traces of it
are common in ordinary rock and soil. Concentrations vary. But
on average, about six atoms  of radon emerge each second from
every square inch of soil. A typical concentration of radon in soil
is between 500 and 1,000 picocuries per liter of air (pCi/1).
Chapter 1: The Four Ws

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               Radon Geology for Journalists
     Geology isn't routinely taught as part of the journalism curriculum on
the nation's campuses.   And it's not a subject  most  reporters  feel
comfortable discussing as a result  of things they've learned along the way.

     But understanding a couple of fundamental principles of geology will
help reporters better understand and communicate on radon-related health
risks.   Each principle is, says the  Consumer Reports book Radon: A
Homeowner's Guide to Detection and Control,  "highly unpredictable."

     The first principle: There has to be a fairly rich concentration of
uranium in the soil to find very high radon concentrations in homes.  The
existence of natural concentrations of uranium in the soil is a function of
chemical  characteristics that have occurred over millions of years.   But
when a uranium atom underground  is transformed into a thorium atom, a
series of protracted but successive decay processes gets underway; over a
few hundred thousand years, the result is radioactive radium. The radium
itself decays into another radioactive element - radon - and it is radon, by
now a surface coating on  underground rocks, which then  can percolate
through the ground.

     Some rocks and soils contain more uranium than others, though all
contain at  least trace amounts.  Consumer  Reports' Radon book, for
instance,  says rock routinely has about 2.7 pounds of uranium  for  each
million pounds of rock.  Granite, on the other  hand, has about 4.7 pounds
per million  pounds, shale about 3.7 pounds. Compare that with sandstone
and basalt, for which the average is 0.5 and 0.9 pounds of uranium per
million pounds, respectively.
     But the  evolution of radon  isn't  just  another  link in  a
monotonous chain.  It is instead the single critical  event in that
chain.  Unlike its solid ancestors,  radon is a  gas -- it's mobile.
The slightest fissure in surrounding rock is enough to spring radon
gas from its centuries-old prison in the earth.  It can move to the
surface with other soil  gases.  From there it is free  to wander.

     In  the  open air, most  radon  dilutes  into  insignificant
concentrations.  But trapped and allowed to concentrate, as when
it continues to move up through the ground into a house, radon
becomes a serious public health problem.
                                             Reporting on Radon

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      Within  a single rock formation, however, the  range  of uranium
 concentrations - and therefore of radon  - can vary widely.  As a result,
 geologists have difficulty in predicting just which areas may have high radon
 levels in the ground.

      The second geological principle:  Radon concentrations built-up
 in underground soils and  rocks might remain there harmlessly were it not
 for pathways that enable the radon to move through the ground.  Radon -
 - a fifth-generation decay product derived from uranium - has  a half-life of
 about 3.8 days. Half of it will decay in 3.8 days and half of the remaining
 radon then decays over the next 3.8 days, and so forth.

      Tightly  packed  or wet soils or  clay, for  instance, impede radon's
 movement to the  ground  surface.  Provide radon even microscopic cracks
 or fissures through the soils, however, and radon atoms move more freely
 through the ground.  It's at the ground surface that radon can pose a risk
 to an individual home.  For the  unfortunate, the radon atoms may find
 their way through building cracks and  openings into enclosed areas . . .
 where high radon  concentrations can pose  increased lung cancer risks.

     Those two geological factors in combination - normal to high uranium
 concentrations and easy access for uranium's decay products to the ground
 surface and into homes  -  pose the radon/lung cancer problem. Together,
 they account for thousands of preventable  lung cancer cases each year.
     Actually, most radon found in  homes poses no direct hazard.
It has a  relatively short half-life of 3.8  days,  meaning that by
emitting  radiation,  half  the radon atoms  evolve into  another
element in less  than four days.  Its very mobility protects us from
its radiation.  Though we breathe it  into our lungs, it tends to pass
back out  harmlessly as we exhale.

     The  deadly threats stem from two of radon's decay products,
solid  isotopes of polonium.  Because they revert to solid  form,
these radon decay products can be inhaled and can lodge deep in
the lungs. There they linger like tiny time-bombs.  And since they
have half lives  of no more than a few minutes, they  tend to "go
off before the  lung can clear them.
Chapter 1: The Four Ws

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     The harm itself results when the polonium isotopes emit
 high-energy, low-velocity particles  called alpha radiation.   These
 same alpha particles constantly bombard our bodies from outside
 without harm; most cannot penetrate the dead outer layer of our
 skin.   But breathed deep into  the lung,  they  can radiate  and
 penetrate sensitive and vulnerable  lung tissue.

     At equal concentrations of radioactivity, alpha particles, once
 inhaled or ingested, are far more deadly cancer producers than
 beta and gamma radiation.  They  move more  slowly and deposit
 their energy over a shorter distance.  When alpha particles slam
 into unshielded lung cells, they can sever strands of DNA's double
 helix corkscrew, scrambling its genetic code. Cells are efficient at
 repairing breaks  in  a  single strand,  simply copying the  other,
 according   to   David  J.  Brenner  of  Columbia  University's
 Radiological   Research   Laboratories.      But  damage  from
 double-strand  breaks, he  says, "may be permanent and may be
 transmitted to the cell's daughters."

     The effects may not be seen for years, or  even decades.  But
 ultimately the damage causes certain cells to lose control over cell
 division and growth.  This dysfunction — cell multiplication without
 control -- is the health risk associated with exposures to radon  and
 its "progeny," and radon has been identified as  the second leading
 cause of lung cancers, behind smoking.

Where is Radon?

       The Pennsylvania woman  looked confused.  "How,"  she
 asked after an hour-long speech on radon, "do  they get the  radon
 from nuclear power plants into  the  ground and over into  the
 houses?"

     In fact,  "they"  don't.   Radon   occurs  naturally almost
 everywhere.   Current estimates are that the average  U.S.  home
 contains about 1.5 picocuries, but averages,  as  always, can  be
 misleading.   In  "hot  spots"  home  readings  soar over  2,000
 picocuries per liter (pCi/1).  Radon readings tend to range highest
 in areas with high concentrations of uranium-bearing rocks, such
 as granites, but there are plenty of exceptions to that rule.

     To  help  people   interpret  radon   readings,   the   U.S.
 Environmental   Protection  Agency  initially   established   four
 8                                         Reporting on Radon

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 picocuries per liter of air as a rough  annual average guideline.
 The agency was not telling people that a level of 4 pCi/1 was "safe"
 and that lower levels might not still lead to increased incidences
 of lung cancer.   Rather, the figure was essentially a technology-
 based  figure  based  on   the  agency's  assessment  of  what
 concentration could  be achieved with existing radon  reduction
 technology and practices.

     The  agency urged people with higher  readings to confirm
 them with further  tests and to cut  radon below  that level with
 generally  routine construction work  or repairs.  There continues
 to be debate and  controversy over the meaning of  the  "four
 picocuries" guideline.  Some members of the U.S. Congress feel
 strongly that EPA's guideline can create a false sense of security
 and that it in fact must not be seen as implying a level of "safety."
 They prefer a lower threshold, and there are indications that EPA
 is moving toward  establishing a  series of radon action  levels,
 including some below 4 pCi/1.

     Initial  screening  tests conducted  by EPA  in some  states
 indicates some alarmingly high proportions of homes exceeding the
 four-picocuries guideline. In Minnesota and North  Dakota, 46 and
 63 percent of the homes screened were  found to  have  screening
 levels above the  4  pCi/1 guideline.  The  average  screening level
 found in North Dakota home tests was a surprisingly high 7 pCi/1,
 almost doubling the EPA threshold.

     On the other  hand, low levels are common in some states.
 In Alabama, for instance, radon screening levels reached the EPA's
 "action level" in only 6  percent of the homes  EPA tested.  Even
 at that low rate, however, hundreds of Alabama households would
 benefit from radon  testing.  Furthermore, despite  the low  radon
 readings for  most Alabama households, one  house tested there
 recorded a 180-picocurie per liter reading!

    Some  critics have  warned that these short-term screening
 measurements may be poor indicators of radon hazards. EPA and
 these  critics point out that radon can  fluctuate  widely over a short
 period of time.   They  say that  only long-term  tests providing
 annual average radon concentrations provide responsible measures
of  potential  radon health  risks.   EPA itself  is  beginning  to
systematically conduct long-term tests in its National Survey.
Chapter 1: The Four Ws

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     Variations within regions,  states and  even neighborhoods
unquestionably make radon levels  hard to predict  for  a  given
home.  In the mid-1980s, some scientists tried to map radon-prone
areas from geologic data.  But even when broader measurements
became available  in  1986, high and low readings proved far less
reliable than many had hoped in providing accurate  predictions
of high radon concentrations.  The  problem was that  high radon
measurements could be found in areas mapped as being  unlikely
to have a problem . . . and low readings found in areas  thought
likely to have a serious  problem.   As  tools for  state and local
government strategies, and for shaping national radon policy, the
maps provide  an excellent policy tool, but they are not useful in
terms of anticipating concentrations in a particular home.

     Under its Radiation Action Program, initiated in 1985, EPA
has been working with the U.S. Geological Survey to provide states
with geological data they can use in surveying for radon.  EPA by
mid-1989 had surveyed 25 states, and the agency  says it now is
confident that geology "is a good  indicator of potential high indoor
radon  levels."  Testifying before a House  Interior  and Insular
Affairs Subcommittee on  oversight and investigations, EPA Office
of Radiation Programs Director Richard Guimond emphasized that
geological information  alone, however, "is not enough. We need
a  combination of geology and  indoor radon measurements  to
provide a full understanding of  the scope and magnitude of the
radon problem."

     While much of the public and  media focus  on radon  has
concentrated on homes, the potential radon problem goes beyond
just personal residences.

     It turns out that homes aren't  the only places where  radon is
a  problem.  An initial EPA survey of 131  schools in 16 states
found 19 percent of schoolrooms had screening levels exceeding 4
pCi/1, with the highest reading at 136 pCi/1.  The schools tested,
however, were not chosen to necessarily represent a cross-section
of all the nation's schools, and  it  is possible that typical school
radon  levels  will  be different.   Under  the  Indoor  Radon
Abatement Act, passed in  1988, the agency is to list  high radon
risk  areas  in order to  evaluate  radon contamination  in  schools.
EPA will use geological and indoor radon data to conduct  a survey
of radon in schools.
10                                        Reporting on Radon

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     Mostly, radon  gets  into  buildings through  basement  and
 foundation cracks, drains and joints.  Because it can dissolve in
 water, however, radon also can ride into kitchens and bathrooms
 in water drawn from private wells.  When the water sprays from
 a faucet, aeration again  releases  radon  into the  air,  where  it
 sometimes builds up to high levels in the air.

     Radon in  water accounts for between  1 and 3 percent of the
 radon health problem, and most of the problem occurs  in homes
 in the northeastern  United States.  However, homes relying on
 private wells probably should test for radon as a precaution.

     People living above the second floor may be able to relax in
 terms  of  residential radon.   Radon dilutes as it moves upward
 within a building.  Under closed-house conditions, radon readings
 in basements tend to be  about double those on the first floor.
 Unless a  central heating and air conditioning system or water is
 bringing in most of  the radioactive gas, readings in second floor
 and  above drop off even more sharply.

Who is at Risk  From Radon?

     Anyone who  breathes.   The  risk grows with the level  and
 duration of radon  exposure.

     Risks resulting  from exposure to radon are far greater than
 risks posed by most other dangerous substances. Take people who
 spend a lifetime in homes with a relatively high radon level of 20
 pCi/1.  Scientists say they face about the same  cancer risk as
 people who smoke about  one and a half packs of cigarettes  per
 day;  six in 100  may die of lung cancer as a result of exposure to
 radon, according to  EPA.  By contrast, federal agencies usually
 crack down on  exposure to a chemical only when it is thought to
 cause cancer deaths in more than one person in a million.

     It is fortunate that 20 pCi/1 has been found in only 2 percent
 of the  more  than  20,000  homes where  the EPA  conducted
 screening  tests,  according to  the EPA.

     But,  as mentioned above,  even at 4 picocuries per liter -
 EPA's  initial trigger  for recommending radon  reduction  -- radon
 exposures aren't "safe." In  fact, "that level still has a fair amount
 of risk,"  says  Richard Guimond,  director of EPA's Office of
Chapter 1: The Four Ws                                     11

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Radiation Programs. The EPA says it poses almost the same risk
as smoking a half-pack of cigarettes a day - it will cause fatal lung
cancer in as many as 3 percent of the  people  exposed  for a
lifetime.

     Notwithstanding EPA's caveats, many in  EPA and Congress
are concerned that the  four-picocuries guideline  unintentionally
encourages  people to ignore  the  risks at or below  that  level.
Having  initially  chosen  that  guideline   because  they  feared
contractors might be unable to achieve a lower level, agency staff
point to new experiences demonstrating that contractors now can
cut high radon levels well below the EPA threshold. Encouraged
by Congress, the agency is expected to issue added warnings on the
danger of levels lower than 4 pCi/1.

     Some people need  to  worry more about radon than others.
The National  Academy of Sciences estimates  the  risk of lung
cancer from radon is up to 10 times higher for smokers than
non-smokers, perhaps because radon decay products can hitch a
ride into the human  lungs on  tobacco  particles  that remain
suspended in smoke.

     Children also may be more vulnerable to radon.  They have
a longer life-span to allow latent  cancers  to become malignant
growths, they breathe faster, and their rapidly-dividing cells may be
more vulnerable to radiation damage. The International Council
on Radiation Protection estimates that children and youths under
20 years old face  triple the adult risk.

When was the  Radon Threat  Discovered?

     Underground miners have been dying of  radon-induced lung
cancers for centuries, but it wasn't until  the 1950s  and 1960s that
the two were clearly linked.

     In response, U.S. regulators first set rules for reducing mine
radon levels by ventilation.  In the 1970s health officials also
turned to cleaning up uranium mill tailings that continued to emit
radon, including  some  that had  been  used  as foundations for
homes.
12                                       Reporting on Radon

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               Acute  Versus Chronic Hazards
      An important part of the "when" of radon involves just when its health
effects are manifested.     In scientific jargon, exposures that cause illness
or death within days or weeks are termed  acute hazards.  Hazards  that
cause effects  such as cancer long after low-level exposures are  termed
chronic.    Even the highest radon exposure levels are chronic rather than
acute hazards.

      Radiation poses acute hazards at short-term whole-body exposure of
more than 150 rem.  (According to current estimates, exposing the  lung to
four pCi/1 of radon in air for one  full year carries about the same risk as
exposing the entire body to one rem of radiation.) A person hit with 5,000
rem of radiation suffers an  incoherent fit along the lines of an epileptic
seizure.  Death follows within  a few days.  Survival is still unlikely with
exposures as low as 600 rem, which produce nausea, vomiting and malaise.
The symptoms may ease temporarily, then return with  a vengeance.  The
victim's hair falls out.  Often, the weakened victim falls prey to an infection.

      Most people will show  little or  no  immediate  acute  effect from
exposure to 100 rem  or  less  of radiation.  These  and smaller  doses of
radiation cause subtle, cumulative damage that tends to lie dormant. Even
tiny  amounts  of radiation may add to the cancer risk.  Though some
scientists believe that  cells  can repair damage  from  small  amounts of
radiation, the prevailing scientific view is that no amount of radiation may
be considered  "safe."

     The hazard from chronic low-level exposure to radiation stems from
short-term damage it does to cells' DNA, or genetic code. The harm  can
often remain invisible for decades.  Then, perhaps with the assistance of a
substance that "promotes" rather than "initiates" cancer, some descendants
of the damaged cells abandon their control of cell growth and division.

     To estimate the risk  of cancer  from  radon,   scientists  studied
underground  miners who  breathed high radon levels in their work.  The
studies uniformly conclude that these miners suffered  lung  cancer more
often than the general public,  and most studies found the incidence of
cancers was directly related to the  radon exposure.

     Using these data and estimates of home radon levels,  the Environ-
mental Protection  Agency has estimated that radon causes approximately
20,000 U.S. lung cancer deaths each year.  That puts  it second  only to
smoking as a cause of lung cancer, the leading cancer killer.  Lung  cancer
is expected to  kill 160,000 people in  1989, according  to the American
Cancer Society.

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     But officials showed little  interest or  concern in naturally
occurring radon in homes until  1984, after nuclear plant worker
Stanley Watras set off alarms that shocked the public health world.

     Mr. Watras had dumbfounded workers at the Limerick, Pa.
nuclear plant by repeatedly triggering radiation alarms.  Eventually,
his colleagues  and employer became startled that he was bringing
radiation  into  the plant.  When  Watras  tested  his  home,  he
discovered the highest residential radon level ever found until that
time - 2,700 pCi/1.

     "The Watras incident really changed the ballgame," says the
EPA's Guimond. Homes built on mill tailings had registered  up
to 100 to 200 pCi/1, he recalls. "We thought the highest naturally
occurring radon in homes would be no more than one-tenth of
that."

     The  Watras incident  set off  a  house-to-house  search for
radon.  Initially, concerns focused  on a uranium-prone  geologic
formation called the Reading Prong, stretching  across eastern
Pennsylvania into northeastern New Jersey.  But in 1986, as radon
readings trickled in from around the U.S., risky radon levels turned
up in all regions tested. "Hot spot" clusters of homes, with radon
readings  of hundreds and even thousands of picocuries per  liter,
were found in several states.

     U.S. officials agreed that radon isn't just a local problem, but
a national one.  Indeed, testing in Europe demonstrated that it is
international.  Radon, people discovered, respects no boundaries.
14                                        Reporting on Radon

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          Chapter 2
     Testing for Radon:
Appropriate Follow-up Actions

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                     Summary
As a personalized environmental threat potentially  affecting
neighboring individuals  differently, radon is unique among
environmental public health risks.

Testing for one's own  radon risks is  economical, and repairs,
when necessary, are usually inexpensive, in line with many other
"routine" household maintenance and repair projects.

Short-term tests of just a few days offer an effective screening
indicator  of the  extent of potential  radon concentrations.
However,  because radon levels in a home fluctuate widely over
time, long-term  readings over the course of several  seasons
provide the most reliable indication of annual exposure levels.

Varying ranges of radon concentrations will justify  a  series of
responses depending on the severity of the problem. Some short-
term steps can be taken immediately while a long-term solution
to high radon reading? is considered and undertaken.

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                        Chapter 2

                 Testing  for Radon;
          Appropriate Follow-up Actions
     Unlike  smog or stratospheric ozone depletion,  radon is a
personalized environmental threat, one that potentially affects next-
door neighbors in far different ways.  The threat comes not from
the vapors of the sky or the vastness of the atmosphere, but from
one's own home.

     Now that  do-it-yourself radon tests are economical, easy to
use, reliable, and readily available, most homeowners can - and
should ~ measure the radon levels in their homes.  A neighbor's
low radon reading is not a substitute for a reading in an adjacent
or nearby home; differences  in houses  and underlying soil can
produce widely varying radon levels in neighboring nouses.

     Given the  relative ease and economy of radon testing and the
unpredictability of high radon concentrations, EPA and the Office
of the Surgeon General of the United States recommend that most
homes be tested.  Only testing, they say, provides homeowners a
Chapter 2: Testing/Appropriate Follow-up
17

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level  of confidence  about  the potential radon exposures they
personally face.

 How to Test

     To better report on  radon-related lung cancers, reporters
need to understand how testing and radon reduction actually work.

     The most popular commercially available radon detectors are
the charcoal canister and the alpha track detector.  However, a
variety  of different measurement methods  is  available  for
determining radon concentrations.

     Charcoal  canisters usually are used  for making short-term
measurements of  two  to  seven  days.    Alpha  track detectors
measure radon for a minimum of a month, but more often for
three  to 12 months.  Both devices are then  sent back  to the
manufacturers' laboratories for analysis.   Results  are  reported
either in "working  levels" of radon  (WL), or "picocuries per liter"
(pCi/1) of radon gas.
                          Definitions
     Picocurie ... A curie is a standard  measurement for radioactivity,
specifically the rate of decay for a gram of radium -- 37 billion decays per
second.  A picocurie (pCi) is one millionth of one-millionth of a curie.

     Working Level... A working level, derived from safety and health
regulations covering mining, is a measurement of radon decay products,
rather than of radon itself.  Roughly, one picocurie  per liter of radon gas
is the same as 0.005 working levels.  So 1 working level (WL) is equal to
about 200 picocuries of radon gas.  The term itself generally is used less
often than picocuries as a unit of measure.

     Decay Product... Radioactive materials degrade to give rise to decay
products, often referred to informally as "daughters" or "progeny." The
radon decay products of most concern from a public health standpoint are
polonium-214 and polonium-218.
18                                          Reporting on Radon

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     In addition to the charcoal canisters and alpha track devices
most familiar to the general public, other devices also can be used
to measure radon concentrations.  Continuous  radon  monitoring
methods, for instance, use an electron detector to accumulate and
store periodic radon concentrations.  Installed in homes according
to specified federal procedures, they can be used only by a skilled
operator.   While generally very precise in their measurements,
these continuous monitoring methods cost much more  to use than
the charcoal canister or alpha track, and they  are susceptible to
sampling errors.

     Another measuring device is the "E-PERM," an acronym for
the "Electret Passive Environmental Radon Monitor." Installed in
the home for two to seven days  or three to  12  months for short-
and  long-term E-PERMs  respectively,  these devices contain  a
charged electret which reacts to radiation from radon and radon
decay products.  Once exposed for the specified amount of time,
they  are  resealed and  sent to  an  analytical  laboratory  for
evaluation.

     Some state or local governments provide radon detectors to
homeowners either at no charge  or at a  reduced cost; many
hardware stores, grocery stores and mail-order firms regularly stock
several varieties of detectors.

     Though instructions vary according to which type of device
the homeowner has chosen, several  basic  rules apply to radon
measurements:

     •   EPA-listed detectors should be used.

     •   The most accurate way to estimate the annual radon level
         in your home is with a long-term  test over a one-year
         period in the area(s) of  your home where you spend
         most  of your time. Alpha  track detectors and  electret
         ion detectors are the most common  long-term  testing
         devices.

     •   The fastest way to find  out if you have a radon problem
         is to place a short-term testing device  in your home for
         a few days to several months.  However, short-term tests
         should only be used in the lowest living area  of the
         home, with doors and windows closed,  during the cooler
         months of the year. This process reduces the chance of

Chapter 2: Testing/Appropriate Follow-up                    19

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         measuring the home when  radon levels are lower than
         usual.  Charcoal test kits and electret ion detectors are
         the most common short-term testing devices.

Deciding Whether to Fix Your  Home

     Because no level of radon is considered absolutely "safe," a
person should try  to reduce radon levels in his or her home as
much as possible and practical. The average radon level in homes
is  about 1.5 pCi/1.  A person should definitely take action to
reduce radon if the average annual level is higher than 4 pCi/1.

     The table below shows what radon reductions are possible.

                  You can expect to achieve:

             2 - 4 pCi/1             In most cases
             less than 2 pCi/1       Sometimes

Using Your Test Results

     The EPA originally developed a 4 pCi/1 guideline for action
which was based on  the technology available at that time.  The
agency did not  recommend short-term measurements as a way of
estimating health risks, but rather recommended long-term testing.

     In  October   1988,  Congress passed  the  Indoor  Radon
Abatement Act  which called for EPA to do away with action levels
and  to begin researching whether  short-term measurements can
predict annual average concentrations.

     After preliminary research, EPA  developed some of these
correlations, and offered this guidance:

     Short-term test  results  and  long-term results  should  be
interpreted differently.  If long-term test results are elevated, one
should take action to lower the radon level in the home.

     If short-term test results are  elevated,  the best way  to
determine  the annual radon level  is  by measuring again over a
one-year period. Preliminary research shows that short-term tests
generally overestimate annual levels by one to three times:
20                                         Reporting on Radon

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If Short-Term                   Then Estimated Annual
Result (pCi/1) Is:                Radon Level (pCi/1) Is:

1                                   1         .3
2                                   2         .7
3                                   3-1.0
4                                   4        1.3
5                                   5        1.7
6                                   6-2.0
7                                   7-2.3
8                                   8   -    2.7
9                                   9-3.0
10                                 10       3.3
11                                  11  -    3.7
12                                 12  -    4.0

     If the short-term test results are low, a  person may want to
test again.  This is to make sure that the test was not conducted
at a time when radon levels happened  to be much  lower than
usual.

     Some scientists believe that this guidance is an intermediary
step.  After more research is completed, they think  it may be
possible for EPA to  recommend taking action based on a short-
term measurement.

Things to Consider

     In addition to testing radon levels, a homeowner  concerned
about radon exposures,  while  considering  and  taking specific
actions, should ask several questions to determine radon risk:

     •    Does anyone in the  household smoke?
     •    Are there children in the family?
     •    Do people spend unusually high amounts of time in the
         home,  perhaps because  of individual  illnesses, age,
         occupation  or personal preference?
         Does anyone sleep in the basement, where radon levels
         are higher than on other floors?

     The more affirmative answers a  homeowner has to these
questions, the  sooner he or she  should act to reduce  the radon
levels of the house.
Chapter 2: Testing/Appropriate Follow-up                   21

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                    Measuring for Radon
     Measuring for radon is easy, and generally quite reliable, though one
must be careful not to read too much into short-term radon tests.

     For most persons, use of a short-term test kit or measuring device
over a  period  of two  to seven  days is an  effective way to begin
understanding potential individual radon risks.   Charcoal  canisters,  for
instance, are exposed to air in a room, and the charcoal adsorbs radon gas.
The kits then are mailed back, air-tight, to a laboratory, which measures
them for radioactivity.  That allows an evaluation of the level of radon to
which a kit was exposed.

     It may be  helpful for reporters and their audiences to think of these
tests as providing something of  a  snapshot of the radon situation in a
particular home. While radon levels in a home vary widely from room-to
room, day-to-day, and season-to-season, short-term devices will  provide
homeowners with what EPA calls  a "screening measurement" aimed at
helping them  determine whether they have a potential  problem. They
cannot identify the specific extent of a problem, but rather help identify the
potential for a radon problem.

     A short-term screening measurement of more than four picocuries per
liter of air  likely will warrant additional testing, while  substantially higher
measurements would justify three-month testing to see if the  high radon
levels are confirmed. The three- to 12-month test should provide an ample
indication of the seriousness of the problem, without unduly prolonging high
exposures.

     Unlike the short-term tests, longer-term radon measuring detectors
provide truer indications of annual average radon concentrations in the
     When the testing and re-testing results have been determined,
the owner of a house with radiation levels  that require action
should contact the state  radiation office for  advice about which
measures are needed to reduce the home's radon levels, which of
those measures can be  done by the homeowner alone, and which
will need to be done by a trained professional.

Short-Term Actions to Reduce Radon Exposure


     Certain steps can be  taken even while more long-term radon-
reduction measures are considered. Here are some actions  that

22                                             Reporting on Radon

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 home over a period of time.   Somewhat more expensive than the short-
 term charcoal canisters, these radon test kits are exposed for three months
 to a year and generally are viewed as providing the most reliable and most
 representative measurements of annual average radon levels in a home.

      The alpha track kits, for instance, feature a piece of special plastic in
 a filtered container. Alpha particles emitted by radon gas "track" the plastic,
 leaving small tracks or scars which later are counted by a laboratory as an
 indicator of radon concentration.  Continuous radon measurement devices,
 integrated radon sampling units, grab sampling instruments, and charcoal
 liquid scintillation cells also can be used, though they  typically require a
 trained operator for them to be used effectively.  Passive radon monitors
 using a charged etectret to react with radiation from radon or radon gas can
 be used  for either short- or long-term tests.

      Neither the charcoal canister nor the alpha track kit is particularly
 difficult to use, and both can be returned by mail for analysis.  Both are
 considered "passive" tools, in that they require no external power but rather
 are merely placed in an appropriate test location.

      Both charcoal canister and alpha  track radon  test kits can  be
 purchased at many hardware, grocery, and home supply stores throughout
 the country. Some state and local governments also supply radon detectors
 to residents, and newspaper and  TV/radio audiences can be  referred to
 state radiation protection offices for information about availability of testing
 kits in their areas.

      Many  reporters  find  that information  on  selection,  use, and
 interpretation of radon test kits  make  effective  sidebars for  hard-news
 stories on radon risks.
homeowners can  take to  reduce radon  risks to  themselves and
their families:

     •    If possible, spend less time in areas where radon levels
          are highest, such as the basement.

          Stop smoking  and discourage smoking in  the home.
          Smoking may increase the risk of exposure to radon, in
          addition  to increasing overall  chances  of getting lung
          cancer.
Chapter 2: Testing/Appropriate Follow-up                           23

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     •    As often  as practical, open windows throughout  the
         house and turn on fans to increase the air flow into and
         through the house, especially in the basement.

Long-Term Actions to Reduce Radon Exposure

     For homes with higher radon concentrations,  radon officials
recommend,  along  with the above, more thorough actions  to
reduce those levels - actions which either reduce the rate at which
radon enters the house, or forces the radon out of the house once
it has entered.

     Reducing the  rate of radon entering  the  house  can  be
accomplished either by blocking off or sealing the places in which
it  enters, or by  reversing  the  direction  of the  flow of these
pathways so the indoor air and radon is pushed out, rather than
brought into the house.  The best way to force radon out of the
house is to increase ventilation.

     A  contractor who  specializes in ridding  homes of radon
should be hired for the more complex remedies.  These contractors
in general are not the same firms that produce radon detectors.
EPA regional offices, state radon offices, Better Business Bureaus,
and local consumer affairs departments should have lists of radon
contractors.

     Long-term  methods  to  reduce  radon  levels,  and their
approximate repair costs, include:

     Sub-slab suction  by installing pipes and fans  to pull radon
from under  the slab foundation  is generally considered the most
effective radon reduction technique.  The same approach  can  be
taken with  drains and/or block walls.   A  trained  professional
should install the system.

     Sealing major radon sources and entry points involves covering
exposed earth in basements, storage areas, drains, and crawl spaces
with impermeable  materials, such as plastic sheet metal, and
sealing cracks and openings with mortar or urethane foam. This
step generally is  considered  most  effective  when  taken  in
combination with  other radon-reduction  efforts.   Advice  on
identifying  areas  to  seal  should  come  from  an  experienced
professional, who may have  to do some of the work.
24                                         Reporting on Radon

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     Forced cross-ventilating, by using fans  on both sides of the
 house.

     Heat-recovery ventilating, suitable in homes that need heating
 for several months of the year.  A heat-recovery ventilator or "air-
 to-air heat exchanger" has a pair of fans to blow stale  air out the
 house and draw in fresh air.  They also reclaim some of the heat
 the furnace generates while maintaining the adequate  ventilation
 needed to reduce the home's  radon.   Installation and annual
 operating costs will vary widely throughout the country.

     Adjusting air pressure within the house by providing air from
 outside to appliances that would otherwise use air in the house for
 combustion.    By providing  appliances  such  as the  furnace,
 fireplace, and  clothes dryer with external sources of air, the air
 pressure inside the house  is increased, reducing the amount  of
 radon drawn up into the house. This work must  be done by an
 experienced professional, and the costs will vary according to the
 difficulty of venting each appliance.
Chapter 2: Testing/Appropriate Follow-up                         25

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                     Important Questions
     Effective and accurate news reporting about radon requires a proper
balance of urgency,  information and  reassurance.  It is  important  for
homeowners to know that radon is a serious environmental health threat.
But it  is just as important for them to know that radon is a manageable
threat that can be handled by individuals who are educated about how to
determine their risk from radon, and how to remedy that risk.

     Questions to consider when preparing stories on radon include  some
obvious ones:   How serious is the radon threat locally?  Have residents
been testing  for  radon?  What are  they  finding?   How soon should
additional testing be done?

     But some questions to consider will require more thoughtful reporting:

          How can  homeowners be informed  about radon without
     being scared off by the specter of lung cancer - and therefore
     never testing their homes?

          Why do homeowners not test - for logistical, financial, or
     emotional reasons? Is there a  rationale to their non-testing?  Or
     is it  something they "just haven't  gotten around to yet"?

          Are there reliable and certified contractors in the state to
     implement the needed long-term  methods to reduce high levels
     of radon - and is it easy  to find them?  Do local universities
     and  laboratories   have  radon  experts  available  to  answer
     questions?

          Has EPA, the  state, or anyone else done  residential or
     school testing?  How extensive was the testing? What were the
     results?  Have schools undertaken radon-reduction activities?

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        Chapter 3
   Reporting on Radon:
Should Radon's Differences
Make it LESS Newsworthy?

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                     Summary
Radon challenges some fundamental assumptions of journalism
in answering the riddle: "What is news?" For journalists, radon
poses  intriguing  challenges  to   conventional  attitudes  on
environmental health reporting.

With  no clear "villains" and  no  "victims," this invisible and
odorless pollutant proves an elusive target, but its status as the
nation's  second  leading cause of lung cancer makes  it an
important  public health  issue   of  interest  to  households
throughout the country.

Radon may be the exception that proves the rule, but like other
issues that make good news, it requires extra effort  The "bad
news" in the radon  story is that  radon causes thousands of
unnecessary lung cancer deaths each year in the U.S. and that
available steps to avoid future deaths are being ignored in many
quarters.  The  "good news"  is  that radon reduction techniques
are readily available and generally economical

An extensive body of scientific evidence from Central Europe and
from  underground mining activities provides human data on
radon's health  effects.  As a result, scientists are "considerably
more certain of the risk estimates for radon" than  they are for
risk estimates based solely or primarily on animal tests.

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                        Chapter 3

                Reporting on Radon:
            Should  Radon's Differences
            Make  It LESS  Newsworthy?
     Radon doesn't fit the usual mold.

     For journalists, one might think that would make it inherently
interesting, man bites dog and all that.

     But it doesn't seem to work that  way.  In fact,  one could
argue that the very things that make  radon and  its  associated
health effects different from other  environmental problems also
make them  somehow less  newsworthy.   Particularly  given  the
health risks associated with radon exposures, it's a  situation that
should give environmental journalists pause.

     Consider some of the factors that set radon apart from other
environmental pollutants.

     For one, radon is a radioactive gas which occurs naturally as
a result  of the radioactive breakdown, or decay, of uranium and
Chapter 3: Radon's Differences
29

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radium  in the soil.  That means there is not the usual 'Villain"
associated with putting the pollutant there in the first place.  It
also means there is no identifiable "deep pockets" on which to fix
blame or assess penalties, no institutional greed that might be tied
to some variation of midnight dumping.

    The pernicious effects of prolonged radon exposures are well-
documented, documented  in fact through extensive radiation and
human  health  studies,  and  not  dependent   on  ambiguous
extrapolations from rats or mice to  humans.  At the same  time,
the effects  - specifically the  increased chances of incurring lung
cancer ~ are manifested only after prolonged exposures and after
long latency periods.   Radon-induced  lung cancers don't appear
over night, but rather over time.

    That means there is a  lot of  time, and a  lot of  complex
variables, before radon-induced lung cancers take hold.

    Radon is different in other ways  that set it  sharply at odds
with the conventional environmental health problems symbolized,
for example, by an oozing 55-gallon drum.  Unlike the pervasive
effects  of urban smog or contaminated aquifers, radon poses
personal risks which  individuals themselves can reliably detect and
measure. If you are at risk of increased lung cancer in your home
because of excessive radon concentrations, it's not terribly hard for
you ... or your readers or viewers  ... to  find that  out.
Measuring  radon concentrations in one's living environment and
then determining, based  on those  measurements, whether the
associated risks are "acceptable" is something within the  reach of
pretty much all of us.

    It's not terribly expensive, and not at all time-consuming or
complex. For $10 or so, most of us can get an early indication of
whether our homes might harbor radon concentrations that would
justify  further analysis or, possibly, fix-up efforts.  The situation
stands  in stark contrast to the kinds of enormous societal  costs
associated,  for instance, with clean-up of hazardous waste sites or
with meeting health-based air quality standards  in smog-ridden
urban areas.

    Humans can't taste, smell, or see radon, but this isn't one of
those cases where what you don't know can't hurt you.  It can. In
fact, as  discussed earlier, radon  exposures  account  for more
incidences of lung cancer  than any other cause except cigarette

30                                          Reporting on Radon

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                      Testing for Radon
     Two interesting characteristics of radon  set it  apart  from other
environmental health risks:

     . .  .  individuals in most cases can easily test  their  own  home
environments to establish the level of radon risk they may face; and

     .. . once concerned that they face unacceptable risks, individuals in
most cases can move effectively to reduce  those radon risks, and they
usually can do so without incurring exorbitant costs and without making
changes in their own lifestyle.

     In effect, radon is a risk that your readers and listeners can evaluate
as it applies to them specifically.  And it is one they can reduce on their
own if they choose to.
smoking, according to the U.S. Surgeon  General's office.  Given
that lung cancers have  an overall fatality rate of 54.1/100,000
population, the public health benefits of reducing radon exposures
are clear.

     While the risks posed by high radon concentrations constitute
the "bad  news," the "good news" lies in the fact that  those  risks
can be controlled  - controlled without imposing huge costs or life-
style  changes along the  lines of reducing personal car  use  or
shifting to alternative fuel supplies.

     The media come in for  their share of criticism  for  "loving
villains."  And there's no  question that a good villain can make for
good news copy.

     At the same time, however,  the public  and the media also
love a good hero. What  makes the radon story so enticing and so
juicy  from a reporter's standpoint is not only that it involves a
significant public health  issue  -- "one of today's most serious
public health issues," according to Dr. Vernon J.  Houk, Assistant
Surgeon General of the U.S. Public Health Service — but also that
the individual risks are manageable and controllable, once the risk
is detected.
Chapter 3: Radon's Differences                                  31

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     Another important element in a good story is evidence.  In
the case of radon-induced lung cancers, the scientific evidence is
as strong as any in the environmental health field.  "From all the
evidence, radon in  the home is the most deadly  environmental
hazard in  America  today,"  says  Robert E.  Yuhnke,  a radon
specialist with the Environmental Defense Fund (EDF), a national
environmental organization.

     Evidence?  What evidence?  It turns out that  as long ago as
the sixteenth century, radon-induced lung cancers are believed to
have plagued miners in Central Europe.  Notwithstanding some
uncertainty  about the  precise levels  of health  risk posed  by
different  radon concentrations  and  exposures,  public  health
specialists  point out that radon  risk  estimates  are based on
scientific studies of human  beings  exposed to radon  in  their
underground mining jobs.  That  obviates the need  to rely on
frequently  more uncertain  extrapolations  from  animal  tests,
although such  tests only  reinforce concerns raised from human
data.

     In the case of radon, more research over time has led to
more consensus.  Studies done by  the U.S. Public Health Service
in the 1960s pointed to a strong correlation between lung cancer
and American underground workers exposed at high radon levels.
American miners exposed to  lower radon  exposures suffered less
lung cancer.

     Based on studies of survivors of the Hiroshima and  Nagasaki
atom bombs and of British patients x-rayed extensively for arthritis
of the spine, it is clear that  radiation produces lung  cancer.  "It
was not a simple matter to relate these exposures to those  from
radon, but this  has now been done," Consumers  Union says in
Radon.

     Writing in  that  book,  University  of Pittsburgh physics
professor Bernard L.  Cohen  explains that "for good  geochemical
reasons," uranium and coal do not occur together.  Coal mines
therefore have very little radon.  They do, however,  have diesel
fumes, dust,  and other possible sources of lung cancer.  "Coal
miners have  high  rates of nearly  every respiratory  disease,
including bronchitis, pneumoconiosis,  and pneumonia.   At one
time  it was thought that they also suffered a high rate of  lung
cancer, but more careful studies have shown conclusively  that lung
cancer incidence among coal  miners is very close to  the national

32                                          Reporting  on Radon

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 average.  This confirms that radon, and  not chemical agents, is
 very  probably the culprit that causes lung  cancer  in  uranium
 miners."

     With  the radon  risk estimates based on  scientific studies of
 miners,  "scientists are considerably  more certain of  the  risk
 estimates for radon than they  are of those risk  estimates which
 rely  solely  on  studies of animals,"   the  U.S.  Environmental
 Protection Agency concludes  in "A Citizen's Guide  to Radon:
 What It Is and What To Do About It."

     Studies   of   sixteenth-century  silver miners in   the  Erz
 Mountains   separating  East   Germany   and  Bohemia  (now
 Czechoslovakia) demonstrate that radon-induced lung cancers  are
 not  just a "new"  problem.    But  residential radon  became a
 significant concern only when Swedish scientists in the 1970s found
 unusually high radon levels in recently built homes.  Builders were
 using concrete with high radium levels.  Further investigations
 identified more  homes with high radon concentrations  resulting
 from naturally occurring radon  in the soil.

     In the western U.S., says the Environmental  Defense Fund,
 high  radon   levels  were  traced   to  construction   materials
 contaminated by uranium mill wastes.   Those ended up being the
 proverbial  tip of the iceberg,  as homes throughout the U.S. --
 many far  from uranium mining  areas -  are believed to  be
 receptacles for naturally occurring radon.

     "Ten years  ago,  no one imagined that such  high levels of
 radon would  be found in so many homes throughout the country,"
 EDF says.
Chapter 3: Radon's Differences                                33

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        Chapter 4
Disputing the Radon Risks

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                     Summary
Like  other environmental  health risks, radon  is not  without
controversy. But the debates over radon generally concern how
much  of a cancer risk  high  radon concentrations pose, not
whether there is a  risk in the first place.

The availability of human data based on studies of underground
miners gives  scientists  more confidence  in  the radon risk
estimates.  Not having to refy solefy or primarily on animal
studies extrapolated  to  humans,  policy  makers feel  more
comfortable in relying on radon risk estimates.

In the scheme of human health risks, radon ranks high among
the environmental risks.  People should no sooner ignore radon
risks than they would other "routine" risks which they regularly
seek to control or minimize.

The  U.S.  EPA  and the  Office  of  the  Surgeon  General
recommend  screening  tests  for   all  houses  for  radon
concentrations.  Critics of that approach favor a targeting  of
suspected high-radon-risk homes, but the difficulty of making
such predictions -  and the relative ease of testing in the first
place - convince EPA that universal testing is a prudent and
effective preventive strategy.

The 4 pCi/l action guideline represents results  from screening
tests designed  to give an earfy indication of a potential radon
concentration  problem.    Many scientists  feel  there  is  no
absolutely safe level of radiation exposure, and they argue for
reducing unnecessary exposures when possible.

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                        Chapter 4

             Disputing  the Radon Risks
     If you  think you  have never met an  environmental  issue
without controversy, and then along came radon .  . .

     . . . think again.

     The radon issue too has its controversy, though the debate
tends to involve not whether high radon readings pose a public
health risk, but rather how  much of a risk they pose, and under
what conditions.

Quantifying  Chronic Health Risks

     Quantifying chronic risks from low-level hazards is notoriously
imprecise.  And in a field fraught with uncertainties, the range of
disagreement over radon's health effects is relatively small.  For
many chemical hazards, risk  estimates  disagree by 100-fold  or
more. For dioxin, for instance, the range is more than 1,000-fold.
Chapter 4: Disputing the Risks
37

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     Why the uncertainty? Because for most hazardous substances
it is hard to get good data  on humans.  Few people have been
exposed  for decades  to  known amounts  of most hazardous
materials, and humans cannot be used as guinea pigs. Instead, the
hazard per  dose  is  usually  estimated from tests  on laboratory
animals.   Typically,  this requires  extrapolation  that  stretches
science to its limits.  When laboratory mice develop nasal tumors
after breathing  formaldehyde vapors  throughout their short lives,
scientists try to deduce how a  human would react  to  barely
detectable levels of  the stuff.  Credible  scientists  can  employ  a
variety of different assumptions in these calculations - with widely
varying results.

     "Scientists  are considerably more certain of the risk estimates
for  radon than they are of those risk estimates which rely solely on
studies  of  animals,"  the  EPA  concludes  in  its  pamphlet,  "A
Citizen's Guide to Radon: What It Is and What to  Do About It."
Although available  animal  studies   support  the  human data
indicating health risks from  radon exposures, it is the availability
and extent of the human data that underlies the strength of the
radon risk estimates.

     Sheldon Krimsky and Alonzo Plough ~ two Tufts University
Center  for  Environmental  Management professors who wrote
Environmental Hazards:  Communicating Risks as a  Social Process
-- agree. "Risk assessments  for  radon exposure carry  a greater
certainty than those  for many other exposures, because extensive
research has been done on the biological effects of radiation," they
say.

 Estimating the Number of Lung Cancer Deaths

     There is controversy over the number of lung cancer cases
attributable  each year to radon.  EPA estimates that some 20,000
lung cancer  deaths in the U.S. each year are attributable to radon
exposures.

     The agency  uses the risk-per-unit-of-exposure assumption
developed by the National Academy of Sciences'  Committee on
Biological Effects of Ionizing  Radiation (BEIR).   However, that
group  itself made no estimate  of the  number of annual lung
cancer deaths because it  believes no definitive data on indoor
radon exposures are available.  The National Council on Radiation
38                                         Reporting on Radon

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 Protection and  Measurements  (NCRP)  --  a  congressionally
 chartered  nongovernmental public service organization charged
 with  advising  on  radiation  protection  measures  ~  in  1984
 estimated  9,000 annual deaths attributable to radon-induced lung
 cancers. It has not made a more recent estimate of radon-induced
 lung cancer deaths.  While less than EPA's current estimate of
 some 20,000 lung cancer deaths annually because of radon, that
 range of estimates is considered normal in health risk assessments.

      Even proponents of lower radon risk-estimates concede that
 radon  risks are  far  higher than  those associated  with most
 environmental health hazards  regulated by EPA.   The  agency
 calculates  that lifetime  exposure to average home radon levels
 (about 1.5 pCi/1) will cause lung cancer in about 3 percent of the
 population.  Radiation researchers Dr. Jonathan M. Samet, with
 the University of New Mexico  Medical  Center, and Anthony  V.
 Nero, Ph.D., a physicist at the University of California, Berkeley,
 see the risk as only one-third that high or less. Nonetheless, they
 write that, "For  average Americans living in houses  with  an
 average radon concentration, the lifetime risk is projected to range
 ... far higher than the estimated risk for  most carcinogenic
 pollutants  that are regulated in outdoor air."

      A February 1987 EPA staff report, "Unfinished Business: A
 Comparative Assessment of Environmental Problems," for instance,
 concluded, based on staffs "professional judgment rather than on
 quantitative methods," that indoor radon and worker exposures  to
 chemicals  rank highest in terms of potential cancer risks.  That
 group  of  EPA  professional  civil  servants  cited  agency data
 indicating  that radon-induced lung cancers greatly outnumbered
 annual cancer cases  caused by 20 different toxic air pollutants.

Fretting over 'Routine' Risks?

     Physicist and radon expert Anthony Nero agrees with the
 characterization of radon as "an important environmental problem"
 and one that poses risks "larger than risks that  the EPA normally
 regulates."   However,  Nero contends that the risk of even high
 radon concentrations  may nonetheless  be  tolerable  to many
 people.*  He has argued, for instance, "while the public routinely

 ^Unpublished letter to the Environmental Health Center outlining Dr. Nero's
 views of "the important  radon issues," June 1989.
Chapter 4: Disputing the Risks                                39

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copes with risks at this level in their personal environments, the
EPA has difficulty.  It may be  frustration with public inattention
that has led the EPA to exaggerate the problem so greatly despite
frequent cautions from the scientific community."*

    "The fact is that the estimated risks from radon - even at
EPA's remedial action guideline of four picocuries - are no larger
than the observable risks  that  we routinely accept by living in
homes or using  our cars or working at our jobs," Nero wrote to
the Environmental Health Center in June 1989.  "In these places,
where we really  spend our time, we  encounter risks that  have
about a 1  percent chance of eventually causing our deaths.  In
contrast, the EPA, in regulating the extent to which industry or
cars pollute the atmosphere or water resources, rightly limits  risks
to much lower levels, even as low as one in a million (instead of
one in a hundred). Considering these contrasts means we have to
develop a practical perspective on risks in the indoor environment,
not simply try  to  fit  into  the  mold  that  is  appropriate for
regulatory matters."**

    EPA Director of Radiation Programs, Richard J. Guimond,
is not convinced by Nero's point that radon risks  parallel those
"routinely accepted" by people.  Guimond, in a June seminar for
journalists  that EHC sponsored as part of this project, countered
that individuals  in their homes and cars routinely take steps to
reduce even Routine" risks.  They install banisters on  stairways,
use seat belts, and install slip-proof stickers in  showers and baths
to prevent  falls.  Guimond  says people don't generally  ignore
"routine" risks, and he thinks  they shouldn't ignore radon  risks
either, given that testing is reliable and generally inexpensive.

Target Worst Radon Homes First?

    Nero, widely recognized as a responsible critic of EPA on
radon issues and one not prone to an "extreme" radiation-is-good-
for-you position,  points  to estimates  that perhaps  50,000  to
100,000  U.S. homes have radon concentrations  exceeding 20
picocuries per liter  of air.  "Addressing  the problem  in these

^Unpublished article entitled "Radon Hysteria," by Anthony V. Nero, Jr.
**Unpublished letter to the Environmental Health Center outlining Dr. Nero's
views of "the important radon issues," June 1989.
40                                          Reporting on Radon

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homes  should  occur first,  and  it  will  permit  us  to  better
understand the issue of risk at lower levels," he writes.  "Ironically,
the  EPA,  because of its  screening  protocol, overestimates  the
number of such houses by about a factor of ten and says that they
deserve immediate follow-up, but still has not focussed its programs
to find them, even though  it is now more than a decade since we
realized such houses occurred in significant numbers."*

     On  that  point,  Guimond counters  that the agency for a
period of years in the early 1980s attempted to target those houses
likely to have the highest radon readings.  But with no scientific
ability to reliably target hot-spot  areas, and  with houses within
single neighborhoods having widely different  radon readings, he
says the approach is unworkable.

Risks for  Smokers vs.  Nonsmokers

     Another aspect of EPA's radon approach that annoys critics
such as Nero is the agency's equating radon levels with numbers
of cigarettes smoked.  The agency often has said, for instance, that
being exposed to a radon concentration of four picocuries per liter
of air over a lifetime exposure of 70 years raises the  lung cancer
risk to that of a person who smokes half a pack of  cigarettes a
day.

     "Often  the risk from radon -  e.g., at the  EPA guideline  -- is
compared in inappropriate ways with smoking, exaggerating the
level of risk," Nero writes.   "This is  truly ironic since the risks
usually  cited  don't  even  apply  to most people, but only to
smokers!  We really need a better way of  conveying information
on risk, just as we need to  focus efforts that genuinely cause high
exposures and risks."**

     Some critics suggest that EPA's averaged risk estimates for all
exposed individuals distort  the risks for non-smokers because the
risks from radon are so much higher for smokers.  Many scientists
believe that smoking  doesn't just add to the  risk  from radon, it
multiplies it.
^Unpublished letter to the Environmental Health Center outlining Dr. Nero's
views of "the important radon issues," June 1989.
**See note above.
Chapter 4: Disputing the Risks                                 41

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           Dispelling Popular Misconceptions


     Reporters can help dispel some of the popular myths that researchers
say surround the radon issue.  For instance:

     Some people believe that radon builds incessantly up over time and
that repairs therefore get increasingly difficult and expensive. In fact, once
paths of entry into a home are closed, the risk is reduced.

     Some people believe that radon contamination in their home can lead
to radiation contamination of other things, such as carpets, furniture and
utensils. They fear that finding high radon concentrations may force them
to replace household goods. Such fear prevents some people from testing
in the first place. There's absolutely no basis for these concerns.

     Other  people  believe  that  radon  is  isolated  to  relatively  few
geographical  "hot spots."  In fact, naturally occurring radon Is ubiquitous,
and high concentrations have been found throughout most of the country.

     Some people take mistaken comfort in learning that a neighbor's
house or neighbors' houses have had low radon readings.  In fact, a low
radon reading right next door does not necessarily guarantee a low reading
in one's own home.  On the other hand, the incidence of numerous high
radon readings in a community should heighten a homeowner's commitment
to individual  testing.
     The  risk  of lung cancer  for  a smoker  compared with  a
nonsmoker is  increased approximately  ten-fold on average  but
reaches  twenty-fold  or higher  in  heavier smokers," writes  Dr.
Samet.  Most experts contend that exposure risks for non-smokers
are sharply lower than EPA calculations suggest.   "I'm  not sure
public policy should be based on what the risk to the smoker is,"
says William Mills, a former EPA official who is senior technical
advisor for Oak Ridge Associated Universities in Washington, D.C.

     EPA  public health experts say that nonsmokers are just as
entitled  to  protection  against incrementally smaller increases in
lung cancer risks as smokers are to the larger increased risks that
can  result  from  the  combination of smoking and  high radon
concentrations.   They point out, for instance, that nonsmokers
generally tend  to be  somewhat  more  risk-averse  overall than
smokers.  They say that nonsmokers  therefore  may feel  more
strongly  about avoiding smaller increased health risks than smokers
do about accepting incrementally larger  increases in health risks.


42                                            Reporting on Radon

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     Some people believe that radon poses no particular public health risk
 to non-smokers, but rather only to smokers. The fact is that smokers are
 especially at risk from high radon concentrations because  the increased
 particulates in  the air provide  radon a free ride into sensitive lung areas.
 But nonsmokers also are at increased risk of incurring lung cancer from
 radon. One thing for sure: High radon concentrations and smoking are a
 risky combination.

     Some people take a "Why test?" approach to radon. Considering that
 the costs of radon testing compare with the costs of installing smoke alarms
 - another common preventive health care tool - perhaps a "Why not test?"
 attitude makes more sense in most cases.

     As with all health risks, some people adopt an "It can't happen to me"
 approach to radon.  But it can. Those people might not think twice before
 wearing seat belts or installing  a banister down the basement steps.  Why
 not take similar precautions in reducing a risk which  could lead  to their
 developing lung cancer down the road?

     Do some people think they can tell whether their home has  unusual
 radon concentrations without first testing for radon? Apparently. Scientists
 say there's no way:  Testing is  the only way of knowing what one's radon
 level is.
     Furthermore, EPA officials point out that legislation covering
public  health  issues  often  calls  for  protection  of  "sensitive
populations,"   that   is   population   groups  with   particular
vulnerabilities  to  environmental insults.   If those  population
groups in the  case  of radon include smokers,  one  might ask,
shouldn't public  policy  be aimed  at  protecting  those  sensitive
groups?

Is EPA  Being Overly Cautious?

     Nero is not alone in his criticisms of EPA for its  handling of
the radon risk  issue.   Some of the  most  stinging criticisms have
come from physics professor Bernard L. Cohen, of the University
of Pittsburgh.  Cohen says he thinks the agency  is being overly
cautious in recommending possible renovation of radon problems
in millions of U.S. homes which, he  says, do not need  their actual
radon  levels  reduced.
Chapter 4: Disputing the Risks                                  43

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     Cohen thinks radon public policy should not be premised on
 an assumption that there is no radiation threshold below which no
 danger exists.   In effect, Cohen is raising the issue of whether
 there exists a threshold below which exposure to radiation poses
 no risk.

     There doesn't seem to be any doubt that radon is by far the
 most dangerous radiation danger most of us face," Cohen told the
 American Chemical Society's annual meeting in September 1988.
 "But if it turns out that radon is harmless below a certain level,
 then we should probably stop worrying about the very much lower
 risks created by  fallout from  the Chernobyl reactor accident,
 medical x-rays, reactor gas leaks, and so on."

     The point here is a critical one.  Note the phrase:  "... if
 it turns out  that radon is harmless below a certain  level . . .  ."
 The issue here is whether one can assume, from the standpoint of
 public safety, a threshold below which radiation exposures present
 no risk to human health.   The accepted approach with many
 carcinogens,  for instance, is to assume  no threshold  below which
 exposure will  not lead to an increased risk of cancer.  Many
 scientists apply this same zero-risk threshold philosophy also to
 radioactivity.    The  issue  of whether  a threshold  exists  for
 radioactivity is one likely to remain unresolved for years to come,
 and perhaps  indefinitely, as  scientists and public health policy
 officials seek to address uncertainties.

. . . Or is the Agency Leaving People at  Risk?

     While EPA has its radon critics who contend that the agency
 is over-estimating risks, it likewise has critics who say it is doing
 too little to protect against  radon-induced lung cancers.  In its
 citizens' guide to  radon, for instance, the Environmental Defense
 Fund says "cancer specialists  believe that there is  no known safe
 level of exposure to  radon   or any  other cancer-causing agent.
 Rather, there is  a  dose/disease relationship, wherein  even  the
 smallest exposure adds to the risk of disease."*
 *Radon: The Citizens' Guide, Environmental Defense Fund, 1987.
 44                                          Reporting on Radon

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     EPA "recommends that remedial action be taken  to reduce
 exposure onty when radon  concentrations exceed 4 pCi/1," EDF
 writes, arguing that such an  approach in effect tells the public that
 a 4 pCi/1 level  is "safe."

     "The Environmental Defense Fund believes that the cancer
 threat at 4 pCi/1 is much too high, and that EPA is misleading the
 public  into  believing  that  dangerously high  levels  of  radon
 exposure are safe.  The EPA standard is not safe."  (emphases in
 original)
Chapter 4: Disputing the Risks                                45

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                    Radon  Story Ideas  . . .
     Radon is a great first-day story, but some reporters find it
challenging to find good follow-ups.  Here are some ideas:

•    Tap into state radiation, radon, and public health agencies to try
     to identify local radon "hot spots."

•    Have local schools tested for radon, as recommended  by the
     federal government?  If so, what have they found?  Have they
     found  high  radon concentrations  but, for  whatever reasons,
     chosen not to make repairs?  Why?

•    Consider having your newspaper or TV/radio station conduct its
     own short-term tests  at particular sites in your community.

•    How is business for  local radon remediation  firms?  How do
     citizens choose reputable companies? How much do repairs cost
     in your community?

•    Most homeowners aren't testing for radon - ask several dozen
     local residents why. Do they wear auto seat belts and  pre-wash
     their vegetables prior  to cooking them? Are they smoking, rock-
     climbing, sky-diving adventurers  in pursuit of risk?   Are they
     aware of radon risks? Do they care?

•    Profile a radon-reduction contractor.  What is that contractor's
     "day in the life"?

•    Fraud  watch:  Are con artists promoting radon tests in  your
     community with mayonnaise jars and fly-by-night fixups?

•    Real  estate:   What  are agents  and  brokers doing in  your
     community when it  comes  to  property sales?  Are radon
     contingency clauses being added  to home sale contracts?  Are
     developers adopting  radon-proofing measures  in  their  new
     buildings?

•    Check your local area to see if schools are teaching radon testing
     and reduction procedures.   (U.S. EPA sponsors some  such
     schools throughout the country, for instance.)

•    Profile a  homeowner who has tested  a residence  and  made
     improvements to reduce radon risks. Interview  the neighbors.

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                Radon Questions and Answers
 What is radon?

 Radon is a colorless and odorless radioactive gas that occurs naturally in
 rocks and soils and in  underground water supplies and outdoor  air.   It
 occurs at varying levels  throughout the U.S.
Does radon pose health risks only in select geographical "hot spots"?

That was once   thought  to  be  the  case,  based  on high  uranium
concentrations  in  former mining  sites.   In the mid-1980s, however,  it
became clear that naturally occurring  radon also posed  significant  public
health risks, and that the risks exist far and wide, well beyond recognized
"hot spots" such as the Reading Prong in  Pennsylvania,  New Jersey, and
New York.  The effect of this realization was to transform the radon issue
immediately into a national problem, one requiring a coordinated national
approach.
Are the health risks posed by natural radon any more or less serious than
those posed by radon resulting from activities such  as underground mining?

The human body doesn't distinguish between  natural and technological, or
anthropomorphic, radiation.  A dose of one has the same effect as an equal
dose of the other.  The real public health significance  is that potentially
harmful concentrations of naturally occurring radon are ubiquitous:  Radon
levels comparable to those found in underground mines have been reported
in residences in the U.S.  Preventive health care strategies must confront
the radon issue on that basis.
What does EPA mean when it refers to a "screening measurement"?

EPA has recommended that  individuals living below  the  third floor of
buildings conduct  short-term radon  tests so they will  have a "screening
measurement" that provides an indication of the highest radon level likely
to be  found in  their home.  A radon screening level above the four-
picocurie-per-liter guideline suggests more extensive follow-up measurements
Questions & Answers                                              47

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are desirable. Below that level, the individual is less likely to find an annual
average radon  concentration that would warrant concern  or immediate
follow-up  actions.
Radon is identified as the second leading cause of lung cancers, behind
smoking.  Are there other health effects identified with radon exposures?

An increased risk of developing lung cancer is the only known health effect
associated with exposures to elevated  radon levels.  Generally fatal,  lung
cancer is the fastest-growing cause of cancer deaths in the U.S.
What exactly is meant when people refer to radon's "daughters"?

When radioactive materials decay, they give  birth to new radionuclides.
Radon  is one of the offspring of  uranium, through  a series of decay
processes that occur over thousands of years.   But radon is not  the last
step in  that decay process.  As radon itself decays, it gives rise to its own
"daughters" (also referred to as "progeny" or "decay products").  The radon
decay products of greatest concern from the standpoint of lung cancer are
polonium-214 and -218,  because these decay in the lungs and emit alpha
panicles which can damage  genetic materials (DNA) in the cells.
Is the federal government recommending that all residences in the  United
States test for radon, even where there are no signs of high concentrations in
a neighborhood?

Precisely because one cannot predict whether a  particular residence in a
neighborhood will have a high radon concentration, EPA has suggested that
most homeowners should test for radon. Reliable and economical  testing
procedures  make  such tests a  sound  insurance  policy for  homeowners
wanting to manage their own potential cancer risks.
Is a concentration of four picocuries per liter of air *safe"? Is five picocuries
and more considered unsafe?

It just isn't that simple.  The concept of "safety" is relevant, and some
individuals will feel comfortable with their cancer risks at a level that would
make others uncomfortable.  The "beauty" of the radon issue - and what
distinguishes it from so many other environmental health issues - is that
individuals can  detect and control their own cancer risks.   There  are
proponents  of both a  higher and a  lower  radon  action level, but  the
government's public health experts recommend reducing radon  levels as
much as is practical.  EPA believes most homeowners will find it practical
to reduce radon to less than four picocuries  per liter of air.
48                                               Reporting on Radon

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 Isn't it unrealistic for EPA's risk assessments to assume exposures at radon
 concentrations over a 70-year life span?

 EPA's risk estimates assume a person will be exposed to the radon level
 found in the home for roughly 70 years and that the individual will spend
 75 percent of his or her time in  the home.  Persons should take those
 assumptions into consideration in assessing their personal risks, keeping in
 mind  that former or future residences  may  have lower, comparable  or
 higher radon levels than those  found in the current home.
Is EPA attempting to impose radon testing and removal costs on the non-
smoking population  based on risk figures that apply more accurately to
smokers?

Both smokers and  nonsmokers  are at increased  risk of contracting lung
cancer  as a  result  of  prolonged exposures  to  elevated  radon  levels.
Stopping smoking and discouraging smoking in homes with elevated radon
levels will help reduce a family's overall chance  of contracting lung cancer.
Because many nonsmokers are  more "risk-averse1' than smokers  overall,
nonsmokers frequently want to protect themselves against the incrementally
smaller increased risks of developing lung cancer.
Given that EPA's own radon risk assessments are based on 70-year exposures,
why is the agency concerned about risk exposures in schools, where exposure
durations certainly will be much shoner?

Preliminary EPA screening test data from 130 schools nationwide indicate
that elevated  radon levels  in  schools may be at least as common as in
private residences.  Children are more sensitive  to  radon exposures than
adults, because their lungs  are smaller and they frequently breathe in and
out more rapidly.  In addition, children have a higher cumulative risk over
time.  For these reasons, EPA's radon guidance takes a "more cautious
approach" for schools than for private residences.
How  do  health  risks posed  by  radon exposures compare  with  other
environmental health risks regulated by EPA?

Even  in the lower end of various estimates of annual lung cancer deaths in
the U.S.,  radon  exposures  account  for  more fatalities  than  other
environmental pollutants  overseen by EPA.
Questions & Answers                                              49

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                                                          rs
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                                                    401  M  ST..  ;    ~   " .;
                                                    I '  Q I                -'   '' - J
Does the presence of neighboring houses with high raa<5n concentrations   ,  rP
mean that  a nearby house also will have high readings?  Do low radon
concentrations throughout the neighborhood mean a house will likely not
have a problem?

Having a  neighbor whose  house tested below four pCi/1 for radon is no
guarantee that your house will test similarly.  Differences in pathways under
the  house  and  through  the  foundation  make  such   assumptions
inappropriate.  On the other hand, a concentration of high radon readings
in  the  neighborhood  should  prompt  homeowners  to  move  more
expeditiously on testing their own homes.  In that case too, however, high
readings in a neighboring home do not necessarily mean a separate home
also will test high.
What are the  scientific  bases  for the lung cancer  concerns which  the
Environmental  Protection Agency and the  Office of the Surgeon General
attribute to radon exposures?

As with all pollutants, there is  some uncertainty in estimating health risks
associated with radon. On the  other hand, radon risk estimates are  based
on scientific studies of miners exposed to different levels of radon in their
underground work.    Because  the risk  estimates  do  not have  to be
extrapolated from animal tests, scientists are considerably more certain of
radon  risk estimates  than they are of estimates  based solely on animal
studies. In the case of radon, available animal tests substantiate the human
health  data  indicating increased incidences of lung cancers as a result of
radon exposures.
Does radon pose particular health risks for the elderly?

The long latency period for the onset of lung cancer generally exceeds the
life expectancy of an elderly person in any  event.  At the same time, high
radon concentrations would remain a concern for other family members in
the home.
Aren't radon testing kits inaccurate?  And don't they therefore give inaccurate
radon risk readings?

The precise accuracy of radon test kits should not pose significant concerns
for individuals fearful of exposure  to elevated radon levels.   Responsible
test  kits,  when used as  directed,  provide reliable indications  of radon
concentrations over the time the kits are used.
50                                               Reporting on  Radon

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 When should short-term screening tests be conducted?  Does time of year
 matter?

 Winter  screening tests are most effective because the larger  differential
 between outdoor and indoor pressure is likely to lead to higher entry of
 radon   into a  house  than  would  occur  when  indoor  and  outdoor
 temperatures are closer.  Because screening  tests are designed  to indicate
 potential peak concentrations, cold-weather readings are generally preferable
 to summer screening measurements.  At the same time, it is important to
 emphasize that a  reading during any one season of the year will provide a
 measure for just that season, and not for a full year.  Short-term readings
 are most helpful when complemented by long-term  readings.  This issue is
 of particular importance in real estate transactions, given the large number
 of home  sales  conducted in summer months, when short-term  readings
 might lead to inconclusive results.   Summer radon readings typically  are
 lower than those  taken in the winter.
Should I sell my house if it has a high radon concentration? Should I refuse
to buy a new house with a radon problem?

Would you sell your house because it doesn't currently have smoke alarms?
Or because it needs new roofing?  Would you refuse to buy a new home
based solely on those criteria? Again: the "beauty" of the dilemma we face
with radon is that the problem, if there  is one for a particular residence, is
eminently fixable, and usually for fairly  reasonable costs.
Why should I spend more for a long-term test that takes a longer time before
giving me results than I would for a short-term test, which not only costs less
but which also provides results within a week of start-up?

The long-term radon  test kits take into consideration seasonal  variations,
which can  be substantial.  The  less expensive short-term kits provide an
excellent indicator of whether a more expensive long-term test  will be
warranted, but the short-term   kits  are  no substitute  for  a  long-term
measurement in those instances where elevated readings are  indicated on
the short-term test. Unless an extremely elevated level were found by the
screening  measurement ~  for  instance,  a level  of 200  pCi/1 ~ quick
confirmatory measurements would be a prudent next step.
What radon testing device will give me the most reliable results?

Most radon test kits are accurate and reliable for the purposes for which
they are marketed. However, because  long-term average exposures are
important, the long-term measurement devices provide the most reliable
radon readings economically available., . ,
                          Material belongs to:
                          Office of Toxic Substances Library  ^
Questions & Answers      U.S. Lnv;;^n;nental Protection  AgEticy
                          40! V v-    . .SAV.TS-793
                          Wash!*- .     ,:,.C. 20460
                          (202;  3c-2--y-14

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What steps might be taken to prevent development of a radon problem in new
homes?

A number of cost-effective steps can be taken in new home construction to
help ensure against  elevated radon  concentrations.   Sealing basement
foundations and cinder block walls and junctures between the slab and the
walls  will help prevent  radon from entering  into  homes. Additional
information  on this  subject is available from EPA's Radon Reduction
Methods: A Homeowner's Guide, available from state radiation protection
offices and from EPA regional offices.  In addition, EPA and the National
Association of Home Builders Research Foundation, Inc., have collaborated
on publication of Radon Reduction in New Construction: An Interim Guide.
The report (OPA-87-009, August 1987) is available from  the EPA Office
of Air and Radiation in Washington, D.C
Is radon a problem in drinking water supplies, or onfy in household air?

Radon can enter water and be released into residences when faucets are
turned on or when appliances such as washers are used. Generally,  radon
is less of a concern with public drinking water systems, where the  radon
likely is released to outdoor air  before reaching the home faucets. EPA is
working  to develop a  drinking  water standard  to  set  a  maximum
contaminant level  for radon.
52                                              Reporting on Radon

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                   Sources of Information
EPA Regional Offices

617/565-3231   Region 1 (Office located in Boston MA)

               Connecticut
               Maine
               Massachusetts
               New Hampshire
               Rhode Island
               Vermont

212/264-2515   Region 2 (Office located in New York NY)

               New Jersey
               New York

215/597-8320   Region 3 (Office located in Philadelphia PA)

               Delaware
               District of Columbia
               Maryland
               Pennsylvania
               Virginia
               West Virginia

404/347-3907   Region  4 (Office located in Atlanta GA)

               Alabama
               Florida
               Georgia
               Kentucky
               Mississippi
               North Carolina
               South Carolina

312/353-2205   Region 5 (Office located in Chicago IL)

               Illinois
Sources
53

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               Indiana
               Michigan
               Minnesota
               Ohio
               Wisconsin

214/655-7208    Region 6 (Office located in Dallas TX)

               Arkansas
               Louisiana
               New Mexico
               Oklahoma
               Texas

913/236-2893    Region 7 (Office located in Kansas City KS)

               Iowa
               Kansas
               Missouri
               Nebraska

303/293-1709    Region 8 (Office located in Denver CO)

               Colorado
               Montana
               North Dakota
               South Dakota
               Utah
               Wyoming

415/744-1530    Region 9 (Office located in San Francisco CA)

               Arizona
               California
               Hawaii
               Nevada

206/442-7660    Region 10 (Office located in Seattle WA)
                               -•

               Alaska
               Idaho
               Oregon
               Washington

State Agencies Providing Radon Information

205/261-5315    Alabama
907/465-3019    Alaska
54
Reporting on Radon

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602/255-4845
501/661-2301
415/540-2134
303/331-4812
203/566-3122
302/736-4731
202/727-7728
904/488-1525

404/894-6644
808/548-4383
208/334-5927
217/786-6384

317/638-0153

515/281-7781
913/296-1560
502/564-3700
504/925-4518
207/289-3826
301/631-3300
413/586-7525

517/335-8190
612/623-5348
601/354-6657
314/751-6083

406/444-3671
402/471-2168
702/885-5394
603/271-4674
609/987-6402

505/827-2940
518/458-6450

919/733-4283
701/224-2348
614/644-2727

405/271-5221
503/229-5797
717/787-2480

809/767-3563
401/277-2438
Arizona
Arkansas
California
Colorado
Connecticut
Delaware (or 800/554-4636)
District of Columbia
Florida (or 800/543-8279 for
consumer inquiries onfy)
Georgia
Hawaii
Idaho
Dlinois (or 217/786-6399
for publications)
Indiana (or 800/272-9723
in state)
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland (or 800/872-3666)
Massachusetts (or in Boston,
617/727-6214)
Michigan
Minnesota
Mississippi
Missouri (or 800/669-7236
in state)
Montana
Nebraska
Nevada
New Hampshire
New Jersey (or 800/648-
0394 in state)
New Mexico
New York (or 800/458-1158
in state)
North Carolina
North Dakota
Ohio  (or 800/523-4439
in state)
Oklahoma
Oregon
Pennsylvania (or 800/23-RADON
in state)
Puerto Rico
Rhode Island
Sources
                                                  55

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803/734-4700

605/773-3153
615/741-4634
512/835-7000
801/538-6734
802/828-2886
804/786-5932

206/586-3303

304/348-3526
608/273-5180
3007/777-6015
South Carolina (or
803/734-4631)
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia (or 800/468-0138
in state)
Washington (or 800/323-9727
in state)
West Virginia (or 304/348-3427)
Wisconsin
Wyoming
                                                 Reporting on Radon

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                              Glossary
      The  field of radiation  and  radon have  an  extensive vocabulary,
 complete with its own set of technicalese and jargon. This abridged glossary
 includes just  a  few of the  key  terms reporters  must  understand  to
 communicate meaningfully on radon as a public health issue.

Acute Effect - An effect that becomes apparent after  a one-time or brief
 exposure rather than being manifested ortfy long after exposure.

Alpha Particles -- An energized particle made up of two protons and two
 neutrons  that  is  ejected from  from a   radioactive  atom.    It  is
 indistinguishable from a  helium atom nucleus.

Beta Radiation -- A negatively charged subatomic particle (electron) emitted
 from a  nucleus during some types of radioactive decay.

 Chronic Effect  - An  effect that  becomes apparent only some time after
 exposure, as opposed to an acute  effect, which develops with a one-time or
 short-term exposure.

 Curie - A unit quantity of a radioactive nuclide equal to 3.7  X
 disintegrations per second.

Decay Product - Radioactive materials  degrade to  give rise  to  decay
 products, often referred to informally as "daughters" or "progeny." The
 radon decay products of most  concern from a public  health standpoint are
polonium-214 and polonium-218.

Gamma Radiation - Short-wave electromagnetic radiation.

Half-Life - The time required  for half the atoms of a  radioactive substance
present  at  the beginning to be disintegrated.  For instance,  beginning with
 100 units, there would be 50 units not disintegrated at  the end of the first
half-life, 25 at the end of the second, and so forth.

Indoor Radon Abatement Act  - Passed in  1988 as Title HI  of the Toxic
Substances Control Act, this law establishes as a national goal - but  not as
a requirement - that air within buildings "should be as free of radon  as the
ambient air outside of buildings." The law mandates development of  model
construction codes for controlling radon in new buildings; directs EPA to

Glossary                                                         57

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help states establish a radon information clearinghouse and provide states
technical assistance; and authorizes $10 million annually for grants to states
to develop and initiate radon assessment and  mitigation programs.   In
addition, the law directs  EPA to study radon  contamination in  schools,
provide grants to colleges to establish radon training centers, and report to
Congress by October 1, 1990, on radon in federal buildings.

Picocurie - A curie is a standard measurement for radioactivity, specifically
the rate  of decay for a gram of radium -- 37 billion decays per second.  A
picocurie (pCi) is one millionth of one-millionth of a  curie.
Polonium -- A radioactive metallic element that  occurs in pitchblende and
other uranium-containing ores.

Radium -- A highly radioactive white shining element found in pitchblende,
carnotite, and other uranium-containing minerals.  It  emits alpha particles
and gamma rays to form  radon.

Radon -- An odorless, tasteless and invisible radioactive gas which occurs
naturally in rocks and soils as a breakdown product of uranium. It is found
in high concentrations in soils and rocks containing uranium, granite, shale,
phosphate, and pitchblende, but it also is found  in soils contaminated with
certain industrial wastes (those from uranium or phosphate mining) and in
underground water supplies.

Reading Prong - A geographical area stretching throughout  Pennsylvania,
New Jersey, and New York known to have a high number of homes with
high radon concentrations.

Working Level - A working level, derived from safety and health regulations
covering mining, is a measurement of radon decay products, rather than of
radon itself.  Roughly, one  picocurie per liter of radon gas is the same as
0.005 working  levels.  So one working level (WL) is equal to about 200
picocuries of radon gas.  The term  itself generally is  used less often than
picocuries as a unit of measure.
58                                               Reporting on Radon

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      Established in 1988, the Environmental Health Center (EHC), a
division  of  the National  Safety  Council, operates  as  a  not-for-profit,
nongovernmental public service organization.  In this capacity, the EHC is
charged with helping diverse sectors of society better focus limited resources
on the numerous environmental challenges which pose significant risk to the
health and safety of its people and, therefore,  to society overall.

      The Environmental Health Center, through its projects and activities,
strives to promote a broader  understanding  of complex environmental
issues. The Center takes no "sides," except to support sound and workable
environmental policies. Working with a broad  range of public and private
sector organizations, print and electronic media, citizen interest groups, and
academic organizations, the Center assists  in developing and implementing
policies aimed at recognized public health  risks.

      The National Safety Council's EHC fosters improved communications
not only  among those professionally engaged in environmental protection
and resource management, but  also -- and most importantly -- among the
public at large.
                   National
                   Safety
                   Council

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