United Stales Office of Radiation and Indoor Air September 2008 Environmental Protection Agency Radiation Protection Division (6608J) EPA 402-F-08-009 Radiological Emergency Response PROTECTIVE ACTION GUIDES (PAGs) ------- What are PAGs? The Protective Action Guides or PAGs are decision levels to help state and local authorities make radiation protection decisions during emergencies. More specifically, they are the projected radiation doses at which specific action may be warranted in order to reduce or avoid that dose. The Environmental Protection Agency (EPA) developed the PAGs to provide guidance on actions to protect the public during a radiological emergency, as mandated by the Atomic Energy Act, Federal Emergency Management Agency (FEMA) regulations, and the National Response Framework. The PAGs Manual was last issued by EPA in 1992. A revision is underway that updates several key areas. It also incorporates the guidance issued by FEMA for dealing with long-term site restoration following a major radiological release. For specifics, see "Planning Guidance for Protection and Recovery following Radiological Dispersal Device (RDD) and Improvised Nuclear Device (IND) Incidents" (August 1,2008). How were the PAGs developed? A multi-agency federal working group applied these three principles when they developed the PAGs: 1. Prevent acute effects, 2. Reduce risk of chronic effects, and 3. Require optimization to balance protection with other important factors and ensure that actions taken cause more benefit than harm. When would PAGs be used? While the PAGs were originally developed specifically for nuclear power plant incidents, they can be applied to any radiological incident with the exception of nuclear war. However, the PAGs are only guidance. State and local officials may decide to use different levels based on incident-specific information. Who needs PAGs? EPA conducted a symposium in 1992 to evaluate the PAGs for radiological or nuclear incidents other than nuclear power plant accidents. That symposium, as well as a 2003 Department of Homeland Security working group, concluded that the PAGs could be applied to almost any radiological or nuclear incident, including dirty bombs. Therefore, PAGs users may include hazardous materials teams, emergency managers, and anyone working on terrorism preparedness, in addition to nuclear power plant preparedness communities. ------- How would the PAGs be used? Guidance was developed for the three phases of a nuclear incident: • Early or Emergency Phase This is the period, lasting hours to days, when immediate decisions are needed for effective use of protective actions. • Intermediate Phase This period, lasting weeks to months, begins after the source and releases have been brought under control, and reliable environmental measurements are available for use as a basis for decisions on additional protective actions. • Late or Recovery Phase This period, lasting months to years, is no longer a response to an emergency and is better viewed in terms of the objectives of site restoration and cleanup. What is changing in the new PAGs revision? The proposed revision provides several key updates: • It includes updated FDA guidance, "Accidental Radioactive Contamination of Human Food and Animal Feeds: Recommendations for State and Local Agencies," which was published in 1998. • It lowers the projected thyroid dose for administration of stable iodine based on data from the Chernobyl accident. • It provides new guidance concerning the consumption of drinking water during and after a radiological emergency. • It updates the dosimetry basis to current international guidance for all derived response levels and dose conversion factors. • It clarifies the use of the 1992 protective action guides and protective actions for incidents other than nuclear power plant accidents. • It includes guidance for dealing with long-term site restoration following a major radiological release, based on FEMA's guidance for radiological dispersal device (RDD) or improvised nuclear device (IND) recovery, which was developed by a multi-agency working group that included EPA. ------- Exposure Pathways and Protective Actions These are examples of exposure routes and various protective actions. The phases are not set timeframes and protective actions may overlap more than one phase. POTENTIAL EXPOSURE PATHWAYS INCIDENT PHASES 1. External radiation from facility 2. External radiation from plume 3. Inhalation of activity in plume 4. Contamination of skin and clothes 5. External radiation from ground deposition of activity 6 Ingestion of contaminated food, water 7 Inhalation of re-suspended activity PROTECTIVE ACTIONS 1. Sheltering, evacuation, control of access 2. Sheltering, evacuation, control of access 3. Sheltering, administration of stable iodine. evacuation, control of access 4. Sheltering, evacuation, decontamination of persons 5. Evacuation, relocation, decontamination of land and property 6. Food and water controls 7. Relocation, decontamination of land and property What are the Emergency PAGs? NOTE: Please refer to the 1992 Manual of Protective Action Guides and Protective Actions for Nuclear Incidents, available at www.epa.gov/radiation/rert/pags.html, before using any of these PAGs. INCIDENT PHASES EARLY OR EMERGENCY INTERMEDIATE LATE OR RECOVERY PROTECTIVE ACTION RECOMMENDATIONS Sheltering-in-place of the public Evacuation of the public Administration of potassium iodide (for radioiodine releases only) Limit worker exposure Relocation of the public Food, drinking water interdiction Limit worker exposure Final site cleanup and restoration PROTECTIVE ACTION GUIDES 1 to 5 rem projected dose 1 to 5 rem projected dose 5 rem projected child thyroid dose 5 rem (or greater under exceptional circumstances) 2 rem projected dose first year; Subsequent years, 0.5 rem projected dose 0.5 rem projected dose 5 rem Site-specific optimization For questions or additional information contact Sara DeCair by phone at 202-343-9713 or by e-mail at decair.sara@epa.gov. ------- |