Two error components model for measurement error: application to radon in homes

In this paper, a simple model for analysing variability in radon concentrations in homes is tested. The approach used here involves two error components, representing additive and multiplicative errors, together with variation between-houses. We use a Bayesian approach for our analysis and apply this model to two datasets of repeat radon measurements in homes; one based on 3-month long measurements for which the original measurements were close to the current UK Radon Action Level (200 Bq m⁻³), and the other based on 6-month measurement data (from regional and national surveys), for which the original measurements cover a wide range of radon concentrations, down to very low levels. The model with two error components provides a better fit to these datasets than does a model based on solely multiplicative errors.     

The cost effectiveness of radon reduction programmes in domestic housing in England and Wales: The impact of improved radon mapping and housing trends

In the UK, excessive levels of radon gas have been detected in domestic housing. Areas where 1% of existing homes were found to be over the Action Level of 200 Bq · m^− 3 were declared to be Radon Affected Areas. Building Regulations have been introduced which require that, for areas where between 3% and 10% of existing houses are above the Action Level, new homes should be built with basic radon protection using a membrane, and that, where 10% or more of existing homes exceed this level, new homes should be built with full radon protection.Initially these affected areas followed administrative boundaries, known as Counties. However, with increasing numbers of measurements of radon levels in domestic homes recorded in the national database, these areas have been successively refined into smaller units – 5 km grid squares in 1999, down to 1 km grid squares in 2007.One result is the identification of small areas with raised radon levels within regions where previously no problem had been identified. In addition, some parts of areas that were previously considered radon affected are now considered low, or no, risk. Our analysis suggests that the net result of improved mapping is to increase the number of affected houses. Further, the process is more complex for local builders, and inspectors, who need to work out whether radon protection in new homes is appropriate.Our group has assessed the cost-effectiveness of radon remediation programmes, and has applied this analysis to consider the cost-effectiveness of providing radon protection in both new and existing homes. This includes modelling the potential failure rate of membranes, and whether testing radon levels in new homes is appropriate. The analysis concludes that it is more cost effective to provide targeted radon protection in high radon areas, although this introduces more complexity.The paper also considers the trend in housing to a greater proportion of apartments, the regional variations in types of housing and the decreasing average number of occupants in each dwelling, and concludes that data and methods are now available to respond to the health risks of radon at a local level, in keeping with a general initiative to prioritise responses to health and social welfare issues at a more local level.     

The costs and benefits of radon remediation programmes in existing homes: case study of action level selection

Radon gas can be present within buildings at sufficiently high levels that it becomes a health risk. Such levels can be reduced, and so radon remediation programmes in the home in UK Affected Areas should result in reduced risks to the population. This paper considers the benefits and costs of the domestic radon remediation programme in Northamptonshire, UK, and considers the implications of the choice of Action Level, in view of the adoption of different levels in many countries. A programme with a higher Action Level will cost less, and target those most at risk, but will be less cost effective. In addition, a higher Action Level leaves a higher residual dose and risk to the remaining population. Such doses are higher than and inconsistent with the radiation dose limits for the general public in the EU Basic Standards Directive.     

Radon mitigation in domestic properties and its health implications--a comparison between during-construction and post-construction radon reduction

Although United Kingdom (UK) Building Regulations applicable to houses constructed since 1992 in Radon Affected Areas address the health issues arising from the presence of radon in domestic properties and specify the installation of radon-mitigation measures during construction, no legislative requirement currently exists for monitoring the effectiveness of such remediation once construction is completed and the houses are occupied. To assess the relative effectiveness of During-Construction radon reduction and Post-Construction remediation, radon concentration data from houses constructed before and after 1992 in Northamptonshire, UK, a designated Radon Affected Area, was analysed. Post-Construction remediation of 73 pre-1992 houses using conventional fan-assisted sump technology proved to be extremely effective, with radon concentrations reduced to the Action Level, or below, in all cases. Of 64 houses constructed since 1992 in a well-defined geographical area, and known to have had radon-barrier membranes installed during construction, 11% exhibited radon concentrations in excess of the Action Level. This compares with the estimated average for all houses in the same area of 17%, suggesting that, in some 60% of the houses surveyed, installation of a membrane has not resulted in reduction of mean annual radon concentrations to below the Action Level. Detailed comparison of the two data sets reveals marked differences in the degree of mitigation achieved by remediation. There is therefore an ongoing need for research to resolve definitively the issue of radon mitigation and to define truly effective anti-radon measures, readily installed in domestic properties at the time of construction. It is therefore recommended that mandatory testing be introduced for all new houses in Radon Affected Areas.     

Lung-cancer reduction from smoking cessation and radon remediation: a preliminary cost-analysis in Northamptonshire, UK

Domestic radon levels in parts of the United Kingdom are sufficiently high as to increase the risk of lung-cancer among residents. Public health campaigns in the county of Northamptonshire, a designated radon Affected Area with 6.3% of homes having average radon levels in excess of the UK Action Level of 200 Bq m(-3), have encouraged householders to test for radon and then, if indicated to be necessary, to carry out remediation in their homes. These campaigns have been only partially successful, since to date only 40% of Northamptonshire houses have been tested, and only 15% of those householders finding raised levels have proceeded to remediate. Those who remediate have been shown to have smaller families, to be older, and to include fewer smokers than the average population, suggesting that current strategies to reduce domestic radon exposure are not reaching those most at risk. During 2004-2005, the NHS Stop-Smoking Services in Northamptonshire assisted 2847 smokers to quit to the 4-week stage, the 15% (435) of these 4-week quitters remaining quitters at 1year forming the subjects of a retrospective study considering whether smoking cessation campaigns contribute significantly to radon risk reduction. Quantitative assessment of the risk of lung-cancer among the study population, from knowledge of the individuals' age, gender, and smoking habits, together with the radon levels in their homes, demonstrates that smoking cessation programmes have significant added value in reducing the incidence of lung-cancer in radon Affected Areas, and contribute a substantially greater health benefit at a lower cost than the alternative strategy of reducing radon levels in the smokers' homes, while they remain smokers. Both radon remediation and smoking cessation programmes are very cost effective in Northamptonshire, with smoking cessation being significantly more cost effective, and these are potentially valuable programmes to drive health improvements through promotion of the uptake or environmental management for radon in the home.     

Radon in the creswell crags Permian limestone caves

An investigation of radon levels in the caves of Creswell Crags, Derbyshire, an important Site of Special Scientific Interest (SSSI) shows that the Lower Magnesian Limestone (Permian) caves have moderate to raised radon gas levels (27-7800 Bq m(-3)) which generally increase with increasing distance into the caves from the entrance regions. This feature is partly explained in terms of cave ventilation and topography. While these levels are generally below the Action Level in the workplace (400 Bq m(-3) in the UK), they are above the Action Level for domestic properties (200 Bq m(-3)). Creswell Crags has approximately 40,000 visitors per year and therefore a quantification of effective dose is important for both visitors and guides to the Robin Hood show cave. Due to short exposure times the dose received by visitors is low (0.0016 mSv/visit) and regulations concerning exposure are not contravened. Similarly, the dose received by guides is fairly low (0.4 mSv/annum) due in part to current working practice. However, the risk to researchers entering the more inaccessible areas of the cave system is higher (0.06 mSv/visit). This survey also investigated the effect of seasonal variations on recorded radon concentration. From this work summer to winter ratios of between 1.1 and 9.51 were determined for different locations within the largest cave system.     

Analysis of the individual health benefits accruing from a domestic radon remediation programme

Although radon can be present within buildings at sufficient levels to pose a health risk, levels can be reduced relatively easily. Recent studies on a group of radon-remediated homes, based on assessment of collective population-average risk coefficients, have estimated the benefits and cost effectiveness accruing from remediation and have confirmed that domestic remediation in UK radon Affected Areas would result in significantly reduced cancer risks to the population in those areas. Although the population-average approach used hitherto has applied occupancy and lung-cancer risk factors, these are potentially misleading in assessing discrete populations. The study reported here uses the recently developed European Community Radon Software (ECRS) to quantify individual risks in a sample of householders who remediated their homes following indications that radon levels exceeded the action level. The study proceeds from population-averaged to 'individual risk' evaluation, successfully comparing individual and collective risk assessments, and demonstrates that those who remediate are not representative of the general population. Health benefits accruing from remediation are three times lower than expected, largely because remediators are older, live in smaller households, and smoke less than the population average, leading to the conclusion that the current strategy employed in the UK is failing to target those most at risk.     

Indoor radon levels: Effects of energy-efficiency in homes

The expectation of elevated ²²²Rn levels in modern homes that have low air interchange rates with the outdoor air caused us to survey both solar and conventional homes in northeastern New York State. As a group, homes that are more airtight have three times the ²²²Rn levels of the conventional homes; they have other specific problems that are introduced or exaggerated by modern construction. For example, the highest two levels of radon in the solar homes give doses over 30 years that are known to produce lung cancer in 1% of uranium miners. Summer readings in more than one-half of the cases are different from winter ones by a factor of two or more, so that year-round measurements are necessary for precise dosimetry. The track-etching technique is ideally suited for such measurements. Radon emanation measurements on soils and sand demonstrate a considerable variety of release rates.     

Domestic radon remediation of UK dwellings by Sub-Slab Depressurisation: evidence for a baseline contribution from constructional materials

To quantify the effectiveness of Sub-Slab Depressurisation, widely used in the United Kingdom (U.K.) to mitigate indoor radon gas levels in residential properties, a study was made of radon concentration data collected from a set of 170 homes situated in Radon Affected Areas in Northamptonshire and neighbouring counties, remediated using conventional sump/pump technology. A high incidence of satisfactory remediation outcomes was achieved, with 100% of the houses remediated demonstrating post-remediation radon concentrations below the U.K. domestic Action Level of 200 Bq m(-3), while more than 75% of the sample exhibited radon mitigation factors (defined as the ratio of radon concentrations following and prior to remediation) <0.2. Two systematic trends are identified. Firstly, absolute radon concentration reduction following remediation is directly proportional to initial radon concentration, with a mean reduction factor of 0.96 and a residual component of around 75 Bq m(-3). Secondly, houses with lower initial radon concentrations demonstrate poorer (higher) mitigation factors. These observations support a model in which the total indoor radon concentration within a dwelling can be represented by two principal components, one susceptible to mitigation by sub-slab depressurisation, the other remaining essentially unaffected. The first component can be identified with radon emanating from the subsoil and bedrock geologies, percolating through the foundations of the dwelling as a component of the soil-gas, and potentially capable of being attenuated by sub-slab depressurisation or radon-barrier remediation technologies. The second contribution can be identified with radon emanating from materials used in the construction of the dwelling with a further contribution from the natural background level, and is essentially unaffected by ground-level remediation strategies. Modelling of a multi-component radon dependency using ground-radon attenuation factors derived from the experimental data, in conjunction with typical background and structural-radon levels, yields behaviour in good agreement with the observed dependence of mitigation factor on initial radon concentration.     

Health implications of radon distribution in living rooms and bedrooms in U.K. dwellings--a case study in Northamptonshire

Environmental radon exposure of residents of domestic premises in the United Kingdom (UK) and elsewhere in Europe is estimated on the basis of the measured radon concentrations in, and the relative occupancies of, the principal living room and bedroom. While studies on radon concentration variability in the individual units in apartment blocks in various countries have been described, little data has been reported on variability in two-storey single-family dwellings, and the majority of extant studies consolidate living room and bedroom data early in the analysis. To investigate this further, detailed analysis was made of radon concentration data from a set of thirty-four homes situated in areas of Northamptonshire known to exhibit high radon levels. All homes were of typical UK construction of brick/block/stone walls under a pitched tile/slate roof. Approximately 50% of the sample were detached houses, the remainder being semi-detached (duplex) or terraced (row-house). Around 25% of the sample possessed cellars, while 12% were single-storey dwellings (bungalows), reflecting the typical incidence of this type of dwelling in England. In the two-storey homes, all monitored bedrooms were on the upper floor. Distribution of the ratios of bedroom/living room radon concentrations (BR/LR ratio) in individual properties was left-skewed (mean 0.67, median 0.73, range 0.05-1.05) with a tail extending to just above 1.0. The mean is consistent with the outcome of earlier extensive studies in England, while the variability depends principally on the characteristics of the property, and not on seasonal factors. In a small set of homes, the BR/LR ratio was anomalously low, (mean 0.3). BR/LR ratios in single-storey homes clustered around a value of 1.0, indicating that house design, rather than lifestyle, is the dominant factor in determining bedroom radon concentrations. Homes with higher mean annual radon concentrations showed lower BR/LR ratios, supporting our proposal that, in some homes, radon emanation from building materials may comprise a significant component of the overall radon level.     

Radon remediation of a two-storey UK dwelling by active sub-slab depressurisation: effects and health implications of radon concentration distributions

Radon concentration levels in a two-storey detached single-family dwelling in Northamptonshire, UK, were monitored continuously throughout a 5-week period during which active sub-slab depressurisation remediation measures were installed. Remediation of the property was accomplished successfully, with both the mean radon levels and the diurnal variability greatly reduced both upstairs and downstairs. Following remediation, upstairs and downstairs radon concentrations were 33% and 18% of their pre-remediation values respectively: the mean downstairs radon concentration was lower than that upstairs, with pre- and post-remediation values of the upstairs/downstairs concentration ratio, R(U/D), of 0.81 and 1.51 respectively. Cross-correlation between upstairs and downstairs radon concentration time-series indicates a time-lag of the order of 1 h or less, suggesting that diffusion of soil-derived radon from downstairs to upstairs either occurs within that time frame or forms a relatively insignificant contribution to the upstairs radon level. Cross-correlation between radon concentration time-series and the corresponding time-series for local atmospheric parameters demonstrated correlation between radon concentrations and internal/external pressure difference prior to remediation; this correlation disappears following remediation. Overall, these observations provide further evidence that radon concentration levels within a dwelling are not necessarily wholly determined by the effects of soil-gas advection, and further support the suggestion that, depending on the precise content of the building materials, upstairs radon levels, in particular, may be dominated by radon exhalation from the walls of the dwelling, especially in areas of low soil-gas radon.     

The value of Seasonal Correction Factors in assessing the health risk from domestic radon: a case study in Northamptonshire, UK

Following an intensive survey of domestic radon levels in the United Kingdom (UK), the former National Radiological Protection Board (NRPB), now the Radiation Protection Division of the Health Protection Agency (HPA-RPD), established a measurement protocol and promulgated Seasonal Correction Factors applicable to the country as a whole. Radon levels in the domestic built environment are assumed to vary systematically and repeatably during the year, being generally higher in winter. The Seasonal Correction Factors therefore comprise a series of numerical multipliers, which convert a 1-month or 3-month radon concentration measurement, commencing in any month of the year, to an effective annual mean radon concentration. In a recent project undertaken to assess the utility of short-term exposures in quantifying domestic radon levels, a comparative assessment of a number of integrating detector types was undertaken, with radon levels in 34 houses on common geology monitored over a 12-month period using dose-integrating track-etch detectors exposed in pairs (one upstairs, one downstairs) at 1-month and 3-month resolution. Seasonal variability of radon concentrations departed significantly from that expected on the basis of the HPA-RPD Seasonal Correction Factor set, with year-end discontinuities at both 1-month and 3-month measurement resolutions. Following this study, monitoring with electrets was continued in four properties, with weekly radon concentration data now available for a total duration in excess of three and a half years. Analysis of this data has permitted the derivation of reliable local Seasonal Correction Factors. Overall, these are significantly lower than those recommended by HPA-RPD, but are comparable with other results from the UK and from abroad, particularly those that recognise geological diversity and are consequently prepared on a regional rather than a national basis. This finding calls into question the validity of using nationally aggregated Seasonal Correction Factors, especially for shorter exposures, and the universal applicability of these corrections is discussed in detail.     

Radon gas distribution in natural gas processing facilities and workplace air environment

Evaluation was made of the distribution of radon gas and radiation exposure rates in the four main natural gas treatment facilities in Syria. The results showed that radiation exposure rates at contact of all equipment were within the natural levels (0.09-0.1 microSvh(-1)) except for the reflex pumps where a dose rate value of 3 microSvh(-1) was recorded. Radon concentrations in Syrian natural gas varied between 15.4 Bq m(-3) and 1141 Bq m(-3); natural gas associated with oil production was found to contain higher concentrations than the non-associated natural gas. In addition, radon concentrations were higher in the central processing facilities than the wellheads; these high levels are due to pressurizing and concentrating processes that enhance radon gas and its decay products. Moreover, the lowest 222Rn concentration was in the natural gas fraction used for producing sulfur; a value of 80 Bq m(-3) was observed. On the other hand, maximum radon gas and its decay product concentrations in workplace air environments were found to be relatively high in the gas analysis laboratories; a value of 458 Bq m(-3) was observed. However, all reported levels in the workplaces in the four main stations were below the action level set by IAEA for chronic exposure situations involving radon, which is 1000 Bq m(-3).     

A critical evaluation of the cost-effectiveness of radon protection methods in new homes in a radon Affected Area of England

In the UK, building new homes in areas prone to radon gas is currently subject to regulations that require installation of radon-proof membranes. These membranes are not, however, the only way to protect residents of new homes against radon's potential to cause lung cancer. Alternative regulatory regimes can be constructed that would achieve the same end.The purpose of this paper is to examine the cost-effectiveness of four alternative regimes and so determine if building regulations for new homes could be altered to protect residents from the effects of radon more cost-effectively than at present. In addressing this question, the paper also contributes to the wider debate on how best to reduce the effect on public health of exposure to radon.The measure of cost-effectiveness used, cost per quality-adjusted life-year gained, is determined from radon test results obtained in properties in Brixworth, England, UK, a radon Affected Area. Confidence intervals for the cost-effectiveness estimates are also derived using bootstrap techniques.The central estimates of cost-effectiveness range from £2870 per quality-adjusted life-year gained for the most cost-effective of the alternative regimes to £6182 for the current regime. These results suggest that alternative regimes may be more cost-effective in tackling the radon problem. A definitive assessment of the most suitable to adopt will require extensive negotiation between government departments, the construction industry, and other interested parties to ensure acceptance of any new regime. The paper offers suggestions for future research that should help in the process of identifying the key features of a new regulatory approach.     

Radon levels in Cyprus

Radon levels in atmospheric and aquatic systems in Cyprus have recently been measured using the radon monitor Alpha Guard. Indoor and outdoor radon levels were obtained in situ, whereas analysis of radon concentrations in water was performed using tap and ground water samples collected from several areas of the island. The average value for outdoor and indoor radon concentration is 11+/-10 and 7+/-6 Bq m(-3), respectively, and for tap and ground water 0.4 Bq l(-1) and 1.4 Bq l(-1), respectively. From these data the annual dose equivalent of airborne radon to the Cypriot population is about 0.19 mSv y(-1), which is quite low compared to the total dose equivalent of natural and man-made ionising radiation in Cyprus. Radon levels in aquatic systems are relatively low due to an exhaustive utilisation of ground water resources and also to the increased input of desalinated sea water in the water distribution network and eventually into the ground water reservoirs.     

An approach to improve the Austrian Radon Potential Map by Bayesian statistics

A Radon Potential Map as well as a mean indoor Radon Concentration Map is available from the Austrian National Radon Project (1992-2002). These maps are based on the average Radon Potential/Concentration within every municipality and they sort municipalities into three radon ‘risk’ classes. This is a convenient way for the administration, but it does not describe the real radon risk distribution within a municipality because of the often inhomogeneous geological situation. Therefore, a combination of indoor radon data with all relevant parameters such as house type, storey and ventilation rates along with geological information should be used to improve the existing radon maps. The method, described here, uses Bayes' theory to combine the Radon Potential derived from indoor radon measurements with information from geology. The existing Radon Potential Map was improved by using available soil gas radon data at certain geological units and extrapolated transfer factors. The modifications of the map are shown and several problems arising with the application of this technique are discussed.     

A critical comparison of the cost-effectiveness of domestic radon remediation programmes in three counties of England

Radon remediation programmes in domestic dwellings were carried out in five areas, from three counties of England, and the total costs obtained. A single company, which abided by the Code of Practice of the Radon Council of Great Britain, carried out the remediation. The dose savings from the programmes were calculated and used to estimate the number of lung cancers averted. The data obtained allowed the cost-effectiveness of the remediation programmes in each area to be calculated. The remediation programmes in three areas (Northants 2, 3 and North Oxfordshire) were cost-effective whereas those in two areas (Northants 1 and North Somerset) were not. To be cost-effective, the Northants I and North Somerset areas would need to increase the number of householders that carried out remediation, if they were over the UK Action Level. Health policy makers should concentrate their resources on communities in areas where there is a significant proportion of dwellings above the UK Action Level and where the number of properties being remediated is low.     

Indoor radon levels in Greek schools

Radon and gamma dose rate measurements were performed in 512 schools in 8 of the 13 regions of Greece. The distribution of radon concentration was well described by a lognormal distribution. Most (86%) of the radon concentrations were between 60 and 250 Bq m⁻³ with a most probable value of 135 Bq m⁻³. The arithmetic and geometric means of the radon concentration are 149 Bq m⁻³ and 126 Bq m⁻³ respectively. The maximum measured radon gas concentration was 958 Bq m⁻³. As expected, no correlation between radon gas concentration and indoor gamma dose rate was observed. However, if only mean values for each region are considered, a linear correlation between radon gas concentration and gamma dose rate is apparent. Despite the fact that the results of radon concentration in schools cannot be applied directly for the estimation of radon concentration in homes, the results of the present survey indicate that it is desirable to perform an extended survey of indoor radon in homes for at least one region in Northern Greece.     

Experience from indoor radon-daughter limitation schemes in Sweden

Sweden introduced limits and gave recommendations for decreasing the indoor radon daughter concentrations in 1980. The resulting experiences are summarized. From 1979 to 1987, measurements were carried out by the local authorities in about 58 000 out of 3.9 million homes in Sweden, and 5300 homes were found to have levels exceeding the limit for existing houses, or 400 Bq/m³ of equilibrium equivalent concentration of radon (EER). This may be about 13% of the estimated 40 000 homes with levels exceeding 400 Bq/m³. Very high levels, up to 28 000 Bq/m³, have been found. According to the local authorities, in one third of the homes found with levels exceeding the limit (1921 homes) certain reconstruction and other measures have been taken in order to decrease the levels. In reality, measures have been carried out in more houses. The methods depend on the radon source. The average reductions found for respective methods are reported. The local authorities can require a check of the radon daughter concentrations in newly built houses when they suspect that the concentrations exceed the limit of 70 Bq/m³. In 11% of the measured homes built during 1981 to 1985, the levels were above the limit for newly built houses. In 1.4% of these houses, the limit for existing houses, 400 Bq/m³, had been exceeded. The strategy to decrease both the collective dose to the population and the individual dose is discussed.     

A detailed evaluation of the individual health benefits arising in a domestic property following radon remediation--a case-study in Northamptonshire, U.K

Radon gas occurs naturally in the environment with variable distribution, concentrating sufficiently in the built environment in some areas to pose a public health risk. Radon levels can be successfully reduced in affected buildings, and large-scale remediation programmes have been justified in terms of accrued costs and benefits. We present results from a house where radon levels in the main living-room and master bedroom were monitored on an hourly basis over extended periods before and after radon remediation by sub-slab depressurisation. These results were combined with results from a recent occupancy survey to estimate the health impact on occupants spending varying times in the home. Prior to remediation, mean hourly radon exposure is moderately linearly correlated (R(2)=0.66-0.78) with time spent in the house. Following remediation, correlation is significantly enhanced (R(2)=0.91-0.95), but the exposure reduction of an occupant following remediation is less than that predicted using the NRPB protocol.