{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T08:47:06Z","timestamp":1783414026427,"version":"3.54.6"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"unspecified","delay-in-days":345,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to assess the situations involving potential risks of over-exposure to radiation faced by workers during the decommissioning of the Fukushima Daiichi Nuclear Power Plant (FDNPP), and to prepare effective medical countermeasures. While deaths have occurred at regular intervals at the FDNPP site, they cannot be attributed to direct effects of radiation. Radiation exposure among decommissioning workers is strictly maintained within regulatory limits, and no deterministic or stochastic radiation effects have been observed. High-risk areas include the reactor buildings of Units 1-4 and the filtration systems for cooling water contaminated by decay heat from melted nuclear fuel. The reactor buildings contain a mix of \u03b1, \u03b2, and \u03b3 radionuclides, which may increase the need for medical responses specifically targeting \u03b1 radionuclides in cases of internal contamination. With nuclear fuel removal in September 2024, there are growing concerns regarding the potential increase in radiation risks at the decommissioning site.<\/jats:p>","DOI":"10.1017\/dmp.2025.54","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T07:02:26Z","timestamp":1765522946000},"source":"Crossref","is-referenced-by-count":1,"title":["Nuclear Disaster Medical Response and Preparedness: Perceived Radiation Risk in Ongoing Decommissioning Work and Future Strategies"],"prefix":"10.1017","volume":"19","author":[{"given":"Arifumi","family":"Hasegawa","sequence":"first","affiliation":[{"name":"Fukushima Medical University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Hirohashi","sequence":"additional","affiliation":[{"name":"Hiroshima University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"S1935789325000540_r5","volume-title":"General Procedures for Medical Response During a Nuclear or Radiological Emergency","year":"2005"},{"key":"S1935789325000540_r7","article-title":"Relative Biological Effectiveness (RBE), Quality Factor (Q), and Radiation Weighting Factor (WR). ICRP Publication 92","volume":"33","year":"2003","journal-title":"Ann ICRP"},{"key":"S1935789325000540_r1","unstructured":"1. TEPCO. Roadmap on the Way to Decommissioning. Accessed September 17, 2024. https:\/\/www.tepco.co.jp\/en\/hd\/decommission\/project\/roadmap\/index-e.html"},{"key":"S1935789325000540_r4","article-title":"Protecting People Against Radiation Exposure in the Event of a Radiological Attack. ICRP Publication 96","volume":"35","year":"2005","journal-title":"Ann ICRP"},{"key":"S1935789325000540_r6","unstructured":"6. International Atomic Energy Agency (IAEA). Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards. General Safety Requirements Part 3. No. GSR Part 3. published: 2014, Accessed September 26, 2024 https:\/\/www-pub.iaea.org\/MTCD\/Publications\/PDF\/Pub1578_web-57265295.pdf"},{"key":"S1935789325000540_r9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60384-5"},{"key":"S1935789325000540_r3","unstructured":"3. TEPCO. Evaluation of the Exposure Dose of Workers Engaged in Radiation Work at the Fukushima Daiichi Nuclear Power Station. Accessed September 18, 2024. https:\/\/www.tepco.co.jp\/en\/hd\/decommission\/information\/newsrelease\/exposure\/pdf\/2024\/exposure_20240830-e.pdf"},{"key":"S1935789325000540_r10","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/S0140-6736(15)61106-0","article-title":"Health effects of radiation and other health problems in the aftermath of nuclear accidents, with an emphasis on Fukushima","volume":"386","author":"Hasegawa","year":"2015","journal-title":"Lancet."},{"key":"S1935789325000540_r11","unstructured":"11. Outline of Nuclear Regulation of Japan- Reference documents for the IAEA IRRS Mission - https:\/\/www.nra.go.jp\/data\/000148578.pdf 2016"},{"key":"S1935789325000540_r8","unstructured":"8. JRCT. Accessed September 26, 2024. https:\/\/jrct.niph.go.jp\/en-latest-detail\/jRCTs031230407"},{"key":"S1935789325000540_r2","volume-title":"The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103","author":"Valentin","year":"2007"},{"key":"S1935789325000540_r12","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1017\/S1049023X00007512","article-title":"Establishing Disaster Medical Assistance Teams in Japan","volume":"24","author":"Kondo","year":"2009","journal-title":"Prehosp Disaster Med."},{"key":"S1935789325000540_r13","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2014.113"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325000540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T07:02:28Z","timestamp":1765522948000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325000540\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":13,"alternative-id":["S1935789325000540"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.54","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e344"}}