{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:27:12Z","timestamp":1790141232371,"version":"4.0.1"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006120","name":"Ministry of the Environment, Government of Japan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006120","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Radiation protection is a fundamental component of public health crisis management. Following the Fukushima Daiichi nuclear power plant (FDNPP) accident, relevant authorities have conducted internal radiation exposure examinations (IREEs) for residents for more than 15 years as part of ongoing public health response efforts. This report identifies three major challenges in evaluating the continued implementation of IREEs: (i) determining why IREEs have been sustained despite the extremely low proportion of residents with internal radiation exposure &amp;gt;1 mSv; (ii) examining how large-scale IREEs using whole-body counting systems have been implemented in practice; and (iii) evaluating how stakeholder engagement in radiation risk communication has contributed to both safety and security in Fukushima. These challenges and perspectives encompass numerous \u201cLessons learned from Fukushima.\u201d Three key perspectives were identified: (i) improving understanding of residents' perceptions of IREEs and identifying an appropriate balance between service provision and community demand to ensure equitable access; (ii) promoting the sustainable implementation of IREEs, strengthening preparedness for future nuclear disasters, and preserving Fukushima's long-term experience; and (iii) clarifying the current status and effectiveness of radiation risk communication associated with IREEs. To address these issues, a new initiative, the \u201cEstablishing Resident-Centered Implementation Policies for Internal Radiation Exposure Examinations\u201d (RECIPEx) project, was launched in Japan from April 2025 to March 2028. The RECIPEx project is expected to provide a practical framework for integrating protection against internal radiation exposure into disaster preparedness strategies, thereby strengthening health management systems through the application of \u201cLessons learned from Fukushima.\u201d<\/jats:p>","DOI":"10.3389\/fpubh.2026.1904248","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T04:24:46Z","timestamp":1785126286000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Challenges and perspectives for internal radiation exposure examinations using the whole-body counting system following the Fukushima Daiichi nuclear power plant accident"],"prefix":"10.3389","volume":"14","author":[{"given":"Takashi","family":"Ohba","sequence":"first","affiliation":[{"name":"Department of Radiological Sciences, Fukushima Medical University School of Health Sciences","place":["Fukushima, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isamu","family":"Amir","sequence":"additional","affiliation":[{"name":"Takemi Program in International Health, Harvard T. H. Chan School of Public Health, Boston","place":["MA, United States"]},{"name":"Department of Radiation Health Management, Fukushima Medical University School of Medicine","place":["Fukushima, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Yoshida","sequence":"additional","affiliation":[{"name":"College of Nursing, Iwate University of Health and Medical Sciences","place":["Morioka, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruka","family":"Furuiwa","sequence":"additional","affiliation":[{"name":"Department of Radiation Disaster Medicine, Fukushima Medical University School of Medicine","place":["Fukushima, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michio","family":"Murakami","sequence":"additional","affiliation":[{"name":"Center for Infectious Disease Education and Research, The University of Osaka","place":["Suita, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaharu","family":"Tsubokura","sequence":"additional","affiliation":[{"name":"Department of Radiation Health Management, Fukushima Medical University School of Medicine","place":["Fukushima, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1177\/0146645320952659","article-title":"ICRP Publication 146: radiological protection of people and the environment in the event of a large nuclear accident: update of ICRP Publications 109 and 111","volume":"49","author":"Kai","year":"2020","journal-title":"Ann ICRP."},{"key":"B2","unstructured":"Geneva\n          World Health Organization\n          Health Emergency and Disaster Risk Management Framework\n          \n          2019"},{"key":"B3","unstructured":"International\n              Atomic Energy Agency\n       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