Skip to main content

Advertisement

Log in

Radiation-related health hazards to uranium miners

  • Review Article
  • Published:
Environmental Science and Pollution Research Aims and scope Submit manuscript

Abstract

Concerns on health effects from uranium (U) mining still represent a major issue of debate. Any typology of active job in U mines is associated with exposure to U and its decay products, such as radon (Rn), thorium (Th), and radium (Ra) and its decay products with alpha-emission and gamma radiation. Health effects in U miners have been investigated in several cohort studies in the USA, Canada, Germany, the Czech Republic, and France. While public opinion is particularly addressed to pay attention to the safety of nuclear facilities, health hazard associated with mining is poorly debated. According to the many findings from cohort studies, the most significant positive dose-response relationship was found between occupational U exposure and lung cancer. Other types of tumors associated with occupational U exposure are leukemia and lymphoid cancers. Furthermore, it was found increased but not statistically significant death risk in U miners due to cancers in the liver, stomach, and kidneys. So far, there has not been found a significant association between U exposure and increased cardiovascular mortality in U miners. This review tries to address the current state of the art of these studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Abbasi A (2017) Modeling of lung cancer risk due to radon exhalation of granite stone in dwelling houses. J Cancer Res Ther 13(2):208–212

    CAS  Google Scholar 

  • Archer VE, Magnuson HJ, Holaday DA, Lawrence PA (1962) Hazards to health in uranium mining and milling. J Occup Med 4:55–60

    CAS  Google Scholar 

  • Asic A, Kurtovic-Kozaric A, Besic L, Mehinovic L, Hasic A, Kozaric M, Hukic M, Marjanovic D (2017) Chemical toxicity and radioactivity of depleted uranium: the evidence from in vivo and in vitro studies. Environ Res 156:665–673

    CAS  Google Scholar 

  • Aßenmacher M, Kaiser JC, Zaballa I, Gasparrini A, Küchenhoff H (2019) Exposure-lag-response associations between lung cancer mortality and radon exposure in German uranium miners. Radiat Environ Biophys 58(3):321–336

    Google Scholar 

  • Baillargeon J (2001) Characteristics of the healthy worker effect. J Occup Med 16(2):359–366

    CAS  Google Scholar 

  • Barbosa-Lorenzo R, Barros-Dios JM, Raíces Aldrey M, Cerdeira Caramés S, Ruano-Ravina A (2016) Residential radon and cancers other than lung cancer: a cohort study in Galicia, a Spanish radon-prone area. Eur J Epidemiol 31(4):437–441

    CAS  Google Scholar 

  • Baur X, Woitowitz HJ (2016) Lung Cancer as an occupational disease. Pneumologie. 70(8):510–513

    CAS  Google Scholar 

  • Bjørklund G, Christophersen OA, Chirumbolo S, Selinus O, Aaseth J (2017) Recent aspects of uranium toxicology in medical geology. Environ Res 156:526–533. https://doi.org/10.1016/j.envres.2017.04.010

    Article  CAS  Google Scholar 

  • Bjørklund G, Pivina L, Dadar M, Semenova Y, Chirumbolo S, Aaseth J (2019) Mercury exposure, epigenetic alterations, and brain tumorigenesis: a possible relationship? Curr Ed Chem. https://doi.org/10.2174/0929867326666190930150159

  • Bjørklund G, Pivina L, Dadar M, Semenova Y, Rahman MM, Aaseth J, Chirumbolo S (2020a) Depleted uranium and gulf war illness: updates and comments on possible mechanisms behind the syndrome. Environ Res 181:108927. https://doi.org/10.1016/j.envres.2019.108927

    Article  CAS  Google Scholar 

  • Bjørklund G, Semenova Y, Pivina L, Dadar M, Rahman MM, Aaseth J, Chirumbolo S (2020b) Uranium in drinking water: a public health threat. Arch Toxicol 94:1551–1560. https://doi.org/10.1007/s00204-020-02676-8

    Article  CAS  Google Scholar 

  • Boice JD Jr, Ellis ED, Golden AP, Girardi DJ, Cohen SS, Chen H, Mumma MT, Shore RE, Leggett RW (2018) The past informs the future: an overview of the million worker study and the Mallinckrodt chemical works cohort. Health Phys 114(4):381–385

    CAS  Google Scholar 

  • Bräuner EV, Loft S, Sørensen M, Jensen A, Andersen CE, Ulbak K, Hertel O, Pedersen C, Tjønneland A, Krüger Kjær S, Raaschou-Nielsen O (2015) Residential radon exposure and skin cancer incidence in a prospective Danish cohort. PLoS One 10(8):e0135642

    Google Scholar 

  • Brown SH (2019) Occupational radiation protection aspects of alkaline leach uranium in situ recovery (ISR) facilities in the United States. Health Phys 117(1):106–113

    CAS  Google Scholar 

  • Brown SH, Chambers DB (2017) Uranium mining and NORM in North America – some perspectives on occupational radiation exposure. Health Phys 113(1):13–22

    CAS  Google Scholar 

  • Brugge D (2016) Why has it taken so long to address the problems created by uranium mining in the Navajo nation? New Solut 25(4):436–439

    Google Scholar 

  • Burghele BD, Cucos A, Papp B, Stetca FA, Mirea I, Constantin S (2018) Distribution of radon gas in Romanian show caves and radiation safety. Radiat Prot Dosim 181(1):1–5

    CAS  Google Scholar 

  • Charles MW (2007) Radon exposure of the skin: II. Estimation of the attributable risk for skin cancer incidence. J Radiol Prot 27(3):253–274

    CAS  Google Scholar 

  • Chen J (2017) Comparative study of radon exposure in Canadian homes and uranium mines-a discussion on the importance of national radon program. Radiat Prot Dosim 177(1–2):83–86

    CAS  Google Scholar 

  • Chen J, Xie L (2019) Domestic radon exposure and childhood leukaemia and lymphoma: a population-based study in Сanada. Radiat Prot Dosim 184:486–492. https://doi.org/10.1093/rpd/ncz068

    Article  Google Scholar 

  • Cinelli G, Tondeur F, Dehandschutter B, Bossew P, Tollefsen T, De Cort M (2017) Mapping uranium concentration in soil: Belgian experience towards a European map. J Environ Radioact 166:220–234

    CAS  Google Scholar 

  • Committee on Uranium Mining in Virginia; Committee on Earth Resources; National Research Council (2011) Uranium mining in Virginia: scientific, technical, environmental, human health and safety, and regulatory aspects of uranium mining and processing in Virginia. Washington (DC): National Academies Press (US) Available at https://www.ncbi.nlm.nih.gov/books/NBK201047/. Accessed 16 February 2019

  • Cucoş Dinu A, Călugăr MI, Burghele BD, Dumitru OA, Cosma C, Onac BP (2017) Radon levels in Romanian caves: an occupational exposure survey. Environ Geochem Health 39(5):1085–1099

    Google Scholar 

  • Darby SC, Whitley E, Howe GR, Hutchings SJ, Kusiak RA, Lubin JH, Morrison HI, Tirmarche M, Tomásek L, Radford EP (1995) Radon and cancers other than lung cancer in underground miners: a collaborative analysis of 11 studies. J Natl Cancer Inst 87(5):378–384

    CAS  Google Scholar 

  • Dawson SE, Madsen GE (2011) Psychosocial and health impacts of uranium mining and milling on Navajo lands. Health Phys 101(5):618–625

    CAS  Google Scholar 

  • Domingo JL, Colomina MT, Llobet JM, Jones MM, Singh PK, Campbell RA (1992) The action of chelating agents in experimental uranium intoxication in mice: variations with structure and time of administration. Fundam Appl Toxicol 19(3):350–357. https://doi.org/10.1016/0272-0590(92)90173-f

    Article  CAS  Google Scholar 

  • Drubay D, Ancelet S, Acker A, Kreuzer M, Laurier D, Rage E (2014) Kidney cancer mortality and ionizing radiation among French and German uranium miners. Radiat Environ Biophys 53(3):505–513. https://doi.org/10.1007/s00411-014-0547-4

    Article  CAS  Google Scholar 

  • Dufey F, Walsh L, Sogl M, Tschense A, Schnelzer M, Kreuzer M (2013) Radiation dose dependent risk of liver cancer mortality in the German uranium miners cohort 1946-2003. J Radiol Prot 33(1):175–185. https://doi.org/10.1088/0952-4746/33/1/175

    Article  CAS  Google Scholar 

  • Dupree-Ellis E, Watkins J, Ingle JN, Phillips J (2000) External radiation exposure and mortality in a cohort of uranium processing workers. Am J Epidemiol 152(1):91–95. https://doi.org/10.1093/aje/152.1.91

    Article  CAS  Google Scholar 

  • Euser AM, Zoccali C, Jager KJ, Dekker FW (2009) Cohort studies: prospective versus retrospective. Nephron Clin Pract 113(3):c214–c217. https://doi.org/10.1159/000235241

    Article  Google Scholar 

  • Fan D, Zhuo W, Zhang Y (2016) Occupational exposure to radon in different kinds of non-uranium mines. Radiat Prot Dosimetry 170(1-4):311–314

    CAS  Google Scholar 

  • Feng B, Tang Q, Zhan H, Chen B, Qiu S, Zhuo W (2019) Measurement of the potential alpha energy concentration of radon progeny by using liquid scintillation counting method. Radiat Prot Dosim 184:440–443. https://doi.org/10.1093/rpd/ncz069

    Article  Google Scholar 

  • Field RW (2010) Environmental factors in cancer: radon. Rev Environ Health—Spec Ed (Part 2) 25(1):25–31

    Google Scholar 

  • Friedmann H, Baumgartner A, Gruber V, Kaineder H, Maringer FJ, Ringer W, Seidel C (2017a) The uncertainty in the radon hazard classification of areas as a function of the number of measurements. J Environ Radioact 173:6–10

    CAS  Google Scholar 

  • Friedmann H, Baumgartner A, Bernreiter M, Gräser J, Gruber V, Kabrt F, Kaineder H, Maringer FJ, Ringer W, Seidel C, Wurm G (2017b) Indoor radon, geogenic radon surrogates and geology - investigations on their correlation. J Environ Radioact 166:382–389

    CAS  Google Scholar 

  • Garcia-Rodriguez JA (2018) Radon gas-the hidden killer: what is the role of family doctors? Can Fam Physician 64(7):496–501

    Google Scholar 

  • Greenberg M, Selikoff IJ (1993) Lung cancer in the Schneeberg mines: a reappraisal of the data reported by Harting and Hesse in 1879. Ann Occup Hyg 37(1):5–14

    CAS  Google Scholar 

  • Gritsaenko T, Pierrefite-Carle V, Creff G, Vidaud C, Carle G, Santucci-Darmanin S (2018) Methods for analyzing the impacts of natural uranium on in vitro osteoclastogenesis. J Vis Exp 131:14–23

    Google Scholar 

  • Grosche B, Kreuzer M, Kreisheimer M, Schnelzer M, Tschense A (2006) Lung cancer risk among German male uranium miners: a cohort study, 1946–1998. Br J Cancer 95(9):1280–1277. https://doi.org/10.1038/sj.bjc.6603403

    Article  CAS  Google Scholar 

  • Ha M, Hwang SS, Kang S, Park NW, Chang BU, Kim Y (2017) Geographical correlations between indoor radon concentration and risks of lung cancer, non-Hodgkin's lymphoma, and leukemia during 1999–2008 in Korea. Int J Environ Res Public Health 14(4):344

    Google Scholar 

  • Hassfjell CS, Grimsrud TK, Standring WJF, Tretli S (2017) Lung cancer incidence associated with radon exposure in Norwegian homes. Tidsskr Nor Laegeforen 137:14–15

    Google Scholar 

  • Hornung R, Meinhardt T (1987) Quantitative risk assessment of lung cancer in US uranium miners. Health Phys 52:417–430

    CAS  Google Scholar 

  • IARC (2009) Working group on the evaluation of carcinogenic risks to humans (2009) a review of human carcinogens. Part D: radiation. Lyon, France. Available at https://www.ncbi.nlm.nih.gov/books/NBK304362/. Accessed 31 Aug 2019

  • ICRP (2017) Occupational intakes of radionuclides: Part 3. ICRP Publication 137. Ann. ICRP 46(3/4). Available at http://www.icrp.org/publication.asp?id=ICRP%20Publication%20137. Accessed 30 Jan 2019

  • Jones BA (2017) The social costs of uranium mining in the US Colorado plateau cohort, 1960-2005. Int J Public Health 62(4):471–478. https://doi.org/10.1007/s00038-017-0943-z

    Article  Google Scholar 

  • Kang JK, Seo S, Jin YW (2019) Health effects of radon exposure. Yonsei Med J 60(7):597–603

    Google Scholar 

  • Kathren RL, Moore RH (1986) Acute accidental inhalation of U: a 38-year follow-up. Health Phys 51(5):609–619. https://doi.org/10.1097/00004032-198611000-00004

    Article  CAS  Google Scholar 

  • Kavasi N, Csordas A, Nagy K, Beltran S, Kikaj D, Vaupotič J, Kovacs T (2019) Occupational exposure assessment at a therapeutic radon spa facility in Hungary. Radiat Prot Dosim 184:470–473. https://doi.org/10.1093/rpd/ncz077

    Article  Google Scholar 

  • Kelly-Reif K, Sandler DP, Shore D, Schubauer-Berigan M, Troester MA, Nylander-French L, Richardson DB (2019) Mortality and cancer incidence among underground uranium miners in the Czech Republic 1977-1992. Occup Environ Med 76(8):511–518

    Google Scholar 

  • Kido E (2019) The legacies of the uranium mining company “Wismut” in East Germany. Asian J Peacebuilding 7(1):55–72

    Google Scholar 

  • Kotík L, Becková V, Malátová I, Tomasek L (2017) 238U content in urine of uranium miners and its modeled values. Radiat Prot Dosim 177(4):424–439. https://doi.org/10.1093/rpd/ncx061

    Article  CAS  Google Scholar 

  • Kreuzer M, Brachner A, Lehmann F, Martignoni K, Wichmann HE, Grosche B (2002) Characteristics of the German uranium miners cohort study. Health Phys 83(1):26–34

    CAS  Google Scholar 

  • Kreuzer M, Walsh L, Schnelzer M, Tschense A, Grosche B (2008) Radon and risk of extrapulmonary cancers: results of the German uranium miners' cohort study, 1960-2003. Br J Cancer 99(11):1946–1953. https://doi.org/10.1038/sj.bjc.6604776

    Article  CAS  Google Scholar 

  • Kreuzer M, Grosche B, Schnelzer M, Tschense A, Dufey F, Walsh L (2010) Radon and risk of death from cancer and cardiovascular diseases in the German uranium miners cohort study: follow-up 1946–2003. Radiat Environ Biophys 49(2):177–185. https://doi.org/10.1007/s00411-009-0249-5

    Article  Google Scholar 

  • Kreuzer M, Straif K, Marsh JW, Dufey F, Grosche B, Nosske D, Sogl M (2012) Occupational dust and radiation exposure and mortality from stomach cancer among German uranium miners, 1946-2003. Occup Environ Med 69(3):217–223. https://doi.org/10.1136/oemed-2011-100051

    Article  CAS  Google Scholar 

  • Kreuzer M, Fenske N, Schnelzer M, Walsh L (2015) Lung cancer risk at low radon exposure rates in German uranium miners. Br J Cancer 113(9):1367–1369. https://doi.org/10.1038/bjc.2015.324

    Article  CAS  Google Scholar 

  • Kreuzer M, Sobotzki C, Fenske N, Marsh JW, Schnelzer M (2017) Leukaemia mortality and low-dose ionising radiation in the WISMUT uranium miner cohort (1946–2013). Occup Environ Med 74(4):252–258. https://doi.org/10.1136/oemed-2016-103795

    Article  Google Scholar 

  • Kreuzer M, Sobotzki C, Schnelzer M, Fenske N (2018) Factors modifying the radon-related lung Cancer risk at low exposures and exposure rates among German uranium miners. Radiat Res 189(2):165–176. https://doi.org/10.1667/RR14889.1

    Article  CAS  Google Scholar 

  • Laurence D (2011) Mine safety. In: Darling P (ed) SME mining engineering handbook, vol 2, 3rd edn. Society for Mining, metallurgy, and exploration, Inc, Englewood

    Google Scholar 

  • Little MP, Hall P, Charles MW (2007) Are cancer risks associated with exposures to ionising radiation from internal emitters greater than those in the Japanese A-bomb survivors? Radiat Environ Biophys 46(4):299–310

    Google Scholar 

  • López M, Martín M (2011) Medical management of the acute radiation syndrome. Rep Pract Oncol Radiother 16(4):138–146. https://doi.org/10.1016/j.rpor.2011.05.001

    Article  Google Scholar 

  • Louw I (2020) Potential radiological impact of the phosphate industry in South Africa on the public and the environment (paper 1). J Environ Radioact 217. https://doi.org/10.1016/j.jenvrad.2020.106214

  • Lu S, Zhao FY (1990) Nephrotoxic limit and annual limit on intake for natural U. Health Phys 58(5):619–623. https://doi.org/10.1097/00004032-199005000-00007

    Article  CAS  Google Scholar 

  • Lubin JH (2010) Environmental factors in cancer: radon. Rev Environ Health 25(1):33–38

    Google Scholar 

  • Malátová I, Becková V, Tomásek L, Slezáková-Marusiaková M, Hůlka J (2013) Reassessment of individual dosimetry of long-lived alpha radionuclides of uranium miners through experimental determination of urinary excretion of uranium. Radiat Prot Dosim 154(2):198–206. https://doi.org/10.1093/rpd/ncs208

    Article  CAS  Google Scholar 

  • Malátová I, Bečková V, Kotík L (2016) Urinary excretion of uranium in adult inhabitants of the Czech Republic. J Environ Radioact 152:92–96. https://doi.org/10.1016/j.jenvrad.2015.11.011

    Article  CAS  Google Scholar 

  • Markabayeva A, Bauer S, Pivina L, Bjørklund G, Chirumbolo S, Kerimkulova A, Semenova Y, Belikhina Т (2018) Increased prevalence of essential hypertension in areas previously exposed to fallout due to nuclear weapons testing at the Semipalatinsk test site, Kazakhstan. Environ Res 167:129–135. https://doi.org/10.1016/j.envres.2018.07.016

    Article  CAS  Google Scholar 

  • Marsh JW, Bailey MR (2013) A review of lung-to-blood absorption rates for radon progeny. Radiat Prot Dosimetry 157(4):499–514

    CAS  Google Scholar 

  • McColl N, Auvinen A, Kesminiene A, Espina C, Erdmann F, de Vries E, Greinert R, Harrison J, Schüz J (2015) European code against Cancer 4th edition: Ionising and non-ionising radiation and cancer. Cancer Epidemiol 39(Suppl 1):S93–S100

    Google Scholar 

  • McLaughlin JP (2019) Dosimetric and epidemiological approaches to radon lung cancer risk assessment. Radiat Prot Dosim 184(3–4):285–289. https://doi.org/10.1093/rpd/ncz082

    Article  CAS  Google Scholar 

  • Meisenberg O, Tschiersch J (2011) Thoron in indoor air: modeling for a better exposure estimate. Indoor Air 21(3):240–252

    CAS  Google Scholar 

  • Meisenberg O, Mishra R, Joshi M, Gierl S, Rout R, Guo L, Agarwal T, Kanse S, Irlinger J, Sapra BK, Tschiersch J (2017) Radon and thoron inhalation doses in dwellings with earthen architecture: comparison of measurement methods. Sci Total Environ 579:1855–1862

    CAS  Google Scholar 

  • Messier KP, Serre ML (2017) Lung and stomach cancer associations with groundwater radon in North Carolina, USA. Int J Epidemiol 46(2):676–685

    Google Scholar 

  • Mielke S, Taeger D, Weitmann K, Brüning T, Hoffmann W (2018) Influence of quartz exposure on lung cancer types in cases of lymph node-only silicosis and lung silicosis in German uranium miners. Arch Environ Occup Health 73(3):140–153

    CAS  Google Scholar 

  • Mironenkova NA, Magomet RD (2017) Hygienic assessment of working conditions on a radiation-hazardous factor in mines. Ecol Environ Conserv 23(2):1017–1021

    Google Scholar 

  • Missimer TM, Teaf C, Maliva RG, Danley-Thomson A, Covert D, Hegy M (2019) Natural radiation in the rocks, soils, and groundwater of southern Florida with a discussion on potential health impacts. Int J Environ Res Public Health 16(10):1793. https://doi.org/10.3390/ijerph16101793

    Article  CAS  Google Scholar 

  • Möhner M, Lindtner M, Otten H, Gille HG (2006) Leukemia and exposure to ionizing radiation among German uranium miners. Am J Ind Med 49(4):238–248. https://doi.org/10.1002/ajim.20289

    Article  CAS  Google Scholar 

  • Molaie Y, Latifynia A, Kalamzadeh A, Abofazeli T, Nuraie M, Khansarii N (2012) Phagocyte functions of human subjects living in high level of natural radiation areas in Iran. J Ayub Med Coll Abbottabad 24(3–4):177–179

    CAS  Google Scholar 

  • Mudd G (2008) Radon releases from Australian uranium mining and milling projects: assessing the UNSCEAR approach. J Environ Radioact 99(2):288–315. https://doi.org/10.1016/j.jenvrad.2007.08.001

    Article  CAS  Google Scholar 

  • National Academy of Sciences (NAS) (1988) Health risks of radon and other internally deposited alpha emitters. BEIR IV report of the National Academy of Sciences, National Research Council. National Academy, Washington Available at https://www.nap.edu/read/1026/chapter/1#v. Accessed 25 February 2019

    Google Scholar 

  • Navaranjan G, Berriault C, Do M, Villeneuve PJ, Demers PA (2016) Cancer incidence and mortality from exposure to radon progeny among Ontario uranium miners. Occup Environ Med 73(12):838–845. https://doi.org/10.1136/oemed-2016-103836

    Article  Google Scholar 

  • Navaranjan G, Chambers D, Thompson PA, Do M, Berriault C, Villeneuve PJ, Demers PA (2019) Uncertainties associated with assessing Ontario uranium miners' exposure to radon daughters. J Radiol Prot 39(1):136–149. https://doi.org/10.1088/1361-6498/aaf1eb

    Article  CAS  Google Scholar 

  • NRC - National Research Council (1999) Health effects of exposure to radon: BEIR VI. National Academies Press, Washington. https://doi.org/10.17226/5499. Accessed 30 January 2019

    Book  Google Scholar 

  • Nuclear Energy Agency (2006) Forty years of uranium resources, production and demand in perspective: the red book retrospective. OECD, Paris. Available at https://www.oecd-nea.org/ndd/pubs/2006/6096-40-years-uranium.pdf Accessed 26 April 2020

  • OECD-NEA & IAEA, Uranium (2018) Resources, production and demand (‘Red Book’) World Nuclear Association, The Nuclear Fuel Report 2015, 2017 & 2019

  • Oh SS, Koh S, Kang H, Lee J (2016) Radon exposure and lung cancer: risk in nonsmokers among cohort studies. Ann Occup Environ Med 9(28):11

    Google Scholar 

  • Oliver J (2015) The histogenesis of chronic uranium nephritis with especial reference to epithelial regeneration. J Exp Med 21:425–451

    Google Scholar 

  • Ooe K, Watabe T, Kamiya T, Yoshimura T, Hosono M, Shinohara A, Hatazawa J (2019) Quantitative measurement of (219)Rn radioactivity in exhaled breath from patients with bone metastasis of castration-resistant prostate cancer treated with (223)RaCl(2). EJNMMI Phys 6(1):13. https://doi.org/10.1186/s40658-019-0249-8

    Article  Google Scholar 

  • Otahal P, Burian I, Nasir MM, Gregor Z (2014) Radon contribution to the total effective dose of uranium miners. Radiat Prot Dosim 160(1–3):117–119. https://doi.org/10.1093/rpd/ncu065

    Article  CAS  Google Scholar 

  • Paredes E, Avazeri E, Malard V, Vidaud C, Reiller PE, Ortega R, Nonell A, Isnard H, Chartier F, Bresson C (2016) Evidence of isotopic fractionation of natural uranium in cultured human cells. Proc Natl Acad Sci U S A 113(49):14007–14012

    CAS  Google Scholar 

  • Paredes E, Malard V, Vidaud C, Avazeri E, Ortega R, Nonell A, Isnard H, Chartier F, Bresson C (2019) Isotopic variations of copper at the protein fraction level in neuronal human cells exposed in vitro to uranium. Analyst. 144:5928–5933. https://doi.org/10.1039/c9an01081e

    Article  CAS  Google Scholar 

  • Pavlakis N, Pollock CA, McLean G, Bartrop R (1996) Deliberate overdose of uranium: toxicity and treatment. Nephron 72(2):313–317. https://doi.org/10.1159/000188862

    Article  CAS  Google Scholar 

  • Petersell V, Täht-Kok K, Karimov M, Milvek H, Nirgi S, Raha M, Saarik K (2017) Radon in the soil air of Estonia. J Environ Radioact 166:235–241

    CAS  Google Scholar 

  • Pirchan A, Sikl H (1932) Cancer of the lung in miners of Jachymov (Joachimsthal). Report of cases observed in 1929–1930. Am J Cancer 16:681–722. https://doi.org/10.1158/ajc.1932.681

    Article  Google Scholar 

  • Plant J, Simpson PR, Smith B, Windley BF (1999) “Uranium ore deposits: products of the radioactive earth”, in Burns, P.C., and Finch, R., Reviews in mineralogy, volume 38: uranium: mineralogy, geochemistry and the environment. Washington D.C., USA.: Mineralogical Society of America, 255–320

  • Rage E, Caër-Lorho S, Drubay D, Ancelet S, Laroche P, Laurier D (2015) Mortality analyses in the updated French cohort of uranium miners (1946–2007). Int Arch Occup Environ Health 88(6):717–730. https://doi.org/10.1007/s00420-014-0998-6

    Article  CAS  Google Scholar 

  • Rage E, Richardson DB, Demers PA, Do M, Fenske N, Kreuzer M, Samet J, Wiggins C, Schubauer-Berigan MK, Kelly-Reif K, Tomasek L, Zablotska LB, Laurier D (2020) PUMA – pooled uranium miners analysis: cohort profile. Occup Environ Med 77(3):194–200. https://doi.org/10.1136/oemed-2019-105981

    Article  Google Scholar 

  • Ramkissoon A, Navaranjan G, Berriault C, Villeneuve PJ, Demers PA, Do MT (2018) Histopathologic analysis of lung cancer incidence associated with radon exposure among Ontario uranium miners. Int J Environ Res Public Health 15(11):E2413. https://doi.org/10.3390/ijerph15112413

    Article  CAS  Google Scholar 

  • Řeřicha JV, Kulich M, Řeřicha R, Shore DL, Sandler DP (2006) Incidence of leukemia, lymphoma, and multiple myeloma in Czech uranium miners: a case-cohort study. Environ Health Perspect 114(6):818–822

    Google Scholar 

  • Rosenberger A, Hung RJ, Christiani DC, Caporaso NE, Liu G, Bojesen SE, Le Marchand L, Haiman CA, Albanes D, Aldrich MC, Tardon A, Fernández-Tardón G, Rennert G, Field JK, Kiemeney B, Lazarus P, Haugen A, Zienolddiny S, Lam S, Schabath MB, Andrew AS, Brunnsstöm H, Goodman GE, Doherty JA, Chen C, Teare MD, Wichmann HE, Manz J, Risch A, Muley TR, Johansson M, Brennan P, Landi MT, Amos CI, Pesch B, Johnen G, Brüning T, Bickeböller H, Gomolka M (2018) Genetic modifiers of radon-induced lung cancer risk: a genome-wide interaction study in former uranium miners. Int Arch Occup Environ Health 91(8):937–950. https://doi.org/10.1007/s00420-018-1334-3

    Article  CAS  Google Scholar 

  • Saccomanno G (1982) The contribution of uranium miners to lung cancer histogenesis. Recent Results Cancer Res 82:43–52. https://doi.org/10.1007/978-3-642-81768-7_5

    Article  CAS  Google Scholar 

  • Sakoda A, Ishimori Y, Tschiersch J (2016) Evaluation of the intake of radon through skin from thermal water. J Radiat Res 57(4):336–342

    CAS  Google Scholar 

  • Santos TO, Rocha Z, Cruz P, Gouvea VA, Siqueira JB, Oliveira AH (2014) Radon dose assessment in underground mines in Brazil. Radiat Prot Dosim 160(1–3):120–123

    CAS  Google Scholar 

  • Sarkar A, Wilton DH, Fitzgerald E (2017) Indoor radon in micro-geological setting of an indigenous community in Canada: a pilot study for hazard identification. Int J Occup Environ Med 8(2):69–79

    Google Scholar 

  • Schneider J, Philipp M, Yamini P, Dörk T, Woitowitz HJ (2007) ATM gene mutations in former uranium miners of SDAG Wismut: a pilot study. Oncol Rep 17(2):477–482

    CAS  Google Scholar 

  • Schröder C, Friedrich K, Butz M, Koppisch D, Otten H (2002) Uranium mining in Germany: incidence of occupational disease 1946-1999. Int Arch Occup Environ Health 75:235–242

    Google Scholar 

  • Schubauer-Berigan MK, Daniels RD, Pinkerton LE (2009) Radon exposure and mortality among white and American Indian uranium miners: an update of the Colorado plateau cohort. Am J Epidemiol 169(6):718–730

    Google Scholar 

  • Scott BR (2019) Epidemiologic studies cannot reveal the true shape of the dose-response relationship for radon-induced lung Cancer. Dose Response 17(1):1559325819828617

    Google Scholar 

  • Seo S, Ha WH, Kang JK, Lee D, Park S, Kwon TE, Jin YW (2019) Health effects of exposure to radon: implications of the radon bed mattress incident in Korea. Epidemiol Health 41:e2019004

    Google Scholar 

  • Sevc J, Kunz E, Placek V (1976) Lung cancer in uranium miners and long-term exposure to radon daughter products. Health Phys 30(6):433–437

    CAS  Google Scholar 

  • Sevcová M, Sevc J (1989) Skin basalioma in workers at risk from the daughter products of radon. Pracov Lek 41:398–401

    Google Scholar 

  • Sevcová M, Sevc J, Thomas J (1978) Alpha irradiation of the skin and the possibility of late effects. Health Phys 35(6):803–806

    Google Scholar 

  • Sheen S, Lee KS, Chung WY, Nam S, Kang DR (2016) An updated review of case-control studies of lung cancer and indoor radon-is indoor radon the risk factor for lung cancer? Ann Occup Environ Med 28:70

    Google Scholar 

  • Skubacz K, Wysocka M, Michalik B, Dziurzyński W, Krach A, Krawczyk J, Pałka T (2019) Modelling of radon hazards in underground mine workings. Sci Total Environ 695:133853

    CAS  Google Scholar 

  • Smith TA, Kirkpatrick DR, Smith S, Smith TK, Pearson T, Kailasam A, Herrmann KZ, Schubert J, Agrawal DK (2017) Radioprotective agents to prevent cellular damage due to ionizing radiation. J Transl Med 15(1):232. https://doi.org/10.1186/s12967-017-1338-x

    Article  CAS  Google Scholar 

  • Sogl M, Taeger D, Pallapies D, Brüning T, Dufey F, Schnelzer M, Straif K, Walsh L, Kreuzer M (2012) Quantitative relationship between silica exposure and lung cancer mortality in German uranium miners, 1946–2003. Br J Cancer 107(7):1188–1194. https://doi.org/10.1038/bjc.2012.374

    Article  CAS  Google Scholar 

  • Stram DO, Langholz B, Huberman M, Thomas DC (1999) Correcting for exposure measurement error in a reanalysis of lung cancer mortality for the Colorado plateau uranium miners cohort. Health Phys 77(3):265–275

    CAS  Google Scholar 

  • Tchorz-Trzeciakiewicz DE, Parkitny T (2015) Radon as a tracer of daily, seasonal and spatial air movements in the underground tourist route “coal mine” (SW Poland). J Environ Radioact 149:90–98

    CAS  Google Scholar 

  • Thun MJ, Baker DB, Steenland K, Smith AB, Halperin W, Berl T (1985) Renal toxicity in uranium mill workers. Scand J Work Environ Health 11(2):83–90. https://doi.org/10.5271/sjweh.2249

    Article  CAS  Google Scholar 

  • Tomásek L (2012) Lung cancer mortality among Czech uranium miners-60 years since exposure. J Radiol Prot 32(3):301–314. https://doi.org/10.1088/0952-4746/32/3/301

    Article  CAS  Google Scholar 

  • Tomásek L, Darby SC, Swerdlow AJ, Placek V, Kunz E (1993) Radon exposure and cancers other than lung cancer among uranium miners in West Bohemia. Lancet 341(8850):919–923

    Google Scholar 

  • Tomásek L, Swerdlow AJ, Darby SC, Placek V, Kunz E (1994) Mortality in uranium miners in West Bohemia: a long-term cohort study. Occup Environ Med 51(5):308–315

    Google Scholar 

  • Tomasek L, Rogel A, Tirmarche M, Mitton N, Laurier D (2008) Lung cancer in French and Czech uranium miners: radon-associated risk at low exposure rates and modifying effects of time since exposure and age at exposure. Radiat Res 169(2):125–137. https://doi.org/10.1667/RR0848.1

    Article  CAS  Google Scholar 

  • Vacquier B, Caer S, Rogel A, Feurprier M, Tirmarche M, Luccioni C, Quesne B, Acker A, Laurier D (2008) Mortality risk in the French cohort of uranium miners: extended follow-up 1946-1999. Occup Environ Med 65(9):597–604. https://doi.org/10.1136/oem.2007.034959

    Article  CAS  Google Scholar 

  • Vacquier B, Rogel A, Leuraud K, Caer S, Acker A, Laurier D (2009) Radon-associated lung cancer risk among French uranium miners: modifying factors of the exposure-risk relationship. Radiat Environ Biophys 48(1):1–9. https://doi.org/10.1007/s00411-008-0196-6

    Article  Google Scholar 

  • Vermeulen R, Portengen L, Lubin J, Stewart P, Blair A, Attfield MD, Silverman DT (2019) The impact of alternative historical extrapolations of diesel exhaust exposure and radon in the diesel exhaust in miners study (DEMS). Int J Epidemiol 49:459–466. https://doi.org/10.1093/ije/dyz189

    Article  Google Scholar 

  • Vienneau D, de Hoogh K, Hauri D, Vicedo-Cabrera AM, Schindler C, Huss A, Röösli M (2017) SNC study group. Effects of radon and UV exposure on skin cancer mortality in Switzerland. Environ Health Perspect 125(6):067009

    Google Scholar 

  • Vogeltanz-Holm N, Schwartz GG (2018) Radon and lung cancer: what does the public really know? J Environ Radioact 192:26–23

    CAS  Google Scholar 

  • Wagoner JK, Archer VE, Carroll BE, Duncan MA, Holaday DA, Pope A, Lawrence PA (1964) Cancer mortality patterns among US uranium miners and millers, 1950 through 1962. JNCI J Natl Cancer Inst 32(4):787–801. https://doi.org/10.1093/jnci/32.4.787

    Article  Google Scholar 

  • Walsh L, Dufey F, Tschense A, Schnelzer M, Grosche B, Kreuzer M (2010) Radon and the risk of cancer mortality--internal Poisson models for the German uranium miners cohort. Health Phys 99(3):292–300. https://doi.org/10.1097/HP.0b013e3181cd669d

    Article  CAS  Google Scholar 

  • Walsh L, Dufey F, Tschense A, Schnelzer M, Sogl M, Kreuzer M (2012) Prostate cancer mortality risk in relation to working underground in the Wismut cohort study of German uranium miners, 1970-2003. BMJ Open 8:2–3. https://doi.org/10.1136/bmjopen-2012-001002

    Article  Google Scholar 

  • Walsh L, Grosche B, Schnelzer M, Tschense A, Sogl M, Kreuzer M (2015) A review of the results from the German Wismut uranium miners cohort. Radiat Prot Dosim 164(1–2):147–153. https://doi.org/10.1093/rpd/ncu281

    Article  CAS  Google Scholar 

  • Wang S, Ran Y, Lu B, Li J, Kuang H, Gong L, Hao Y (2019) A review of uranium-induced reproductive toxicity. Biol Trace Elem Res. https://doi.org/10.1007/s12011-019-01920-2

  • WHO (2009) WHO handbook on indoor radon a public health perspective. WHO international radon project. Available at http://whqlibdoc.who.int/publications/2009/9789241547673_eng.pdf. Accessed 24 April 2020

  • Winde F, Geipel G, Espina C, Schüz J (2019) Human exposure to uranium in south African gold mining areas using barber-based hair sampling. PLoS One 14(6):e0219059

    CAS  Google Scholar 

  • World Nuclear Association (2019) World Uranium Mining Production. Available at http://www.world-nuclear.org/information-library/nuclear-fuel-cycle/mining-of-uranium/world-uranium-mining-production.aspx. Accessed 21 February 2019

  • Wysocka M, Chałupnik S, Chmielewska I, Janson E, Radziejowski W, Samolej K (2019) Natural radioactivity in polish coal mines: an attempt to assess the trend of radium release into the environment. Mine Water Environ 38:581–589. https://doi.org/10.1007/s10230-019-00626-0

    Article  CAS  Google Scholar 

  • Zablotska LB, Lane RS, Frost SE, Thompson PA (2014) Leukemia, lymphoma and multiple myeloma mortality (1950–1999) and incidence (1969–1999) in the Eldorado uranium workers cohort. Environ Res 130:43–50. https://doi.org/10.1016/j.envres.2014.01.002

    Article  CAS  Google Scholar 

  • Zoellner T (2009) Uranium: war, energy, and the rock that shaped the world. Penguin Group, New York

    Google Scholar 

  • Zychowski KE, Kodali V, Harmon M, Tyler CR, Sanchez B, Suarez YO, Herbert G, Wheeler A, Avasarala S, Cerrato JM, Kunda NK, Muttil P, Shuey C, Brearley A, Ali A-M, Lin Y, Shoeb M, Erdely A, Campen MJ (2018) Respirable uranyl-vanadate-containing particulate matter derived from a legacy uranium mine site exhibits potentiated cardiopulmonary toxicity. Toxicol Sci 164(1):101–114

    CAS  Google Scholar 

  • Tirmarche M, Harrison J, Laurier D, Blanchardon E, Paquet F, Marsh J (2012) Risk of lung cancer from radon exposure: contribution of recently published studies of uranium miners. Annals of the ICRP 41(3–4):368–377

Download references

Author information

Authors and Affiliations

Authors

Contributions

All authors confirmed that they have contributed to the intellectual content of this paper and have met the following three requirements: (a) significant contributions to the conception and design, acquisition of data, or analysis and interpretation of data, (b) drafting or revising the article for intellectual content, and (c) final approval of the published article.

Corresponding author

Correspondence to Geir Bjørklund.

Ethics declarations

Conflict of interest

The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article.

Additional information

Responsible editor: Georg Steinhauser

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Semenova, Y., Pivina, L., Zhunussov, Y. et al. Radiation-related health hazards to uranium miners. Environ Sci Pollut Res 27, 34808–34822 (2020). https://doi.org/10.1007/s11356-020-09590-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11356-020-09590-7

Keywords

Navigation