A survey on emergency thyroid monitoring strategies and capacities in Europe and comparison with international recommendations

Research output: Contribution to journalArticlepeer-review


  • Octavia Monteiro Gil
  • Mike Youngman
  • Pedro Vaz
  • Philip Angus
  • Paolo Battisti
  • Volodymyr Berkovskyy
  • Yuri Bonchuk
  • David Broggio
  • Kamil Brudecki
  • Krzysztof Dąbrowski
  • T.J.H. de Groot
  • Pavel Fojtík
  • Didier Franck
  • Alicja Jaworska
  • Flora Jourquin
  • Nina Jug
  • Júlia Kövendiné-Kónyi
  • Grażyna Krajewska
  • Marianne Leenders
  • Monika Lepasson
  • Maria Antonia Lopez
  • Irena Malatova
  • João O. Martins
  • Oliver Meisenberg
  • Jakub Ośko
  • Tamás Pázmándi
  • Mark S. Peace
  • Pedro Rosário
  • Pavel Solný
  • Mats Stenström
  • Orlin Stoyanov
  • Maria Luisa Tormo
  • Ausra Urboniene
  • Zoltán Vagfoldi
  • Valentina Vasilenko
  • Petra Willens
  • Peter Zagyvai

Institutes & Expert groups

  • AWE - Atomic Weapons Establishment plc
  • URPI - Ukrainian radiation protection institute
  • NCRP - SPRA - Service de protection radiologique des armées
  • UMC - University Medical Center Utrecht
  • Republic of Estonia, Environmental Board
  • SURO - National Radiation Protection Institute
  • APA – Agencia Portuguesa do Ambiente
  • HAS - Hungarian Academy of Science
  • NLL - National Nuclear Laboratory
  • DGS - Direcção Geral de Saúde
  • 2nd Faculty of Medicine Charles University
  • CSN - Consejo de Seguridad Nuclear
  • RSC - Radiation Protection Centre - Lithuania
  • FANC-AFCN - Federaal agentschap voor nucleaire controle-Agence fédérale de contrôle nucléaire
  • PAS - Institute of physics - Polish academy of sciences
  • NRG - Nuclear Research and Consultancy Group
  • Slovenian Radiation Protection Administration
  • PAA - National Atomic Energy Agency
  • IST - Instituto Superior Técnico, Universidade de Lisboa
  • PHE - Public Health England
  • ENEA - Italian National Agency for New Technologies
  • RPI - Raspberry Pi Украина
  • IRSN - Institute for Radioprotection and Nuclear Safety - Institut Radioprotection Sûreté Nucléaire
  • NPRA - Norwegian Radiation Protection Authority
  • National Public Health Center
  • CLOR - Central laboratory for Radiological Protection
  • CIEMAT - Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas
  • Bfs - Bundesamt Für Strahlenschutz - Federal Office for Radiation Protection
  • National Centre for Nuclear Research
  • Falu Lasarett
  • UNITUS - University of Tuscia
  • Hungarian Defence Forces CBRN Area Control Centre, Budapest

Documents & links


There are ongoing social debates about the risks and benefits of using nuclear reactors to generate electricity. Radiation accidents can occur for different reasons and even be caused deliberately as a result of terrorist actions, and these may affect from a few to thousands of people. After a major release of radioactive iodine as a result of a nuclear accident, large number of potentially affected people may require rapid assessments to determine the degree of thyroid contamination, especially children and young people given that their thyroid is a highly radiosensitive organ and particularly vulnerable to the carcinogenic action of ionising radiation. To date, there is no internationally agreed protocol for measuring 131I in the thyroid of affected persons, especially in children. To address this problem, the Child and Adult Thyroid Monitoring After Reactor Accident (CAThyMARA) project (https://www.eu-neris.net/projects/operra/operra-cathymara.html) focused on post-accidental 131I measurements in the thyroid, giving special attention to children and involved 15 institutions from 12 European countries. One of the Work Packages of the project had the objective to overview existing national plans and means for thyroid monitoring and to review international recommendations about radioiodine monitoring in the thyroid in case of a large scale nuclear accident. To achieve this objective, a questionnaire-based survey was carried out from May to October 2016. The survey results were based on the analysis of the answers of 31 institutions in 18 European countries, which included a wide range of questions related to emergency plan strategies, monitoring strategies for radioiodine in thyroid, dose assessment, etc. In addition, the peer-review literature in this area was reviewed and summarised. The results of the survey together with the current international recommendations about radioiodine monitoring in thyroid could provide important information on existing gaps, which can be used to develop new or update existing guidelines on thyroid monitoring after a nuclear accident.


Original languageEnglish
Article number106086
Number of pages11
JournalRadiation Measurements
Publication statusPublished - 1 Sep 2019
Event27th International Conference on Nuclear Tracks and Radiation Measurements - University of Strasbourg Central Campus, Strasbourg , France
Duration: 28 Aug 20171 Sep 2017


  • Radiological and nuclear emergencies, Thyroid monitoring, Children thyroid exposure, Thyroid monitoring strategies

ID: 5704238