Health studies
The Canadian Nuclear Safety Commission (CNSC) continuously conducts and reviews health studies on a variety of areas associated with the production, possession or use of nuclear substances. The information gathered in these studies serves to guide the CNSC in decisions affecting its regulatory framework.
Part of the CNSC's mandate is to provide objective scientific, technical and regulatory information to the public on nuclear-related health and safety topics. The following are highlights of that work.
Find out more about radiation health effects.
Latest update
- Health effects of ionizing radiation on children
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Fact sheet: Health Effects of the Chernobyl Accident
(UPDATED)
(March 2022) The 1986 accident at the Chernobyl nuclear plant in Ukraine was the largest uncontrolled radioactive release in history. The health consequences of radiation exposure from the accident have often been misunderstood. To clarify this, the CNSC has published a fact sheet based on the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) 2008 Report entitled Health effects due to radiation from the Chernobyl accident and the UNSCEAR 2018 White Paper titled Evaluation of data on thyroid cancer in regions affected by the Chernobyl accident. The findings in these reports are based on approximately 30 years of follow-up.
Health studies – topics
CNSC staff conduct health studies on various topics, including tritium, uranium mining and milling, other mining activities, nuclear energy workers and members of the general population. These studies are conducted in order to enable the effective management of radiation risks and to set regulatory limits that will protect workers and the public from ionizing radiation.
Tritium
- Tritium overview
- Measurements and dose consequences of tritium in municipal sewage sludge
- Environmental fate of tritium in soil and vegetation
- Tritium releases and dose consequences in Canada in 2006 (INFO-0793)
- Tritium activity in garden produce from Pembroke in 2007 and dose to the public (INFO-0798)
- Health effects, dosimetry and radiological protection of tritium (INFO-0799)
- Tritium Studies Project Synthesis Report (INFO-0800)
- Review of the knowledge available to date on the effects of tritium exposure on health and the environment in Canada – a tool to guide regulatory compliance monitoring (Journal article, French only)
Port Hope
- Understanding health studies and risk assessments conducted in the Port Hope community from the 1950s to the present (INFO-0781)
- An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007 (Journal article)
- Use of a weight of evidence approach to determine the likelihood of adverse effects on human health from the presence of uranium facilities in Port Hope, Ontario (Journal article)
- Mortality (1950–1999) and cancer incidence (1969–1999) of workers in the Port Hope cohort study exposed to a unique combination of radium, uranium and gamma-ray doses (Journal article)
- Analysis of mortality in a pooled cohort of Canadian and German uranium processing workers with no mining experience (Journal article)
Uranium miners
- Canadian Uranium Workers Study
- Association between exposures to radon and gamma-ray radiation and histologic type of lung cancer in Eldorado uranium mining and milling workers from Canada (Journal article)
- Low radon exposures and lung cancer risk: joint analysis of the Czech, French, and Beaverlodge cohorts of uranium miners (Journal article)
- Updated Analysis of the Eldorado Uranium Miners' Cohort: Part I of the Saskatchewan Uranium Miners' Cohort Study (RSP-0205) (RSP-0205 Summary)
- Feasibility Study: Saskatchewan Uranium Miners Cohort Study (Part II) (RSP-0178) (RSP-0178 Summary)
- Leukemia, lymphoma and multiple myeloma mortality (1950–1999) and incidence (1969–1999) in the Eldorado uranium workers cohort (Journal article)
- Mortality (1950–1999) and cancer incidence (1969–1999) in the cohort of Eldorado uranium workers (Journal article)
- Lung cancer mortality (1950–1999) among Eldorado uranium workers: A comparison of the TSCE and ERR models (Journal article)
- Cancer incidence and mortality from exposure to radon progeny among Ontario uranium miners (Journal article)
- Fact sheet: Polonium-210
- Fact sheet: Radon
- Radon and health (INFO-0813) (PDF)
Other miners
- Updated Analysis of Radon Exposure and Lung Cancer Mortality in the Cohort of Newfoundland Fluorspar Miners (1950-2016) (Journal article)
- Circulatory system disease mortality and occupational exposure to radon progeny in the cohort of Newfoundland Fluorspar Miners between 1950 and 2016 (Journal article)
- Radon and lung cancer risk: An extension of the mortality follow-up of the Newfoundland fluorspar cohort (Journal article)
- Coronary heart disease mortality and radon exposure in the Newfoundland fluorspar miners’ cohort, 1950–2001 (Journal article)
Canadian nuclear facilities
- Projecting thyroid cancer risk to the general public from radiation exposure following hypothetical severe nuclear accidents in Canada
- Study of Consequences of a Hypothetical Severe Nuclear Accident and Effectiveness of Mitigation Measures
- Occupational dose data for major Canadian nuclear facilities 2001–07 (INFO-0775)
- Verifying Canadian nuclear energy worker radiation risk: A reanalysis of cancer mortality in Canadian nuclear energy workers (1957–1994) (INFO-0811)
General population studies
- Radiation and incidence of cancer around Ontario nuclear power plants from 1990 to 2008 (the RADICON study)
- Evidence of children's vulnerability to radiation in the context of radiological/nuclear events and considerations for emergency response (Journal article)
Useful tools
To assist readers in their understanding of our technical reports, the CNSC has put together a group of useful resources. These lay the foundation for understanding the different kinds of studies and highlight important factors to consider when reviewing a study. They provide details on the basics of topics like radiation, epidemiology and explain related terminology.
Concepts
- Basic epidemiology concepts
- Introduction to radiation
- Setting radiation protection requirements on the basis of sound science: The role of epidemiology (INFO-0812)
- Introduction to dosimetry (INFO-0827)
- Report on occupational radiation exposures in Canada 2017 (Health Canada)
Factsheets
- Fact sheet: Understanding radiation
- Fact sheet: Linear-non-threshold
- Fact sheet: The KiKK Study Explained
Videos
- Radiation and health
- Ask an Expert: How are children protected after a nuclear accident?
- Ask an Expert: After a nuclear accident like Fukushima, why aren’t all members of the public monitored continuously?
- Ask an Expert: Do dried fruit contain more radioactivity than fresh fruit?
- Ask an Expert: Is it safe to eat rice, produce and dish imported from Japan?
Hot topics and relevant third party research
CNSC staff regularly review literature from peer-reviewed journals as well as pertinent non-peer-reviewed literature to ensure that the most up-to-date information is used to support our regulatory framework. Comments and interpretations are provided here for selected topics.
- An updated cancer mortality study has been published: “ Cancer mortality after low dose exposure to ionising radiation in workers in France, the United Kingdom, and the United States (INWORKS): cohort study”. This 2023 study investigated the relationship between low dose exposure to ionizing radiation and death from all solid cancers combined among international nuclear workers. You can access the CNSC’s summary of the study here.
- United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) recently published a report titled Sources, effects and risks of ionizing radiation: UNSCEAR 2017 Report. UNSCEAR regularly conducts reviews and evaluations of evidence from radiation epidemiology studies to assess health risks of radiation. This report summarizes the principles and criteria for ensuring the quality of the Committee’s reviews of epidemiological studies of radiation exposure and summarized the evidence from epidemiological studies of cancer risk due to low-dose-rate radiation from environmental sources.
- Ontario Uranium Miners Cohort Study Report is an updated analysis of mortality and cancer incidence for a cohort of Ontario uranium miners exposed to radon decay products conducted by the Occupational Cancer Research Centre (OCRC).
- The Eastern Athabasca Regional Monitoring Program (EARMP) has published a report titled Eastern Athabasca Regional Monitoring Program 2017/2018 Community Report. The report presents the 2017-18 results of the EARMP, which monitors the safety of traditionally harvested foods like water, berries, fish, moose, and barren-ground caribou in the seven northern Saskatchewan communities located downstream of uranium mining and milling operations in the Eastern Athabasca region.
- The Northern Saskatchewan Population Health Unit has published two Northern Saskatchewan Health Indicators Reports (2004, 2011) and updates and publishes health monitoring chapters with the most up to date results on their website. CNSC staff has built a strong collaborative, knowledge sharing relationship with the Population Health Unit. You can access the reports here.
- Veteran Affairs Canada has published a report titled: Depleted uranium and Canadian veterans: A review of potential exposure and health effects. The report reviews and summarizes the published scientific literature on the human health effects of depleted uranium and evaluates the strength of the evidence for causal relationships and assesses the information concerning the potential exposures of Canadian military to depleted uranium.
- The United Nations Environment Programme (UNEP) has recently published a booklet titled Radiation: Effects and Sources. Its purpose is to answer three questions: What is radiation? What does radiation do to us? And where does radiation come from? Intended for the general public, the booklet is easy to understand and offers excellent graphics to help the reader better understand the basics of radiation. This booklet is largely based on previous UNEP reports and presents the most up-to-date scientific information from the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR).
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Several international studies, published between 1997 and 2014, discuss potassium iodide (KI) pills. Some of the
most notable examples include
The Hypothalamic-Pituitary-Thyroid Axis in Infants and Children: Protection from Radioiodines;
Distributing KI pills to minimize thyroid radiation exposure in case of a nuclear accident in France
;
Potassium Iodide for thyroid blockade in a reactor accident: administrative policies that govern its
use
; and
Managing terrorism or accidental nuclear errors, preparing for iodine-131 emergencies: a comprehensive
review.
These studies explore and describe the benefits of distributing KI pills in advance to citizens living within a 300-mile (483 kilometres) radius of a nuclear power plant, and the need for timely and correct consumption of these pills in the case of a nuclear accident. The studies indicate such preventative measures can greatly reduce the accumulation of radioiodines in the thyroid gland, as well as the resulting radiation dose. This is an essential measure, since thyroid cancer –, most specifically in children and infants – is one of the most frequently observed consequences of a nuclear accident. The studies also highlight the need for appropriate administrative policies and increased research on the topic of children and infant consumption of KI pills, to better understand both the effectiveness and the safety of these measures.
- Report on the uranium industry: Managing Environmental and Health Impacts of Uranium Mining (PDF). Read the extended executive summary: Perceptions and Realities in Modern Uranium Mining – Extended Summary (PDF) (source: Nuclear Energy Agency (NEA), a specialized agency within the Organisation for Economic Co-operation and Development). This international report issued by the NEA provides a factual account of how modern uranium mining is the most regulated and one of the safest and environmentally responsible forms of mining in the world. The report confirms that current mining practices and regulations protect the health and safety of the public, workers and the environment. The report uses case studies, which highlight the leading regulatory framework and practices applied in Canada, by the CNSC, provincial authorities and the uranium industry, throughout the lifecycle of a uranium mine.
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Study on childhood leukemia:
Leukemia in young children in the vicinity of British nuclear power plants: a case-control study
(source: British Journal of Cancer)
A British case-control study has found that young children who were born or live near a nuclear power plant sometime between 1962 and 2007 do not have a greater risk of developing childhood leukemia or non-Hodgkin lymphoma. The study was led by researchers from the Childhood Cancer Research Group in Oxford, England and published in the September 2013 edition of the British Journal of Cancer. The results draw the same conclusions as those recently published in the CNSC cancer study.
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Tritium study:
Estimating cancer risk in relation to tritium exposure from routine operation of a nuclear-generating
station in Pickering, Ontario
(source: Chronic Diseases and Injuries in Canada Journal)
A study, led by Cancer Care Ontario and published in the September 2013 edition of the scientific journal Chronic Diseases and Injuries in Canada, has confirmed that tritium is not associated with an increased risk of radiation-sensitive cancers in Pickering, Ontario. This study is important because it isolates tritium-specific dose data. More often, tritium data is combined with all other radiation exposures. This study increases our understanding of cancer risks and low level tritium exposure.
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