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Hygiene · Chapter 7. Basics of radiation hygiene

Biological effects of ionizing radiation

The effect of ionizing radiation on the body is caused by both natural and artificial environmental factors. Regular monitoring of the radiation dose is essential to completely rule out deterministic radiation injuries and keep the probability of late stochastic effects at an acceptable level.

Average doseThe average effective radiation dose per resident of the CIS is 4.2 mSv (420 mrem) per year.
Radon and cancerInhalation exposure to radon and thoron accounts for 15 to 20% of all lung cancer cases.
Dose structureRadiation burden: 70% — natural background, 29% — medical procedures, 1% — other sources.
Impact of buildingsIn the basements of brick buildings, the radiation dose can exceed the outdoor background by 40–100 times.
4 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Classification of radiation sources

According to the Radiation Safety Standards (NRB-99), all sources affecting the population are divided into two main groups:

  1. Natural sources. These include cosmic radiation and natural radionuclides originally present in the environment (water, air, soil, and food). They contribute the maximum to the human radiation burden.
  2. Artificial sources. These are subdivided into two subcategories:
  3. Medical procedures (diagnostics and radiotherapy).
  4. Technogenic sources (artificial radionuclides, ionizing radiation generators, and natural radionuclides specifically concentrated as a result of human activity).

Technologically altered radiation background

Human activity can alter the natural radiation background. The technologically altered natural radiation background is formed primarily due to the following factors:

  • Road and civil construction. The erection of buildings and highways involves natural materials (crushed stone, gravel, sand) that possess their own radioactivity.
  • Agriculture. The use of artificial phosphate fertilizers containing isotopes of the thorium and uranium series creates an additional burden. Workers are exposed to external radiation from fertilized soils, as well as internal exposure via inhalation of soil dust and the alimentary route (ingestion of foods grown on these soils). The effective equivalent dose from fertilizers is 14 × 10⁻⁵ mSv/year.
Test your knowledge on the topicTasks from the Hygiene course question bank — answer and detailed explanation provided immediately.

Internal exposure and the impact of building materials

Building structures can play a dual role: they shield external radiation while themselves acting as sources of internal exposure. Artificial materials (concrete, brick made from sand and clay) accumulate radiation more strongly than natural ones (wood).

Compared to open areas, buildings alter the radiation dose as follows:

  • Wooden houses: dose increase by 2 times (in living rooms) and 7 times (in basements).
  • Brick buildings: dose increase by 10 times (in rooms) and 40–100 times (in basements).

In enclosed spaces, the main source of exposure is the radioactive gas radon and its decay product thoron. They are formed from radium-226, uranium-238, and thorium-232 present in walls and foundations. The average radon content in indoor air reaches 35 mBq/L (the thoron content is 2 orders of magnitude lower). The concentration of these gases depends on the amount of radium in the walls, the quality of ventilation, and the nature of the wall coating, which affects emanation and sorption processes.

Regulation and dose limits (NRB-99)

Radiation safety is ensured by compliance with exposure quotas, radiation monitoring, and sanitary legislation. For natural sources, no total limit is established; instead, the activity of specific media is regulated (radon in air, radionuclides in building materials, food, and water).

For technogenic sources under normal operating conditions, strict dose limits (DL) apply. All individuals are divided into three categories:

  • Personnel (Group A): work directly with sources.
  • Personnel (Group B): are in the area of influence of sources due to working conditions.
  • Public.
Regulated parameterPersonnel (Group A)Personnel (Group B)Public
Effective dose20 mSv/year (up to 50 mSv)5 mSv/year (up to 12.5 mSv)1 mSv/year (up to 5 mSv)
Lens dose150 mSv38 mSv15 mSv
Skin dose500 mSv125 mSv50 mSv

(Note: the effective dose is averaged over any consecutive 5 years). These standards are mandatory.

How to memorize

For quick memorization of the radiation burden structure, use the "70–29–1" formula: 70% is formed by the natural environment, 29% is contributed by medical procedures, and only 1% remains for other nuclear factors.

Class and exam questions

What is the main significance of complying with the dose limit?

Compliance with the regulated dose limit completely prevents the development of deterministic radiation injuries and keeps the probability of stochastic (probabilistic) effects at a socially acceptable level.

Why is the radiation level so high in the basements of stone buildings?

Artificial building materials, such as brick and concrete, are produced from natural components with natural radioactivity. Due to a lack of ventilation and the presence of radium-226 in the walls, the radioactive gas radon concentrates in basements, exceeding the outdoor background by tens of times.

How is exposure from natural sources regulated?

Unlike technogenic factors, natural sources do not have a single total limit on effective dose. Radiation reduction is achieved by controlling specific factors: for example, limiting the specific activity of radon in the air, as well as radionuclides in building gravel, drinking water, and food products.

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What else to study on this topic

  • Mechanisms of emanation and sorption of radioactive gases (radon and thoron) by indoor wall coatings.
  • The role of radium-226, uranium-238, and thorium-232 in the formation of the Earth's natural radiation background.
  • The impact of ventilation regimens on reducing radon concentrations in work area air.
  • Criteria for the sanitary assessment of specific activity in building materials (slag, rubble stone, sand).
  • Principles of calculating equivalent dose for various human tissues (lens, skin, hands, feet).

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