URANIUM, RADIOACTIVE:  Nuclear Power Plant Emissions

Major Uses :
Uranium-234: Dental fixtures; Uranium-235: Fuel for nuclear power plants and naval nuclear propulsion systems, fluorescent glassware, colored glazes, and wall tiles. /from table/ /Isotopes/
[Goldfrank, L.R. (ed). Goldfrank's Toxicologic Emergencies. 7th Edition McGraw-Hill New York, New York 2002., p. 1519]**PEER REVIEWED**


Major Uses :
Uranium-238. Used in dental fixtures like crowns and dentures to provide natural color and brightness and in fuel for nuclear power plants and naval nuclear propulsion. /Uranium-238/
[Medical and Industrial Uses of Radioactive Materials, NEI Nuclear Energy Institute, Washington, DC, April 2003 www.nei.org as of May 19, 2004 ]**PEER REVIEWED**


Major Uses :
Uranium is used primarily in nuclear power plants; most reactors require uranium in which the uranium-235 content is enriched from 0.72% to about 3%. /Uranium NOS/
[WHO Department of Protection of the Human Environment; Depleted Uranium Sources, Exposure and Health Effects. p. iii (April 2001) ]**PEER REVIEWED**


Other Hazardous Reaction :
Neutrons are primarily released from nuclear fission ... . The natural decay of radionuclides does not include emission of neutrons. This is mainly a health hazard for workers in a nuclear power facility or victims of a nuclear explosion. Unique among the particles of radioactivity, when neutrons are stopped or captured they can cause a previously stable atom to become radioactive. This is the principle behind radioactive fallout.
[Goldfrank, L.R. (ed). Goldfrank's Toxicologic Emergencies. 7th Edition McGraw-Hill New York, New York 2002., p. 1516]**PEER REVIEWED**


General Manufacturing Information :
In both nuclear weapons and nuclear fuel production, after being mined and milled, uranium must be converted to uranium hexafluoride gas, which is then enriched and converted to uranium oxide or metal. If enrichment is carried to about 90%, the uranium may be used to make nuclear weapons or to fuel naval warships; alternatively, the uranium may be enriched by only a small percentage for use in civilian nuclear energy facilities. Metallic uranium is capable of reacting with both air and water exothermically; because of this reactivity, the more stable uranium oxide is the most commonly used fuel in reactors. While this form is more stable, it has poor thermal conductivity, necessitating the use of small-diameter fuel rods. The fuel is in the form of high melting point ceramic pellets, about 0.5 inches in diameter and 1 inch long, in which UO2-enriched to 3-4% uranium-235 is dispersed. These pellets are stacked end to end in zirconium alloy or stainless steel tubes about 12 feet long (called cladding) and then sealed to retain the fission products that are produced during operation. These fuel filled tubes are then assembled in groups of 8 x 8 to 17 x 17 arrays into fuel rod assemblies. About 500 of these assemblies make up the core of a nuclear power reactor. For a frame of reference, a single pellet contains the energy equivalent of about one ton of coal or 3 barrels of oil. /Uranium fuel/
[DHHS/ATSDR; Toxicological Profile for Ionizing Radiation p.256 (PB/99/163388) (1999) ]**PEER REVIEWED**


Artificial Pollution Sources :
Combustion of coal is a significant source of enhanced natural radioactivity. When coal is burned, some of the radioactivity is released directly to the atmosphere, but a significant fraction is retained in the bottom ash. Enhanced concentrations of uranium have been found on the ground around coal-fired power plants(1).
[(1) ATSDR; Toxicological Profile for Uranium. Atlanta, GA: Agency for Toxic Substances and Disease Registry, US Public Health Service (1999) ]**PEER REVIEWED**


Prior History of Accidents :
An incident occurred at a plant near Tomsk in the Russian federation in 1993 in which individual exposures were low and few in number. The Tomsk site featured one of Russia's three operating plutonium production reactors. The Tomsk reactors were built to produce plutonium and to supply steam for the city's district heating plant. Reprocessing, which involves the use of chemical processes to separate uranium and plutonium from spent nuclear fuel, occurs at the plant. Under certain conditions, the chemical solutions can cause an explosion. In April 1993, a tank containing a blend of paraffin and tributyl phosphate chemically exploded, resulting in the involuntary release of uranium, plutonium, niobium, zirconium and ruthenium. The tank had a volume of 34.1 cu m, and held 25 cu m of solution. The solution contained 8,773 kg of uranium, and about 310 kg of plutonium. The total amount of radioactivity in the solution was approximately 20.7 TBq (559.3 Ci). The explosion caused substantial damage to the facility and contaminated a largely unpopulated area of about 123 sq km. The release from the tank was estimated to be 4.3 TBq (115 Ci) of long-lived isotopes. Radioactive material spread to the north-east and fallout was detected over an area of 120 cu km. Gamma radiation 20 times higher than the norm was measured in the area that received the most fallout. The personnel who assisted in putting out the flames received the maximum radiation dose of 2 mSv (200 mrem). The accident could have had more serious local consequences if the wind had carried the contamination to two large nearby cities. ...Several operational errors, such as improper mixing of chemicals in the reprocessing tank, and possible design flaws, such as inadequate tank ventilation, were identified as contributors to the accident.
[DHHS/ATSDR; Toxicological Profile for Ionizing Radiation p.209 (PB/99/163388) (1999) ]**PEER REVIEWED**


Prior History of Accidents :
United Nuclear Fuels Recovery Plant, 24 July 1964 This accident occurred in a chemical processing plant ... designed to recover highly enriched uranium from scrap material ... shipped to the plant as uranyl nitrate solution in 55 gallon drums . ... The uranyl nitrate was then purified and concentrated by solvent extraction using tributyl phosphate mixed with kerosene as the organic wash. After the final acid strip, the purified uranyl nitrate solution was bubbled through a column containing a fixed charge of ... trichloroethane (TCE). ... / On the day of the accident/ the operator assigned to work the solvent extraction columns ... mistook a bottle/ containing high concentration solution for one containing TCE. The bottle was transported by cart, and then hand carried... After arriving ..., the operator poured the contents of the bottle into the makeup vessel already containing sodium carbonate solution that was being agitated by a stirrer. The critical state was reached when nearly all of the uranium had been transferred. The excursion (1.0 to 1.1x10+17 fissions) created a flash of light, splashed about 20% of the solution out of the vessel and onto the ceiling, walls, and operator. The operator who fell to the floor, regained his footing and ran from the area to an emergency building. ... An hour and a half after the excursion, the plant superintendent and shift supervisor entered the building with the intent of draining the vessel... the change in geometry... apparently added enough reactivity to create a second excursion ... The estimated yield of the second excursion was 2 to 3x10+16 fissions... That the second excursion had occurred was not realized until dose estimates ... were available. The supervisor received about 100 rad, while the superintendent received about 60 rad. ... The radiation dose to the operator as a result of the initial excursion was estimated to be about 10,000 rad. He died 49 hrs later.
[McLaughlin TP et al; A Review of Criticality Accidents - 2000 revision. p. 33 Los Alamos National Laboratory, LA-13638. Available at http://www.eh.doe.gov/paa/nsr/nsrsearch/catalog/758324.pdf as of October 4, 2006 ]**PEER REVIEWED**


Human Toxicity Excerpts :
/EPIDEMIOLOGY STUDIES/ A retrospective cohort study was conducted among 6,781 white male employees who had worked at /an/ Oak Ridge ... nuclear material fabrication plant for at least 30 days during 1947-74; vital status was determined for 6477 workers, and the cohort was followed-up until the end of 1979. Among 3,490 monitored workers, the mean cumulative alpha-particle dose to the lung was 82 mSv (range, 0-3.1 Sv), and the mean cumulative external whole-body penetrating dose from gamma-radiation was 9.6 mSv (0-4.3 Sv). When compared with the rates for white men in the USA, the mortality rates from all causes combined, cardiovascular diseases and from most site-specific cancers were decreased. Increased rates of cancers of the lung, brain and central nervous system were seen in comparison with national and state rates. Dose-response trends were detected for death from lung cancer with respect to cumulative exposure to alpha-particles and gamma-radiation, the most pronounced trend being found for exposure to gamma-radiation among workers who received > or = to 0.05 Sv of alpha-particles. ... No dose-response trend in mortality from brain or central nervous system cancer was found. /Enriched uranium/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 220-1 (2001)]**PEER REVIEWED**


Preventive Measures :
A nuclear fission chain reaction in a reprocessing plant is an accident that must be carefully guarded against. Although such a critical reaction is not likely to generate sufficient energy to be mechanically destructive, it emits intense neutron and gamma radiation that can kill nearby plant personnel and may release radioactive fission products outside the plant. ... Nuclear criticality safety has been codified in American National Standards published by the American Nuclear Society, ... . Even after using these standards, the design or operation of equipment in which fissile material is to be processed should be reviewed for criticality safety by an expert. And even after such review, some reprocessing systems may have novel features whose safety can be verified only by experiment. /Fissile uranium and plutonium/
[Benedict, M et al; Nuclear Chemical Engineering (2nd ed) p. 547New York: McGraw-Hill (1981) ]**PEER REVIEWED**


Methods of Manufacturing :
The first step in the process /of preparing uranium fuel/ is mining; historically, this has involved subterranean or open-pit ore rock removal and now also involves liquid in-situ leaching of unconsolidated deposits. ... The next steps in the production of uranium fuel, aimed at concentrating the uranium, are usually carried out near the mine to save on transportation costs. ... The product of these concentration steps contains perhaps 40-70% uranium by weight and is generally shipped to a central processing plant to be further refined. This purification is either by digestion with nitric acid and extraction of the resulting uranyl nitrate into an organic solvent, or by conversion to UF6 and fractional distillation of that volatile compound. At this stage, all naturally occurring radioactive progeny have been removed from the uranium which is considered to be chemically pure... . While some nuclear reactor types ... use natural uranium as fuel, others require enriched uranium. If such uranium-235 enrichment is required, the purified uranium in an appropriate chemical form is transferred to an isotope separation plant. Isotope separation of uranium-238, uranium-235, and uranium-234 may be achieved by a number of processes including gaseous diffusion, centrifugal or laser enrichment. The enriched uranium is then processed and fabricated into appropriate forms for use in nuclear reactors. The by-product of this enrichment process is depleted uranium, often in the form of UF6. /Uranium fuel/
[WHO Department of Protection of the Human Environment; Depleted Uranium Sources, Exposure and Health Effects. p. 24 , April 2001 ]**PEER REVIEWED**


Prior History of Accidents :
With the beginning of the nuclear age also came criticality events of varying kinds where individuals were exposed to large amounts of radiation. Criticality refers to the chain reaction of fissionable atoms that results in the release of energy. It is the basic operating principle behind fission bombs and nuclear reactors and is an efficient means of generating energy. Two criticality events occurred in Los Alamos in 1945 during experiments in which scientists performed what was called "tickling the dragon." In the 1940s determining the amount of fissionable material necessary to precipitate a chain reaction was less of a calculation and more trial and error. Harry Daghlian and Louis Slotin, two scientists involved in the development of the first atomic bomb, were to bring subcritical amounts of fissionable material together to see if a reaction would occur. Both men died of ARS following exposure to high levels of radiation released during these experiments. Since 1945, there have been numerous criticality events, the most recent occurring in Tokaimura, Japan in 1999. In this instance, workers making fuel for nuclear reactors allowed too much uranium to enter an improper container. The critical event that resulted killed one worker and caused the evacuation of all the people living within 350 meters of the manufacturing plant.
[Goldfrank, L.R. (ed). Goldfrank's Toxicologic Emergencies. 7th Edition McGraw-Hill New York, New York 2002., p. 1515]**PEER REVIEWED**


Prior History of Accidents :
Oak Ridge Y-12 Plant, 16 June 1958 This accident occurred ... in a process designed to recover enriched uranium, U(93) from various solid wastes. The solid wastes would be dissolved in nitric acid, purified, concentrated, and then converted to uranium tetrafluoride. A similar system, using newer technology, had been installed and was operating... . However, because of delays in the startup of the UF4 conversion equipment, the solution it produced was being transferred ... for final conversion. ... Unknown to anyone at the time /of the accident/, uranyl nitrate had been leaking /through a valve/ from the early hrs of the previous shift until early afternoon when one of the operators checked it. The operators completed the leak check and opened the valves to drain the water into a drum. One operator remained near the drum to monitor the situation for any unusual conditions. Because another valve was already ope, the flow pattern from the vessels permitted the uranyl nitrate solution to precede the water./ The operator looked into the drum and noticed yellow-brown fumes risking from the liquid. He stepped away from the drum and within a few seconds saw a flue flash indicating that an excursion had occurred. Almost immediately, the criticality alarm sounded, and the building was evacuated. ... The most likely source of initiation was neutrons from (alpha, neutron) with the oxygen in the water. ... A reasonable estimate is that the first spike contributed 6x10+16 fissions of the total yield of 1.3x10+18 fissions. The second excursion ... occurred in 14 seconds. ... The excursions for the next 2.6 minutes appear to have been no greater than about 1.7 times the average power. ... Eight people received significant radiation doses (461 to 28.8 rem). At least one person owes his life to the fact that prompt and orderly evacuation plans were followed.
[McLaughlin TP et al; A Review of Criticality Accidents - 2000 revision. p. 13 Los Alamos National Laboratory, LA-13638. Available at http://www.eh.doe.gov/paa/nsr/nsrsearch/catalog/758324.pdf as of October 4, 2006 ]**PEER REVIEWED**


Toxicity Summary :
Uranium occurs in granite, metamorphic rock, lignite, monazite sand, and phosphate deposits at concentrations on the order of 0.5 to 5 ppm. All uranium isotopes are radioactive. Uranium nitrate, sulfate, chloride, fluoride, and acetate are either soluble in water or dissolved by dilute acids. Several uanium oxides (e.g., uranium dioxide (UO2), uranyl oxide (UO3), uranium octoxide (U3O8) have very low solubility in water. ... Uranium can exist in valences of +3, +4, +5, or +6, but U+6 is the most stable, and it exists principally as the uranyl cation (UO2)+2. The uranyl compounds (+6) are of most importance biologically because the uranic compounds (+4) are usually oxidized to +6 during absorption into the body. Natural uranium, by itself, will not sustain a nuclear chain reaction; however, in the presence of a moderator or enrichment with less stable nuclides such as uranium-235, it may do so (2). Daily intake of uranium in food and water varies from approximately 1- 5 ug U/d daily in uncontaminated regions to 13-18 ug/d or more in uranium mining areas. A 70 kg, non-occupationally exposed 'Reference Man' living in Europe or in the United States has an estimated total body uranium content of about 22 ug. Uranium is absorbed from the intestine or by the lungs, enters the bloodstream, and is rapidly deposited in the tissues, predominantly kidney and bone, or excreted in the urine. Renal toxicity is a major adverse effect of uranium, but the metal has toxic effects on the cardiovascular system, liver, muscle and nervous system as well (1). Uranium accumulates in bone in a manner similar to that of radium; therefore, its alpha particles would presumably be nearly as effective in the production of osteogenic sarcomas. Sarcomas have been produced in mice after exposures to high specific activity uranium-232 and uranium-233 (2). According to the ACGIH, there is debate as to what acute concentration of uranium in the kidney constitutes the NOAEL. Substantial damage has been found when the renal uranium concentration exceeded 3 ug/g in rodents. Other studies indicate that 2 ug/g in the rat kidney causes transient proteinuria. Morrow and associates in 1982 calculated that 0.3 ug/g was a threshold concentration for acute renal injury in the dog. This value has been challenged on the grounds that the half-life value used by Morrow et al was too long. Renal toxicity in rats... has been detected at 1 ug U/g wet weight after treatment with 5 ug U/day for 14 days. The basis of the uranium-induced renal toxicity is related to (UO2)+2 competition for Mg+2 and Ca+2 adenosine-5'triphosphate (ATP) binding sites and subsequent disruption of active transport in the cells of the proximal tubule and associated structures. Toxicity to the lungs may also be associated with alpha radiation from inhalation of insoluble forms of uranium. Chronic inhalation by monkeys, dogs, and rats of natural uranium as UO2 at 25 mg/cu m resulted in pulmonary fibrosis and malignant pulmonary neoplasia; the latter appeared to be a direct result of alpha radiation. A series of studies at a uranium enrichment plant noted an excess of lung cancer deaths among 18,869 white male workers and an excess of death from central nervous system (CNS) cancer. Subsequent case-control studies found a relationship between lung cancer and work exposure but failed to find such a relationship with cancer of thee CNS. A more recent follow-up confirmed the excess deaths from lung and CNS cancers in this cohort and found excess deaths from renal cancer, lymphosarcomas and multiple myeloma. For lung cancer, but not for the other cancers, a dose-response relationship was found, an observation consistent with the lung cancers among dogs chronically exposed to uranium. These data suggest that radiation is the limiting factor for enriched or insoluble uranium (2). One effect of exposure to ionizing radiation is to reduce regeneration of injured tissue, an observation that may account for the finding that radiation enhances the toxicity of uranium for the kidneys of mice and dogs (2). According to Taylor and Taylor, any possible direct risk of cancer or other chemical- or radiation-induced health detriments from uranium deposited in the human body is probably less than 0.005% in contrast to an expected indirect risk of 0.2% to 3% through inhaling the radioactive inert gas radon, which is produced by the decay of environmental uranium-238 (1).
[(1) Taylor DM, Taylor SK; Rev Environ Health 12 (3): 147-57 (1997); (2) American Conference of Governmental Industrial Hygienists. Documentation of the TLV's and BEI's with Other World Wide Occupational Exposure Values. CD-ROM Cincinnati, OH 45240-1634 2005. ]**PEER REVIEWED**


Other Chemical/Physical Properties :
DECAY PATHWAY: Uranium-235, half-life 7.038X10+8 years, decays via alpha emission, 4679 keV (55% 4398 keV; 5.7% 4215 keV; 5.0% 4596 keV) and gamma emission (abs intensities: 57.2% 185.7 keV; 10.96% 143.8 keV) to thorium-231, half-life 25.52 hours. Thorium-231 decays via beta(-) emission, 0.389 MeV (35%, 305 keV maximum, 85.1 keV average; 37%, 288 keV maximum, 79.9 keV average; 12.8%, 206.1 keV maximum, 55.7 keV average; 12%, 287.3 keV maximum, 79.6 keV average) and 12% gamma emission (abs intensities: 14.5% 25.6 keV; 6.6% 84.2 keV) to protactinium-231, half-life 32,760 years. /Uranium-235 and its progeny/
[Korea Atomic Energy Research Institute. Nuclear Data Evaluation Lab. 2000. Nuclide Table. Available from the database query page at http://atom.kaeri.re.kr/ton/ as of Feb 9, 2006. ]**PEER REVIEWED**


Radiation Limits & Potential :
DECAY PATHWAY: Uranium-235, half-life 7.038X10+8 years, decays via alpha emission, 4679 keV (55% 4398 keV; 5.7% 4215 keV; 5.0% 4596 keV) and gamma emission (abs intensities: 57.2% 185.7 keV; 10.96% 143.8 keV) to thorium-231, half-life 25.52 hours. Thorium-231 decays via beta(-) emission, 0.389 MeV (35%, 305 keV maximum, 85.1 keV average; 37%, 288 keV maximum, 79.9 keV average; 12.8%, 206.1 keV maximum, 55.7 keV average; 12%, 287.3 keV maximum, 79.6 keV average) and 12% gamma emission (abs intensities: 14.5% 25.6 keV; 6.6% 84.2 keV) to protactinium-231, half-life 32,760 years.
[Korea Atomic Energy Research Institute. Nuclear Data Evaluation Lab. 2000. Nuclide Table. Available from the database query page at http://atom.kaeri.re.kr/ton/ as of Feb 9, 2006. ]**PEER REVIEWED**


Other Chemical/Physical Properties :
DECAY PATHWAY: Uranium-238, half-life 4.468X10+9 years, decays via alpha emission, 4270 keV (79.0% 4198 keV; 20.9% 4151 keV) to thorium-234, half-life 24.10 days. Thorium-234 decays via beta(-) emission (70.3%, 198.5 keV maximum, 52.7 keV average; 19.2%, 103.7 keV maximum, 27.0 keV average) to protactinium-234, half-life 6.75 hours. Protactinium-234 decays via beta(-) emission (33.0%, 471.5 keV maximum, 137 keV average; 19.4%, 642.4 keV maximum, 194 keV average; 12.4%, 472.1 keV maximum, 137 keV average) to uranium-234, half-life 245,500 years /Uranium-238 and its progeny/
[Korea Atomic Energy Research Institute. Nuclear Data Evaluation Lab. 2000. Nuclide Table. Available from the database query page at http://atom.kaeri.re.kr/ton/ as of Feb 9, 2006. ]**PEER REVIEWED**


Radiation Limits & Potential :
DECAY PATHWAY: Uranium-238, half-life 4.468X10+9 years, decays via alpha emission, 4270 keV (79.0% 4198 keV; 20.9% 4151 keV) to thorium-234, half-life 24.10 days. Thorium-234 decays via beta(-) emission (70.3%, 198.5 keV maximum, 52.7 keV average; 19.2%, 103.7 keV maximum, 27.0 keV average) to protactinium-234, half-life 6.75 hours. Protactinium-234 decays via beta(-) emission (33.0%, 471.5 keV maximum, 137 keV average; 19.4%, 642.4 keV maximum, 194 keV average; 12.4%, 472.1 keV maximum, 137 keV average) to uranium-234, half-life 245,500 years
[Korea Atomic Energy Research Institute. Nuclear Data Evaluation Lab. 2000. Nuclide Table. Available from the database query page at http://atom.kaeri.re.kr/ton/ as of Feb 9, 2006. ]**PEER REVIEWED**


Major Uses :
Source of fissionable isotope uranium-235; source of plutonium by neutron capture, electric power generation. /Natural uranium/
[Lewis, R.J. Sr.; Hawley's Condensed Chemical Dictionary 14th Edition. John Wiley & Sons, Inc. New York, NY 2001., p. 1152]**PEER REVIEWED**


Plant Concentrations :
Uranium-238 was detected in the tissue of grasses, mixed forbs, and big sagebrush collected at various sites around an uranium mining and milling operation in Wyoming. Concentrations were 130 mBq/g in tissue of plants growing at the edge of a tailing impoundment and 407 mBq/g in plants growing on bare tailings. The background concentration of uranium-238 in plants was 4.4 mBq/g(1).
[(1) Ibrahim SA, Whicker FW; Hlth Phys 54(4): 413-19 (1988) ]**PEER REVIEWED**


Non-Human Toxicity Excerpts :
/OTHER TOXICITY INFORMATION/ In addition to its natural presence at high concentrations in some areas, uranium has several civilian and military applications that could cause contamination of human populations, mainly through chronic ingestion .... The present study ... evaluated rats chronically exposed to depleted uranium in their drinking water (1 mg/(rat-day)) for 9 months. ... CYP3A1 mRNA expression was significantly higher in the brain (200%), liver (300%), and kidneys (900%) of exposed rats compared with control rats, while CYP3A2 mRNA levels were higher in the lungs (300%) and liver (200%), and CYP2B1 mRNA expression in the kidneys (300%). Expression of CYP1A1 mRNA did not change significantly during this study. /The nuclear receptor/ PXR mRNA levels increased in the brain (200%), liver (150%), and kidneys (200%). Uranium caused /nuclear receptor/ CAR mRNA expression in the lungs to double. Expression of /the nuclear receptor/ RXR mRNA did not change significantly in the course of this study, nor did the hepatic activity of CYP2C, CYP3A, CYP2A, or CYP2B. Uranium probably affects the expression of drug-metabolizing CYP enzymes through the PXR and CAR nuclear receptors. /Depleted uranium/
[Souidi M et al; Toxicology 214 (1-2): 113-22 (2005) ]**PEER REVIEWED**


Probable Routes of Human Exposure :
Occupational exposure to uranium may occur through inhalation and dermal contact with this compound at workplaces where uranium is produced or used(SRC). Some operations in which exposure to uranium compounds may occur is through the liberation of these compounds from mining, grinding, and milling of ores, use of insoluble compounds as chemical intermediates in preparation of uranium compounds, use for nuclear technology, use in nuclear reactors as fuel and to pack nuclear fuel rods, liberation from burning of uranium metal chips and smelting operations, use as catalysts for many reactions and in the production of fluorescent glass(1-3). The general population may be exposed to uranium via ingestion of food(4) and drinking water(5) with these compounds and from deployment of nuclear warheads containing uranium(SRC).
[(1) Budavari S ed; The Merck Index. Whitehouse Station, NJ: Merck and Co., Inc., p. 1681-2 (1996) (2) Burkart W; pp. 1274-87 in Metals and Their Compounds in the Environment. Merian E, ed. NY, NY: Weinheim (1991) (3) Mackison FW et al, eds; NIOSH/OSHA - Occupational Health Guidelines for Chemical Hazards. DHHS(NIOSH) Pub. No. 81-123 Washington, DC: U.S. Gov Printing Off, Jan (1981) (4) National Research Council; Drinking Water and Health Vol. 5. Washington, DC: National Academy Press (1983) (5) National Research Council; Drinking Water and Health. Vol 1 Washington, DC: National Academy Press (1977) ]**PEER REVIEWED**


Absorption, Distribution & Excretion :
Inhalation hazards from uranium result primarily from the alpha emissions. Inhalation of uranium particles and deposition into the respiratory system are dependent on particle size. ... Uranium in the lungs has been shown to exhibit a wide range of retention values. Clearance may occur through physical processes removing particles that are not embedded into the lung by cilia motion to the esophagus. Uranium particles that are soluble in lung fluid are chemically dissolved, and the ions are transported into the bloodstream where they are further distributed. Uranium particles remaining in the lung constitute a potential radiological hazard as they impart their alpha emission energy into the surrounding absorbing tissue, potentially causing significant damage within a small sphere around each particle. Particles removed from the lung to the bloodstream primarily represent a potential chemical hazard. The significance of these hazards is evaluated using models of uptake and removal recommended by national and international scientific radiation protection organizations. The lung model described in ICRP Publication 66 (ICRP 1994) uses solubility Types of F (fast), M (moderate), and S (slow). In comparison to previous models, this model better describes deposition, retention, and clearance data and decouples physical and chemical clearance processes. /Uranium particles/
[U.S. Department of Energy; DOE Standard Guide of Good Practices for Occupational Radiological Protection in Uranium Facilities p.2-20 (2004) DOE-STD-1136-2004 ]**PEER REVIEWED**


Analytic Laboratory Methods :
Total uranium may be determined by gross alpha analysis. Individual radionuclides of uranium, uranium-234, uranium-235, and uranium-238, can be determined by their alpha-particle emissions. Mass spectrometry also can be used for longer-lived isotopes of uranium. Uranium radionuclides are collected by evaporating the sample to dryness on a stainless steel planchet, by microprecipitation with a carrier, such as lanthanum or cerium fluoride, or electrodeposition on a platinum or stainless steel disc. In each of these techniques, care must be taken to ensure that a single oxidation state is achieved for the uranium prior to the collection technique. Total alpha activity is determined with a gas-flow proportional counter or an alpha liquid scintillation system. Individual radionuclides are measured by alpha spectrometry. Alpha emissions from uranium-232 are used as a tracer to determine chemical recovery. /Uranium isotopes/
[Multi-Agency Radiological Laboratory Analytical Protocols Manual Volume II: Chapters 10-17 and Appendix F. (July 2004) p 14-190 NUREG-1576, EPA 402-B-04-001B, NTIS PB2004-105421. Available at http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1576/sr1576v2.pdf as of October 12, 2006 ]**PEER REVIEWED**


Human Toxicity Excerpts :
/EPIDEMIOLOGY STUDIES/ ... a cohort of 18,869 white men ... had been employed between 1943 and 1947 at a uranium conversion and enrichment plant in Oak Ridge, Tennessee, USA, and /were/ followed-up until 1974. Workers in certain departments (especially chemical workers) were exposed to high average air concentrations of uranium dust (up to 500 ug/cu m of air in 1945). In comparison with mortality rates for white men in the USA, the standard mortality rationss for various causes in the entire cohort were generally < 1.00. After correction for unascertained deaths and missing death certificates, the SMR for lung cancer was 1.22 (95% CI, 1.10-1.36). Adequate data on smoking habits were not available in this study. The SMRs for various causes, including lung cancer, did not tend to be higher among 8,345 workers who were employed in areas where uranium dust was present or among 4,008 of these 8,345 workers who were employed for one year or longer at the plant. ... /Uranium dusts/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 220 (2001)]**PEER REVIEWED**


Ecotoxicity Excerpts :
/FIELD STUDIES/ Assessment of the risk of impact from most radionuclides is based on the total radiological dose rate to the organism of concern. However, for uranium there can be greater risk from chemical toxicity than radiological toxicity (depending on the isotopic composition). Chemical ecotoxicity of uranium is dependent on several environmental parameters. The most important are carbonate content, because of the formation of soluble carbonate complexes, and divalent cation content (Ca++ and Mg++), because of their competitive interaction with the uranyl ion (UO2++). This study summarizes the literature available to set PNECs (predicted no-effect concentrations) for chemical toxicity of uranium to non-human biota. The corresponding radiological doses were estimated, and as expected chemical toxicity proved to be the greater concern. There were limited data from some types of biota; however, PNECs for the types of biota of interest were as follows: terrestrial plants - 250 mg U/kg dry soil; other soil biota - 100 mg uranium/kg dry soil; freshwater plants - 0.005 mg uranium/L water; freshwater invertebrates - 0.005 mg uranium/L water; freshwater benthos - 100 mg uranium/kg dry sediment; freshwater fish at water hardnesses of: <10 mg CaCO3 /L (very soft water) - 0.4 mg uranium/L water; - 10 - 100 mg CaCO3 /L (soft water) - 2.8 mg uranium/L water; and - >100 mg CaCO3/L (hard water) - 23 mg uranium/L water; or - as a function of hardness - 0.26 (hardness as mg CaCO3/L); mammals - 0.1 mg uranium/kg body weight/day. /Uranium compounds/
[Sheppard SC et al; J Env Radioactivity 79 (1): 55-83 (2005) ]**PEER REVIEWED**


Artificial Pollution Sources :
During a 3 to 4 year period, concn of uranium-238, uranium-234, thorium-230, thorium-232 and thorium-238 were determined in soils and native vegetation at various sites around a typical uranium mining and milling operation in Wyoming. Plant/soil concn ratios for uranium and thorium isotopes were estimated for (1) exposed, weathered tailings, (2) the edge of a tailings impoundment, (3) an area downwind from exposed tailings, (4) a reclamation area and (5) several background, native range locations. The uranium-238/uranium-234 concn ratio of 0.9 to 1.1 in soil and vegetation indicated near-radioactive equilibrium of both radionuclides at all locations. Mean conc of the uranium and thorium isotopes in background soil ranged from 44 to 52 mBq/g. Concns of uranium-238 and thorium-230 in soil and vegetation were elevated above background at all sites disturbed by mining and milling activities. Uranium conc in tailings and invading vegetation were an order of magnitude greater than in the background locations, whereas thorium-230 concns were elevated above background by some two orders of magnitude. No demonstrable differences in radionuclide concn between plant groups and collection years were found. The observed concentration ratio values for uranium-238 and thorium-230 of 0.81 and 0.69, respectively, for vegetation growing on exposed tailings were elevated above native range by factors of 9.0 and 3.6, respectively, and generally higher than other published values. Exceptionally high concentration ratio values for thorium-230 (1.9-2.9) observed near the tailings impoundment demonstrate that under certain conditions, vegetation can accumulate thorium-230 to a much greater extent than previously reported. Vegetation concns were lower for thorium-232 relative to thorium-230 and thorium-228 at locations where they are present at similar soil concns.
[Ibrahim SA, Whicker FW; Health Phys 54 (4): 413-19 (1988) ]**PEER REVIEWED**


Environmental Fate :
TERRESTRIAL: During a 3 to 4 year period, concn of Uranium-238, Uranium-234, Thorium-230, Thorium-232, and Thorium-228 were determined in soils and native vegetation at various sites around a typical uranium mining and milling operation in Wyoming. Plant/soil conc ratios for uranium and thorium isotopes were estimated for (a) exposed, weathered tailings, (b) the edge of a tailings impoundment, (c) an area downwind from exposed tailings, (d) a reclamation area and (e) several background, native range locations. The Uranium-238/Uranium-234 conc ratio of 0.9 to 1.1 in soil and vegetation indicated near-radioactive equilibrium of both radionuclides at all locations. Mean conc of the uranium and thorium isotopes in background soil ranged from 44 to 52 mBb/g. Conc of Uranium-238 and Thorium-230 in soil and vegetation were elevated above background at all sites disturbed by mining and milling activities. Uranium conc in tailings and invading vegetation were an order of magnitude greater than in the background locations, whereas Thorium-230 conc were elevated above background by some two orders of magnitude. No demonstrable differences in radionuclide conc between plant groups and collection years were found. The observed concentration ratio values for Uranium-238 and Thorium-230 of 0.81 and 0.69 for vegetation growing on exposed tailings were elevated above native range by factors of 9.0 and 3.6, respectively, and generally higher than other published values(1).
[(1) Ibrahim SA, Whicker FW; Health Phys 54(4): 413-19 (1988) ]**PEER REVIEWED**


Major Uses :
Used in nuclear fuels, compass components, x-ray agents, and in nuclear weapons /Radioactive uranium/
[Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996., p. 1681]**PEER REVIEWED**


Antidote and Emergency Treatment :
A critical reaction involving nuclear fuel or the detonation of a nuclear weapons emits intense neutron and gamma radiation that can kill nearby personnel and release large quantities of fission products into the surrounding environment. Specific procedures for the emergency treatment and medical follow-up of persons exhibiting Acute Radiation Syndrome (ARS) are provided in the IONIZING RADIATION record.
**PEER REVIEWED**


Absorption, Distribution & Excretion :
As part of an epidemiological study, doses from intake of radionuclides were estimated for workers employed during a 52-year period at the Rocketdyne/Atomics International facility in California. The facility was involved in a variety of research programs, including nuclear fuel fabrication, spent nuclear fuel decladding, and reactor operation and disassembly. Most of the documented intakes involved inhalation of enriched uranium (U), fission products, or plutonium (Pu). Highest doses were estimated for a group of workers exposed to airborne uranium aluminide (UAl(x)) during the fabrication of reactor fuel plates. Much of the exposure to UAl(x) occurred early in the fuel fabrication programme, before it was recognized that intake and lung retention were being underestimated from urinary data due to an unexpected delayed dissolution of the inhaled material. In workers who had been removed from exposure, the rate of urinary excretion of U increased for a few months, peaked, and then declined at a rate consistent with moderately soluble material. This pattern differs markedly from the monotonically decreasing absorption rates represented by the default absorption types in the Human Respiratory Tract Model (HRTM) of the International Commission on Radiological Protection (ICRP). This paper summarizes the findings on the behavior of UAl(x) in these workers and describes material-specific parameter values of the HRTM based on this information. /Uranium aluminide/
[Leggett RW et al; J Radiol Prot 25 (4): 405-16 (2005) ]**PEER REVIEWED** PubMed Abstract


Impurities :
The natural uranium isotopes decay by alpha emission. The decay products are also radioactive and form "decay chains " that ultimately lead to a stable isotope of lead. /Uranium progeny/
[U.S. Department of Energy; DOE Standard Guide of Good Practices for Occupational Radiological Protection in Uranium Facilities p. 2-2 (2004) DOE-STD-1136-2004 ]**PEER REVIEWED**


General Manufacturing Information :
Working level (WL): any combination of short-lived radon daughters in one liter of air that will result in the emission of 1.3x10+5 MeV of potential energy. Working-level month (WLM): a unit of exposure to air concentrations of potential energy released from radon daughters. One working-level month is defined as the exposure to an average of 1 WL for a working month of 170 hours.
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. v. 78, p 559]**PEER REVIEWED**


Other Chemical/Physical Properties :
Uranium-233, half-life 158,500 years, decays via alpha emission, 4.729 MeV, to thorium-229, half-life 7,340 years.
[International Commission on Radiological Protection. Radionuclide Transformations, Energy and Intensity of Emissions. ICRP Publication 38. Pergamon Press, New York 1983., p. 1118]**PEER REVIEWED**


Other Chemical/Physical Properties :
Uranium-234, half-life 244,500 years, decays via alpha emission, 4602 MeV, to thorium-230, half-life 77,000 years
[International Commission on Radiological Protection. Radionuclide Transformations, Energy and Intensity of Emissions. ICRP Publication 38. Pergamon Press, New York 1983., p. 1118]**PEER REVIEWED**


Other Chemical/Physical Properties :
Uranium-235, half-life 7.04X10+8 years, decays via alpha emission, 4.155 MeV, to thorium-231, half-life 25.52 hours
[International Commission on Radiological Protection. Radionuclide Transformations, Energy and Intensity of Emissions. ICRP Publication 38. Pergamon Press, New York 1983., p. 1122]**PEER REVIEWED**


Other Chemical/Physical Properties :
Uranium-238, half-life 4.468X10+9 years, decays via spontaneous fission and alpha emission, 1.889 and 4.042 MeV, repectively, to thorium-234, half-life 24.10 days
[International Commission on Radiological Protection. Radionuclide Transformations, Energy and Intensity of Emissions. ICRP Publication 38. Pergamon Press, New York 1983., p. 1126]**PEER REVIEWED**


Other Chemical/Physical Properties :
Uranium-239, half-life 23.54 minutes hrs, decays via beta(-) emission, 1.809 MeV, to neptunium-239, half-life 2.355 days
[International Commission on Radiological Protection. Radionuclide Transformations, Energy and Intensity of Emissions. ICRP Publication 38. Pergamon Press, New York 1983., p. 1129]**PEER REVIEWED**


Other Chemical/Physical Properties :
Uranium-240, half-life 14.1 hrs, decays via beta(-) emission, 0.1015 MeV, to neptunium-240, half-life 65 minutes
[International Commission on Radiological Protection. Radionuclide Transformations, Energy and Intensity of Emissions. ICRP Publication 38. Pergamon Press, New York 1983., p. 1129]**PEER REVIEWED**


Preventive Measures :
The uranium isotopes (viewed as contaminants) that will increase due to the recycled uranium feed are 232-U, 234-U, and 236-U. The health and safety risks of 236-U are similar to those of natural uranium because its specific activity and radiation emissions are similar. ...The isotope in recycled uranium presenting the greatest potential radiological hazard from external sources is 232-U. 232-U a daughter product of neutron activation of 231Pa. The health hazards of 232-U are primarily due to the rapid buildup of gamma activity of its decay products, particularly from 228-Th /and the presence of 232-U may need to be considered to provide adequate worker protection/. /Recycled uranium feed/
[U.S. Department of Energy; DOE Standard Guide of Good Practices for Occupational Radiological Protection in Uranium Facilities p. 2-15 (2004) DOE-STD-1136-2004 ]**PEER REVIEWED**


Radiation Limits & Potential :
DECAY PATHWAY: Uranium-233, half-life 159,200 years, decays via alpha emission, 4,909 keV (84.4% 4824 keV; 13.2% 4783 keV)), to thorium-229, half-life 7,340 years.
[Korea Atomic Energy Research Institute. Nuclear Data Evaluation Lab. 2000. Nuclide Table. Available from the database query page at http://atom.kaeri.re.kr/ton/ as of Feb 9, 2006. ]**PEER REVIEWED**


Radiation Limits & Potential :
DECAY PATHWAY: Uranium-234, half-life 245,500 years, decays via alpha emission, 4859 keV (71.4% 4775 keV; 28.4% 4722 keV), to thorium-230, half-life 75,380 years
[Korea Atomic Energy Research Institute. Nuclear Data Evaluation Lab. 2000. Nuclide Table. Available from the database query page at http://atom.kaeri.re.kr/ton/ as of Feb 9, 2006. ]**PEER REVIEWED**


Medical Surveillance :
In vivo analysis is most useful for characterizing inhalation exposure of class W /(retention in weeks)/ or Y /(retention in years)/ compounds of uranium by lung counting. /The level at which assurance of detection occurs/ are generally not sufficiently low to provide reliable information about systemic distribution of soluble uranium at occupational levels. The 235-U decays with emission of an energetic (186-keV) photon in high abundance that is used for in vivo monitoring of enriched uranium workers. The other long-lived uranium isotopes emit only low yields of low-energy photons (<60 keV), which are easily attenuated by body tissue and have limited usefulness for in vivo analysis. Internal exposures to aged depleted uranium can be measured in vivo by taking advantage of several photons of moderate energy (63 to 93 keV) emitted by the 234m-Pa daughter of 234-Th, which are both short-lived daughters of 238-U. /Radioactive uranium/
[U.S. Department of Energy; DOE Standard Guide of Good Practices for Occupational Radiological Protection in Uranium Facilities p. 5-19 (2004) DOE-STD-1136-2004 ]**PEER REVIEWED**


Human Toxicity Excerpts :
/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ At the highest doses in the domain of 10,000 rads (100 gray), the reaction is immediate. One example is that of an individual who worked in a uranium-235 recovery plant ... He inadvertently poured a container held under his left arm, filled with a solution of uranium-235-enriched uranium, into a barrel already containing a similar solution. He apparently lost track of how much fissionable material the barrel contained. The amount he added exceeded criticality. There was a blue flash as the liquid exploded, and he was drenched with the radioactive fluid. He immediately became disoriented. His coworkers did a partial decontamination. He was taken by ambulance to a series of hospitals which refused admission. An admitting hospital was finally located, and he was installed in an evacuated emergency ward, placed on a rubber sheet and further decontaminated by sponging with wet towels. During the night, his blood pressure dropped sufficiently to warrant continuous intravenous vasopressor medication. The next morning, his left arm and the left side of his face abruptly became severely edematous. In spite of the vasopressor medication, he went into irreversible shock and died that afternoon about 22 hr after exposure. This pattern is known as the central nervous system/cardiovascular syndrome. /U-235 enriched uranium/
[Bingham, E.; Cohrssen, B.; Powell, C.H.; Patty's Toxicology Volumes 1-9 5th ed. John Wiley & Sons. New York, N.Y. (2001)., p. 2:17]**PEER REVIEWED**


Human Toxicity Excerpts :
/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ A criticality accident occurred on September 30, 1999, at the uranium conversion plant in Tokai-mura (Tokai-village), Ibaraki Prefecture, Japan. When the criticality occurred, three workers saw a "blue-white glow," and a radiation monitor alarm was sounded. They were severely exposed to neutron and gamma-ray irradiation, and subsequently developed acute radiation syndrome (ARS). One worker reported vomiting within minutes and loss of consciousness for 10 to 20 seconds. This worker also had diarrhea an hour after the exposure. The other worker started to vomit almost an hour after the exposure. The three workers, including their supervisor, who had no symptoms at the time, were brought to the National Mito Hospital by ambulance. Because of the detection of gamma-rays from their body surface by preliminary surveys and decreased numbers of lymphocytes in peripheral blood, they were transferred to the National Institute of Radiological Sciences (NIRS), which has been designated as a hospital responsible for radiation emergencies. Dose estimations for the three workers were performed by prodromal symptoms, serial changes of lymphocyte numbers, chromosomal analysis, and sodium-24 activity. The results obtained from these methods were fairly consistent. Most of the data, such as the dose rate of radiation, its distribution, and the quality needed to evaluate the average dose, were not available when the decision for hematopoitic stem cell transplantation had to be made. Therefore, prodromal symptoms may be important in making decisions for therapeutic strategies, such as stem-cell transplantation in heavily exposed victims. /Enriched uranium/
[Akashi M et al; J Radiat Res (Tokyo) 42 (Suppl S): 157-66 (2001) ]**PEER REVIEWED** PubMed Abstract


Human Toxicity Excerpts :
/CASE REPORTS/ /KIDNEY/ Delayed renal effects were observed after a male worker at a uranium enrichment plant was accidentally exposed to a high concentration of uranium tetrafluoride powder for about 5 minutes in a closed room. While renal parameters were normal during an initial 30-day observation period, the patient showed signs of nephrotoxicity beginning at post-accident day 68 as indicated by significantly elevated levels of urinary proteins, nonprotein nitrogen, amino acid nitrogen/creatinine, and decreased phenolsulfonpthalein excretion rate. These abnormalities persisted through day 1,065 but gradually returned to normal values. The authors used uranium urinalysis data and a pharmacokinetic model to estimate a kidney dose of 2.6 ug uranium/g kidney on post-accident day 1. /Uranium tetrafluoride powder/
[DHHS/ATSDR; Toxicological Profile for Uranium p. 75 (PB/99/163362) (September 1999) ]**PEER REVIEWED**


Human Toxicity Excerpts :
/EPIDEMIOLOGY STUDIES/ The association between exposure to uranium dust and death from lung cancer was investigated among workers who had been employed for at least 183 days in any of four /U.S./ uranium processing or fabrication plants ... . Among workers who had potentially been followed-up for at least 30 years, 787 deaths from lung cancer were identified from death certificates. One control was matched to each case on race, sex and birth and hire dates within three years. Health physicists estimated the annual doses to the lung from exposure primarily to insoluble uranium compounds for each person ... . The odds ratios for death from lung cancer for seven groupings of the cumulative internal dose to the lung showed no increase in risk with increasing dose. There was a suggestion of an effect of exposure for workers who had been hired at the age of 45 years or older. Further analyses with the cumulative external doses of thorium, radium and radon did not reveal a clear association between exposure and increased risk, nor did categorization of the workers by facility ... . /Uranium dusts/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 221 (2001)]**PEER REVIEWED**


Human Toxicity Excerpts :
/EPIDEMIOLOGY STUDIES/ In a retrospective cohort study of mortality in 995 white men who had been employed for more than 30 days at a uranium processing facility in upstate New York between 1943 and 1949 ... increased standardized mortality ratios (SMR) were observed for all causes of death (SMR, 1.18; 95% CI, 1.07-1.30, 429 deaths), laryngeal cancer (SMR, 4.47; 95% CI, 1.44-10.43; five deaths), all circulatory disease (SMR, 1.18; 95% CI, 1.04-1.35, 227 cases), arteriosclerotic heart disease (SMR, 1.19; 95% CI, 1.01-1.39, 159 cases), all respiratory disease (SMR, 1.52; 95% CI, 1.04-2.14, 32 cases) and pneumonia (SMR, 2.17; 95% CI, 1.26-3.47, 17 cases). No association was found with length of employment or work in the most hazardous areas of the plant. The rate of death from lung cancer was not increased (SMR, 0.97; 95% CI, 0.60-1.48, 21 cases). The internal doses from uranium were given only for the lung: 40% of the cohort received 10-100 mSv/year and 38% received >100 mSv/year; the remainder of the cohort received <10 mSv/year, or the value was unknown. /Radioactive uranium, NOS/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 219 (2001)]**PEER REVIEWED**


Human Toxicity Excerpts :
/OTHER TOXICITY INFORMATION/ Several studies have been conducted of uranium millers and of individuals involved in other uranium processing operations. ... These workers are not exposed to high concentrations of radon gas in air but may be exposed to alpha and beta-particles from inhaled or ingested uranium dust. Inhalation of insoluble uranium particles is the major pathway for exposure of the lung. ... Some studies of workers in uranium processing plants thus showed an elevated rate of mortality from lung cancer, but the finding was not consistent in all studies. The doses to the lung were relatively low. The rates of death from cancers at other sites were increased in some studies, but the small number of cases and lack of consistency between the findings reduce their significance. /Inhaled and ingested uranium dust/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 219, 222 (2001)]**PEER REVIEWED**


Environmental Fate/Exposure Summary :
Natural uranium consists of isotopic mixtures of uranium-234, uranium-235, and uranium-238. Uranium may be classified into three categories based on the percentage composition of each of the three isotopes: natural uranium, enriched uranium, and depleted uranium. Natural uranium, including uranium ore, is comprised of 99.284% uranium-238, 0.711% uranium-235, and 0.005% uranium-234 by mass. Uranium may be introduced into the atmosphere in the natural process of erosion and wind activity or by the intentional or accidental release of uranium from mining and milling activities, by uranium processing facilities, or by burning coal. Natural processes or human activities may alter the normal crustal distribution of naturally occurring radioactive materials, resulting in what has been termed technologically enhanced naturally-occurring radioactive material (TNORM). No new radioactivity is produced by the enhancement, but uranium, its isotopes, and its progeny are redistributed in such a way that real exposure or the potential for human exposure may increase. Uranium enrichment and fuel fabrication facilities also release small amounts of uranium to the atmosphere. Contamination of surface water and groundwater by effluents from uranium mining, milling, and production operations has been documented. Contamination of groundwater and surface water can also occur by water erosion of tailings piles. Uranium may also be released from radioactive waste disposal sites. Uranium radionuclide concentrations in ground waters from the Hanford Site (Richland, WA) indicate that uranium is highly sorbed. The phosphate rocks of Florida and southeastern Idaho and neighboring areas contain as much as 120 ppm uranium. Trace amounts of uranium progeny remaining in the fertilizer result in the distribution of about 120 Ci (180 metric tons) per year over U.S. agricultural lands. Combustion of coal is a source of enhanced natural radioactivity. When coal is burned, some of the radio-uranium is released directly to the atmosphere; however, a large fraction is retained in the bottom ash. Sampling of soils and vegetation around a typical uranium mining and milling operation in Wyoming suggest that plants may accumulate uranium isotopes. Uranium sorption is likely due to its reduction from the hexavalent state, where it is introduced via surface waters, to the tetravalent state found in the confined aquifers. The distribution of radionuclides is very similar in all of the confined aquifiers and significantly different from the distribution observed in the unconfined and surface waters. (SRC)
**PEER REVIEWED**


Other Environmental Concentrations :
The mining and milling of uranium produce large quantities of low-level radioactive waste(1). In a study of German mineral water, the measured uranium concns ranged from 0.04-60 ug/l(2). Uranium-238 was found as a contaminant in phosphate fertilizers used in Saskatchewan, Canada ranging from 0.01-174.56 mg/kg(3). It was shown that 7-9% of uranium in these fertilizers is available to plants for uptake(3). Uranium was detected in municipal sludges from various cities across the United States in 1980 ranging from none detected to 27 ppm (dry weight)(4). The highest concns were found in sludge samples taken from Los Angeles, California, Philadelphia, Pennsylvania, and Seattle, Washington(4).
[(1) Burkart W; pp. 1274-87 in Metals and Their Compounds in the Environment. Merian E, ed. NY, NY: Weinheim (1991) (2) Bosshard E et al; Chemosphere 24: 309-21 (1992) (3) Mermut AR et al; J Environ Qual 25: 845-53 (1996) (4) Mumma RO et al; Arch Environ Contam Toxicol 13: 75-83 (1984) ]**PEER REVIEWED**


Methods of Manufacturing :
Fluorine is used in the nuclear energy industry to produce gaseous uranium hexafluoride by the direct fluorination of solid uranium tetrafluoride. The desired uranium-235 is then separated as the hexafluoride by a gaseous diffusion process. /Uranium-235/
[Bingham, E.; Cohrssen, B.; Powell, C.H.; Patty's Toxicology Volumes 1-9 5th ed. John Wiley & Sons. New York, N.Y. (2001)., p. 3:734]**PEER REVIEWED**


General Manufacturing Information :
Uranium that has been processed to raise the concentration of uranium-235 is referred to as enriched uranium. The extent of enrichment depends on the intended end use of the uranium. Commercial light water reactors are designed for use with the uranium-235 enriched to around 3%. Higher enrichment is required for; high-temperature gas-cooled reactors, naval nuclear propulsion reactors, most research reactors and weapons. The uranium-235 enrichment process also increases the concentration of uranium-234. The higher activity of enriched uranium is due more to increased uranium-234 than to increased uranium-235. /Enriched uranium/
[ U.S. Department of Energy; DOE Standard Guide of Good Practices for Occupational Radiological Protection in Uranium Facilities p. 2-2 (2004) DOE-STD-1136-2004 ]**PEER REVIEWED**


General Manufacturing Information :
The official definition of depleted uranium (DU) given by the US Nuclear Regulatory Commission (NRC) is uranium in which the percentage fraction by weight of uranium-235 is less than 0.711%. Typically, the percentage concentration by weight of the uranium isotopes in DU used for military purposes is: uranium-238: 99.8%; uranium-235: 0.2%; and uranium-234: 0.001%. /Depleted uranium/
[IAEA; Features: Depleted Uranium. http://www.iaea.org/NewsCenter/Features/DU/du_qaa.shtml as of November 29, 2005 ]**PEER REVIEWED**


General Manufacturing Information :
The isotope most dangerous from the point of view of radiation, uranium-235, comprises less than 1% of natural uranium, but is enriched during the production of nuclear fuels. Higher fractions of uranium-235 increase the irradiation risk. /Uranium-235/
[Friberg, L., Nordberg, G.F., Kessler, E. and Vouk, V.B. (eds). Handbook of the Toxicology of Metals. 2nd ed. Vols I, II.: Amsterdam: Elsevier Science Publishers B.V., 1986., p. V2: 632]**PEER REVIEWED**


Major Uses :
Uranium-234 /is used in/ nuclear research, with potential use in fission detectors for counting fast neutrons. /Uranium-234/
[Lewis, R.J. Sr.; Hawley's Condensed Chemical Dictionary 14th Edition. John Wiley & Sons, Inc. New York, NY 2001., p. 1152]**PEER REVIEWED**


Major Uses :
Early in the twentieth century, the only use of uranium was in the production of a brown-yellow tinted glass and glazes; it was a byproduct of the extraction of radium, which was used for medicinal and research purposes. Since the mid-twentieth century, the most important use of uranium is as a nuclear fuel, directly in the form of uranium-233 and uranium-235, fissionable radionuclides, and in the form of uranium-238 that can be converted to fissionable plutonium-239 by thermal neutrons in breeder reactors.
[Multi-Agency Radiological Laboratory Analytical Protocols Manual Volume II: Chapters 10-17 and Appendix F. (July 2004) p 14-181 NUREG-1576, EPA 402-B-04-001B, NTIS PB2004-105421. Available at http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1576/sr1576v2.pdf as of October 12, 2006 ]**PEER REVIEWED**


Preventive Measures :
Shielding is probably the most widely used (and most effective) method of reducing beta doses from uranium. Relatively lightweight, cheap, and flexible shielding (e.g., plastic or rubber mats) has been used effectively. ... Generally, the less dense shielding materials are used whenever possible to eliminate bremsstrahlung as well as beta radiation fields. Protective clothing commonly worn in the nuclear industry can also afford beta dose reduction. ... Dose to the lens of the eye can be effectively reduced through the use of ordinary glasses, safety glasses, or face shields. Such eye protection should be required when workers are dealing with the high beta fields from concentrated uranium decay products./Uranium and its progeny/
[U.S. Department of Energy; DOE Standard Guide of Good Practices for Occupational Radiological Protection in Uranium Facilities p. 6-23 (2004) DOE-STD-1136-2004 ]**PEER REVIEWED**


Disposal Methods :
Low-level waste disposal occurs at commercially operated low-level waste disposal facilities that must be licensed by either the Nuclear Regulatory Commission or Agreement States. ... There are three existing low-level waste disposal facilities in the United States /Barnwell, SC, Richland, WA, Envirocare in Utah/ that accept ... low-level waste. All are in Agreement States. . /Radioactive materials/
[Nuclear Regulatory Commission, Low-Level Waste Disposal, NRC. Available from http://www.nrc.gov/waste/llw-disposal.html as of November 28, 2005. ]**PEER REVIEWED**


Disposal Methods :
Disposal of ... wastes /containing uranium/ should follow guidelines set forth by the Nuclear Regulatory Commission. /Uranium and compounds/
[Brown, K.W., G. B. Evans, Jr., B.D. Frentrup (eds.). Hazardous Waste Land Treatment. Boston, MA: Butterworth Publishers, 1983., p. 296]**PEER REVIEWED**


Antidote and Emergency Treatment :
On September 30, 1999, three workers were severely exposed to neutrons and gamma rays in a criticality accident that occurred at a uranium conversion facility in Tokai-mura, Ibaraki Prefecture, Japan. Radiochemical analyses of phosphorus-32 and calcium-45 induced by neutrons in bone matrix were carried out after the deaths of two of the victims. It was found that more than several million becquerels of both nuclides had been produced in their body skeletons. Results showed non-homogeneous distributions of neutron fluence in the bodies, from which it could be deduced how both workers were positioned relative to the fission source during exposure, i.e., at the moment of the first nuclear excursion. For the victim who died first, the activities in the central part of his body were more than those of his extremities. Also, in the central part of his body, the right side showed more activities than the left side. As for the second man, the activities indicated rather uniform exposure to neutrons to the whole body although the geometrical distribution of the activity varied enough to assume his orientation. Such information on the geometrical distribution of neutron-induced radioactivities in the skeleton can be used to reconstruct the posturing of the victims, which is necessary to estimate their apparent absorbed doses.
[Miyamoto, K et al; Health Phys 83 (1): 19-25 (2002) ]**PEER REVIEWED**


Human Toxicity Excerpts :
/OTHER TOXICITY INFORMATION/ /GENOTOXICITY/ Blood samples from 115 smokers (23-52 years of age) working in a nuclear fuel manufacturing facility who had been exposed to uranyl compounds over 1-25 years (mean lung dose, 90 mSv) were analyzed for various types of chromosomal aberrations. ... A significant increase in the frequency of chromosomal aberrations was found in the exposed smokers when compared with the control smokers. Smokers in the control group had a higher frequency of chromosomal aberrations than non-smokers, suggesting a clastogenic effect of smoking. The chromosomal aberrations observed in the exposed smokers were attributed to the cumulative effect of smoking and exposure to uranyl compounds. /Uranyl compounds/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 447 (2001)]**PEER REVIEWED**


Human Toxicity Excerpts :
/OTHER TOXICITY INFORMATION/ There are two hazards connected with exposure to uranium compounds: the renal damage caused by the chemical toxicity of soluble uranium compound, and the injury caused by the ionizing radiation resulting from the disintegration of uranium isotopes. Which of these two hazards will be limiting factor for exposure to uranium compounds depends on the solubility of the compound, its route of administration and its isotope composition. The isotope most dangerous from the point of view of radiation, uranium-235 comprises <1% of natural uranium, but is enriched during the production of nuclear fuels. Higher fractions of uranium-235 increase the irradiation risk. As retention time in the body is the important factor for the radiological damage, exposure to insoluble particles that are deposited and retained in lung for long time constitues a radiological hazard. ...Chemical toxicity... will be the limiting factor after exposure to soluble uranium compounds, when large quantities of the element will pass through the kidney. /Uranium compounds/
[Friberg, L., Nordberg, G.F., Kessler, E. and Vouk, V.B. (eds). Handbook of the Toxicology of Metals. 2nd ed. Vols I, II.: Amsterdam: Elsevier Science Publishers B.V., 1986., p. V2 631]**PEER REVIEWED**


Non-Human Toxicity Excerpts :
/GENOTOXICITY/ Depleted uranium (DU) is a radioactive heavy metal coming from the nuclear industry and used in numerous military applications. Uranium inhalation can lead to the development of fibrosis and neoplasia in the lungs. As little is known concerning the molecular processes leading to these pathological effects, some of the events in terms of genotoxicity and inflammation were investigated in rats exposed to DU by inhalation. Our results show that exposure to DU by inhalation resulted in DNA strand breaks in broncho-alveolar lavage (BAL) cells and in increase of inflammatory cytokine expression and production of hydroperoxides in lung tissue suggesting that the DNA damage was in part a consequence of the inflammatory processes and oxidative stress. The effects seemed to be linked to the doses, were independent of the solubility of uranium compounds and correlating with the type of inhalation. Repeated inhalations seemed to induce an effect of potentiation in BAL cells and also in kidney cells. Comet assay in neutral conditions revealed that DNA damage in BAL cells was composed partly by double strands breaks suggesting that radiation could contribute to DU genotoxic effects in vivo. All these in vivo results contribute to a better understanding of the pathological effect of DU inhalation. /Depleted uranium/
[Monleau M et al: Toxicol Sci. 89 (1): 287-95 (2006) ]**PEER REVIEWED** PubMed Abstract


Absorption, Distribution & Excretion :
Comprehensive studies on the radiotoxicological risk of an intermediate compound UO4, which is not specified in ICRP Recommendations, were motivated by its increased use in the nuclear fuel cycle and the lack of information such as physico-chemical and biokinetic properties. The aim of this work was to give an experimental basis for assessing the appropriate limits on intake for workers exposed to UO4 and to provide guidance for the interpretation of personal monitoring data. Particle size measurement of the UO4 dust indicated a geometric diameter D of 0.5 um, which corresponds to an activity median aerodynamic diameter (AMAD) of 1.1 um. In vitro experiments conducted in culture medium showed that UO4 is a soluble compound with 66.2% dissolved in 1.9 d and 33.8% in 78 d. Results of dissolution obtained with macrophages showed a significant decrease of 50% at 1 d in terms of solubility. Biokinetic data in the rat obtained from two in vivo studies involving intratracheal instillation in rats indicated half-times in the lung of 0.5 d (96.6%) and 27 d (3.4%) for an initial lung deposit (ILD) of 195 ug, and 1.2 d (90.3%) and 38 d (9.7%) for an ILD of 7.6 ug. Absorption parameters to blood as defined in the ICRP Publication 66 human respiratory tract model were calculated with the specific software GIGAFIT and led to the rapid fraction fr (0.800 to 0.873), the rapid rate sr (0.525 to 0.928/day), and the slow rate ss (1.57 x 10-2 to 2.42 x 10-3/day). Effective dose coefficients by inhalation for this UO4 compound using the in vivo experimental results were calculated to be between 0.52 and 0.70x10-6 Sv per Bq. Comparison of these values with effective dose coefficients defined in ICRP Publication 68 for workers showed that UO4 could be considered as a fast soluble compound of Type F. /UO4/
[Ansoborlo E et al; Hlth Phys 75 (4) 389-97 (1998) ]**PEER REVIEWED**


Threshold Limit Values :
The Physical Agents TLV Committee accepts the occupational exposure guidance of the International Commission on Radiological Protection (ICRP). Ionizing radiation includes particulate radiation (e.g., alpha particles and beta particles emitted from radioactive materials, and neutrons from nuclear reactors and accelerators) and electromagnetic radiation (e.g., gamma rays emitted from radioactive materials and X-rays from electron accelerators and X-ray machines) with energy greater than 12.4 electron-volts (eV) ... The guiding principle of radiation protection is to avoid all unnecessary exposures. ICRP has established principles of radiological protection. There are (1) the justification of a work practice: No work practice involving exposure to ionizing radiation should be adopted unless it produces sufficient benefit to the exposed individuals or the society to offset the detriment it causes. (2) The optimization of a workpractice: All radiation exposures must be kept as low as reasonably achievable (ALARA), economic and social factors being taken into account. (3) The individual dose limits: The radiation dose from all relevant sources should not exceed the /ICRP/ prescribed dose limits.
[American Conference of Governmental Industrial Hygienists. Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices. Cincinnati, OH 2006, p. 140]**PEER REVIEWED**


Special Reports :
The United States Transuranium and Uranium Registries (USTUR) is operated, for the U. S. Department of Energy (DOE) Office and Health Studies, by Washington State University (WSU) in Richland, Washington. The program began as the U.S. Plutonium Registry in 1968 and, through the years, it has branched out to include other heavy radioactive metals such as uranium, americium, and thorium. The Registries are a unique research program studying the distribution, dosimetry, and possible biological effects of those metals in the human body. Samples of body organs are acquired post-mortem from volunteer donors who worked with the radioactive metals and who, at some time during their work history, had an established intake of those metals into their bodies. ... The USTUR maintains the National Human Radiobiological Tissue Repository (NHRTR) at the Richland location ... Donors to the USTUR typically have worked at government sites where plutonium, americium, or uranium were processed and many worked there during the development of nuclear weapons or during the cold-war years. ... During the past 30 years, the USTUR has received autopsy samples from about 360 donors. Of these, 24 have been whole body donations, providing a unique opportunity for the thorough investigation of the distribution of actinides in the human body. Approximately 5,000 organ samples were collected and analyzed for isotopes of uranium, plutonium, thorium, and americium resulting in more than 15,000 analytical results for various organs of the body.
[United States Department of Energy's Transuranium and Uranium Registries; Overview of Health Implications. Available from: http://www.ustur.wsu.edu/ as of November 25, 2005 ]


Special Reports :
U.S. Nuclear Regulatory Commission; Regulatory Guide 8.34 - Monitoring Criteria and Methods to Calculate Occupational Radiation Doses. 1992/ Available at http://www.nrc.gov/reading-rm/doc-collections/reg-guides/occupational-health/active/8-34/index.html as of September 25, 2006

MORE ABOUT HEALTH EFFECTS

Toxicity Summary:
Uranium occurs in granite, metamorphic rock, lignite, monazite sand, and phosphate deposits at concentrations on the order of 0.5 to 5 ppm. All uranium isotopes are radioactive. Uranium nitrate, sulfate, chloride, fluoride, and acetate are either soluble in water or dissolved by dilute acids. Several uanium oxides (e.g., uranium dioxide (UO2), uranyl oxide (UO3), uranium octoxide (U3O8) have very low solubility in water. ... Uranium can exist in valences of +3, +4, +5, or +6, but U+6 is the most stable, and it exists principally as the uranyl cation (UO2)+2. The uranyl compounds (+6) are of most importance biologically because the uranic compounds (+4) are usually oxidized to +6 during absorption into the body. Natural uranium, by itself, will not sustain a nuclear chain reaction; however, in the presence of a moderator or enrichment with less stable nuclides such as uranium-235, it may do so (2). Daily intake of uranium in food and water varies from approximately 1- 5 ug U/d daily in uncontaminated regions to 13-18 ug/d or more in uranium mining areas. A 70 kg, non-occupationally exposed 'Reference Man' living in Europe or in the United States has an estimated total body uranium content of about 22 ug. Uranium is absorbed from the intestine or by the lungs, enters the bloodstream, and is rapidly deposited in the tissues, predominantly kidney and bone, or excreted in the urine. Renal toxicity is a major adverse effect of uranium, but the metal has toxic effects on the cardiovascular system, liver, muscle and nervous system as well (1). Uranium accumulates in bone in a manner similar to that of radium; therefore, its alpha particles would presumably be nearly as effective in the production of osteogenic sarcomas. Sarcomas have been produced in mice after exposures to high specific activity uranium-232 and uranium-233 (2). According to the ACGIH, there is debate as to what acute concentration of uranium in the kidney constitutes the NOAEL. Substantial damage has been found when the renal uranium concentration exceeded 3 ug/g in rodents. Other studies indicate that 2 ug/g in the rat kidney causes transient proteinuria. Morrow and associates in 1982 calculated that 0.3 ug/g was a threshold concentration for acute renal injury in the dog. This value has been challenged on the grounds that the half-life value used by Morrow et al was too long. Renal toxicity in rats... has been detected at 1 ug U/g wet weight after treatment with 5 ug U/day for 14 days. The basis of the uranium-induced renal toxicity is related to (UO2)+2 competition for Mg+2 and Ca+2 adenosine-5'triphosphate (ATP) binding sites and subsequent disruption of active transport in the cells of the proximal tubule and associated structures. Toxicity to the lungs may also be associated with alpha radiation from inhalation of insoluble forms of uranium. Chronic inhalation by monkeys, dogs, and rats of natural uranium as UO2 at 25 mg/cu m resulted in pulmonary fibrosis and malignant pulmonary neoplasia; the latter appeared to be a direct result of alpha radiation. A series of studies at a uranium enrichment plant noted an excess of lung cancer deaths among 18,869 white male workers and an excess of death from central nervous system (CNS) cancer. Subsequent case-control studies found a relationship between lung cancer and work exposure but failed to find such a relationship with cancer of thee CNS. A more recent follow-up confirmed the excess deaths from lung and CNS cancers in this cohort and found excess deaths from renal cancer, lymphosarcomas and multiple myeloma. For lung cancer, but not for the other cancers, a dose-response relationship was found, an observation consistent with the lung cancers among dogs chronically exposed to uranium. These data suggest that radiation is the limiting factor for enriched or insoluble uranium (2). One effect of exposure to ionizing radiation is to reduce regeneration of injured tissue, an observation that may account for the finding that radiation enhances the toxicity of uranium for the kidneys of mice and dogs (2). According to Taylor and Taylor, any possible direct risk of cancer or other chemical- or radiation-induced health detriments from uranium deposited in the human body is probably less than 0.005% in contrast to an expected indirect risk of 0.2% to 3% through inhaling the radioactive inert gas radon, which is produced by the decay of environmental uranium-238 (1).
[(1) Taylor DM, Taylor SK; Rev Environ Health 12 (3): 147-57 (1997); (2) American Conference of Governmental Industrial Hygienists. Documentation of the TLV's and BEI's with Other World Wide Occupational Exposure Values. CD-ROM Cincinnati, OH 45240-1634 2005. ]**PEER REVIEWED**


Evidence for Carcinogenicity:
There is inadequate evidence in humans for the carcinogenicity of natural uranium. There is limited evidence in experimental animals for the carcinogenicity of natural uranium. There is inadequate evidence in experimental animals for the carcinogenicity of uranium-233. /Uranium/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 478 (2001)]**PEER REVIEWED**

Internalized radionuclides that emit alpha-particles are carcinogenic to humans (Group 1).
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 478 (2001)]**PEER REVIEWED**

A1; Confirmed human carcinogen. /Uranium (natural), soluble and insoluble compounds, as U/
[American Conference of Governmental Industrial Hygienists. Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices. Cincinnati, OH 2006, p. 58]**PEER REVIEWED**


Human Toxicity Excerpts:
/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ At the highest doses in the domain of 10,000 rads (100 gray), the reaction is immediate. One example is that of an individual who worked in a uranium-235 recovery plant ... He inadvertently poured a container held under his left arm, filled with a solution of uranium-235-enriched uranium, into a barrel already containing a similar solution. He apparently lost track of how much fissionable material the barrel contained. The amount he added exceeded criticality. There was a blue flash as the liquid exploded, and he was drenched with the radioactive fluid. He immediately became disoriented. His coworkers did a partial decontamination. He was taken by ambulance to a series of hospitals which refused admission. An admitting hospital was finally located, and he was installed in an evacuated emergency ward, placed on a rubber sheet and further decontaminated by sponging with wet towels. During the night, his blood pressure dropped sufficiently to warrant continuous intravenous vasopressor medication. The next morning, his left arm and the left side of his face abruptly became severely edematous. In spite of the vasopressor medication, he went into irreversible shock and died that afternoon about 22 hr after exposure. This pattern is known as the central nervous system/cardiovascular syndrome. /U-235 enriched uranium/
[Bingham, E.; Cohrssen, B.; Powell, C.H.; Patty's Toxicology Volumes 1-9 5th ed. John Wiley & Sons. New York, N.Y. (2001)., p. 2:17]**PEER REVIEWED**

/CASE REPORTS/ /KIDNEY/ A small cohort of Gulf War veterans involved in friendly fire incidents where DU shells (penetrators) were used is being followed prospectively to assess the health effects from inhalation, wound contamination, and systemic absorption of retained DU metal fragments. A group of 33 soldiers was first evaluated in 1993/1994 ... They had elevated concentrations of urinary uranium, and mean urine uranium excretion was significantly higher in soldiers with retained metal fragments compared to those without fragments (4.47 vs. 0.03 ug/g creatinine). No evidence of a relationship between urine uranium and abnormal renal function could be demonstrated. In a subsequent follow-up of the same cohort, 29 of the original 33 were examined in 1997 and their results compared to 38 non-DU exposed, but Gulf War deployed soldiers. The correlation between 1994 and 1997 24-hr urinary uranium determinations was highly significant (Rsq = 0.8623) and urine uranium was again correlated with the presence of retained DU fragments. Exposed soldiers (with and without fragments) had 24-hr urinary uranium results ranging from 0.01 to 30.74 ug/g creatinine, whereas the nonexposed group's results ranged from 0.01 to 0.047 ug/g creatinine. The persistence of elevated uranium excretion suggests ongoing mobilization from a storage depot and results in chronic systemic exposure. Again, no renal abnormalities were found but neurocognitive examinations demonstrated a statistical relationship between urine uranium levels and lowered performance on computerized tests assessing performance efficiency. Elevated urinary uranium was also statistically related to a high prolactin level (> 1.6 ng/mL; p = .04). Uranium was also detected in the semen of 5 of 17 exposed veterans, but in none of 5 nonexposed veterans ... These findings ... document elevated urinary uranium excretion and small, but measurable, biochemical effects on the neuroendocrine and central nervous systems 7 yr after first exposure. /Depleted uranium/
[Bingham, E.; Cohrssen, B.; Powell, C.H.; Patty's Toxicology Volumes 1-9 5th ed. John Wiley & Sons. New York, N.Y. (2001)., p. 3:401]**PEER REVIEWED**

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ A criticality accident occurred on September 30, 1999, at the uranium conversion plant in Tokai-mura (Tokai-village), Ibaraki Prefecture, Japan. When the criticality occurred, three workers saw a "blue-white glow," and a radiation monitor alarm was sounded. They were severely exposed to neutron and gamma-ray irradiation, and subsequently developed acute radiation syndrome (ARS). One worker reported vomiting within minutes and loss of consciousness for 10 to 20 seconds. This worker also had diarrhea an hour after the exposure. The other worker started to vomit almost an hour after the exposure. The three workers, including their supervisor, who had no symptoms at the time, were brought to the National Mito Hospital by ambulance. Because of the detection of gamma-rays from their body surface by preliminary surveys and decreased numbers of lymphocytes in peripheral blood, they were transferred to the National Institute of Radiological Sciences (NIRS), which has been designated as a hospital responsible for radiation emergencies. Dose estimations for the three workers were performed by prodromal symptoms, serial changes of lymphocyte numbers, chromosomal analysis, and sodium-24 activity. The results obtained from these methods were fairly consistent. Most of the data, such as the dose rate of radiation, its distribution, and the quality needed to evaluate the average dose, were not available when the decision for hematopoitic stem cell transplantation had to be made. Therefore, prodromal symptoms may be important in making decisions for therapeutic strategies, such as stem-cell transplantation in heavily exposed victims. /Enriched uranium/
[Akashi M et al; J Radiat Res (Tokyo) 42 (Suppl S): 157-66 (2001) ]**PEER REVIEWED** PubMed Abstract

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ The accident /in a reactor using ... uranium rods moderated by heavy water/ exposed six individuals and resulted in one fatality. The individuals were designated H, V, G, M, D, and B. The total doses they received were 3.23, 4.36, 4.14, 4.26, 4.19, and 2.07 Gy, respectively. Exposure was relatively uniform over the body. By day 10 postexposure all patients except Patient B had granulocyte levels between 800 and 1500/uL and by day 20 the values had fallen to 20 to 100. For Patient B with a dose of 2.07 Gy (207 rad) the granulocyte level had decreased to 1000/uL by day 20. /Enriched uranium/
[Gusev, I.A., Guskova, A.K., Mettler, F.A. (eds) Medical Management of Radiation Accidents. Second Edition. CRC Press. Boca Raton, FL. 2001, p. 185]**PEER REVIEWED**

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ The accident occurred in a gaseous diffusion facility as a result of enriched uranium accumulation in oil in a vacuum pump. When an operator turned on the pump, the criticality alarm sounded and he saw a flash of light. Fission yield for two excursions was estimated to be 1.2X10+15. the operator was sent to the hospital with an estimated dose of about 2 Gy. He experienced mild radiation sickness. /Enriched uranium/
[Gusev, I.A., Guskova, A.K., Mettler, F.A. (eds) Medical Management of Radiation Accidents. Second Edition. CRC Press. Boca Raton, FL. 2001, p. 187]**PEER REVIEWED**

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ ... There was an accident in a building that housed various operations concerning highly enriched uranium. The accident occurred in a glove box in which there was an excess accumulation of uranium during filtration of uranyl oxalate precipitate. The operator was looking through the glove box window and saw a bulge in the vessel fabric and there was a release of gas and precipitate. The yield was estimated to be about 1X10+17 fissions. The operator picked up the precipitate and put it back into the filter vessel. Within seconds he became ill. Within 17 hours after the accident the specific activity of sodium-24 in the operator's blood was 245 Bq/cu cm. This correlated to an estimated dose of about 30 Gy. The operator died 12 days after the accident. There were five other workders in the room, and they received dose upward of 3 Gy and all suffered from radiation sickness but recovered. /Enriched uranium/
[Gusev, I.A., Guskova, A.K., Mettler, F.A. (eds) Medical Management of Radiation Accidents. Second Edition. CRC Press. Boca Raton, FL. 2001, p. 181]**PEER REVIEWED**

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ /Three workers were involved in an accident occuring when enriched uranyl nitrate solution was being poured manually from one vessel into other bottles/. There was an immediate blue flash and fissile material was ejected about 5 m above the vessel. Yield was estimated to be about 2 X 10+17 fissions. A fourth worker, who was 2.5 m away, was also exposed. They were all decontaminated and transferred to a hospital. The estimated exposures were 60 Gy for the three workers who lifted the tank and 6 Gy for the fourth worker. The three massively exposed workers died in 5 to 6 days. The fourth worker was exposed to a very heterogeneous gamma and neutron radiation (20 Gy on the left side of the body and 3 Gy on the right) and developed an acute radiation sickness and subsequently suffered a number of health problems, including cataracts. She survived more than 25 years after exposure. /Enriched uranyl nitrate/
[Gusev, I.A., Guskova, A.K., Mettler, F.A. (eds) Medical Management of Radiation Accidents. Second Edition. CRC Press. Boca Raton, FL. 2001, p. 183]**PEER REVIEWED**

/CASE REPORTS/ /KIDNEY/ Only a few studies on renal tubular dysfunction in chronically exposed workers have been conducted. ...Increased tubular enzyme catalase /was reported/ in the urine of 46 exposed chemical workers, but the results were not controlled for differences in urinary concentration. ...Increased excretion of total amino-nitrogen and some individual amino acids /was measured/ in 18 exposed workers. ...Low-level beta2-microglobulinuria and aminoaciduria /was found/ in 39 uranium mill workers. /Uranium compounds/
[Sullivan, J.B., Krieger G.R. (eds). Clinical Environmental Health and Toxic Exposures. Second edition. Lippincott Williams and Wilkins, Philadelphia, Pennsylvania 1999., p. 1271]**PEER REVIEWED**

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ This accident occurred in a copper-reflected 90% enriched uranium core assembly. The operator incorrectly transcribed the thickness of the reflector to be used and dropped the upper copper hemisphere onto the bottom assembly. When this happened, he saw a flash of light. He then left the area and reported the accident to the engineer and health physicist. The fission yield was estimated to be about 2X10+17 in one burst and a total of 1X10+19 fissions. The experimenter received an unusually high neutron/gamma ratio (about 15) with estimated doses of 45 Gy from neutrons and 3.5 Gy from gamma rays. Doses to the hands were estimated to be 200 to 300 Gy. ... Edema on the hands and forearms, as well as pain, was severe and by 24 hours there was moist desquamation. Also at 24 hours postexposure the chest radiograph indicated interstitial edema. At the end of the second day, there was marked hypotension and oliguria ... . Because of the life-threatening nature of the combined local and whole-body injuries, amputation of both arms at the mid-humeral level was performed on the third day. After this, there was continued hypotension ... . The patient died 66 hours postexposure. /Enriched uranium/
[Gusev, I.A., Guskova, A.K., Mettler, F.A. (eds) Medical Management of Radiation Accidents. Second Edition. CRC Press. Boca Raton, FL. 2001, p. 190]**PEER REVIEWED**

/CASE REPORTS/ /ACUTE RADIATION SYNDROME/ The accident occurred in ... 1999 during preparation of ... enriched uranium oxide powder... . There was a blue flash... ; Patient S recalls feeling pain in the neck, chest, arms, and hands and had numbness in some fingers. Patients O an S left for a decontamination shower ... . Patient O vomited several times with in 5 to 25 minures and lost consciousness for about 2 to 3 minutes. During transport /to a regional hospital/ Patient O vomited twice and had two episodes of diarrhea. Patient O was hypotensive .... All three patients were transferred /5 hr after the incident to a hospital specializing in radiological sciences/. Upon arrival, Patient O had erythema of the arms, face, and trunk and complained of pain in the jaw and abdomen. His blood pressure recovered /with treatment/. Diarrhea continued for 4 days ... The dose was estimated /to be 16 to > 20 Gy/. Patient S felt nausea within an hr and vomited several times in the ambulance. Upon arrival at the hospital, his face was tender and swollen and there was salivary inflammation. His dose was estimated /to be 6 to 10.4 Gy/. ... Patient Y had slight nausea on the way to the hospital ... /and/ transient hypoxemia. There was never any epilation. /The estimated dose was 1to 4.5 Gy./ He had mild bone marrow depression that recovered and he was discharged on day 82 postexposure. Treatment ... during the first 3 days was directed at inhalation of uranium, control of the gastrointestinal syndrome, electrolyte and fluid balance, prevention of bone marrow failure by administration of G-CSF (200 to 500 ug/day), and control of vascular injury by administration of pentoxifylline (900 mg/day orally). /Despite a peripheral bone marrow stem cell transplant from a sister and other treatments, Patient O/died from multiple organ failure on day 83 postexposure. Patient S received a female fetal cord blood transplant /and medications/ to prevent graft-vs.-host disease. ... He was also given rG-CSF (5 to 10 ug/kg) and erythropoietin (100 IU/kg) ... and thrombopoietin (5 ug/kg) ... Radiation stomatitis appeared at day 10 postexposure and erythema and blistering of the hands and feet began on day 21. Epilation also occurred ... . /Six to seven months post-exposure he developed chronic, antibiotic-resistant pneumonia and severe radiation fibrosis of the skin ... He developed renal failure and died 211 days postexposure. /Enriched uranium oxide/
[Gusev, I.A., Guskova, A.K., Mettler, F.A. (eds) Medical Management of Radiation Accidents. Second Edition. CRC Press. Boca Raton, FL. 2001, p. 17]**PEER REVIEWED**

/CASE REPORTS/ /KIDNEY/ Delayed renal effects were observed after a male worker at a uranium enrichment plant was accidentally exposed to a high concentration of uranium tetrafluoride powder for about 5 minutes in a closed room. While renal parameters were normal during an initial 30-day observation period, the patient showed signs of nephrotoxicity beginning at post-accident day 68 as indicated by significantly elevated levels of urinary proteins, nonprotein nitrogen, amino acid nitrogen/creatinine, and decreased phenolsulfonpthalein excretion rate. These abnormalities persisted through day 1,065 but gradually returned to normal values. The authors used uranium urinalysis data and a pharmacokinetic model to estimate a kidney dose of 2.6 ug uranium/g kidney on post-accident day 1. /Uranium tetrafluoride powder/
[DHHS/ATSDR; Toxicological Profile for Uranium p. 75 (PB/99/163362) (September 1999) ]**PEER REVIEWED**

/EPIDEMIOLOGY STUDIES/ A retrospective cohort study was conducted among 6,781 white male employees who had worked at /an/ Oak Ridge ... nuclear material fabrication plant for at least 30 days during 1947-74; vital status was determined for 6477 workers, and the cohort was followed-up until the end of 1979. Among 3,490 monitored workers, the mean cumulative alpha-particle dose to the lung was 82 mSv (range, 0-3.1 Sv), and the mean cumulative external whole-body penetrating dose from gamma-radiation was 9.6 mSv (0-4.3 Sv). When compared with the rates for white men in the USA, the mortality rates from all causes combined, cardiovascular diseases and from most site-specific cancers were decreased. Increased rates of cancers of the lung, brain and central nervous system were seen in comparison with national and state rates. Dose-response trends were detected for death from lung cancer with respect to cumulative exposure to alpha-particles and gamma-radiation, the most pronounced trend being found for exposure to gamma-radiation among workers who received > or = to 0.05 Sv of alpha-particles. ... No dose-response trend in mortality from brain or central nervous system cancer was found. /Enriched uranium/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 220-1 (2001)]**PEER REVIEWED**

/EPIDEMIOLOGY STUDIES/ ... a cohort of 18,869 white men ... had been employed between 1943 and 1947 at a uranium conversion and enrichment plant in Oak Ridge, Tennessee, USA, and /were/ followed-up until 1974. Workers in certain departments (especially chemical workers) were exposed to high average air concentrations of uranium dust (up to 500 ug/cu m of air in 1945). In comparison with mortality rates for white men in the USA, the standard mortality rationss for various causes in the entire cohort were generally < 1.00. After correction for unascertained deaths and missing death certificates, the SMR for lung cancer was 1.22 (95% CI, 1.10-1.36). Adequate data on smoking habits were not available in this study. The SMRs for various causes, including lung cancer, did not tend to be higher among 8,345 workers who were employed in areas where uranium dust was present or among 4,008 of these 8,345 workers who were employed for one year or longer at the plant. ... /Uranium dusts/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 220 (2001)]**PEER REVIEWED**

/EPIDEMIOLOGY STUDIES/ The association between exposure to uranium dust and death from lung cancer was investigated among workers who had been employed for at least 183 days in any of four /U.S./ uranium processing or fabrication plants ... . Among workers who had potentially been followed-up for at least 30 years, 787 deaths from lung cancer were identified from death certificates. One control was matched to each case on race, sex and birth and hire dates within three years. Health physicists estimated the annual doses to the lung from exposure primarily to insoluble uranium compounds for each person ... . The odds ratios for death from lung cancer for seven groupings of the cumulative internal dose to the lung showed no increase in risk with increasing dose. There was a suggestion of an effect of exposure for workers who had been hired at the age of 45 years or older. Further analyses with the cumulative external doses of thorium, radium and radon did not reveal a clear association between exposure and increased risk, nor did categorization of the workers by facility ... . /Uranium dusts/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 221 (2001)]**PEER REVIEWED**

/EPIDEMIOLOGY STUDIES/ In a retrospective cohort study of mortality in 995 white men who had been employed for more than 30 days at a uranium processing facility in upstate New York between 1943 and 1949 ... increased standardized mortality ratios (SMR) were observed for all causes of death (SMR, 1.18; 95% CI, 1.07-1.30, 429 deaths), laryngeal cancer (SMR, 4.47; 95% CI, 1.44-10.43; five deaths), all circulatory disease (SMR, 1.18; 95% CI, 1.04-1.35, 227 cases), arteriosclerotic heart disease (SMR, 1.19; 95% CI, 1.01-1.39, 159 cases), all respiratory disease (SMR, 1.52; 95% CI, 1.04-2.14, 32 cases) and pneumonia (SMR, 2.17; 95% CI, 1.26-3.47, 17 cases). No association was found with length of employment or work in the most hazardous areas of the plant. The rate of death from lung cancer was not increased (SMR, 0.97; 95% CI, 0.60-1.48, 21 cases). The internal doses from uranium were given only for the lung: 40% of the cohort received 10-100 mSv/year and 38% received >100 mSv/year; the remainder of the cohort received <10 mSv/year, or the value was unknown. /Radioactive uranium, NOS/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 219 (2001)]**PEER REVIEWED**

/EPIDEMIOLOGY STUDIES/ The relationship between exposure to low level ionizing radiation and health among uranium processing workers was studied. The facility was in operation between 1943 and 1949. Workers were exposed to chlorine, hydrofluoric acid, lead sulfate, nickel, nitric acid and nitrogen oxides, silicon dioxide, sulfuric acid, uranium dust, and uranium hexafluoride. The study cohort consisted of 995 white male workers employed longer than 30 days. Radiation hazards were assessed by measurement of radon-222 and airborne uranium, surface contamination, analysis of urine, and film badge records. Workers were allowed to work 2 hr per day when processing ores with a high radon-222 content. The data for the last 24 mo of operation indicated the highest cumulative dose for a worker was about 20 millisieverts (mSv). Long term occupational exposure was evaluated in a subcohort that received 150 mSv/year or more. Statistically significant increases in death from all causes were found. The mortality pattern among 149 workers who were exposed for more than 1 yr to radiation above 100 mSv/yr was the same as that for the entire study group. No significant deviation from expected rates were observed for any specific cause of death in this subcohort. Significantly increased mortality was seen in the entire worker population for cancer of the larynx and for pneumonia. No healthy worker effect was seen when standardized mortality ratios were analyzed for selected causes of death using cutoff dates at the end of 1950, 1960, and 1970. The length of employment in the most hazardous sites of the facility had no effect on mortality outcome. /Low level ionizing radiation from uranium/
[Dupree EA et al; Scandinavian J Work Environ Health 13 (2): 100-7 (1987) ]**PEER REVIEWED**

/EPIDEMIOLOGY STUDIES/ It is well known that uranium miners are at an increased risk of lung cancer. Whether they also have an increased risk for other cancer sites remains under discussion. The aim of this study was to examine the leukemia risk among miners. ... An individually matched case-control study of former uranium miners in East Germany was conducted with 377 cases and 980 controls. ... Using conditional logistic regression models, a dose-response relationship between leukemia risk and radon progeny could not be confirmed. Yet, a significantly elevated risk is seen in the category > or = 400 mSv when combining gamma-radiation and long-lived radionuclides. /The authors concluded that/ the results suggest that an elevated risk for leukemia is restricted to employees with a very long occupational career in underground uranium mining or uranium processing. Moreover, the study does not support the hypothesis of an association between exposure to short-lived radon progeny and leukemia risk. /Uranium mining/
[Mohner M et al; Am J Ind Med 49 (4): 238-48 (2006) ]**PEER REVIEWED** PubMed Abstract

/EPIDEMIOLOGY STUDIES/ In a population based retrospective cohort study /the authors/ studied cancer risk in Danish soldiers deployed to the war in the Balkans. In particular, leukemia, earlier linked to ammunition enforced with depleted uranium (DU) in other deployed soldiers, was a concern. Military personnel, 13,552 men and 460 women, without known cancer at first deployment to the Balkans, January 1, 1992 to December 31, 2001 were followed through December 2002. ...96 cases of cancer, 84 among men (standardized incidence ratio (SIR) 0.9) and 12 among women (SIR 1.7) /were found/ . Only four male bone cancers (SIR 6.0), with three during the first year of follow-up, exceeded expectations. Earlier reports on increased risk of leukemia and testis cancer among deployed military personnel to the Balkans are not corroborated by /this/ study. /Depleted uranium/
[Storm HH; Eur J Cancer 42 (14): 2355-8 (2006) ]**PEER REVIEWED** PubMed Abstract

/BIOMONITORING/ /GENOTOXICITY/One of the negative environmental impacts of the last armed conflict in Bosnia and Herzegovina was the use of radioactive ammunition containing depleted uranium. The United Nations Environment Programme measurements detected higher radioactivity at several examined sites in Bosnia and Herzegovina. One of those places is in the area of Hadzici, close to Sarajevo. This research included an evaluation of genetic load in human lymphocytes due to exposure to depleted uranium. The study included individuals who were located in the area of Hadzici and who were directly exposed to depleted uranium. The control blood samples were taken from individuals who lived in West Herzegovina which is considered environmentally uncontaminated. The results of the micronucleus cytochalasin-B test in peripheral blood lymphocytes showed increased micronuclei frequencies in the exposed group. /Depleted uranium/
[Krunic A et al; Arh Hig Rada Toksikol 56 (3): 227-32 (2005) ]**PEER REVIEWED** PubMed Abstract

/BIOMONITORING/ Medical surveillance of a group of U.S. Gulf War veterans who were victims of depleted uranium (DU) "friendly fire" has been carried out since the early 1990s. Findings to date reveal a persistent elevation of urine uranium, more than 10 yr after exposure, in those veterans with retained shrapnel fragments. The excretion is presumably from ongoing mobilization of DU from fragments oxidizing in situ. Other clinical outcomes related to urine uranium measures have revealed few abnormalities. Renal function is normal despite the kidney's expected involvement as the "critical" target organ of uranium toxicity. Subtle perturbations in some proximal tubular parameters may suggest early although not clinically significant effects of uranium exposure. A mixed picture of genotoxic outcomes is also observed, including an association of hypoxanthine-guanine phosphoribosyl transferase (HPRT) mutation frequency with high urine uranium levels. Findings observed in this chronically exposed cohort offer guidance for predicting future health effects in other potentially exposed populations and provide helpful data for hazard communication for future deployed personnel. /Depleted uranium/
[McDiarmid MA et al; J Toxicol Environ Health A. 67 (4): 277-96 (2004) ]**PEER REVIEWED** PubMed Abstract

/BIOMONITORING/ Health effects stemming from depleted uranium (DU) exposure in a cohort of Gulf War veterans who were in or on US Army vehicles hit by friendly fire involving DU munitions are being carefully monitored through the Baltimore Veterans Affairs (VA) DU Follow-Up Program initiated in 1993. DU exposure in this cohort has been directly measured using inductively coupled plasma-mass spectrometer (ICP-MS) isotopic analysis for DU in urine specimens. Soldiers with embedded DU fragments continue to excrete elevated concentrations of U in their urine, documenting ongoing systemic exposure to U released from their fragments. Biennial surveillance visits provide a detailed health assessment that includes basic clinical measures and surveillance for early changes in kidney function, an expected target organ for U. Tests also include measurements of genotoxicity and neuroendocrine, neurocognitive and reproductive function. With the exception of the elevated urine U excretion, no clinically significant expected U-related health effects have been identified to date. Subtle changes in renal function and genotoxicity markers in veterans with urine U concentrations greater than 0.1 microg(-1) creatinine, however, indicate the need for continued surveillance of these DU-exposed veterans. /Depleted uranium/
[Squibb KS, McDiarmid MA; Philos Trans R Soc Lond B Biol Sci ;361 (1468): 639-48 (2006) ]**PEER REVIEWED** PubMed Abstract

/OTHER TOXICITY INFORMATION/ /GENOTOXICITY/Cultured peripheral blood lymphocytes from 116 smokers and 80 non-smokers who were occupationally exposed to uranyl compounds were analyzed for sister chromatid exchange. ... A significant increase in sister chromatid exchange frequency was observed among both smokers and nonsmokers exposed to uranyl compounds when compared with their respective controls. In controls, a significant increase in the frequency of sister chromatid exchange was observed in smokers when compared with non-smokers. /Uranyl compounds/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 447 (2001)]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ /GENOTOXICITY/ Blood samples from 115 smokers (23-52 years of age) working in a nuclear fuel manufacturing facility who had been exposed to uranyl compounds over 1-25 years (mean lung dose, 90 mSv) were analyzed for various types of chromosomal aberrations. ... A significant increase in the frequency of chromosomal aberrations was found in the exposed smokers when compared with the control smokers. Smokers in the control group had a higher frequency of chromosomal aberrations than non-smokers, suggesting a clastogenic effect of smoking. The chromosomal aberrations observed in the exposed smokers were attributed to the cumulative effect of smoking and exposure to uranyl compounds. /Uranyl compounds/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 447 (2001)]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ Several studies have been conducted of uranium millers and of individuals involved in other uranium processing operations. ... These workers are not exposed to high concentrations of radon gas in air but may be exposed to alpha and beta-particles from inhaled or ingested uranium dust. Inhalation of insoluble uranium particles is the major pathway for exposure of the lung. ... Some studies of workers in uranium processing plants thus showed an elevated rate of mortality from lung cancer, but the finding was not consistent in all studies. The doses to the lung were relatively low. The rates of death from cancers at other sites were increased in some studies, but the small number of cases and lack of consistency between the findings reduce their significance. /Inhaled and ingested uranium dust/
[IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work)., p. V78 219, 222 (2001)]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ Inhalation of poorly solubilizable uranium particles results in a radiologic risk to the lung. Other target organs for radiation effects are tracheobronchial lymph nodes, bone, bone marrow, and kidney. It has generally been estimated that the radiation risk does not exceed the chemical nephrotoxicity for soluble uranium until the enrichment is 5% to 8% uranium-235 by weight, but the relative risk between chemical and radiation risks continues to be an open question. /Poorly soluble uranium particles/
[Sullivan, J.B., Krieger G.R. (eds). Clinical Environmental Health and Toxic Exposures. Second edition. Lippincott Williams and Wilkins, Philadelphia, Pennsylvania 1999., p. 1271]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ The potential of radiation exposure from depleted uranium is small as it emits alpha particles that do not penetrate human skin. However, taken internally as shrapnel, it irradiates tissues and carries the risk of uranium nephrotoxicity. /Depleted uranium/
[Sullivan, J.B., Krieger G.R. (eds). Clinical Environmental Health and Toxic Exposures. Second edition. Lippincott Williams and Wilkins, Philadelphia, Pennsylvania 1999., p. 1269]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ Prolonged contact with the skin might cause radiation damage to the skin. /Uranium and insol cmpd as uranium/
[Mackison, F. W., R. S. Stricoff, and L. J. Partridge, Jr. (eds.). NIOSH/OSHA - Occupational Health Guidelines for Chemical Hazards. DHHS(NIOSH) Publication No. 81-123 (3 VOLS). Washington, DC: U.S. Government Printing Office, Jan. 1981., p. 1]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ Because DU is only weakly radioactive, very large amounts of dust (on the order of grams) would have to be inhaled for the additional risk of lung cancer to be detectable in an exposed group. Risks for other radiation-induced cancers, including leukemia, are considered to be very much lower than for lung cancer. Erythema (superficial inflammation of the skin) or other effects on the skin are unlikely to occur even if DU is held against the skin for long periods (weeks). /Depleted uranium/
[WHO; Depleted Uranium. Fact sheet No 257, January 2003 ]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ In those studies where a higher incidence of lung cancer has been found in uranium miners, the cancer is probably due to radon and its daughter products, not to uranium itself. In fact, there is no convincing evidence that uranium is carcinogenic. /Uranium NOS/
[Klaassen, C.D. (ed). Casarett and Doull's Toxicology. The Basic Science of Poisons. 6th ed. New York, NY: McGraw-Hill, 2001., p. 857]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ /BONE//Researchers/ estimate the risk of bone sarcoma from chronic ingestion of natural uranium, assuming a linear dose response function for radium-226 and proportionality of the energy deposited in the skeleton by uranium isotopes with that of radium-226. For ingestion of uranium in water or food, or both, at a constant avg rate of 5 picoCi/day (7.5 ug/day of natural uranium), /the researchers/ est that over a 7 yr lifetime the risk of bone sarcoma induction is 1.5 bone sarcomas/million persons for uranium-233, uranium-234, uranium-235, uranium-236, or uranium-238 if the dose response is linear, and that in a million people in the USA the bone sarcomas occurring naturally over a lifetime would number about 750. /Uranium isotopes/
[Mays CW et al; Hlth Phys 48: 635 (1985) as cited in Wrenn ME et al; The Potential Toxicity of Uranium in Water p.179 (1987) EPA-600/J-87/096 ]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ There are two hazards connected with exposure to uranium compounds: the renal damage caused by the chemical toxicity of soluble uranium compound, and the injury caused by the ionizing radiation resulting from the disintegration of uranium isotopes. Which of these two hazards will be limiting factor for exposure to uranium compounds depends on the solubility of the compound, its route of administration and its isotope composition. The isotope most dangerous from the point of view of radiation, uranium-235 comprises <1% of natural uranium, but is enriched during the production of nuclear fuels. Higher fractions of uranium-235 increase the irradiation risk. As retention time in the body is the important factor for the radiological damage, exposure to insoluble particles that are deposited and retained in lung for long time constitues a radiological hazard. ...Chemical toxicity... will be the limiting factor after exposure to soluble uranium compounds, when large quantities of the element will pass through the kidney. /Uranium compounds/
[Friberg, L., Nordberg, G.F., Kessler, E. and Vouk, V.B. (eds). Handbook of the Toxicology of Metals. 2nd ed. Vols I, II.: Amsterdam: Elsevier Science Publishers B.V., 1986., p. V2 631]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ Very little health-related research has been undertaken specifically on depleted uranium. The major reason for this is the extensive research undertaken on natural and enriched uranium, both of which pose a greater radiological hazard and an identical toxicological chemical hazard to depleted uranium. /Depleted uranium/
[WHO Department of Protection of the Human Environment; Depleted Uranium Sources, Exposure and Health Effects. p. 61 (April 2001) ]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ A by-product of the uranium enrichment process, depleted uranium (DU) contains approximately 40% of the radioactivity of natural uranium yet retains all of its chemical properties. After its use in the 1991 Gulf War, public concern increased regarding its potential radiotoxicant properties. ... Heavy-metal nephrotoxicity has not been noted in ... Gulf War veteran cohort studies despite markedly elevated urinary uranium excretion. /Depleted uranium/
[Sztajnkrycer MD, Otten EJ; Mil Med 169 (3): 212-6 (2004) ]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ Uranium from the environment enters the human body by ingestion with food and drink and by inhalation of respirable airborne uranium-containing dust particles or aerosols. Daily intake of uranium in food and water varies from approximately 1 to approximately 5 micrograms U/d daily in uncontaminated regions to 13-18 micrograms/d or more in uranium mining areas. A 70 kg, non-occupationally exposed 'Reference Man' living in Europe or in the United States has an estimated total body uranium content of about 22 micrograms. Uranium is absorbed from the intestine or by the lungs, enters the bloodstream, and is rapidly deposited in the tissues, predominantly kidney and bone, or excreted in the urine. In the bloodstream, uranium is associated with red cells, and its clearance is relatively rapid. Renal toxicity is a major adverse effect of uranium, but the metal has toxic effects on the cardiovascular system, liver, muscle and nervous system as well. Any possible direct risk of cancer or other chemical- or radiation-induced health detriments from uranium deposited in the human body is probably less than 0.005% in contrast to an expected indirect risk of 0.2% to 3% through inhaling the radioactive inert gas radon, which is produced by the decay of environmental uranium-238 ... /Uranium compounds/
[Taylor DM, Taylor SK; Rev Environ Health 12 (3): 147-57 (1997) ]**PEER REVIEWED**

/OTHER TOXICITY INFORMATION/ A chronic kidney burden of 3 mg-U/g-kidney has historically been the basis for development of action levels for bioassay monitoring of workers who are chronically exposed to uranium (Hursh and Spoor 1973). Studies by Morrow et al. (1982) with the highly transportable and toxic form of uranium, UO2F2, indicated that steady-state kidney concentrations of 3 mg/g in dogs were sufficient to produce indications of uranium poisoning. Although UO2F2 is not handled at Hanford, it is prudent for bioassay monitoring purposes to assume a renal toxicity threshold of less than 3 mg/g of kidney. Based on recent studies by a number of investigators, Rich et al. (1988) suggested that the ?no effect? threshold for uranium in kidney is 1.1 mg/g. Hanford adopted a ?no effect? threshold of 0.4 mg/g as a sustained kidney burden value, based on one-third of the Rich value, rounded to one significant figure. This sustained kidney burden approach is now replaced for Hanford applications by a peak kidney concentration approach, using the 1.1 mg/g value for both chronic and acute exposure scenarios. Additional publications have raised some question as to the appropriate magnitude for an assumed ?no effects threshold level? of article, Leggett (1989) noted that results and conclusions of studies have varied widely and that ?apparent discrepancies may be due largely to differences in 1) perceptions and/or definitions of toxicity, 2) sensitivity of the measurements of kidney damage or dysfunction, 3) patterns of exposure (for example, acute versus chronic), and 4) sensitivity to renal U in different species.? Leggett concluded ?it may be prudent to lower this long-standing guidance level [of 3 mgU/g] by roughly an order of magnitude until more is known about subtle physiological effects of small quantities of U in the kidneys.? Similar sentiment was expressed by SuLu and Zhao (1990) in recommending a maximum safe uranium burden in the kidney of 0.26 mg/g, based on a 10-fold safety factor below mild kidney impairment observed in one human case at 2.6 mgU/g. Considering Leggett noted that the early researchers cited ranges of much less than 5 mg/g, probably 2 to 3 mg/g? rather than absolute values, the question of a 1.1 mg/g v