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Nuclear Power Plant Emergency Preparedness: Results From an Evaluation of Michigan's Potassium Iodide Distribution Program

  • Laura R. Zwolinski, Martha Stanbury and Susan Manente
Abstract

Background: In 2009, the Michigan Department of Community Health (MDCH) made potassium iodide (KI), a nonprescription radio-protective drug, available by mailing vouchers redeemable at local pharmacies for KI tablets, at no cost to residents living within 10 miles of Michigan's 3 nuclear power plants (NPPs). MDCH conducted an evaluation of this program to determine Michigan's KI coverage and to assess general emergency preparedness among residents living near the NPPs.

Methods: KI coverage was estimated based on redeemed voucher counts and the 2010 Census. Telephone surveys were administered to a random sample (N = 153) of residents living near Michigan's NPPs to evaluate general emergency preparedness, reasons for voucher use or nonuse, and KI knowledge.

Results: Only 5.3% of eligible residences redeemed KI vouchers. Most surveyed residents (76.5%) were aware of living near an NPP, yet 42.5% reported doing “nothing” to plan for an emergency. Almost half of surveyed voucher users did not know when to take KI or which body part KI protects. Among voucher nonusers, 48.0% were either unaware of the program or did not remember receiving a voucher.

Conclusions: Additional efforts are needed to ensure that all residents are aware of the availability of KI and that recipients of the drug understand when and why it should be taken. Minimal emergency planning among residents living near Michigan's NPPs emphasizes the need for increased emergency preparedness and awareness. Findings are particularly salient given the March 2011 Fukushima Daiichi Nuclear Power Plant emergency in Japan.

(Disaster Med Public Health Preparedness. 2012;6:263–269)

Copyright
Corresponding author
Correspondence: Martha Stanbury, MSPH, Michigan Department of Community Health, PO Box 30195, Lansing, MI 48909 (e-mail: stanburym@michigan.gov).
References
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1.Crocker, DG.Nuclear reactor accidents—the use of KI as a blocking agent against radioiodine uptake in the thyroid—a review. Health Phys. 1984;46 (6):12651279.
2.Cardis, EKesminiene, AIvanov, V, et alRisk of thyroid cancer after exposure to 131I in childhood. J Natl Cancer Inst. 2005;97 (10):724732.
3.Nauman, JWolff, J.Iodide prophylaxis in Poland after the Chernobyl reactor accident: benefits and risks. Am J Med. 1993;94 (5):524532.
4.Verger, PAurengo, AGeoffroy, BLe Guen, B.Iodine kinetics and effectiveness of stable iodine prophylaxis after intake of radioactive iodine: a review. Thyroid. 2001;11 (4):353360.
5.Food and Drug Administration. Guidance: Potassium Iodide as a Thyroid Blocking Agent in Radiation Emergencies; December 2001. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm080542.pdf. Accessed February 14, 2012.
6.Becker, DV.Physiological basis for the use of potassium iodide as a thyroid blocking agent logistic issues in its distribution. Bull N Y Acad Med. 1983;59 (10):10031008.
7.Becker, DVZanzonico, P.Potassium iodide for thyroid blockade in a reactor accident: administrative policies that govern its use. Thyroid. 1997;7 (2):193197.
8.Robbins, JSchneider, AB.Chernobyl and the KI controversy in the United States. Nat Clin Pract Endocrinol Metab. 2008;4 (3):117.
9.US Nuclear Regulatory Commission. Federal Register notice: consideration of potassium iodide in emergency plans final rule, 10 CFR 50. Fed Regist. 2001;66 (13):54275440.
10.National Research Council. Distribution and Administration of Potassium Iodide in the Event of a Nuclear Incident.Washington, DC: National Academies Press; 2004.
11.US Nuclear Regulatory Commission. Consideration of potassium iodide in emergency planning: current status on KI distribution. http://www.nrc.gov/about-nrc/emerg-preparedness/about-emerg-preparedness/potassium-iodide.html. Accessed July 7, 2011.
12.Blando, JRobertson, CBresnitz, E.Final report: assessment of potassium iodide (KI) distribution campaign and emergency response around New Jersey's nuclear power facilities.New Jersey Department of Health and Senior Services. Undated. http://www.nj.gov/health/surv/documents/ki_finalrpt.pdf. Accessed July 3, 2012.
13.Blando, JRobertson, CPearl, KDixon, CValcin, MBresnitz, E.Assessment of potassium iodide (KI) distribution program among communities within the emergency planning zones (EPZ) of two nuclear power plants. Health Phys. 2007;92 2(suppl)S18S26.
14.Blando, JRobertson, CPearl, KDixon, CValcin, MBresnitz, E.Evaluation of potassium iodide prophylaxis knowledge and nuclear emergency preparedness: New Jersey 2005. Am J Public Health. 2007;97(suppl 1)S100S102.
15.Carney, JKdeFlorio, FErickson, N McCandless, R.Enhancing nuclear emergency preparedness: Vermont's distribution program for potassium iodide. J Public Health Manag Pract. 2003;9 (5):361367.
16.Fowinkle, EWSell, SHWolle, RH.Predistribution of potassium iodide–the Tennessee experience. Public Health Rep. 1983;2:123126.
17.Behavioral Risk Factor Surveillance System (BRFSS) Questionnaire. 2010. http://www.cdc.gov/brfss/questionnaires/pdf-ques/2010brfss.pdf. Accessed May 20, 2010.
18.US Nuclear Regulatory Commission. Nuclear Regulatory Agency Title 10 CFR 50.47. http://www.nrc.gov/reading-rm/doc-collections/cfr/part050/part050-0047.html. Accessed August 8, 2011.
19.US Department of Homeland Security. Homeland Security launches new ads to demonstrate importance of family emergency planning. Press Room Archive. Release Date: November 14, 2006. http://www.dhs.gov/xnews/releases/pr_1163518483290.shtm. Accessed January 20, 2011.
20.Dauer, LTZanzonico, PTuttle, RMQuinn, DMStrauss, HW.The Japanese tsunami and resulting nuclear emergency at the Fukushima Daiichi power facility: technical, radiologic, and response perspectives. J Nucl Med. 2011;52 (9):14231432.
21.Greenemeier, L.Does potassium iodide protect people from radiation leaks? Sci Am. March 2011:15http://www.scientificamerican.com/article.cfm?id=japan-earthquake-tsunami-radiation. Accessed February 14, 2012.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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