Health impact of radiation: analysis of occupational and environmental exposures

Authors

Keywords:

EFECTOS DE LA RADIACIÓN; EXPOSICIÓN A LA RADIACIÓN; EVALUACIÓN DEL IMPACTO EN LA SALUD; RADIACIÓN IONIZANTE; RADIACIÓN NO IONIZANTE., RADIATION EFFECTS; RADIATION EXPOSURE; HEALTH IMPACT ASSESSMENT; RADIATION, IONIZING; RADIATION, NONIONIZING., EFEITOS DA RADIAÇÃO; EXPOSIÇÃO À RADIAÇÃO; AVALIAÇÃO DO IMPACTO NA SAÚDE; RADIAÇÃO IONIZANTE; RADIAÇÃO NÃO IONIZANTE.

Abstract

Introduction: radiation constitutes an essential tool in medicine; however, exposures that exceed established safety limits represent a significant public health concern.

Objective: to analyze the effects of ionizing and non-ionizing radiation on human health.

Methods: a systematic literature review was conducted using scientific publications from specialized databases such as PubMed, Scopus, and Google Scholar. The search included terms related to ionizing radiation, non-ionizing radiation, health effects, and radiological protection. Studies were selected based on thematic relevance, methodological quality, and recency, followed by a critical and comparative analysis of the findings.

Development: the evidence indicates that ionizing radiation causes direct and indirect damage to deoxyribonucleic acid, increasing the risk of cancer, hematological disorders, and cardiovascular diseases, in both acute exposures and chronic low-dose exposures. Non-ionizing radiation, although less energetic, is associated with thermal effects and potential non-thermal effects, particularly neurological ones, which are still under investigation. Relevant natural sources such as radon and cosmic radiation were identified, as well as artificial sources linked to medical procedures and industrial activities. Additionally, beneficial medical applications, including radiotherapy and imaging techniques, were highlighted, all of which require controlled use.

Conclusions: radiation provides substantial benefits for health and technological development; however, it also entails risks that require rigorous management. Strengthening radiological protection, exposure monitoring, and education is essential to safeguard both workers and the general population.

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References

1. Bushberg JT. The Essential Physics of Medical Imaging. 3rd ed. Philadelphia: Lippincott Williams & Wilkins[Internet]; 2011 [Citado 09/12/2025].Disponible en: https://www.scribd.com.

2. Hall EJ. Radiobiology for the Radiologist. 6th ed. Philadelphia: Lippincott Williams & Wilkins[Internet]; 2006 [Citado 09/12/2025] .Disponible en: https://eprints.poltekkesadisutjipto.ac.id/id/eprint/2055/1/Radiobiology-for-the-Radiologist.pdf

3. Muller HJ. Artificial transmutation of the gene. Science. [Internet]. 1927[Citado 09/12/2025];66(1699):84-87. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17802387/

4. Smith Bindman R. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med [Internet].2009 [Citado 09/12/2025];169(22):2078-2086.Disponible en: https://pubmed.ncbi.nlm.nih.gov/20008690/

5. Thorne MC, et al. Protection of the public in situations of prolonged radiation exposure. J Radiol Prot [Internet]. 2007 [Citado 09/12/2025];27(3):199-219.Dispponible en: https://journals.sagepub.com/doi/pdf/10.1177/ANIB_29_1-2

6. Valentin J. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann ICRP [Internet]. 2007 [Citado 09/12/2025];37(2-4):1-332.Disponible en: https://www.icrp.org/docs/icrp_publication_103-annals_of_the_icrp_37(2-4)-free_extract.pdf

7. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation, National Research Council. Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. Washington: National Academies Press [Internet]; 2006. [Citado 09/12/2025]. Disponible en: https://www.nationalacademies.org/read/11340

8. World Health Organization. WHO Manual of Diagnostic Imaging: Radiographic Anatomy and Interpretation of the Musculoskeletal System. Geneva: WHO Press [Internet]; 2003 [Citado 09/12/2025]. Disponible en: https://www.who.int/publications/i/item/9241545550

9. National Research Council. Health Risks of Radon and Other Internally Deposited Alpha-Emitters: BEIR IV. Washington: National Academies Press [Internet]; 1988 [Citado 09/12/2025].Disponible en: https://pubmed.ncbi.nlm.nih.gov/25032289/

10. Ainsbury EA. Radiation cataractogenesis: a review of recent studies. Radiat Res. [Internet]. 2009 [Citado 09/12/2025];172(1):1-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19580502/

11. Brenner DJ. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. [Internet].2003 [Citado 09/12/2025];100(24):13761-13766. Disponible en: https://www.pnas.org/doi/10.1073/pnas.2235592100

12. Wakeford R. The cancer epidemiology of radiation. Oncogene [Internet]. 2004 [Citado 09/12/2025]; 23(38):6404-6428. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15322514/

13. Hall EJ, Giaccia AJ. Radiobiology for the Radiologist. 7th ed. Philadelphia: Lippincott Williams & Wilkins [Internet]; 2011[Citado 09/12/2025]. Disponible en: https://eprints.poltekkesadisutjipto.ac.id/id/eprint/2055/1/Radiobiology-for-the-Radiologist.pdf

14. ICRP. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann ICRP [Internet]. 2007 [Citado 09/12/2025]; 37(2-4):1-332. Disponible en: https://www.icrp.org/publication.asp?id=ICRP%20Publication%20103

15. Armstrong BK, Kricker A. The epidemiology of UV induced skin cancer. J Photochem Photobiol B [Internet]. 2001 [Citado 09/12/2025];63(1-3):8-18. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11684447/

16. International Commission on Non-Ionizing Radiation Protection. Guidelines for limiting exposure to electromagnetic fields (100 kHz to 300 GHz). Health Phys. [Internet].2020 [Citado 09/12/2025]; 118(5):483-524. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32167495/

17. Cucinotta FA, Durante M. Cancer risk from exposure to galactic cosmic rays: implications for space exploration by human beings. Lancet Oncol [Internet]. 2006 [Citado 09/12/2025]; 7(5): 431-435.Disponible en: https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(06)70695-7/abstract

18. World Health Organization. WHO Handbook on Indoor Radon: A Public Health Perspective. Geneva: WHO Press [Internet]; 2009 [Citado 09/12/2025] Disponible en: https://www.who.int/publications/i/item/9789241547673.

19. International Atomic Energy Agency. Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards. IAEA Safety Standards Series No. GSR Part 3. Vienna: IAEA [Internet]; 2014 [Citado 09/12/2025]. Disponible en: https://www-pub.iaea.org/MTCD/Publications/PDF/Pub1578_web-57265295.pdf

20. Mettler FA, Upton AC. Medical Effects of Ionizing Radiation. 3rd ed. Philadelphia: Saunders Elsevier [Internet]; 2008 [Citado 09/12/2025]. Disponible en: https://www.sciencedirect.com/book/monograph/9780721602004/medical-effects-of-ionizing-radiation#book-info .

21. Little MP. Radiation and circulatory disease. Mutat Res [Internet]. 2010[Citado 09/12/2025]; 704(1-3): 158-161. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1383574216300783

22. International Commission on Non-Ionizing Radiation Protection. Guidelines for limiting exposure to time-varying electric, magnetic, and electromagnetic fields (up to 300 GHz). Health Phys [Internet]. 1998 [Citado 09/12/2025] ;74(4):494-522.Disponible en: https://pubmed.ncbi.nlm.nih.gov/9525427/

23. Repacholi MH. Low-level exposure to radiofrequency electromagnetic fields: health effects and research needs. Bioelectromagnetics [Internet]. 1998[Citado 09/12/2025]; 19(1):1-19.Disponible en: https://pubmed.ncbi.nlm.nih.gov/9453702/

24. Coleman CN. Medical management of the acute radiation syndrome: recommendations of the Strategic National Stockpile Radiation Working Group. Ann Intern Med [Internet]. 2013 [Citado 09/12/2025]; 158(11): 829-840.Disponible en: https://pubmed.ncbi.nlm.nih.gov/15197022/

25. United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and Effects of Ionizing Radiation. UNSCEAR 2000 Report to the General Assembly, with Scientific Annexes. New York: United Nations [Internet]; 2000 [Citado 09/12/2025].Disponible en: https://www.unscear.org/unscear/en/publications/2000_1.html

26. Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. N Engl J Med[Internet]. 2007[Citado 09/12/2025]; 357(22):2277-2284. Disponible en: https://www.nejm.org/doi/full/10.1056/NEJMra072149

27. Shore RE. Radiation-induced skin cancer in humans. Med Pediatr Oncol [Internet]. 2001 [Citado 09/12/2025]; 36(5):549-554.Disponible en: https://pubmed.ncbi.nlm.nih.gov/11340610/

28. Preston DL. Solid cancer incidence in atomic bomb survivors: 1958-1998. Radiat Res [Internet].2007 [Citado 09/12/2025];168(1):1-64. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17722996/

29. United Nations Scientific Committee on the Effects of Atomic Radiation. UNSCEAR 2013 Report: Sources, Effects and Risks of Ionizing Radiation. New York: United Nations [Internet]; 2013 [Citado 09/12/2025] .Disponible en: https://www.unscear.org/unscear/en/publications/2013_1.html

30. National Council on Radiation Protection and Measurements. Ionizing Radiation Exposure of the Population of the United States. NCRP Report No. 160. Bethesda: NCRP [Internet]; 2009 [Citado 09/12/2025]. Disponible en: https://ncrponline.org/publications/reports/ncrp-report-160/

Published

2025-12-23

How to Cite

1.
Naranjo Coca CS, Cueva-Yunga J, Gavilánez- Velasco YM, Medina-Ramírez GE. Health impact of radiation: analysis of occupational and environmental exposures. Rev Ciencias Médicas [Internet]. 2025 Dec. 23 [cited 2026 Feb. 13];29(1):e7007. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/7007

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