The way radiation enters the environment or human body can affect what health outcomes researchers expect to see. Nuclear toxicologists investigate the absorption, distribution, metabolism, and excretion (ADME) of radioactive materials in the environment to understand the exposure risks more fully and better predict resultant health outcomes. All these factors matter when it comes to understanding health harms.
Internal exposures involve radioactive materials that directly enter the body during decay and can produce new radioactive decay products within the body. There are several types of internal exposure:
External exposures involve radiation near or around the body that is absorbed and can then affect normal bodily functions. External exposures do not create decay products in the body because the compound itself is not absorbed, just the radiation. External exposures can occur as a result of simply being near radioactive materials without any direct contact.The impacts of internal and external exposures will differ. For example, a uranium miner inhaling uranium that decays into other products within the lung (internal exposure) will experience different health effects than an atomic worker standing near radioactive waste and absorbing the radioactive particles being emitted (external exposure).
Though the air, clothing, and skin generally protect the body from certain types of radiation, they are not a defense against gamma rays emitted by radioactive materials. Gamma radiation is released in large quantities during nuclear weapon detonations or testing, but there are also naturally occurring gamma ray emitters such as americium-241, cesium-137, and cobalt-60, which are used in leveling gauges, smoke detectors, and medical equipment.
The distribution of radiation throughout the body, whether in a target organ or more systemically (e.g., circulating blood), can harm the human body through genetic alterations, tissue and organ damage, or by disrupting normal bodily functions. Radioisotopes can also be distributed and stored in multiple target organs.
There are many target organs for radioisotopes, including bones, teeth, fat cells, the thyroid gland, liver, kidneys, the reproductive system, and breast tissue . The decay of uranium-238 creates many radioactive products such as thorium-234 and -230, radium-226, radon-222, and polonium-218 and -214. Each of these products target different organs: thorium-230 is predominantly stored in bone, but polonium is distributed in soft tissue and bone, and radium is stored on the surface and the marrow of bones. All are decay products of each other that target different areas of the body.
This study found children born in the mid-1960s had levels of strontium contamination 60 times higher than those born in the early 1950s (a 100-fold increase). This work was conducted across the greater St. Louis area by the Committee for Nuclear Information and Washington University faculty. Researchers measured strontium-90 in more than 320,000 baby teeth over a dozen years. Strontium-90 is more easily measured in children due to their increased radiosensitivity and can therefore be measured in bones and teeth (which strontium-90 targets) without having to do something invasive like taking blood or a bone biopsy.
The high levels of strontium-90 in this population have been attributed to radioactive fallout from aboveground nuclear testing. This region has also experienced increased incidence of low birth weights and childhood cancers among people living there.
It is important to understand that some radioactive materials, such as uranium, cause both radioactive harms (such as tissue scarring and alterations to genetic material that can induce cancers) and chemical harms. As a heavy metal, uranium is part of a group of chemicals known to harm neurological function, child development, and birthing outcomes.
Excretion refers to how these harmful materials are removed either from circulation (stored in t