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Select Issue List of Issues Go Search Terms Search within Search Advanced Search The Lancet Full Site < Previous Article Next Article > Volume 386, No. 9992 , p479–488, 1 August 2015 Series Switch to Standard View Switch to Enhanced View Health effects of radiation and other health problems in the aftermath of nuclear accidents, with an emphasis on Fukushima Prof Arifumi Hasegawa x Arifumi Hasegawa Search for articles by this author Affiliations * Department of Radiation Disaster Medicine, Fukushima Medical University, Fukushima, Japan , MD , Prof Koichi Tanigawa x Koichi Tanigawa Search for articles by this author Affiliations * Fukushima Global Medical Science Center, Fukushima Medical University, Fukushima, Japan Correspondence * Correspondence to: Prof Koichi Tanigawa, Fukushima Global Medical Science Center, Fukushima Medical University, 1 Hikariga-oka, Fukushima 960-1295, Japan , MDcorrespondence x Koichi Tanigawa Search for articles by this author Affiliations * Fukushima Global Medical Science Center, Fukushima Medical University, Fukushima, Japan Correspondence * Correspondence to: Prof Koichi Tanigawa, Fukushima Global Medical Science Center, Fukushima Medical University, 1 Hikariga-oka, Fukushima 960-1295, Japan email , Prof Akira Ohtsuru x Akira Ohtsuru Search for articles by this author Affiliations * Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan , MD , Prof Hirooki Yabe x Hirooki Yabe Search for articles by this author Affiliations * Department of Neuropsychiatry, Fukushima Medical University, Fukushima, Japan , MD , Prof Masaharu Maeda x Masaharu Maeda Search for articles by this author Affiliations * Department of Disaster Psychiatry, Fukushima Medical University, Fukushima, Japan , MD , Jun Shigemura x Jun Shigemura Search for articles by this author Affiliations * Department of Psychiatry, National Defense Medical College, Tokorozawa, Japan , MD , Prof Tetsuya Ohira x Tetsuya Ohira Search for articles by this author Affiliations * Department of Epidemiology, Fukushima Medical University, Fukushima, Japan , MD , Takako Tominaga x Takako Tominaga Search for articles by this author Affiliations * Department of Radiation Emergency Medical Assistance Team Medical Section, Chiba, Japan , MD , Makoto Akashi x Makoto Akashi Search for articles by this author Affiliations * National Institute of Radiological Sciences, Chiba, Japan , MD , Nobuyuki Hirohashi x Nobuyuki Hirohashi Search for articles by this author Affiliations * Department of Emergency and Critical Care Medicine, Hiroshima University, Hiroshima, Japan , MD , Prof Tetsuo Ishikawa x Tetsuo Ishikawa Search for articles by this author Affiliations * Department of Radiation Physics and Chemistry, Fukushima Medical University, Fukushima, Japan , PhD , Prof Kenji Kamiya x Kenji Kamiya Search for articles by this author Affiliations * Department of Experimental Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan , MD , Prof Kenji Shibuya x Kenji Shibuya Search for articles by this author Affiliations * Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan , MD , Prof Shunichi Yamashita x Shunichi Yamashita Search for articles by this author Affiliations * Department of Radiation Medical Sciences, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan , MD , Prof Rethy K Chhem x Rethy K Chhem Search for articles by this author Affiliations * Cambodia Development Resource Institute, Phnom Penh, Cambodia , PhD Article has an altmetric score of 26 DOI: http://dx.doi.org/10.1016/S0140-6736(15)61106-0 | <#> showArticle Info <#> © 2015 Elsevier Ltd. All rights reserved. This article can be found in the following collections: Public Health * Summary * Full Text * Tables and Figures * Images/Data * References * Related Articles To view the full text, please login as a subscribed user or purchase a subscription . Click here to view the full text on ScienceDirect. Figures Figure Location of Fukushima Daiichi nuclear power plant Reproduced from National Diet of Japan, Fukushima Nuclear Accident Independent Investigation Commission,^17 by permission of Fukushima Nuclear Accident Independent Investigation Commission. Residents living within a 20 km radius from the plant were ordered to evacuate on March 12, 2011. Residents living within a 20–30 km radius of the plant were ordered to shelter indoors on March 15, 2011. On March 25, 2011, the national government recommended the residents in this area evacuated voluntarily. Summary 437 nuclear power plants are in operation at present around the world to meet increasing energy demands. Unfortunately, five major nuclear accidents have occurred in the past—ie, at Kyshtym (Russia [then USSR], 1957), Windscale Piles (UK, 1957), Three Mile Island (USA, 1979), Chernobyl (Ukraine [then USSR], 1986), and Fukushima (Japan, 2011). The effects of these accidents on individuals and societies are diverse and enduring. Accumulated evidence about radiation health effects on atomic bomb survivors and other radiation-exposed people has formed the basis for national and international regulations about radiation protection. However, past experiences suggest that common issues were not necessarily physical health problems directly attributable to radiation exposure, but rather psychological and social effects. Additionally, evacuation and long-term displacement created severe health-care problems for the most vulnerable people, such as hospital inpatients and elderly people. This article is available free of charge. 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Article Options * PDF (346 KB) * Download Images(.ppt) * Email Article * Add to My Reading List * Export Citation * Create Citation Alert * Cited by in Scopus (0) * Request Permissions Linked Articles Editorial A nuclear shadow from Hiroshima and Nagasaki to Fukushima DOI: http://dx.doi.org/10.1016/S0140-6736(15)61429-5 Comment Hiroshima, Nagasaki, and Fukushima DOI: http://dx.doi.org/10.1016/S0140-6736(15)61414-3 Comment Health effects of nuclear weapons testing DOI: http://dx.doi.org/10.1016/S0140-6736(15)61037-6 Related Series Nagasaki Dean S. Pemberton From Hiroshima and Nagasaki to Fukushima The Lancet Published: July 31, 2015 On the 70th anniversary of the atomic bombs in Hiroshima and Nagasaki, a three-part Series looks at the enduring radiological and psychological impact of nuclear disasters, including the most recent accident at the Fukushima Daiichi nuclear power plant in Japan in 2011. The Series provides vital information for the public health planning of future disasters to protect the millions of people who live in areas surrounding the 437 nuclear power plants that are in operation worldwide. Read more The Lancet Journals * The Lancet * The Lancet Diabetes & Endocrinology * The Lancet Global Health * The Lancet Infectious Diseases * The Lancet Neurology * EBioMedicine * The Lancet Haematology * The Lancet HIV * The Lancet Oncology * The Lancet Psychiatry * The Lancet Respiratory Medicine Information & Support * About Us * Information for Authors * Information for Readers * The Lancet Careers * Customer Service < http://help.elsevier.com/app/answers/list/p/7973> * Contact Us * Privacy Policy * Terms and Conditions Subscription * Your Account * Subscription Options * Existing Print Subscribers Copyright © 2015 Elsevier Limited except certain content provided by third parties. 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