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ICRP Publication 95. Doses to infants from radionuclides ingested in mothers’ milk

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Annals of ICRP v. 34 No. 3-4, Elsiver, 2004. 279 p.In the present report, ICRP provides information on radiation doses to the infant due to intakes of radionuclides in maternal milk. As in Publication 88 on doses to the embryo and fetus following intakes of radionuclides by the mother, intakes by female members of the public and female workers are addressed. Acute and chronic intakes are considered at various times before and during pregnancy as well as during the period of breastfeeding. Dose coefficients per unit intake by the mother (Sv/Bq) are given for the selected radionuclides of the same 31 elements for which age-specific biokinetic models were given in Publications 56, 67, 69, and71. For these elements, doses were calculated for the most radiologically significant natural or artificial radionuclides that might be released into the environment due to various human activities. Dose coefficients are also given in this report for radionuclides of an additional four elements: sodium, magnesium, phosphorus, and potassium.Relevant human and animal data on elemental and radionuclide transfer to milk are reviewed. The biokinetic models for adults given in earlier ICRP publications are adapted to include transfer to milk. Model predictions of fractional transfer of ingested or inhaled activity to milk are discussed in the report, and the corresponding dose coefficients for the infant are compared with dose coefficients for in utero exposure, as given in Publication88. Illustrative information is also given on doses to the female breast from radionuclides in breast milk, and external doses received by the child from radionuclides retained in the tissues of the mother. For the additional elements considered in this report, but not in Publication 88, information is also given on doses to the embryo and fetus following maternal intakes of radioisotopes during or before pregnancy.ABSTRACTGUEST EDITORIALPREFACEGLOSSARYINTRODUCTIONBackgroundPregnancyLactationMaternal intakes of radionuclides by ingestion or inhalationIntakes by the infant of radionuclides in breast milkDose coefficientsBREAST MILKMODEL DEVELOPMENT AND DOSE CALCULATIONSIntroductionIntakes by the motherModels for lactationTreatment of decay productsDose coefficients for breastfeeding infantsDose to breast from activity secreted in milkInfant doses from radionuclides in the mother's bodyDose coefficients for the embryo and fetus additional to those in Publication 88DISCUSSIONIntroductionTransfer of radionuclides to milkDose coefficientsConclusionsBIOKINETIC DATA AND MODELSHydrogenCarbonSodiumMagnesiumPhosphorusSulphurPotassiumCalciumIronCobaltNickelZincSeleniumStrontiumZirconiumNiobiumMolybdenumTechnetiumRutheniumSilverAntimonyTelluriumIodineCaesiumBariumCeriumLeadPoloniumRadiumThoriumUraniumNeptuniumPlutoniumAmericiumCuriumANNEXESDOSE COEFFICIENTS FOR OFFSPRING OF FEMALE WORKERSBREAST DOSES FROM RADIONUCLIDES IN MILKINFANT DOSES FROM RADIONUCLIDES IN THE MOTHERDOSE COEFFICIENTS FOR THE EMBRYO/FETUS: RADIOISOTOPES OF SODIUM, MAGNESIUM, PHOSPHORUS, AND POTASSIUMREFERENCESErratum to ICRP-95 in Ann ICRP v36 No 1-2, 2006.

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