Paper MANAGEMENT OF SPENT SEALED RADIATION SOURCES
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1 Paper MANAGEMENT OF SPENT SEALED RADIATION SOURCES Roberto Vicente, Gian-Maria Sordi, and Goro Hiromoto* Abstract Spent or disused sealed radiation sources no longer needed sources may represent a risk of radiological accident or may be a target for criminal acts in countries where final disposal options are unavailable and where an increasing number of sources are being kept in extended storage. In developing countries, thousands of radium needles, teletherapy sources, oil well logging neutron sources, and miscellaneous industrial radioactive gauges are annually collected as waste and stored in research institutes. The objectives of the study described in this paper are to inventory such sources in Brazil, including those presently in use and those already collected as waste, and to design a dedicated repository where spent sources could be disposed of properly. The inventory of sources in Brazil and the concept of the repository are presented and its feasibility is discussed. Health Phys. 86(5): ; 2004 Key words: waste management; waste disposal; radiation protection; waste storage INTRODUCTION SPENT OR disused radioactive sealed sources are the undesirable, but inevitable remnants of many applications of radiation in industry, medicine, and other fields. They are present in almost all countries and represent a waste management problem in all but a few countries where an operational final disposal facility is already available. The terms spent and disused refer to sources that are no longer utilized for the intended purpose or for which no further use is foreseen. The distinction between spent and disused sources become irrelevant after sources are declared as radioactive waste, therefore both terms apply to sources entering the waste management system. Common sealed sources are radioactive materials encapsulated in small, usually cylindrical, metallic containers. Sizes are in the range of a few centimeters. Activities range from tens of kbq (millionth of a curie) to * Instituto de Pesquisas Energéticas e Nucleares, Av. Prof. Lineu Prestes, 2242 Cidade Universitária, CEP , São Paulo, Brazil. For correspondence or reprints contact: R. Vicente at the above address, or at rvicente@ipen.br. (Manuscript received 9 June 2003; revised manuscript received 10 October 2003, accepted 19 December 2003) /04/0 Copyright 2004 Health Physics Society tens of TBq (thousands of curies). This makes spent sources the radioactive waste with the highest activity concentration in the category of non-fuel cycle wastes. The recommended useful life of most sealed sources is typically 5 to 15 y, but the half-lives of the encapsulated radionuclides can span hundreds or even thousands of years. Therefore, sources will still represent a potential radiation hazard long after the devices containing them are decommissioned. Worldwide, devices with sealed sources have been commissioned without definition of their destination after useful life is completed. In countries with operational sites for low- and intermediate-level wastes, a number of sources can be disposed of safely, although because of long half-life, high activity, and the presence of alpha-emitting radionuclides, some sources are unacceptable in these sites. On the other hand, in those countries without operational disposal sites, all disused sources must be held in safe storage until a final disposal option is found. Uncertainties about safety and security raise questions on how long it is acceptable to keep those sources in long term storage. Concerns on the management of spent or disused sealed sources arose in the late 1980 s, as the number of sources requiring special management were escalating and after improperly controlled and insecurely stored sources caused accidents around the world. Some of these accidents resulted in human deaths and contamination of large areas. Examples of such events are the radiation accident in Ciudad Juarez, Mexico (CNSNS 1984), in Goiânia, Brazil (IAEA 1988), in Tammiku, Estonia (IAEA 1998), in Lilo, Georgia (IAEA 2000a), in Istanbul, Turkey (IAEA 2000b), and in Samut Prakarnm, Thailand (IAEA 2002a). The threat of criminal acts and terrorism using radioactive material that emerged recently put even more pressure on the issue. After the terrorist attack on 11 September 2001, safety and security of sealed sources became of great concern, e.g., Lubenau and Strom (2002), and Ferguson (2003). A number of sources went astray, some sources were diverted purposely and some accidentally. The International Atomic Energy Agency (IAEA) counted about 100 accidents up until 1989, which resulted in
2 498 Health Physics May 2004, Volume 86, Number 5 fatalities and significant exposure of 266 other persons (IAEA 1991). Bellian and Johnstone (1995) reported 299 events involving sealed sources found in scrap metal between 1983 and 1993 in the U.S. Lubenau and Yusko (1995) reported 35 events of contamination of metal products and 300 events in which sources were detected before scrap was fed to metal recycling plants. In an update of the previous report, Lubenau and Yusko (1998) reported 14 additional worldwide accidental smeltings up until IAEA reports (IAEA 2002b), citing United States Nuclear Regulatory Commission and European Union reports, that U.S. companies have lost track of nearly 1,500 radioactive sources since 1996, and that about 70 sources are lost yearly from regulatory control in the EU. In the Republic of Georgia, about 280 sealed sources were found adrift in the field in the last decade, some of them after severely exposing members of the public (IAEA 2002c). Orphaned radioactive sources a term used to denote radioactive sources that are outside official regulatory control are a widespread phenomenon in the former USSR countries (IAEA 2002b). In developing countries, although source inventories are smaller, the risk that sources become orphaned is greater because of weak national regulatory infrastructures. For instance, many nuclear-powered pacemakers, containing a sealed source with about Becquerel of 239 Pu, which are lost sometimes in developed countries, [e.g., the notice by the Office of Nuclear Material Safety and Safeguards (ONMSS 1998)], may be never put under regulatory control in developing countries. These sources do not represent a risk of exposure to members of the public, but they do represent a high priority source because of their potential to be used in a dirty bomb. It is necessary to keep in mind that psychosocial and economic effects are the major effects of a radiological dispersion device (Lubenau 2003). To help ensure that sources are secured at all times in developing countries, the IAEA launched a program to assist states in creating and strengthening national regulatory infrastructure. One aim within the program was to spot, inventory and package unwanted sources and safely store them until final disposal was available (IAEA 1991). The Agency suggested that a geological repository in developed countries, when available, receive the spent sources from developing countries. These initiatives reduce the immediate risk of sources being left unattended, avoiding misuse and accidents. However, deep repositories may only be available far in the future, and the proposal of transferring thousands of disused sources from developing countries to repositories in developed countries may face insurmountable difficulties. The not in my back yard syndrome, hard to overcome when wastes are transported from different states or cities in the same country, will probably hinder the import of spent source waste from abroad. Proposals of international disposal sites, in Australia and elsewhere, are accordingly receiving strong opposition too. Therefore, countries with existing large source inventories, like Brazil, must search for an alternative course of action as soon as possible. Management of spent or disused sources in Brazil When the National Commission on Nuclear Energy (CNEN), the Brazilian regulatory authority, was created by the Federal Law 4118 of 1962, and entrusted with the control over radiation sources, an unknown number of sealed sources was already in use, mainly radium needles in hospitals. In the ensuing two and a half decades, the number of users increased faster than the licensing and inspection capabilities. However, the Goiânia accident in 1987 led CNEN to start a comprehensive program to strengthen further the control over radiation sources, sealed and unsealed. CNEN identified source owners, recorded data of each source in a centralized data bank, and established a chain-of-custody transfer system. A series of inspections allowed CNEN staff to identify and recover disused and/or unwanted sealed sources and to transport them to safe storage. Presently, there are about forty thousand sources stored at three nuclear research institutes in Brazil: Nuclear Energy Research Institute in São Paulo; Center for Development of the Nuclear Technology in Belo Horizonte; and Nuclear Engineering Institute in Rio de Janeiro. This number increases by about 3,000 per year as decayed sources in nucleonic industrial gauges are replaced and sources in discontinued applications are discarded. As the number of sources under storage grows, it becomes more urgent to define where to dispose of them. In Brazil, disposal of radioactive wastes is the responsibility of CNEN and, as part of the study to support decisions, the concept of a dedicated and exclusive repository was developed, where spent sealed sources could be disposed of, apart from other radioactive waste streams. One reason to treat sources as a separate stream from other low- and intermediate-level wastes is that a fraction of the inventory is not acceptable for disposal in a shallow ground repository. Examples from sites elsewhere have shown that shallow ground disposal is improper for at least some of the sources with long-lived radionuclides. Another reason is that sources have the unique property of a high activity concentrated in a very small volume. The study on disposal options for the sources focused on four aspects of the problem:
3 Spent sealed radiation sources R. VICENTE ET AL. 499 assessment of the number and characteristics of the sources that would require final disposal as radioactive waste; assessment of the fraction of this inventory that could not be disposed of in a shallow ground repository; development of the concept of a dedicated and exclusive geological repository; evaluation of the feasibility of the repository. Inventory of sources Two main sources of data were used to estimate the number of sealed sources in Brazil: the national database of licensed users of radioactive material, which provided information on sealed sources held by licensees; and the records of wastes received at storage centers that supplied data on sources stored as radioactive waste. Additional material was used to complete inventory work, including a report by CNEN (Heilbron and Xavier 1992) and the IAEA radioactive waste database (IAEA 2000c). It was estimated that about 270,000 sealed sources will be requiring disposal as radioactive waste in the near future. Table 1 shows the number of sources in each class, according to origin. Table 2 shows details of the inventory, in terms of number, activity, and volume of sources classified by radionuclide. Some remarks about these figures are necessary: 1. Only sources with half-lives greater than a few years were included; 2. The inventory is dynamic and figures reflect the time of the compilation of the data. As different sources of data have different time baselines, results have unavoidable inaccuracies; 3. Using a broader definition of sealed source, 241 Am sources attached to lightning rods and smoke detectors were counted as sealed sources. A report on Table 1. Estimated inventory of sealed sources in Brazil. Class of the source Amount 226 Ra needles collected as waste 2,535 Industrial gauge sources collected as waste 5, Am sources in lightning rods collected as 39,478 radioactive waste 241 Am sources in smoke detectors collected as 13,548 radioactive waste 226 Ra sources in lightning rods collected as 440 radioactive waste Miscellaneous sources held by licensees 9, Am sources in lighting rods awaiting 116,522 replacement 241 Am sources at the premises of smoke 86,000 detector manufacturers radioactive lightning rods in Brazil indicates that manufacturers sold and installed 75,000 lightning rods between 1970 and 1986 (Heilbron and Xavier 1992); 4. Smoke detectors are an exempted consumer product. However, manufacturers and retailers are sending replaced detectors as radioactive waste to the three collection centers. The number of installed smoke detectors with 241 Am sources is unknown, thus only sources existing at the time of the inventory at manufacturers premises and those already collected as waste were included in the inventory; 5. Lightning rods with radium sources imported before 1970 are a few percent of the total number of rods but their number is even more uncertain and only those already collected as waste were included in the inventory; 6. Hundreds of thousands of 60 Co sources in large irradiators were not included in the inventory of sources requiring disposal as waste because users usually return these sources to suppliers for recycling; and 7. There are about 2,000 sources collected as waste without entries of radionuclides and/or activity. Based on average characteristics of sources, we adopted conservatively an average activity of 0.1 GBq per source, and a gross volume of each individual source as dm 3. (See note a in Table 2.) These sources had to be classified in two groups, one that meets acceptance criteria to a surface repository and another that exceeds those limits. The aim of the classification was to estimate the fraction of the inventory that would be unacceptable for shallow ground disposal. Table 2. Estimated number, activity and gross volume of sources. Radionuclides Number of sources Total activity (TBq) Gross volume (dm 3 ) a 60 Co 2, Kr Sr Cs 6, Ra 4, Am 255, Am-Be Other SL b Other LL c Unknown d 2, Total 273, a Volume of sources randomly packed, without shielding. b Short-lived (T 1/2 30 y), mainly 55 Fe, 147 Pm, 244 Cm, 252 Cf. c Long-lived, mainly 63 Ni, 226 Ra-Be, 238 Pu, 238 Pu-Be. d Individual source activity; 0, 1 GBq. Volume: dm 3.
4 500 Health Physics May 2004, Volume 86, Number 5 However, Brazil lacks acceptance criteria for a repository appropriate for sealed sources. So, the experiences of other countries were examined. Generally, disposition of sealed sources in surface repositories is restricted. Examples from operational sites around the world show that acceptance criteria impose limits on activity of sources and restrict disposal of sources with alpha-emitting nuclides. Requirements on homogeneity of waste forms in this case, drums containing the sources encapsulated in mortar or concrete further limit acceptance of this waste. However, differences in waste management policies hinder import of that know-how to Brazil because it reflects the specific resources and demands of each country. As a result, the trial of deriving values of activity from foreign repositories to apply in the classification of the Brazilian source inventory was unfruitful. Therefore, a method of classification was proposed based on the assessment of the radiological impact of a source disposed in a surface repository under intrusion, and using dose limits as criteria of classification. Radiological impact means here the dose incurred by the members of the public being exposed to the radiation field from sources. Two scenarios of intrusion were used, all starting with exhumation of the source during extensive public works like road construction. Scenario 1 is the exposure of a worker to the radiation of an exhumed source for 1 h, at a distance equal or less than 1 m. An individual handling one source and keeping it in the pocket of the garment for 8 h characterizes Scenario 2; in this case, dose rates at 5 cm from the sources were used in calculations. Activities of sources were allowed to decay 100, 200, or 300 y before intrusion occurred. These time intervals represent three possible periods of post-closure control of the disposal site. The resulting doses were compared with the dose limits to members of the public recommended by ICRP as applied to accident conditions (ICRP 1993). A conservative limit of 1 msv was used in calculations. Threshold activity of selected radionuclides and the fraction of the number of sources in the inventory requiring a deep repository are presented in Table 3 and Table 4. Threshold activity is the activity of a source that would deliver a dose equal to the dose limit applied to a member of the public under the conditions of each scenario. The fraction of the number of sources requiring a deep repository, represented in Table 3 and Table 4 as p percent, is the ratio of the number of sources with activity higher than the threshold activity to the total number of sources of each radionuclide in the inventory. Results show that a significant fraction of the number of sources requires geological disposal, both on number of sources and on gross volume basis. As part of the conclusions of this work, all sealed sources of the inventory are proposed to be disposed of in a deep repository as presented here. Accordingly, the facility was designed with capacity to receive all currently existing sources. The disposal of all sources at the same place, instead of only the restricted fraction, has the advantage of simplifying the management of this waste and has little impact on repository construction technology and costs. Table 3. Threshold activity (A t ), for relevant radionuclides and decay times, and percent number (p) of sources of the class in the inventory, in Scenario 1: external exposure at one meter from the source (see text for details). Decay time 100 y 200 y 300 y A t (Bq) p (%) A t (Bq) p (%) A t (Bq) p (%) 90 Sr Cs Ra Am Am-Be Table 4. Threshold activity (A t ), for relevant radionuclides and decay times, and percent number (p) of sources of the class in the inventory, in Scenario 2: external exposure on handling the sources (see text for details). Decay time 100 y 200 y 300 y A t (Bq) p (%) A t (Bq) p (%) A t (Bq) p (%) 90 Sr Cs Ra Am AmBe
5 Spent sealed radiation sources R. VICENTE ET AL. 501 Concept of the repository Despite Brazil s continental dimensions, most users of radioisotopes and the three above-mentioned waste storage facilities are situated in the southeast region; therefore, one disposal facility is proposed for the whole inventory. The proposed repository is a single deep borehole penetrating a stable geological formation. The depth of the well is dependent on the geological characteristics of each site but must be deep enough to accommodate completely the wastes inside a granite batholith, yet provide enough isolation space above the wastes and below the weathered strata of the geological setting. Fig. 1 shows an example of the proposed configuration of the repository. The height of the zone of the well where the wastes are stored is the emplacement zone; the rest of the well toward the surface is the isolation zone. The actual profile of the geological setting will be known after completion of the site selection process, an endeavor that is yet to be undertaken and that is outside the scope of the present work. In general, the site characteristics must include reasonable distance from populated areas, access to transportation, distance from areas subject to flooding, erosion, or subsidence, subsurface emplacement zone with long history of tectonic stability, limited open fractures or void spaces, little free water, lack of evident recoverable mineral resources, and adequate thickness to accommodate the repository. Technology for drilling is found in many geotechnical drilling companies and deep gas and oil exploration industry in Brazil. Rotary drilling is a viable method of borehole construction. The well is clad with a flush joint steel pipe, and the annulus between the pipe and the geological formation is filled with cement paste (Fig. 2). Sources are disposed of inside lead containers stacked in a single column. Fig. 3 shows details of the container. The capacity of each container is about 1 L, and gross volume of the sources is estimated as 0.3 cubic meters. Therefore, about 300 such containers can hold all inventoried sources, filling the well to about 100 m from the bottom. In order to keep costs low, using available technology, the choice of materials is first dictated by availability to conventional well construction technology and usual package/shielding material, rather than by performance of structures as a waste isolation barrier. The long term safety of the facility will be governed by groundwater intrusion in the repository and isolation against water intrusion is achieved by the multi barrier concept of the repository. The first barrier is the geological medium which must be a continuous, dry granite batholith, with no open fractures. The second is the cemented annulus that will restrict water flow between the different strata crossed by the well. The third is the borehole steel cladding that also functions as a smooth casement wall. The fourth is the lead container and the fifth is the steel capsules of the sources themselves. The barriers as a whole will postpone the contact of groundwater with the wastes and retard the transport and migration of the radioactive materials back to the surface, allowing radionuclides to decay before dispersion into the biosphere. Using a hot cell to protect workers, sources are removed from their original shielding and put into the Fig. 1. Schematic view of borehole disposal concept. Fig. 2. Cross section of the borehole.
6 502 Health Physics May 2004, Volume 86, Number 5 Fig. 3. Cut view of disposal container. disposal container. If necessary, a recoverable shielded overpack is used during transfer of the containers from the hot cell to the disposal borehole. Fig. 4 shows the proposed method of emplacement. Each container is lowered to the bottom of the borehole and can be brought back to the surface by a hoist cable. Depending on which waste management policy authorities adopt, arrangements can easily be made to raise the containers back to the surface during the operational phase of the repository, making it a retrievable storage. After the decision to close and to decommission the site, the space above the containers will be filled with concrete up to the top and the well definitely sealed. At the same site, other wells can be bored to receive the sources of applications that will be entering the waste management system in the future. and constructing hot cells for the production of sealed sources; it is the same technology necessary for the waste management project. Second, investment and operational costs are within budgetary limits and will not become unduly expensive to the ongoing practices that use sealed sources. The cost of drilling and cladding a borehole is in the range of US$100,000 US$200,000. The cost estimate for the hot cell is about US$100,000. Land, buildings, ancillary equipment, engineering services, licensing, and other important components of cost are much lower than, or can be shared with, the project of construction of a disposal site for other low- and intermediate-level wastes. Third, the proposed concept allows for an easy management strategy and compares favorably against the alternatives of extended storage, disposal of a fraction in shallow ground, or transfer of high activity long-lived sources to repositories in developed countries. A centralized collection facility helps in strengthening regulatory control over the sources, making it simpler to account for each individual source and to keep track of all sources. DISCUSSION The following aspects were considered in assessing the suitability of the proposed concept to meet the needs of Brazil to dispose its inventory of spent sealed sources safely and properly. First, construction technology is available and does not demand development work. The expertise necessary to construct the disposal structure is the same used in groundwater exploitation. The technology is available to many deep well engineering companies in the country. As regards to surface facilities, the main structure is the hot cell in which sources are transferred to disposal containers. There exists in Brazil experience in designing Fig. 4. Method of emplacement in the repository.
7 Spent sealed radiation sources R. VICENTE ET AL. 503 The disposal of the spent sources in an exclusive structure separated from other low- and intermediate-level waste streams takes advantage of the low volume of sources and high concentration of activity. The spent or disused sources can be put immediately in a structure that secures them against theft or uncertain future administrative control in face of potential future social and political instabilities. Fourth, the concept is safe to workers and to present and future populations. Compliance with the relevant recommendations of IAEA s Safety Guides (IAEA 1981, 1983a, 1983b, 1983c, 1989, 1994, 1999a, 1999b) and ICRP s waste disposal related publication (ICRP 2000) were used as a preliminary assessment of safety. Those recommendations served as a checklist to demonstrate the safety of the concept. The following aspects were analyzed in detail: 1) the concept of the disposal system; 2) the characteristics of the geological setting; 3) the characteristics of the disposal structure; 4) the characteristics of the waste form; and 5) general aspects related to quality assurance, industrial safety, and administrative control. The discussion of the forty-five items of performance under the five headings above that were considered in this work is too long to be presented here, but was published elsewhere (Vicente 2002), and led to the conclusion that the proposed repository meets all the relevant safety recommendations of IAEA and ICRP. CONCLUSION Spent or disused sealed sources pose a significant radiological risk to people in developing countries where hundreds of thousands of such sources must be recovered and disposed. Many sources with dangerous levels of radiation are annually lost or stolen, some of them causing serious injuries to members of the public. One cause of risk that may become important in the near future is the lack of a disposal option for those sources. In a longer range, sources containing alpha-emitting and transuranic isotopes in quantities greater than those allowed for current disposal pathways may become a problem in developed countries too. In Brazil, irradiation facilities, industrial and medical applications, and consumer products account for hundreds of thousands of sealed sources with total activity of over 26 PBq, which will require disposal as radioactive waste. The number of sources already stored as waste is over 60,000 and is rising, and there is currently no option to dispose of them. The concept of repository presented in this paper is a proposed solution to this problem. It would require construction technologies already available, its costs would be lower than costs of other concepts, and the safety would be reasonably assured. The proposed repository has the advantage of facilitating the management and limiting the radiological risks for present and future generations represented by the spent or disused sealed sources. REFERENCES Bellian JC, Johnstone JG. Developing methods for detecting radioactive scrap. In: Proceedings of the Association of Iron and Steel Engineers Annual Convention. Pittsburgh: Iron & Steel Engineers; CONF ; Comision Nacional de Seguridad Nuclear y Salvaguardias. Accident by contamination with cobalt-60. Mexico: Secretaria de Energia, Minas e Industria Paraestatal; CNSNS-IT- 001; 1984 (in Spanish). Ferguson CD. Security risks of radioactive material Radioactive source security: Recent developments. Monterrey, CA: Center for Nonproliferation Studies; Available at Accessed 20 August Heilbron Filho PFL, Xavier AM. Radioactive lightning arresters: protection or danger? Proceedings of the IV Brazilian Nuclear Energy Conference, Rio de Janeiro, 5 9 July, Rio de Janeiro: Comissao Nacional de Energia Nuclear; INIS-BR-2878; 1992: (in Portuguese). International Atomic Energy Agency. Underground disposal of radioactive wastes basic guidance. Vienna: IAEA; Safety Series No. 54; International Atomic Energy Agency. Concepts and examples of safety analyses for radioactive waste repositories in continental geological formations. Vienna: IAEA; Safety Series No. 58; 1983a. International Atomic Energy Agency. Disposal of low- and intermediate-level solid radioactive wastes in rock cavities a guidebook. Vienna: IAEA; Safety Series No. 59; 1983b. International Atomic Energy Agency. Criteria for underground disposal of solid radioactive wastes. Vienna: IAEA; Safety Series No. 60; 1983c. in Goiania. Vienna: IAEA; International Atomic Energy Agency. Safety principles and technical criteria for the underground disposal of high level radioactive waste. Vienna: IAEA; Safety Series No. 99; International Atomic Energy Agency. Nature and magnitude of the problem of spent radiation sources: IAEA-TECDOC Vienna: IAEA; International Atomic Energy Agency. Siting of geological disposal facilities. Vienna: IAEA; Safety Series No. 111-G- 4.1; in Tammiku. Vienna: IAEA; International Atomic Energy Agency. Safety assessment for near surface disposal of radioactive waste safety guide. Vienna: IAEA; Safety Series No. NS-G-1.1; 1999a. International Atomic Energy Agency. Near surface disposal of radioactive waste requirements. Vienna: IAEA; Safety Series No. WS-R-1; 1999b. in Lilo. Vienna: IAEA; 2000a. in Istanbul. Vienna: IAEA; 2000b.
8 504 Health Physics May 2004, Volume 86, Number 5 International Atomic Energy Agency. Radioactive waste management profiles a compilation of data from the waste management database No. 3. (database on line). International Atomic Energy Agency; Available at: iaea.org/. Accessed 3 May 2000c. in Samut Prakarn. Vienna: IAEA; 2002a. International Atomic Energy Agency. IAEA Daily Press Review of 1 February Available at worldatom/press/p_release/. Accessed 8 February 2002b. International Atomic Energy Agency. Inadequate control of world s radioactive sources. IAEA Daily Press Review of 24 June Available at: P_release/2002/prn0209.shtml. Accessed 26 June 2002c. International Commission of Radiological Protection. Protection from potential exposure: a conceptual framework. Oxford: Pergamon Press; ICRP Publication 64; International Commission on Radiological Protection. Radiation protection recommendations as applied to the disposal of long-lived solid radioactive waste. Oxford: Elsevier; ICRP Publication 81; Lubenau JO. Security risks of radioactive material. Monterrey, CA: Center for Nonproliferation Studies; Available at Accessed 20 August Lubenau JO, Strom DJ. Safety and security of radiation sources in the aftermath of 11 September Health Phys 83: ; Lubenau JO, Yusko JG. Radioactive materials in recycled metals. Health Phys 68: ; Lubenau JO, Yusko JG. Radioactive materials in recycled metals an update. Health Phys 74: ; Office of Nuclear Material Safety and Safeguards. Licensees responsibilities regarding reporting and follow-up requirements for nuclear powered pacemakers NRC Information Notice U.S. Nuclear Regulatory Commission; Available at Accessed 25 March Vicente R. Management of spent sealed sources. Thesis. Sao Paulo: University of Sao Paulo; 2002 (in Portuguese). ff
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