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Distribution and Administration of Potassium Iodide in the Event of a Nuclear Incident (2004)
Board on Radiation Effects Research (BRER)

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. "Appendix D: Illustration of Process for Evaluating KI Distribution Plans." Distribution and Administration of Potassium Iodide in the Event of a Nuclear Incident. Washington, DC: The National Academies Press, 2004.

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Distribution and Administration of Potassium Iodide in the Event of a Nuclear Incident

Table D.1 Urban Site Example

Minimize Radiation Health Risks to Public

Relevant Characteristics of Urban Site Example

A.

Minimize Radioactive Iodine Risk to Thyroid

 

 

a.1.

Maximize KI Availability

 

 

 

a.1.1.

Max. Availability for Children and Pregnant Women Residents

100,000 -student school system

 

 

a.1.2.

Max. Availability for Other Residents

Large resident population

 

 

a.1.3.

Max. Availability for Mobile Population

Population increases by 25% from mobile workers

 

a.2.

Optimize Ability to Take KI on Time

 

 

 

a.2.1.

Max. Number of People who Know Where Pill is

Possible new residents won't be covered by earlier predistribution

 

 

a.2.2.

KI Taken at Optimal Time if No Evacuation

Possible hurricane or ice storms might impeded evacuation

 

 

a.2.3.

KI Taken at Optimal Time if Evacuation

Delays possible if evacuation impededby traffic or weather

 

 

a.2.4.

Ensure KI is Stored to ensure Stability

KI might be stored in cars/wallets

 

a.3.

Minimize Harm from Inappropriate KI Administration

 

 

 

a.3.1.

Correct KI Dosage Given (and Taken) for Age

Large population of children

 

 

a.3.2.

First KI Dosage Not Taken Too Late

Weather or traffic might impede evacuation to KI stockpile site

 

 

a.3.3.

Adverse KI Side Effects (nonthyroid cancer) Minimized

Some pre-existing thyroid cases in large population of older adults or mobile workers

B.

Minimize Harm from Other Aspects of Incident

 

 

b.1.

KI Procedures Don't Impede Evacuation

Transport network barely able to handle routine peak loads

 

b.2.

Avert Mortality and Morbidity from Radiation or Accidents

Transport network barely able to handle routine peak loads

 

b.3.

Minimize Panic/ Anxiety due to KI Procedures

Large crowds possible

 

b.4.

KI Procedures' Resource Use Not Excessive

Large population to cover for KI/ predistribution and communication costs

 

b.5.

Simple KI Procedures before and during Incident

Multiple nearby jurisdictions

 

b.6.

Educate Public to Respond to Nuclear Incident

Emergency planning zone in one political jurisdiction

*Assume all plans will stockpile KI at schools, hospitals, and jails in KI Planning Zone (KIPZ)

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