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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.3 Rural Site Example

Minimize Radiation Health Risks to Public

Relevant Characteristics of Rural 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

Small schools, extensive busing, few children

 

 

a.1.2.

Max. Availability for Other Residents

Very small resident population of 15,000 in agricultural area

 

 

a.1.3.

Max. Availability for Mobile Population

Power plant largest employer in county

 

a.2.

Optimize Ability to Take KI on Time

 

 

 

a.2.1.

Max. Number of People who Know Where Pill is

Few residents

 

 

a.2.2.

KI Taken at Optimal Time if No Evacuation

Unlikely winter snows or spring river flooding could block main roads

 

 

a.2.3.

KI Taken at Optimal time if Evacuation

Unlikely winter snows or spring river flooding could block main roads

 

 

a.2.4.

Ensure KI is Stored to ensure Stability

KI might be stored in leaky barns

 

a.3.

Minimize Harm from Inappropriate KI Administration

 

 

 

a.3.1.

Correct KI Dosage Given (and Taken) for Age/Body size

Small population of children

 

 

a.3.2.

KI Taken at Optimal Time

Weather or traffic might impede evacuation to KI stockpile site

 

 

a.3.3.

Adverse KI Side Effects Minimized

Small Chance of pre-existing thyroid cases in middle-aged residents

B.

Minimize Harm from Other Aspects of Incident

 

 

b.1.

KI Procedures Don’t Impede Evacuation

Entire KIPZ can normally evacuate in < 3 hours

 

b.2.

Avert Mortality and Morbidity from Radiation or Accidents

Two-lane and farm roads

 

b.3.

Minimize Panic/Anxiety due to KI Procedures

School buses available for children; Power plant largest employer

 

b.4.

KI Procedures’ Resource Use Not Excessive

Small population to cover for KI predistribution and communication costs

 

b.5.

Simple KI Procedures before and during Incident

One county jurisdiction

 

b.6.

Educate Public to Respond Appropriately to Nuclear Plant Incident

Emergency planning zone in one county

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