Health, Security and Environment, World Health Organization, 20 Avenue Appia, CH-1211 Geneva 77, Switzerland.
Health Phys. 2010 Feb;98(2):168-71. doi: 10.1097/HP.0b013e3181abaad4.
For the public health management of radiation emergencies, one of the essential components of integrated risk assessment is to quickly and accurately assess and categorize the exposure. In addition to other methods, biodosimetry is instrumental to support decision-making for: 1) efficient secondary triage in a hospital response phase; 2) multi-parameter approach for defining best-treatment strategies for those severely exposed; 3) clinical prognosis and assessment of risk; and 4) reassurance and psychological support for those potentially exposed, or "worried-well." In large-scale events, the number of victims, and especially those worried-well, is likely to overwhelm hospital and laboratory capacities in the accident area. This is already being addressed through the networking approach within several countries and/or regions of the world. The paper reports about WHO's activity toward coordination of these regional efforts and the international collaborative network of biodosimetry laboratory services, WHO BioDoseNet. The network includes more than 30 laboratories around the world and supports the implementation of the revised International Health Regulations, the scope of which since 2007 also covers the field of radionuclear incidents.
对于辐射突发事件的公共卫生管理，综合风险评估的基本组成部分之一是快速、准确地评估和分类暴露情况。除其他方法外，生物剂量测定对于支持以下决策至关重要：1）在医院响应阶段进行有效的二次分诊；2）对于严重暴露的人群，采用多参数方法来制定最佳治疗策略；3）临床预后和风险评估；4）对于那些可能暴露或“担忧良好”的人群提供保证和心理支持。在大规模事件中，受害者的数量，尤其是那些担忧良好的人群，可能会使事故区域的医院和实验室能力不堪重负。这已经通过世界上几个国家和/或地区的联网方法得到解决。本文报告了世界卫生组织在协调这些区域努力和国际生物剂量测定实验室服务合作网络，即世卫组织生物剂量网方面的活动。该网络包括全球 30 多个实验室，支持实施修订后的《国际卫生条例》，自 2007 年以来，该条例的范围也涵盖了放射性核事件领域。
