Bain Allison A, Abbott Anne L, Miller Laura L
Iowa Cancer Consortium, 2501 Crosspark Rd, A164, Coralville, IA 52241. Email:
Center for Evaluation and Research, University of Iowa, Iowa City, Iowa.
Prev Chronic Dis. 2016 Apr 14;13:E50. doi: 10.5888/pcd13.150596.
Radon gas has recently become more prominent in discussions of lung cancer prevention nationally and in Iowa. A review in 2013 of cancer plans in the National Comprehensive Cancer Control Program found that 42% of cancer plans, including Iowa's, had terminology on radon. Plans included awareness activities, home testing, remediation, policy, and policy evaluation.
Iowa has the highest average radon concentrations in the United States; 70% of homes have radon concentrations above the Environmental Protection Agency's action levels. Radon control activities in Iowa are led by the Iowa Cancer Consortium, the Iowa Department of Public Health, and the Iowa Radon Coalition.
A collaborative approach was used to increase levels of awareness, testing, and (if necessary) mitigation, and to introduce a comprehensive radon control policy in Iowa by engaging partners and stakeholders across the state.
The multipronged approach and collaborative work in Iowa appears to have been successful in increasing awareness: the number of radon tests completed in Iowa increased by 20% from 19,600 in 2009 to 23,500 in 2014, and the number of mitigations completed by certified mitigators increased by 108% from 2,600 to more than 5,400.
Through collaboration, Iowa communities are engaged in activities that led to increases in awareness, testing, mitigation, and policy. States interested in establishing a similar program should consider a multipronged approach involving multiple entities and stakeholders with different interests and abilities. Improvements in data collection and analysis are necessary to assess impact.
氡气最近在全国范围内以及在爱荷华州关于肺癌预防的讨论中变得更加突出。2013年对国家综合癌症控制计划中的癌症计划进行的一项审查发现，包括爱荷华州在内的42%的癌症计划中有关于氡的术语。计划包括提高认识活动、家庭检测、整治、政策以及政策评估。
爱荷华州的平均氡浓度在美国最高；70%的家庭氡浓度高于环境保护局的行动水平。爱荷华州的氡控制活动由爱荷华癌症联盟、爱荷华州公共卫生部和爱荷华氡联盟牵头。
采用合作方法来提高认识、检测水平（如有必要）以及缓解措施，并通过让该州各地的合作伙伴和利益相关者参与，在爱荷华州引入一项全面的氡控制政策。
爱荷华州的多管齐下方法和合作工作似乎成功提高了认识：爱荷华州完成的氡检测数量从2009年的19,600次增加到2014年的23,500次，增加了20%，并且由认证缓解人员完成的缓解措施数量从2,600次增加到超过5,400次，增加了108%。
通过合作，爱荷华州的社区参与了导致认识、检测、缓解措施和政策提高的活动。有兴趣建立类似计划的州应考虑采用涉及多个具有不同利益和能力的实体及利益相关者的多管齐下方法。为评估影响，有必要改进数据收集和分析。
