A Review of the Management of Radioactive Wastes in Medical Institutes

Abstract

Amongst the waste from health care institutions, radioactive waste represents a special category since it cannot be modified or neutralized by any available conventional means. Accordingly, disposal of radioactive waste can mean only its transfer from a place where it represents some hazard to somewhere else where it can be retained without undue risk. Radioactive waste arises in health care institutes as a result of diagnostic, therapeutical or research uses of unsealed radioactive substances. Sometimes, sealed sources withdrawn from further use might also be subject to disposal. Most radionuclides used in medicine are short-lived beta-, or beta-gamma emitters and represent a low risk, if properly handled, that is if due care is taken to prevent significant contamination of the workplace and personnel. Low-activity gaseous and liquid waste can usually be discharged to the environment directly; medium-activity or high-activity waste should be stored for variable periods to allow natural decay before specialized disposal. This paper presents a review of the different types of radioactive wastes produced in hospitals, and introduces many of the sources of generation and subsequent disposal options. An example is given of the wide range of guidance available, both by national bodies in Hungary and international agencies, such as the International Atomic Energy Agency (IAEA), World Health Organisation (WHO) and International Committee on Radiological Protection (ICRP).