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Transportation of Hazardous Material: Chemical and Radioactive

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The industries and economies of nations depend, in part, on the large numbers of hazardous materials transported from the supplier to the user and, ultimately, to the waste disposer. Hazardous materials are transported by road, rail, water, air and pipeline. The vast majority reach their destination safely and without incident. The size and scope of the problem is illustrated by the petroleum industry. In the United Kingdom it distributes around 100 million tons of product every year by pipeline, rail, road and water. Approximately 10% of those employed by the UK chemical industry are involved in distribution (i.e., transport and warehousing).

A hazardous material can be defined as “a substance or material determined to be capable of posing an unreasonable risk to health, safety or property when transported”. “Unreasonable risk” covers a broad spectrum of health, fire and environmental considerations. These substances include explosives, flammable gases, toxic gases, highly flammable liquids, flammable liquids, flammable solids, substances which become dangerous when wet, oxidizing substances and toxic liquids.

The risks arise directly from a release, ignition, and so on, of the dangerous substance(s) being transported. Road and rail threats are those which could give rise to major accidents “which could affect both employees and members of the public”. These dangers can occur when materials are being loaded or unloaded or are en route. The population at risk is people living near the road or railway and the people in other road vehicles or trains who might become involved in a major accident. Areas of risk include temporary stopover points such as railway marshalling yards and lorry parking areas at motorway service points. Marine risks are those linked to ships entering or leaving ports and loading or discharging cargoes there; risks also arise from coastal and straits traffic and inland waterways.

The range of incidents which can occur in association with transport both while in transit and at fixed installations include chemical overheating, spillage, leakage, escape of vapour or gas, fire and explosion. Two of the principal events causing incidents are collision and fire. For road tankers other causes of release may be leaks from valves and from overfilling. Generally, for both road and rail vehicles, non-crash fires are much more frequent than crash fires. These transport-associated incidents can occur in rural, urban industrial and urban residential areas, and can involve both attended and unattended vehicles or trains. Only in the minority of cases is an accident the primary cause of the incident.

Emergency personnel should be aware of the possibility of human exposure and contamination by a hazardous substance in accidents involving railways and rail yards, roads and freight terminals, vessels (both ocean and inland based) and associated waterfront warehouses. Pipelines (both long distance and local utility distribution systems) can be a hazard if damage or leakage occurs, either in isolation or in association with other incidents. Transportation incidents are often more dangerous than those at fixed facilities. The materials involved may be unknown, warning signs may be obscured by rollover, smoke or debris, and knowledgeable operatives may be absent or casualties of the event. The number of people exposed depends on population density, both by day and night, on the proportions indoors and outdoors, and on the proportion who may be considered particularly vulnerable. In addition to the population who are normally in the area, personnel of the emergency services who attend the accident are also at risk. It is not uncommon in an incident involving transport of hazardous materials that a significant proportion of the casualties include such personnel.

In the 20-year period 1971 through 1990, about 15 people were killed on the roads of the United Kingdom because of dangerous chemicals, compared with the annual average of 5,000 persons every year in motor accidents. However, small quantities of dangerous goods can cause significant damage. International examples include:

  • A plane crashed near Boston, USA, because of leaking nitric acid.
  • Over 200 people were killed when a road tanker of propylene exploded over a campsite in Spain.
  • In a rail accident involving 22 rail cars of chemicals in Mississauga, Canada, a tanker containing 90 tonnes of chlorine was ruptured and there was an explosion and a large fire. There were no fatalities, but 250,000 persons were evacuated.
  • A rail collision alongside the motorway in Eccles, United Kingdom, resulted in three deaths and 68 injuries from the collision, but none from the resulting serious fire of the petroleum products being transported.
  • A petrol tanker went out of control in Herrborn, Germany, burning down a large part of the town.
  • In Peterborough, United Kingdom, a vehicle carrying explosives killed one person and almost destroyed an industrial centre.
  • A petrol tanker exploded in Bangkok, Thailand, killing a large number of people.

 

The largest number of serious incidents have arisen with flammable gas or liquids (partially related to the volumes moved), with some incidents from toxic gases and toxic fumes (including products of combustion).

Studies in the UK have shown the following for road transport:

  • frequency of accident while conveying hazardous materials: 0.12 x 10–6/km
  • frequency of release while conveying hazardous materials: 0.027 x 10–6/km
  • probability of a release given a traffic accident: 3.3%.

 

These events are not synonymous with hazardous material incidents involving vehicles, and may constitute only a small proportion of the latter. There is also the individuality of accidents involving the road transport of hazardous materials.

International agreements covering the transport of potentially hazardous materials include:

Regulations for the Safe Transport of Radioactive Material 1985 (as amended 1990): International Atomic Energy Agency, Vienna, 1990 (STI/PUB/866). Their purpose is to establish standards of safety which provide an acceptable level of control of the radiation hazards to persons, property and the environment that are associated with the transport of radioactive material.

The International Convention for the Safety of Life at Sea 1974 (SOLAS 74). This sets basic safety standards for all passenger and cargo ships, including ships carrying hazardous bulk cargoes.

The International Convention for the Prevention of Pollution from Ships 1973, as modified by the Protocol of 1978 (MARPOL 73/78). This provides regulations for the prevention of pollution by oil, noxious liquid substances in bulk, pollutants in packaged form or in freight containers, portable tanks or road and rail wagons, sewage and garbage. Regulation requirements are amplified in the International Maritime Dangerous Goods Code.

There is a substantial body of international regulation of the transportation of harmful substances by air, rail, road and sea (converted into national legislation in many countries). Most are based on standards sponsored by the United Nations, and cover the principles of identification, labelling, prevention and mitigation. The United Nations Committee of Experts on the Transport of Dangerous Goods has produced Recommendations on the Transport of Dangerous Goods. They are addressed to governments and international organizations concerned with the regulation of the transport of dangerous goods. Among other aspects, the recommendations cover principles of classification and definitions of classes, listing of the content of dangerous goods, general packing requirements, testing procedures, making, labelling or placarding, and transport documents. These recommendations—the “Orange Book”—do not have the force of law, but form the basis of all the international regulations. These regulations are generated by various organizations:

  • the International Civil Aviation Organization: Technical Instructions for Safe Transport of Dangerous Goods by Air (Tis)
  • the International Maritime Organization: International Maritime Dangerous Goods Code (IMDG Code)
  • the European Economic Community: The European Agreement Concerning the International Carriage of Dangerous Goods by Road (ADR)
  • the Office of International Rail Transport: Regulations Concerning the International Carriage of Dangerous Goods by Rail (RID).

 

The preparation of major emergency plans to deal with and mitigate the effects of a major accident involving dangerous substances is as much needed in the transportation field as for fixed installations. The planning task is made more difficult in that the location of an incident will not be known in advance, thus requiring flexible planning. The substances involved in a transport accident cannot be foreseen. Because of the nature of the incident a number of products may be mixed together at the scene, causing considerable problems to the emergency services. The incident may occur in an area which is highly urbanized, remote and rural, heavily industrialized, or commercialized. An added factor is the transient population who may be unknowingly involved in an event because the accident has caused a backlog of vehicles either on the public highway or where passenger trains are stopped in response to a rail incident.

There is therefore a necessity for the development of local and national plans to respond to such events. These must be simple, flexible and easily understood. As major transport accidents can occur in a multiplicity of locations the plan must be appropriate to all potential scenes. For the plan to work effectively at all times, and in both remote rural and heavily populated urban locales, all organizations contributing to the response must have the ability to maintain flexibility while conforming to the basic principles of the overall strategy.

The initial responders should obtain as much information as possible to try to identify the hazard involved. Whether the incident is a spillage, a fire, a toxic release, or a combination of these will determine responses. The national and international marking systems used to identify vehicles transporting hazardous substances and carrying hazardous packaged goods should be known to the emergency services, who should have access to one of the several national and international databases which can help to identify the hazard and the problems associated with it.

Rapid control of the incident is vital. The chain of command must be identified clearly. This may change during the course of the event from the emergency services through the police to the civil government of the affected area. The plan must be able to recognize the effect on the population, both those working in or resident in the potentially affected area and those who may be transients. Sources of expertise on public health matters should be mobilized to advise on both the immediate management of the incident and on the potential for longer-term direct health effects and indirect ones through the food chain. Contact points for obtaining advice on environmental pollution to water courses and so on, and the effect of weather conditions on the movement of gas clouds must be identified. Plans must identify the possibility of evacuation as one of the response measures.

However, the proposals must be flexible, as there may be a range of costs and benefits, both in incident management and in public health terms, which will have to be considered. The arrangements must outline clearly the policy with respect to keeping the media fully informed and the action being taken to mitigate the effects. The information must be accurate and timely, with the spokesperson being knowledgeable as to the overall response and having access to experts to respond to specialized queries. Poor media relations can disrupt the management of the event and lead to unfavourable and sometimes unjustified comments on the overall handling of the episode. Any plan must include adequate mock disaster drills. These enable the responders to and managers of an incident to learn each other’s personal and organizational strengths and weaknesses. Both table-top and physical exercises are required.

Although the literature dealing with chemical spills is extensive, only a minor part describes the ecological consequences. Most concern case studies. The descriptions of actual spills have focused on human health and safety problems, with ecological consequences described only in general terms. The chemicals enter the environment predominantly through the liquid phase. In only a few cases did accidents having ecological consequences also affect humans immediately, and the effects on the environment were not caused by identical chemicals or by identical release routes.

Controls to prevent risk to human health and life from the transport of hazardous materials include quantities carried, direction and control of means of transport, routing, as well as authority over interchange and concentration points and developments near such areas. Further research is required into risk criteria, quantification of risk, and risk equivalence. The United Kingdom Health and Safety Executive has developed a Major Incident Data Service (MHIDAS) as a database of major chemical incidents worldwide. It currently holds information on over 6,000 incidents.

Case Study: Transport of Hazardous Materials

An articulated road tanker carrying about 22,000 litres of toluene was travelling on a main arterial road which runs through Cleveland, UK. A car pulled into the path of the vehicle, and, as the truckdriver took evasive action, the tanker overturned. The manlids of all five compartments sprang open and toluene spilled on the roadway and ignited, resulting in a pool fire. Five cars travelling on the opposite carriageway were involved in the fire but all occupants escaped.

The fire brigade arrived within five minutes of being called. Burning liquid had entered the drains, and drain fires were evident approximately 400m from the main incident. The County Emergency Plan was put into action, with social services and public transport put on alert in case evacuation was needed. Initial action by the fire brigade concentrated on extinguishing car fires and searching for occupants. The next task was identifying an adequate water supply. A member of the chemical company’s safety team arrived to coordinate with the police and fire commanders. Also in attendance were staff from the ambulance service and the environmental health and water boards. Following consultation it was decided to permit the leaking toluene to burn rather than extinguish the fire and have the chemical emitting vapours. Police put out warnings over a four-hour period utilizing national and local radio, advising people to stay indoors and close their windows. The road was closed for eight hours. When the toluene fell below the level of the manlids, the fire was extinguished and the remaining toluene removed from the tanker. The incident was concluded approximately 13 hours after the accident.

Potential harm to humans existed from thermal radiation; to the environment, from air, soil and water pollution; and to the economy, from traffic disruption. The company plan which existed for such a transportation incident was activated within 15 minutes, with five persons in attendance. A county offsite plan existed and was instigated with a control centre coming into being involving police and the fire brigade. Concentration measurement but not dispersion prediction was performed. The fire brigade response involved over 50 persons and ten appliances, whose major actions were fire-fighting, washing down and spillage retention. Over 40 police officers were committed in traffic direction, warning the public, security and press control. The health service response encompassed two ambulances and two onsite medical staff. Local government reaction involved environmental health, transport and social services. The public were informed of the incident by loudspeakers, radio and word of mouth. The information focused on what to do, especially on sheltering indoors.

The outcome to humans was two admissions to a single hospital, a member of the public and a company employee, both injured in the crash. There was noticeable air pollution but only slight soil and water contamination. From an economic perspective there was major damage to the road and extensive traffic delays, but no loss of crops, livestock or production. Lessons learned included the value of rapid retrieval of information from the Chemdata system and the presence of a company technical expert enabling correct immediate action to be taken. The importance of joint press statements from responders was highlighted. Consideration needs to be given to the environmental impact of fire-fighting. If the fire had been fought in the initial stages, a considerable amount of contaminated liquid (firewater and toluene) potentially could have entered the drains, water supplies and soil.

 

 

 

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Contents

Disasters, Natural and Technological References

American Psychiatric Association (APA). 1994. DSM-IV Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: APA.

 

Andersson, N, M Kerr Muir, MK Ajwani, S Mahashabde, A Salmon, and K Vaidyanathan. 1986. Persistent eye watering among Bhopal survivors. Lancet 2:1152.

 

Baker, EL, M Zack, JW Miles, L Alderman, M Warren, RD Dobbin, S Miller, and WR Teeters. 1978. Epidemic malathion poisoning in Pakistan malaria working. Lancet 1:31-34.

 

Baum, A, L Cohen, and M Hall. 1993. Control and intrusive memories as possible determinants of chronic stress. Psychosom Med 55:274-286.

 

Bertazzi, PA. 1989. Industrial disasters and epidemiology. A review of recent experiences. Scand J Work Environ Health 15:85-100.

 

—. 1991. Long-term effects of chemical disasters. Lessons and result from Seveso. Sci Total Environ 106:5-20.

 

Bromet, EJ, DK Parkinson, HC Schulberg, LO Dunn, and PC Condek. 1982. Mental health of residents near the Three Mile Island reactor: A comparative study of selected groups. J Prev Psychiat 1(3):225-276.

 

Bruk, GY, NG Kaduka, and VI Parkhomenko. 1989. Air contamination by radionuclides as a result of the accident at the Chernobyl power station and its contribution to inner irradiation of the population (in Russian). Materials of the First All-Union Radiological Congress, 21-27 August, Moscow. Abstracts (in Russian). Puschkino, 1989, vol. II:414-416.

 

Bruzzi, P. 1983. Health impact of the accidental release of TCDD at Seveso. In Accidental Exposure to Dioxins. Human Health Aspects, edited by F Coulston and F Pocchiari. New York: Academic Press.

 

Cardis, E, ES Gilbert, and L Carpenter. 1995. Effects of low doses and low dose rates of external ionizing radiation: Cancer mortality among nuclear industry workers in three countries. Rad Res 142:117-132.

 

Centers for Disease Control (CDC). 1989. The Public Health Consequences of Disasters. Atlanta: CDC.

 

Centro Peruano-Japones de Investigaciones Sismicas y Mitigacióm de Desastres. Universidad Nacional de Ingeniería (CISMID). 1989. Seminario Internacional De Planeamiento Diseño,

 

Reparación Y Adminstración De Hospitales En Zonas Sísmicas: Conclusiones Y Recommendaciones. Lima: CISMID/Univ Nacional de Ingeniería.

 

Chagnon, SAJR, RJ Schicht, and RJ Semorin. 1983. A Plan for Research on Floods and their Mitigation in the United States. Champaign, Ill: Illinois State Water Survey.

 

Chen, PS, ML Luo, CK Wong, and CJ Chen. 1984. Polychlorinated biphenyls, dibenzofurans, and quaterphenyls in toxic rice-bran oil and PCBs in the blood of patients with PCB poisoning in Taiwan. Am J Ind Med 5:133-145.

 

Coburn, A and R Spence. 1992. Earthquake Protection. Chichester: Wiley.

 

Council of the European Communities (CEC). 1982. Council Directive of 24 June on the major accident hazards of certain industrial activities (82/501/EEC). Off J Eur Communities L230:1-17.

 

—. 1987. Council Directive of 19 March amending Directive 82/501/EEC on the major accident hazards of certain industrial activities (87/216/EEC). Off J Eur Communities L85:36-39.

 

Das, JJ. 1985a. Aftermath of Bhopal tragedy. J Indian Med Assoc 83:361-362.

 

—. 1985b. The Bhopal tragedy. J Indian Med Assoc 83:72-75.

 

Dew, MA and EJ Bromet. 1993. Predictors of temporal patterns of psychiatric distress during ten years following the nuclear accident at Three Mile Island. Social Psych Psychiatric Epidemiol 28:49-55.

 

Federal Emergency Management Agency (FEMA). 1990. Seismic considerations: Health care facilities. Earthquake Hazard Reduction Series, No. 35. Washington, DC: FEMA.

 

Frazier, K. 1979. The Violent Face of Nature: Severe Phenomena and Natural Disasters. Floods. New York: William Morrow & Co.

 

Freidrich Naumann Foundation. 1987. Industrial Hazards in Transnational Work: Risk, Equity and Empowerment. New York: Council on International and Public Affairs.

 

French, J and K Holt. 1989. Floods: Public Health Consequences of Disasters. Centers for Disease Control Monograph. Atlanta: CDC.

 

French, J, R Ing, S Von Allman, and R Wood. 1983. Mortality from flash floods: A review of National Weather Service reports, 1969-1981. Publ Health Rep 6(November/December):584-588.

 

Fuller, M. 1991. Forest Fires. New York: John Wiley.

 

Gilsanz, V, J Lopez Alverez, S Serrano, and J Simon. 1984. Evolution of the alimentary toxic oil syndrome due to ingestion of denatured rapeseed oil. Arch Int Med 144:254-256.

 

Glass, RI, RB Craven, and DJ Bregman. 1980. Injuries from the Wichita Falls tornado: Implications for prevention. Science 207:734-738.

 

Grant, CC. 1993. Triangle fire stirs outrage and reform. NFPA J 87(3):72-82.

 

Grant, CC and TJ Klem. 1994. Toy factory fire in Thailand kills 188 workers. NFPA J 88(1):42-49.

 

Greene, WAJ. 1954. Psychological factors and reticuloendothelial disease: Preliminary observations on a group of males with lymphoma and leukemia. Psychosom Med:16-20.

 

Grisham, JW. 1986. Health Aspects of the Disposal of Waste Chemicals. New York: Pergamon Press.

 

Herbert, P and G Taylor. 1979. Everything you always wanted to know about hurricanes: Part 1. Weatherwise (April).

 

High, D, JT Blodgett, EJ Croce, EO Horne, JW McKoan, and CS Whelan. 1956. Medical aspects of the Worcester tornado disaster. New Engl J Med 254:267-271.

 

Holden, C. 1980. Love Canal residents under stress. Science 208:1242-1244.

 

Homberger, E, G Reggiani, J Sambeth, and HK Wipf. 1979. The Seveso accident: Its nature, extent and consequences. Ann Occup Hyg 22:327-370.

 

Hunter, D. 1978. The Diseases of Occupations. London: Hodder & Stoughton.

 

International Atomic Energy Agency (IAEA). 1988. Basic Safety Principles for Nuclear Power Plants INSAG-3. Safety Series, No. 75. Vienna: IAEA.

 

—. 1989a. L’accident radiologique de Goiânia. Vienna: IAEA.

 

—. 1989b. A large-scale Co-60 contamination case: Mexico 1984. In Emergency Planning and Preparedness for Accidents Involving Radioactive Materials Used in Medicine, Industry, Research and Teaching. Vienna: IAEA.

 

—. 1990. Recommendations for the Safe Use and Regulation of Radiation Sources in Industry, Medicine, Reasearch and Teaching. Safety Series, No. 102. Vienna: IAEA.

 

—. 1991. The International Chernobyl Project. Technical report, assessment of radiological consequences and evaluation of protective measures, report by an International Advisory Committee. Vienna: IAEA.

 

—. 1994. Intervention Criteria in a Nuclear or Radiation Emergency. Safety Series, No. 109. Vienna: IAEA.

 

International Commission on Radiological Protection (ICRP). 1991. Annals of the ICRP. ICRP Publication No. 60. Oxford: Pergamon Press.

 

International Federation of Red Cross and Red Crescent Societies (IFRCRCS). 1993. The World Disaster Report. Dordrecht: Martinus Nijhoff.

 

International Labour Organization (ILO). 1988. Major Hazard Control. A Practical Manual. Geneva: ILO.

 

—. 1991. Prevention of Major Industrial Accidents. Geneva: ILO.

 

—. 1993. Prevention of Major Industrial Accidents Convention, 1993 (No. 174). Geneva: ILO.

 

Janerich, DT, AD Stark, P Greenwald, WS Bryant, HI Jacobson, and J McCusker. 1981. Increased leukemia, lymphoma and spontaneous abortion in Western New York following a disaster. Publ Health Rep 96:350-356.

 

Jeyaratnam, J. 1985. 1984 and occupational health in developing countries. Scand J Work Environ Health 11:229-234.

 

Jovel, JR. 1991. Los efectos económicos y sociales de los desastres naturales en América Latina y el Caribe. Santiago, Chile: Document presented at the First Regional UNDP/UNDRO Disaster Management Training Program in Bogota, Colombia.

 

Kilbourne, EM, JG Rigau-Perez, J Heath CW, MM Zack, H Falk, M Martin-Marcos, and A De Carlos. 1983. Clinical epidemiology of toxic-oil syndrome. New Engl J Med 83:1408-1414.

 

Klem, TJ. 1992. 25 die in food plant fire. NFPA J 86(1):29-35.

 

Klem, TJ and CC Grant. 1993. Three Workers Die in Electrical Power Plant Fire. NFPA J 87(2):44-47.

 

Krasnyuk, EP, VI Chernyuk, and VA Stezhka. 1993. Work conditions and health status of operators of agricultural machines in areas being under control due to the Chernobyl accident (in Russian). In abstracts Chernobyl and Human Health Conference, 20-22 April.

 

Krishna Murti, CR. 1987. Prevention and control of chemical accidents: Problems of developing countries. In Istituto Superiore Sanita’, World Health Organization, International Programme On Chemical Safety. Edinburgh: CEP Consultants.

 

Lancet. 1983. Toxic oil syndrome. 1:1257-1258.

 

Lechat, MF. 1990. The epidemiology of health effects of disasters. Epidemiol Rev 12:192.

 

Logue, JN. 1972. Long term effects of a major natural disaster: The Hurricane Agnes flood in the Wyoming Valley of Pennsylvania, June 1972. Ph.D. Dissertation, Columbia Univ. School of Public Health.

 

Logue, JN and HA Hansen. 1980. A case control study of hypertensive women in a post-disaster community: Wyoming Valley, Pennsylvania. J Hum Stress 2:28-34.

 

Logue, JN, ME Melick, and H Hansen. 1981. Research issues and directions in the epidemiology of health effects of disasters. Epidemiol Rev 3:140.

 

Loshchilov, NA, VA Kashparov, YB Yudin, VP Proshchak, and VI Yushchenko. 1993. Inhalation intake of radionuclides during agricultural works in the areas contaminated by radionuclides due to the Chernobyl accident (in Russian). Gigiena i sanitarija (Moscow) 7:115-117.

 

Mandlebaum, I, D Nahrwold, and DW Boyer. 1966. Management of tornado casualties. J Trauma 6:353-361.

 

Marrero, J. 1979. Danger: Flash floods—the number one killer of the 70’s. Weatherwise (February):34-37.

 

Masuda, Y and H Yoshimura. 1984. Polychlorinated biphenyls and dibenzofurans in patients with Yusho and their toxicological significance: A review. Am J Ind Med 5:31-44.

 

Melick, MF. 1976. Social, psychological and medical aspects of stress related illness in the recovery period of a natural disaster. Dissertation, Albany, State Univ. of New York.

 

Mogil, M, J Monro, and H Groper. 1978. NWS’s flash flood warning and disaster preparedness programs. B Am Meteorol Soc :59-66.

 

Morrison, AS. 1985. Screening in Chronic Disease. Oxford: OUP.

 

National Fire Protection Association (NFPA). 1993. National Fire Alarm Code. NFPA No. 72. Quincy, Mass: NFPA.

 

—. 1994. Standard for the Installation of Sprinkler Systems. NFPA No. 13. Quincy, Mass: NFPA.

 

—. 1994. Life Safety Code. NFPA No. 101. Quincy, Mass: NFPA.

 

—. 1995. Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems. NFPA No. 25. Quincy, Mass: NFPA.

 

Nénot, JC. 1993. Les surexpositions accidentelles. CEA, Institut de Protection et de Sûreté Nucléaire. Rapport DPHD/93-04.a, 1993, 3-11.

 

Nuclear Energy Agency. 1987. The Radiological Impact of the Chernobyl Accident in OECD Countries. Paris: Nuclear Energy Agency.

 

Otake, M and WJ Schull. 1992. Radiation-related Small Head Sizes among Prenatally Exposed Atomic Bomb Survivors. Technical Report Series, RERF 6-92.

 

Otake, M, WJ Schull, and H Yoshimura. 1989. A Review of Radiation-related Damage in the Prenatally Exposed Atomic Bomb Survivors. Commentary Review Series, RERF CR 4-89.

 

Pan American Health Organization (PAHO). 1989. Analysis of PAHO’s Emergency Preparedness and Disaster Relief Program. Executive Committee document SPP12/7. Washington, DC: PAHO.

 

—. 1987. Crónicas de desastre: terremoto en México. Washington, DC: PAHO.

 

Parrish, RG, H Falk, and JM Melius. 1987. Industrial disasters: Classification, investigation, and prevention. In Recent Advances in Occupational Health, edited by JM Harrington. Edinburgh: Churchill Livingstone.

 

Peisert, M comp, RE Cross, and LM Riggs. 1984. The Hospital’s Role in Emergency Medical Services Systems. Chicago: American Hospital Publishing.

 

Pesatori, AC. 1995. Dioxin contamination in Seveso: The social tragedy and the scientific challenge. Med Lavoro 86:111-124.

 

Peter, RU, O Braun-Falco, and A Birioukov. 1994. Chronic cutaneous damage after accidental exposure to ionizing radiation: The Chernobyl experience. J Am Acad Dermatol 30:719-723.

 

Pocchiari, F, A DiDomenico, V Silano, and G Zapponi. 1983. Environmental impact of the accidental release of tetrachlorodibenzo-p-dioxin(TCDD) at Seveso. In Accidental Exposure to Dioxins: Human Health Aspects, edited by F Coulston and F Pocchiari. New York: Academic Press.

 

—. 1986. The Seveso accident and its aftermath. In Insuring and Managing Hazardous Risks: From Seveso to Bhopal and Beyond, edited by PR Kleindorfer and HC Kunreuther. Berlin: Springer-Verlag.

 

Rodrigues de Oliveira, A. 1987. Un répertoire des accidents radiologiques 1945-1985. Radioprotection 22(2):89-135.

 

Sainani, GS, VR Joshi, PJ Mehta, and P Abraham. 1985. Bhopal tragedy -A year later. J Assoc Phys India 33:755-756.

 

Salzmann, JJ. 1987. ìSchweizerhalleî and Its Consequences. Edinburgh: CEP Consultants.

 

Shore, RE. 1992. Issues and epidemiological evidences regarding radiation-induced thyroid cancer. Rad Res 131:98-111.

 

Spurzem, JR and JE Lockey. 1984. Toxic oil syndrome. Arch Int Med 144:249-250.

 

Stsjazhko, VA, AF Tsyb, ND Tronko, G Souchkevitch, and KF Baverstock. 1995. Childhood thyroid cancer since accidents at Chernobyl. Brit Med J 310:801.

 

Tachakra, SS. 1987. The Bhopal Disaster. Edinburgh: CEP Consultants.

 

Thierry, D, P Gourmelon, C Parmentier, and JC Nenot. 1995. Hematopoietic growth factors in the treatment of therapeutic and accidental irradiation-induced aplasia. Int J Rad Biol (in press).

 

Understanding Science and Nature: Weather and Climate. 1992. Alexandria, Va: Time-Life.

 

United Nations Disaster Relief Coordinator Office (UNDRO). 1990. Iran earthquake. UNDRO News 4 (September).

 

United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). 1988. Sources, Effects and Risks of Ionizing Radiation. New York: UNSCEAR.

 

—. 1993. Sources and Effects of Ionizing Radiation. New York: UNSCEAR.

 

—. 1994. Sources and Effects of Ionizing Radiation. New York: UNSCEAR.

 

Ursano, RJ, BG McCaughey, and CS Fullerton. 1994. Individual and Community Responses to Trauma and Disaster: The Structure of Human Chaos. Cambridge: Cambridge Univ. Press.

 

US Agency for International Development, (USAID). 1989. Soviet Union: Earthquake. OFDA/AID Annual Report, FY1989. Arlington, Va: USAID.

 

Walker, P. 1995. World Disaster Report. Geneva: International Federation of Red Cross and Red Crescent Societies.

 

Wall Street J. 1993 Thailand fire shows region cuts corners on safety to boost profits, 13 May.

 

Weiss, B and TW Clarkson. 1986. Toxic chemical disaster and the implication of Bhopal for technology transfer. Milbank Q 64:216.

 

Whitlow, J. 1979. Disasters: The Anatomy of Environmental Hazards. Athens, Ga: Univ. of Georgia Press.

 

Williams, D, A Pinchera, A Karaoglou, and KH Chadwick. 1993. Thyroid Cancer in Children Living Near Chernobyl. Expert panel report on the consequences of the Chernobyl accident, EUR 15248 EN. Brussels: Commission of the European Communities (CEC).

 

World Health Organization (WHO). 1984. Toxic Oil Syndrome. Mass Food Poisoning in Spain. Copenhagen: WHO Regional office for Europe.

 

Wyllie, L and M Durkin. 1986. The Chile earthquake of March 3, 1985: Casualties and effects on the health care system. Earthquake Spec 2(2):489-495.

 

Zeballos, JL. 1993a. Los desastres quimicos, capacidad de respuesta de los paises en vias de desarrollo. Washington, DC: Pan American Health Organization (PAHO).

 

—. 1993b. Effects of natural disasters on the health infrastructure: Lessons from a medical perspective. Bull Pan Am Health Organ 27: 389-396.

 

Zerbib, JC. 1993. Les accidents radiologiques survenus lors d’usages industriels de sources radioactives ou de générateurs électirques de rayonnement. In Sécurité des sources radioactives scellées et des générateurs électriques de rayonnement. Paris: Société française de radioprotection.