Validity of the linear no-threshold (LNT) hypothesis in setting radiation protection regulations for the inhabitants in high level natural radiation areas of Ramsar, Iran

Some areas in Ramsar, a city in northern Iran, have long been known as inhabited areas with the highest levels of natural radiation. Despite the fact that the health effects of high doses of ionizing radiation are well documented, biological effects of above the background levels of natural radiation are still controversial and the validity of the LNT hypothesis in this area, has been criticized by many investigators around the world. The study of the health effects of high levels of natural radiation in areas such as Ramsar, help scientists to investigate the biological effects without the need for extrapolating the observations either from high doses of radiation to low dose region or from laboratory animals to humans. Considering the importance of these studies, National Radiation Protection Department (NRPD) of the Iranian Nuclear Regulatory Authority has started an integrative research project on the health effects of long-term exposure to high levels of natural radiation. This paper reviews findings of the studies conducted on the plants and humans living or laboratory animals kept in high level natural radiation areas of Ramsar. In human studies, different end points such as DNA damage, chromosome aberrations, blood cells and immunological alterations are discussed. This review comes to the conclusion that no reproducible detrimental health effect has been reported so far. In this paper the validity of LNT hypothesis in the assessment of the health effects of high levels of natural radiation is discussed. (author)