Occupational safety for health professionals and

Transcript:Occupational safety for health professionals and:
Occupational safety for health professionals and patients exposed to Ionizing radiation: Global Issue and Potential areas for the improvement Atta Ul Aleem BHATTI Neuro Spine and Endovascular Neurosurgeon Neuro Health Care 4 LMIC CERN GHF 27/5/2024 Types of radiation exposure in clinical practice Modalities X Rays CT Scan Fluoroscopy Mammography Digital subtraction angiography PET scan Nuclear imaging Radiation therapies Contrast materials Laser therapies 2 Clinical specialties making use of radiations My personal expertise Spine surgeries Neuro intervention Pain and functional neuro surgeries Brain tumor surgeries Vascular Trauma surgeries Oncology and cancer treatment Radiology Gastro Cardiology Nuclear medicine Orthopedic Urology Personnel involved Doctors Surgeons Technicians Nurses 3 Growing numbers and Scope of Radiation Protection 98% of global exposure to ionizing radiation 3.6 billion diagnostic X-ray 33 million diagnostic nuclear studies each year worldwide 7.4 million health care workers exposed to radiation Between 1991-1996 and 1997-2007, the total annual number of diagnostic medical examinations went up by 50% [UNSCEAR 2008 Report to the General Assembly, with Scientific Annexes. United Nations, New York: 2010] 4 Radiation and Health Industry Health risks/occupational hazards Radiation induced tissue damage Erythema, Burn, Necrosis Cellular DNA damage and Cancers/ Malignant diseases e.g. Glioma Hair loss, skin damage Cataract and corneal damages Blood cell disorder, bone marrow suppressions Infertility Birth defects Dementia/ Neurocognitive effects Death 5 Bonn Call-for-Action 2012. Joint position of IAEA & WHO Strengthen the radiation protection of patients and health worker Attain the highest benefit with the least possible risk to all patients by the safe and appropriate use of ionizing radiation in medicine c) Aid the full integration of radiation protection into health care d) Help improve the benefit/risk-dialogue with patients and the public e) Enhance the safety and quality of radiological procedures in medicine. 6 7 Justification Global information Foster radiation benefit risk dialogue Global implementation of safety requirements Manufacturer’s role Protection and precision Shape and promote strategic research Quality safety training Radiation safety culture Prevention of accidents Radiation hazards for health professional: not a snapshot but a dynamic threat to lives Important questions to address: Exposure intensity and duration International safety protocols and guidelines Equipment and setups maintained and periodically updated Personnel handling the equipment being trained regularly Availability and periodic analysis of local data regarding radiation exposure Vital to convert games of chances into predictable safety outcome 8 Future recommendations in Partnership with CERN Given IAEA guidelines safety trainings and workshops courses