Thyroid Cancer in Fukushima Children: When the Language and Information Gaps Mislead

With the year 2016 marking the passage of five years since the Fukushima nuclear accident, many writings—articles, editorials, academic papers—have been released reflecting on the first five years after the accident. Some of the writings address a psychosocial aspect of the accident such as “problems” caused by the stress of evacuation and the “unwarranted” fear of radiation, dismissing the potential health effects of radiation exposure, even ignoring the science. Others focus on the alleged withholding of medical data by authorities, speculating on the health effects of the Fukushima accident reaching even the United States.
Official data and information available in English are often limited and biased. Transparency and impartiality of such information, released by the government and international agencies, can be influenced by ulterior motives other than public health protection. However, without a fluency in Japanese and an ability to navigate through and comprehend the mass of official and unofficial information only available in Japanese, it may not become obvious that the transmission of accurate information is indeed hindered by the language barrier.
Furthermore, followers of numerous government committee meetings regarding the health effects of the Fukushima nuclear accidents—most of them live streamed on the Internet—have witnessed a systematic underestimation of health effects due to low-dose radiation exposure, with the claim of the outdated and unscientific 100 mSv threshold discourse. Despite concerns from local medical associations, potential health effects in prefectures adjacent to Fukushima Prefecture were dismissed, as if the radioactive plume was blocked by an invisible wall at prefectural borders. This is a far cry from the precautionary principle that should be in place for the protection of public health.
Consider the Japanese government’s haste to return evacuees to their still contaminated hometowns. This must be done so things appear “back to normal” for the purpose of recovery (mostly economic), even though it is clearly impossible to decontaminate a whole community in a natural setting of mountains and forests. Radiation doses of returned residents are to be monitored to keep an additional exposure dose below the regulatory limit. (But how good is it to know what your exposure dose is after the fact?)
In essence, the health effects by the Fukushima nuclear accident are being maximally minimized.
One of the most controversial topics about the health effects of the Fukushima nuclear accident is the thyroid cancer cases detected in Fukushima children as a result of the thyroid ultrasound screening. Most of the English writings on this topic accept, at face value, certain claims made by Fukushima Medical University as well as Japanese government officials in order to dismiss any connection between the Fukushima thyroid cancer cases and radiation.
Below, some items in the March 25, 2016 editorial in Chicago Tribune, “The children of Fukushima: When medical tests mislead,” are addressed to point out the misleading information that is widespread even amongst the academic circle.
1. There is no regional difference of thyroid cancer occurrence.
The March 25, 2016 Chicago Tribune editorial states:
“Children living closer to the accident in areas of greatest contamination had no greater rate of early cancer than those living farther away.”
This essentially refers to the lack of dose response, but it might depend on how the prefecture is divided into regions.
According to the official data by Fukushima Medical University (FMU) and Fukushima Prefecture in the final report of the first round screening [1], no regional difference was reported based on the comparison amongst 4 regions—one region including 13 municipalities with the highest dose and the evacuation zone, and three other geographically-divided regions. However, topography can vary even within the same geographical region, potentially affecting the flow of the radioactive plume. In other words, regional divisions like this might mask critical differences.
On the other hand, the biggest surprise in the official comparison was the Aizu region in western part of Fukushima Prefecture where the prevalence rate of 32.6 per 100,000 was very close to the prevalence rate in the highest dose area, 33.5 per 100,000.
Read more here . http://fukushimavoice-eng2.blogspot.fr/2016/04/thyroid-cancer-in-fukushima-children.html
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