210Po and 210Pb activity in Chinese cigarettes

210Po and 210Pb radioactivity levels in local and imported tobacco used in Palestine and Jordan

This study aimed to assess the concentrations of 210Po and 210Pb in various tobacco samples from Palestine and Jordan. Cigarette smoking is recognized as a significant contributor to the radiation dose received by individuals, primarily due to the elevated levels of 210Pb and 210Po found in tobacco. The analysis revealed that the average concentrations of 210Po in locally sourced tobacco and cigarette samples in Palestine are 16.8 ± 2.3 mBq/g and 18.5 ± 2.0 mBq/g, with a total average of 17.8 ± 7.4 mBq/g (15.5 mBq/cigarette). Similarly, the average concentrations of 210Pb in these samples are 18.5 ± 2.6 mBq/g and 20.3 ± 2.2 mBq/g, with a total average of 19.6 ± 8.1 mBq/g (17.0 mBq/cigarette). In Jordan, the average concentrations of 210Po in cigarette samples and narghile tobacco are 20.1 ± 2.4 mBq/g and 18.3 ± 4.1 mBq/g, with a total average value of 19.6 ± 9.9 mBq/g (18.0 mBq/cigarette), while the average concentrations of 210Pb are 22.2 ± 2.6 mBq/g and 20.2 ± 4.5 mBq/g, with a total average value of 21.6 ± 10.8 mBq/g (19.9 mBq/cigarette). The annual effective doses resulting from inhalation were calculated for smokers of these samples. The findings revealed that the levels of 210Po and 210Pb radioactivity in certain investigated samples exceeded the results of studies in many countries of the world. The associated effective doses per year from smoking for all brands products in Palestine range from 34.7 μSv/y to 186.5 μSv/y with an average of 109.5 μSv/y, while in Jordan 54.5 μSv/y to 289.1 μSv/y with an average of 130.9 μSv/y.

The activity of 210Pb in cigarette smoked in Kazakhstan

The radon decay product 210Pb is a known component of tobacco. In this study, the activity concentration of 210Pb in the most popular cigarette brands (six samples) for Kazakhstan consumers was determined by beta spectrometry. The activity levels of 210Pb ranged between 2.69 ± 0.27 and 27.42 ± 2.74 mBq per cigarette. Higher activity concentrations for 210Pb were found in Sample No.4 and showed an excess of the world average by 1.8 times. The average activity concentrations of 210Pb in cigarette tobacco were 10.42 ± 1.04 mBq cig-1. The daily activities inhaled in the lungs of a smoker, and the resulting effective doses due to cigarette smoking were calculated. Effective doses per year due to cigarette smoking were calculated assuming that 42.13% of the 210Pb in tobacco were retained in the lungs of the smokers. It is concluded that for a smoker in Kazakhstan, the average effective dose ranges from 9.1 ± 0.9 μSv/year to 92.8 ± 9.3 μSv/year for a cigarette consumption of one pack of cigarettes per day. The results indicate that the annual effective doses from inhalation of 210Pb due to smoking one pack of cigarettes per day are from 7 to 58 times (for different types of cigarettes) greater than the annual effective doses from ingestion of radionuclides via the diet.

Review of natural radioactivity in tobacco cigarette brands

Cigarettes smoking are leading causes of lung cancer in the world. In several countries, the radioactivity of tobaccos cigarette brands has been evaluated to estimate the effective dose from smoking inhalation. In this paper, we have reviewed 40 researched papers of radioactivity in tobacco cigarette brands by searching specified databases from various search engines such as Web of Science, Google Scholar, Scopus, Science Direct and PubMed for the studies published between the year 2000 and November, 2023 in English language. Results show that, the arithmetic mean and range of radioactivity concentration in mBq/g were 20.4 (0.4-128.6), 15.4 (2.0-78.8), 630.8 (1.2-1330.0), 8.1 (0.3-41.0), 15.2 (0.2-82.0) and 5.9 (2.0-16.0) from 210Po, 210Pb, 40K, 232Th and 232U and 226Ra, respectively. The annual effective doses were also estimated using the assumption that a smoker smokes 20 cigarettes per day. The mean annual effective doses in μSv/y from 210Po, 210Pb, 40K, 232Th and 232U and 226Ra were 295, 74.1, 5.80, 889.7, 192.6 and 90.1, respectively. The mean annual effective dose is lower than the reference level 1000 to 20000 μSv/y for existing situation in ICRP Publication 103. The average value of ELCR is 1.03 ×10-3, 0.26 ×10-3,0.02 ×10-3,3.11 ×10-3,0.67 ×10-3 and 0.32 ×10-3 for 210Po, 210Pb, 40K, 232Th and 232U and 226Ra, respectively. The ELCR values obtained in this study are well below the world average value of 1.45 ×10-3. The mean value of LCC in per million is 5.3, 1.3, 0.1, 16, 3.5 and 1.6 for 210Po, 210Pb, 40K, 232Th and 232U and 226Ra, respectively. The values of LCC obtained in this study are all below the limit range of 170-230 per million persons. The result shows 232Th contribute much larger for annual effective dose, annual equivalent dose, ELCR and LCC for smoking tobacco cigarette brands compared to other radionuclides. More studies in radioactivity in tobacco cigarette brands from different countries are required to have conclusive mean annual effective dose, annual equivalent dose, ELCR and LCC for each natural radionuclide.

210Po and 210Pb content in the smoke of Heated Tobacco Products versus Conventional Cigarette smoking

210Po is a radioactive component of conventional cigarette tobacco smoke and is a recognized carcinogen. Despite the expanding market of heated tobacco products, no data are available on the activity of 210Po in the smoke of IQOS Heets cigarette. We determined the 210Po activity in the mainstream smoke of thirteen cigarette brands available on the Swiss market using a smoking machine and compared the results to the 210Po activity measured in the mainstream smoke of the IQOS system. In addition, we measured the 210Po and 210Pb loss on heating after uniform heating from 50 to 600 °C for several cigarette brands and the Heets cigarettes. 13.6 ± 4.1% of 210Po activity was found in the mainstream smoke in conventional cigarette smoking (7% for 210Pb). This dropped to 1.8 ± 0.3% in the mainstream smoke of IQOS Heets. Conversely, when the tobacco was heated uniformly at 330 °C, a loss of 210Po of more than 80% was observed for all type of cigarettes. Apparently, IQOS significantly reduced the 210Po and 210Pb activities in the mainstream smoke. However, our results show that only 15% of the Heets tobacco reaches 330 °C with IQOS. While IQOS reduces the 210Po and 210Pb activities in the mainstream smoke compared to conventional cigarettes, it only heats a marginal fraction of the tobacco present in the Heets cigarette. Because smoking is an addiction (mostly due to nicotine), IQOS could possibly deliver an unsatisfactory dose of nicotine to a Heets cigarette smoker, as most of the tobacco is left unaltered.

210Pb and 210Po concentration levels in tobacco products and resulting radiation dose for Egyptian smokers

The activity concentrations of ²¹⁰Pb and ²¹⁰Po in the most popular cigarettes and moassel tobacco brands consumed in Egypt were determined by the spontaneous deposition method using alpha spectrometry. It turned out that the activity concentration of ²¹⁰Po was higher than that of ²¹⁰Pb in all tobacco brands. Higher activity concentrations for both ²¹⁰Pb and ²¹⁰Po were found in cigarette than in moassel tobacco. The average activity concentrations of ²¹⁰Pb and ²¹⁰Po in cigarette tobacco were 11.79 ± 1.67 and 15.00 ± 1.83 mBq cig^-1, respectively, whereas in moassel tobacco the values were 7.08 ± 1.91 and 9.12 ± 1.12 mBq g^-1, respectively. The daily activities inhaled in the lung of a smoker and the inhalation effective doses due to cigarette and shisha smoking were calculated. The results revealed that the total ²¹⁰Pb and ²¹⁰Po daily activities inhaled and the total annual inhalation effective doses due to shisha smoking were two times greater than the corresponding values due to cigarette smoking. Also, the results indicated that the annual effective doses from inhalation of ²¹⁰Pb and ²¹⁰Po due to smoking 20 cigarettes per day are 14 and 16 times greater than the annual ingestion doses from the diet, respectively. In contrast, the annual effective doses from inhalation of ²¹⁰Pb and ²¹⁰Po due to shisha smoking (27 g moassel tobacco per day) are 26 and 33 times greater than the annual ingestion doses from the diet, respectively.

STUDY OF POLONIUM-210 IN PERSIAN CIGARETTE AND TOBACCO CROPS

Alpha radiation from Polonium-210 (210Po) is considered to be an important agent of bronchial cancer in smokers. Besides reexamination of the radionuclide in domestic and imported cigarette brands separately, the radioactive contamination was also followed during the cigarette-producing procedure in Gilan as one of the major regions of tobacco cultivation in Iran. The activity level of 210Po in Iranian domestic and imported cigarettes averaged 38.4 ± 6% and 20.0 ± 7% mBq g-1, respectively. Drying in direct contact with fumes of fossil fuel seems like one of the main excessive sources of 210Po in Persian cigarettes.

The activities of 210Po and 210Pb in cigarette smoked in Tunisia

In this study, the activity concentration of polonium 210 in cigarette for Tunisian consumers was investigated by alpha spectrometry. After chemical digestion of tobacco, ²¹⁰Po was extracted, auto-deposited on disc and measured. The activity of ²¹⁰Pb was assessed after radioactive equilibrium was achieved. The activity levels of ²¹⁰Po ranged between 7.8 ± 0.3 and 17 ± 0.5 mBq per cigarette with an average of 12.9 ± 0.4 mBq per cigarette. Effective doses per year due to cigarette smoking were calculated assuming that 22% of the ²¹⁰Pb and ²¹⁰Po in tobacco were retained in the lungs of the smokers. It is concluded that for a smoker in Tunisia, the average effective dose is about 90.6 ± 3.3 μSv per year for a cigarette consumption of one pack of cigarettes per day. This value is somewhat lower than 106.4 ± 5.3 μSv per year estimated as the mean global effective dose from smoking.

Human Exposure to Radioactivity From Tobacco Smoke: Systematic Review

INTRODUCTION

Tobacco has been known to contain radioactive polonium and lead for 50 years but the literature is divided as to the public health significance. I review the data on tobacco radioactivity and its internalization by smokers.

METHODS

Data sources: Reports of lead-210 and polonium-210 content of tobacco leaf, cigarettes, cigarette smoke, and human respiratory tissues, published between 1964 and September 2017. Study selection: Any identified study that reported values for lead-210 and polonium-210 content. Data extraction: Data quality was addressed by comparative review of analytic methods.

RESULTS

The data about radiation content of tobacco and smoke are robust. Early reports suggesting microsievert lifetime doses of inhaled radioactivity to smokers were not borne out. The results remain sensitive to pharmacological assumptions around absorption and redistribution of inhaled radionuclides, and radiobiological assumptions about interaction with human tissues.

CONCLUSIONS

Literature on tobacco radioactivity has not fully contended with pharmacological and radiobiological uncertainty, and is therefore divided as to health significance. This does much to explain regulatory inaction over the last half century. Before radiation safety law can offer a vehicle for tobacco control, more must be learnt about the pharmacology and radiobiology of inhaled radionuclides in tobacco smoke.

IMPLICATIONS

This work makes it apparent that the study of tobacco smoke radioactivity has been scientifically stagnant for the last 40 years. The field cannot advance until we improve understanding of the pharmacology and radiobiology of inhaled radionuclides in tobacco smoke. Despite this, a subset of contemporary authors is still suggesting individual health risks about 1000 times higher than can be supported by internationally accepted models.

Radioactivity of cigarettes and the importance of (210)Po and thorium isotopes for radiation dose assessment due to smoking

Tobacco and tobacco smoke are very complex mixtures. In addition to various chemical and organic compounds they also contain natural radioactive elements (radionuclides). In this work, the natural radionuclide activity concentrations ((234)U, (238)U, (228)Th, (230)Th, (232)Th, (226)Ra, (210)Pb and (210)Po) of nine different cigarette samples available on the Slovenian market are reported. In addition to (210)Po, the transfer of thorium isotopes from a cigarette to a smoker's body and lungs have been determined for the first time. Cigarette smoke and exhaled air from smokers' lungs were collected from volunteer smokers (C-4 brand) to determinate what quantity of (210)Po and thorium isotopes is transferred from the tobacco to the smoker's lungs. Cigarette ash and smoked filters were also collected and analysed. Among the determined isotopes, (210)Pb and (210)Po showed the highest activity concentrations. During the smoking of one cigarette approximately 22% of (210)Po (and presumably its predecessor (210)Pb), 0.6% of (228)Th, 24% of (230)Th, and 31% of (232)Th are transferred from the cigarette and retained in the smoker's body. The estimated annual effective dose for smokers is 61 μSv/year from (210)Po; 9 μSv/year from (210)Pb; 6 μSv/year from (228)Th; 47 μSv/year from (230)Th, and 37 μSv/year from (232)Th. These results show the importance of thorium isotopes in contributing to the annual effective dose for smoking.

Natural radionuclides in cigarette tobacco from Serbian market and effective dose estimate from smoke inhalation

The activity concentrations of natural radionuclides ((40)K, (210)Pb, (210)Po, (226)Ra and (228)Ra) in 17 most frequently used cigarette brands in Serbia and corresponding effective doses due to smoke inhalation are presented. The mean annual effective doses for (210)Pb and (210)Po were estimated to be 47.3 and 724 µSv y(-1) for (210)Pb and (210)Po, respectively. Serbia currently has the highest smoking rate in the world. The results of this study indicate the high contribution of the annual effective dose due to smoke inhalation to the total inhalation dose from natural radionuclides. The more effective implementation of actions for reducing smoking prevalence in Serbia is highly needed.

210Pb and 210Po concentrations in Italian cigarettes and effective dose evaluation

It has been known for a long time that cigarette tobacco contains naturally occurring radioactive nuclides such as 210Pb and 210Po. In this study, the concentrations of 210Pb and 210Po in the 10 most widely sold cigarette brands in Italy during the year 2010 were measured, and the effective dose to smokers has been calculated. The results of this study show that 210Pb concentration ranged from 11.6 to 20.0 mBq cig-1 with an arithmetic mean of 14.6 mBq cig-1, while the activity concentration of 210Po ranged from 13.1 to 19.0 mBq cig-1 with an arithmetic mean of 15.7 mBq cig-1, thus confirming previous results and showing that the radioactivity concentration was not reduced in the last few years. The annual effective dose for a typical smoker consuming 20 cigarettes per day ranged from an average of 55 μSv y-1 to about 81 μSv y-1. It is finally put in evidence the need to improve the knowledge about crucial data needed for accurate dose assessment deriving from the inhalation of both radioisotopes contained in the cigarettes, namely the dose conversion coefficients, which strongly depend on several parameters such as the inhalation speed through the mouth, the real fraction of radionuclide transferred from cigarette to mainstream smoke, the lung absorption behavior of the radioisotopes inhaled with mainstream smoke, and the AMAD of particles inhaled by smokers.

Attempted validation of ICRP 30 and ICRP 66 respiratory models

The validation of human biological models for inhaled radionuclides is nearly impossible. Requirements for validation are: (1) the measurement of the relevant human tissue data and (2) valid exposure measurements over the interval known to apply to tissue uptake. Two lung models, ICRP 30(1) and ICRP 66(2), are widely used to estimate lung doses following acute occupational or environmental exposure. Both ICRP 30 and 66 lung models are structured to estimate acute rather than chronic exposure. Two sets of human tissue measurements are available: (210)Po accumulated in tissue from inhaled cigarettes and ingested in diet and airborne global fallout (239,240)Pu accumulated in the lungs from inhalation. The human tissue measurements include pulmonary and bronchial tissue in smokers, ex-smokers and non-smokers analysed radiochemically for (210)Po, and pulmonary, bronchial and lymph nodes analysed for (239,240)Pu in lung tissue collected by the New York City Medical Examiner from 1972 to 1974. Both ICRP 30 and 66 models were included in a programme to accommodate chronic uptake. Neither lung model accurately described the estimated tissue concentrations but was within a factor of 2 from measurements. ICRP 66 was the exception and consistently overestimated the bronchial concentrations probably because of its assumption of an overly long 23-d clearance half-time in the bronchi and bronchioles.

Radioactivity of 210Pb in Japanese cigarettes and radiation dose from smoking inhalation

It is well known that cigarette tobaccos contain naturally occurring radioactive nuclides such as (210)Pb and (210)Po. In many countries, the radioactivity of tobaccos has been measured to estimate the effective dose from smoking inhalation. The present study covered 24 cigarette brands including the top 20 of sales in Japan between April 2008 and March 2009. The activity concentrations of (210)Pb were measured by gamma-ray spectrometry, and then those of its progeny ((210)Po) were evaluated assuming the radioactive equilibrium between the two nuclides. Their concentrations were in the range of 2-14 mBq cigarette(-1) with an arithmetic mean of 8±3 mBq cigarette(-1). The annual committed effective doses were also calculated, based on the scenario that a smoker consumes 20 cigarettes a day. The average doses from (210)Pb and (210)Po inhalations were 22±9 and 68±27 μSv y(-1), respectively.

Cigarette smoke radioactivity and lung cancer risk

INTRODUCTION

To determine the tobacco industry's policy and action with respect to radioactive polonium 210 ((210)Po) in cigarette smoke and to assess the long-term risk of lung cancer caused by alpha particle deposits in the lungs of regular smokers.

METHODS

Analysis of major tobacco industries' internal secret documents on cigarette radioactivity made available online by the Master Settlement Agreement in 1998.

RESULTS

The documents show that the industry was well aware of the presence of a radioactive substance in tobacco as early as 1959. Furthermore, the industry was not only cognizant of the potential "cancerous growth" in the lungs of regular smokers but also did quantitative radiobiological calculations to estimate the long-term (25 years) lung radiation absorption dose (rad) of ionizing alpha particles emitted from the cigarette smoke. Our own calculations of lung rad of alpha particles match closely the rad estimated by the industry. According to the Environmental Protection Agency, the industry's and our estimate of long-term lung rad of alpha particles causes 120-138 lung cancer deaths per year per 1,000 regular smokers. Acid wash was discovered in 1980 to be highly effectively in removing (210)Po from the tobacco leaves; however, the industry avoided its use for concerns that acid media would ionize nicotine converting it into a poorly absorbable form into the brain of smokers thus depriving them of the much sought after instant "nicotine kick" sensation.

CONCLUSIONS

The evidence of lung cancer risk caused by cigarette smoke radioactivity is compelling enough to warrant its removal.

Reducing the need for surgeons by reducing pollution-derived workload: is there a role for surgeons?

The need for additional surgical workforce personnel is likely to increase dramatically at a rate beyond our capacity to train them. As surgical training programmes cannot be rapidly expanded, this paper explores an alternative solution to the quandary, a reduction of the disease burden by a war on pollution. Highlighting the role of pollutants in increasing the surgical workload, it identifies potential roles for surgeons in the battle against pollution and draws attention to the need to research out agents which could protect humans against their carcinogenic effects.