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. 2009 Jan 6;338:a3110. doi: 10.1136/bmj.a3110

Table 7.

 Total numbers of deaths from lung cancer that would be averted by various radon policies if they were implemented throughout UK

Policy Total No of lung cancer deaths potentially averted every year*
New homes, assuming 200 000 built each year
Current government policy in England: installation of basic radon preventive measures in areas with mean indoor radon concentration 52 Bq/m3 or higher†:
 By 1 year of policy 0.5
 By 2 years of policy 2×0.5
 Total by 10 years of policy 5, increasing by 0.5 each year
Basic radon preventive measures throughout UK:
 By 1 year of policy 4.4
 By 2 years of policy 2×4.4
 Total by 10 years of policy 44, increasing by 4.4 each year
Possible policy for high radon areas, requiring basic preventive measures plus fitting a means of under-floor ventilation such as a radon sump and pipe, together with measurement of radon level after occupation and installation of fan when measurement exceeds action level‡:
 By 1 year of policy 0.03
 By 2 years of policy 2×0.03
 Total by 10 years of policy 0.3, increasing by 0.03 each year
Existing homes
Current government policy in England: targeting invitations to measure in areas with mean radon concentration 64 Bq/m3 or higher§ and recommending remediation when measurement >200 Bq/m3, assuming 30% acceptance rate and 20% remediation rate:
 After policy fully implemented¶ 0.9
Effect of targeting invitations to measure in areas with mean indoor radon concentration 60 Bq/m3 or higher and recommending remediation when measurement >100 Bq/m3, assuming 30% acceptance rate and 20% remediation rate:
 After policy fully implemented 2.1
Effect of targeting invitations to measure in areas with mean indoor radon concentration 60 Bq/m3 and recommending remediation when measurement >100 Bq/m3, but with acceptance rate increased from 30% to 60% and remediation rate increased from 20% to 50%:
 After policy fully implemented 10.4

*Installing radon preventive measures in new homes or reducing radon concentration in existing homes will avert radon induced lung cancers in every subsequent year.

†At least 3.0% of homes with measurements >200 Bq/m3. Current government policy in England also requires provision for under-floor ventilation, such as a sump, in homes in areas with mean indoor radon concentration 87 Bq/m3 or higher (that is, at least 10% of measurements >200 Bq/m3). At present there is no requirement either to measure the subsequent radon concentration or to activate the extra measures. Therefore such a policy has effectiveness similar to installation of basic measures only, but it has a higher cost. It is therefore not cost effective compared with a policy of requiring only basic preventive measures.

‡Results shown for areas with a mean radon concentration of 90 Bq/m3 or higher, an action level of 100 Bq/m3, and assuming 100% compliance. Lung cancers averted are additional to those averted by basic radon preventive measures.

§At least 5% of homes with measurements >200 Bq/m3.

¶That is, measurement offered in all areas to be targeted and all remediation carried out.