First study of its kind finds a strong link between radon exposure and lung cancer diagnosis in Ireland

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Living in an area with a high level of radon exposure increases the risk of lung cancer diagnosis, according to new ESRI research. The study finds that this is the case even after accounting for other risk factors that could influence an individual’s likelihood of a lung cancer diagnosis, such as smoking history, age and gender.

This research, which was commissioned by the Environmental Protection Agency, examines data on a large sample of people aged 50+ in Ireland to see whether living in areas with greater risk of radon exposure is associated with higher odds of a lung cancer diagnosis. It takes into account other risk factors such as smoking and age in order to isolate the possible effect of radon.

The study linked data for over 5,000 individuals from The Irish Longitudinal Study on Ageing (TILDA) with data on radon exposure risk provided by the Environmental Protection Agency. It is the first study to use such a large national sample and the first to take account of such a wide range of information about individuals.

Lung cancer diagnosis is most prevalent in areas where 10 to 20 per cent of houses are above the national reference point of 200 becquerel per cubic metre, which is the point above which action should be taken to mitigate the effects of radon exposure. People in these areas are three times more likely to have a lung cancer diagnosis than people in areas where less than 1 per cent of houses are above the reference point.

However, the study does not find increased risk of lung cancer diagnosis in areas with the highest level of radon exposure.

Areas where the risk of radon is highest – where more than 20 per cent of houses are above the national reference point – do not have the highest odds of lung cancer diagnosis. This suggests that households in these areas may have reduced their risk by protecting their homes.

Policymakers could consider a range of measures to reduce risk, including public awareness campaigns about the importance of reducing radon exposure in homes; introducing required testing of homes prior to rental or sale; and financial incentives to radon-proof buildings.

Anne Nolan, ESRI, commented: “It is already known that 250 lung cancer deaths in Ireland every year can be attributed to radon exposure. This research emphasises that people should not be complacent about the risk of radon exposure. Measures should be taken to ensure that people in areas of high radon exposure are aware of the risk and know how to mitigate it.”

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