Cobalt-60
has been used to assess the performance of missiles tested at the
Royal Artillery Range near Benbecula in the Western Isles of Scotland.
Missiles were fired out to sea and a Radioactive Miss Distance Indicator
(RAMDI) showed how closely they approached the target. Authorisation
for the use of RAMDIs was given in 1967; their use commenced about
1970 and terminated in 1981. MoD estimates that about 5600 missiles
were fired, each of which had about 1.85 GBq or 640 MBq of Cobalt-60.
The lower activity was used in the later stages of the testing,
but the date when it was introduced is uncertain. Most of the activity
reached the sea, but some leaked before the missiles were fired.
MoD has asked COMARE to make a statement on the likelihood of any
health effects resulting from the use of cobalt-60 on the Benbecula
range and to advise on whether any further work is required.
Three studies of cancer incidence in the Benbecula area were undertaken
in the 1990s by the Scottish Information and Statistics Division
(ISD). It is understood that these studies were stimulated by Chernobyl,
or general concerns about cancer levels in the area. These studies
involve small populations and the statistical uncertainties are
inevitably substantial. Nevertheless, there was no strong suggestion
of any increase in cancers overall or of any of the sub-groupings
considered over the period of the study. Indeed, cancer incidence
in the Western Isles is somewhat lower than in Scotland as a whole.
Very recently (August 2004), COMARE was notified of a new study
which examined the incidence of all malignant neoplasms (taken together)
for the period 1975 to 2001 (all years combined). The study considers
cancer incidence in males and females in all of the ten postcodes
comprising the Western Isles. Comparisons are made with the Western
Isles as a whole. None of the standardised incidence ratios was
significantly elevated.
COMARE believes that the methodology of the studies carried out
by ISD is appropriate, given the constraints on such small area
studies.
Cobalt-60 has a physical half-life of about five years. If released
into the environment, much of the dose to people is typically delivered
by external radiation, but some activity may be ingested or inhaled.
If it is taken up into the body it will irradiate body organs until
it decays away or is excreted. Doses are reasonably uniform across
the body; about 70% of the dose is delivered in the first year and
doses are about 95% complete within five years of intake. It is
likely that the doses from the Benbecula releases must have been
substantially complete by the mid 1980s with a peak five or ten
years earlier.
COMARE is not aware of any evidence suggesting that the local population
received significant doses from the cobalt releases in the Benbecula
area. Nor do the completed epidemiological studies suggest that
there are elevated levels of cancer. COMARE does not believe that
there is any reason to think that the health of the local population
has suffered perceptibly as a result of these releases. Nevertheless,
despite the problems of small numbers, it would be sensible to continue
epidemiological monitoring for another few years in order to be
quite sure that no late excess of cancers emerges. It would also
be sensible to update the most recent analysis for broad sub-groups
of malignancies, perhaps for all postcodes combined, so as to combat
problems of small numbers and multiple significance testing.
As long as the site remains secure, there is no need for further
environmental monitoring.