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SHAMISEN/NMBU - Nuclear Emergency Situations - Improvement of Medical And Health Surveillance

Tildelt: kr 2,3 mill.

EU-OPERRA SHAMISEN prosjektet begynte i 2016, med mål om å produsere anbefalinger som skulle bidra til helseovervåkning og kommunikasjon med befolkning som er berørt av kjernekraftulykker. Tidligere erfaringer antydet at dette var et område som ikke hadde blitt tilstrekkelig behandlet i beredskapsplanene i mange Europeiske land. Det er en rekke grunner til at man trengte en oppdatering av beredskapen på dette området. Disse inkluderer at de eksisterende anbefalingene hadde et teknisk fokus, med lite hensyn til sosiale, etiske, eller psykologiske aspekter, og at informasjonen var mer tilrettelagt ekspertbeslutninger enn til støtte for de berørte befolkningene. Til slutt har det vært mange forandringer i de rettslige og etiske kravene til helseovervåkning og epidemiologiske studier (f.eks. i forbindelse med datainnsamling og beskyttelse.

The Shamisen Project has made a significant contribution to improving prepardeness for Nuclear accidents. The recommendations were widely distributed, to both professionals and the public, through popular science, media and academic articles, and have been translated into 6 different languages. The international Shamisen-Sings workshop arranged by NMBU at the Norwegian Academy of Sciences in Oslo, May 2019, represented an important stakeholder engagement event, drawing experts, tool and app Developers, as natural and social scientist, ethicists. The workshop resulted in a report and a recommendation statement, and was refered to by the UNESCO's World Commission on Ethics of Science and Technology as part of its work on Ethical Challenges of Artificial Intelligence and the Internet of Things (IoT). In 2020, recognising that similarities between nuclear accidents and the Coronavirus pandemic, the SHAMISEN recommendations were adapted to management and survellence of COVID-19.

SHAMISEN - Nuclear Emergency Situations - Improvement of Medical And Health Surveillance - is a EU project under the OPERRA platform, involving 18 partner institutions. Nuclear emergencies have resulted in large numbers of persons being exposed to ionising radiation and have caused major upheavals in the lives of populations affected by fallout, both directly (emergency workers, evacuees, persons living in contaminated areas) and indirectly (persons living in less contaminated regions). Many suffered consequences that were not directly related to the biological effects of radiation, but rather induced by the presence of radioactive contamination, remediation measures, and uncertainties about radiation levels and health effects. While survelliance strategies can meet societies' needs for accurate information on doses and health effects and provide a follow-up system that allows affected population to feel well-monitored for radiation and its possible effects, such programmes also raise ethical issues and challenges. These include concerns about low participation, and worries that survellience might enhance stress and psycological pressure. Despite the concerns, there are no well-established, comprehensive strategies for preparedness and health surveillance relating to radiation accidents. With this in mind, SHAMISEN will build upon the experience and feedback from Chernobyl, Fukushima and other emergency situations to develop recommendations for health surveillance and medical follow-up of affected populations. SHAMISEN represents the first consolidated effort to incorporate the broad WHO definition of health into recommendations for health surveillance of populations exposed to radiation, considering health not only in terms of absence of disease, but as a full state of social and psychological well-being. NMBU is a central partner in the project, participating in all three work packages (WPs) and leading one WP and one cross-cutting action on ethics. In 2017, the EU CONCERT programme approved a continuation of the Shamisen project - Shamisen-Sings, in order to explore in more depth the use of personal dosimeters following a nuclear accident. This is an area

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