Engaging with local stakeholders: some lessons from Fukushima for recovery.

The Fukushima Daiichi nuclear power plant accident contaminated the soil of densely populated regions in Fukushima prefecture with radioactive caesium, which poses significant risks of internal and external exposure to the residents. Applying the knowledge of post-Chernobyl accident studies, internal exposures in excess of a few mSv per year would be expected to be common in Fukushima. However, extensive whole-body-counter surveys have shown that the internal exposure levels of residents are much lower than estimated; in 2012-2013, the Cs-137 detection percentages (the detection limit being ∼300 Bq body(-1)) were approximately 1% for adults and practically 0% for children. These results are consistent with those of many other measurements/studies conducted to date in Fukushima. As a consequence, risks from external exposure assume greater importance for the majority of residents in Fukushima due to the lower contribution from internal exposure. In both cases, average doses remain low, although some residents are exposed to higher-than-average risks; it is these members of the population who need to be identified and followed-up. Consequently, it is essential to re-establish communication at all levels in society.