International workshop

 

“Toward a better integration of Non-Radiological Public Health Aspects of Protection Strategies during Radiation Emergency Planning, Response and Recovery”

Co-organised by BfS, OECD/NEA and WHO

Munich, Germany

18-20 March 2020

 

 


March 4, 2020

Message from BfS, OECD/NEA, WHO co-organising the international workshop “Toward a better integration of Non-Radiological Public Health Aspects of Protection Strategies during Radiation Emergency Planning, Response and Recovery”, 18-20 March 2020 - Munich, Germany

Dear registered participants, Dear colleagues,

Our three organisations, BfS, OECD/NEA and WHO, have been monitoring closely the evolution of the Covid-19 outbreak and of all the related measures taken by many countries. In such prevailing circumstances where we are facing many travel restrictions for international participants to the workshop, we thought it would be wise to postpone the event. We are really sorry about this situation, but we are sure that all of you will understand our decision. We will keep you informed about the new dates, possibly next autumn in Germany.

We want to thank all of you for your willingness to participate and hope you will still be in a position to attend the workshop later. Once again, accept our apologies for any inconveniences our decision may involve. We are still looking forward to welcoming you in Germany for this workshop in 2020!

The organisers

 


 

Preliminary programme


 

Wednesday, 18 March 2020 (12:30 - 18:00)

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12:30

Registration and welcome coffee/tea

13:00

Welcoming addresses

 

A word on behalf the co-organisers

BfS, OECD/NEA and WHO will welcome the participants and share their expectations from the workshop

13:15

Session 1. Setting the scene and framing the objectives of the workshop

Chair: Wolfgang Weiss; Co-chair: Fahmy Hanna (WHO)

Rapporteur: Zhanat Carr (WHO)

13:40

Invited Keynote : Disaster consequences, risks, and resilience

Prof. George A. Bonanno, Ph.D, Professor of Clinical Psychology, Director of the Loss, Trauma, and Emotion Lab, and Director of the Resilience Center for Veterans and Families at Columbia University’s Teachers College, New-York, USA

14:10

Invited Keynote : Mental health care for affected people following the Fukushima disaster

Prof. Masaharu Maeda, Professor at the Center for the Fukushima Health Management Survey, Department of Disaster Psychiatry, Fukushima Medical University, School of Medicine, Japan

14:40

Briefing note : Mental health and psychosocial support in emergencies, an interagency approach

Dr Fahmy Hanna, Co- chair of  Interagency Standing Committee Reference Group on Mental Health and Psychosocial Support in Emergency Settings, Technical Officer, Department of Mental Health and Substance Use, WHO- Geneva

15:00

Briefing note : International recommendations for radiological protection of people and the environment  in the event of a large nuclear accident

Dr Thierry Schneider, Director of CEPN, France; member of the ICRP Committee 4 and of Task-Group 93

15:20

Tea/Coffee break

15:50

Session 2. Part 1 - Fukushima mental health and psychological consequebces from the Japanese perspective

Chair: Masaharu Maeda (FMU); Co-chair: Deborah Oughton (NMBU)

Rapporteur: Jacqueline Garnier-Laplace (OECD/NEA)

All presentations will last 15 minutes followed by 5 minutes for Q&A

 

“Psychological distress in the aftermath of the Great East Japan Earthquake, Tsunami and Nuclear Accident”

Goodwin R. et al., Univ. of Warwick, UK

 

“Psychological distress and wellbeing after the Fukushima disaster: Perspectives for lifting of evacuation order”

Murakami M. et al.,  Fukushima Medical University, Japan

 

“The Association between Parenting Anxiety and Later Child Mental Health in the Fukushima Nuclear Disaster Affected Area”

Mizuki R. et al., Fukushima Medical University, Japan

 

“Overviews of secondary health issues after the Fukushima incident”

Tsubokura M., Fukushima Medical University, Japan

16:50

Session 2 (con’t). Part 2 –What lessons did the Chernobyl experience teach us?

16:50

Invited Keynote : The Chernobyl case – The mental health legacy of the disaster

Dr  Johan Havenaar, Independent Senior Consultant Psychiatrist, the Netherlands

 

“SHAMISEN – lessons learned and recommendations from Chernobyl and Fukushima”

Cardis E., ISGlobal, Spain

18:00

Social reception offered by BfS

19:30

End of Day 1

 

Thursday, 19 March 2020 (09:00 - 18:00)

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09:00

Session 3. Psychological impact management – experience from non-nuclear disasters

Chair: Martin Krottmayer (IFRC); Co-chair: Jacqueline Garnier-Laplace (OECD/NEA)

Rapporteur:Monica Dobbertin (DSA)

Each presentation will last 15 minutes plus 5 minutes for Q&A

 

Provisional title - The philosophical issue of protective actions- are we doing more harm than good?”

Milligan P., NRC, USA

 

“Public mental health considerations in post-accident consequence management – a synthesis from the CRPPH”

Kabir R., on behalf OECD/NEA

 

“The new framework and policy from IFRC on MHPS support”

Hedrenius S., Swedish Red Cross, Switzerland

 

“Wellbeing of helpers in the context of terrorist attacks: a case study on Munich 22 July 2016”

Juen B. et al., Univ  of Insbruck, Austria

 

“Risk Communication and Rumour Response: Why they matter more than ever”

Meschenmoser P.,  Mesh & Moser situation management, Austria

10:20

Tea/Coffee break

11:00

Session 3. Con’t

 

“Literature Review of Non-Radiological Health Effects of Sheltering, Evacuation and Temporary Relocation”

Watson S.J., et al., Public Health England, UK

 

“Everyday Processes and Mechanisms for Mental Health Research and Care in Nuclear or Radiological Emergencies”

Hou K. and Goodwin, Education University of Hong Kong, China

11:40

Session 4.  Social mobilisation and community engagement for preparedness and response to radiation emergencies

Chair: Elisabeth Cardis (ISGlobal); Co-Chair: Matthias Zaehringer (BfS)

Rapporteur: Christiane Poelzl-Viol (BfS)

 

“Enhancing Stakeholder Participation in Radiological Protection - Findings and Recommendations of the European ENGAGE Project”

Turcanu C., SCK-CEN, Belgium

 

“SHAMISEN SINGS project:  Involving citizen scientists to measure doses and health/well-being indicators after a nuclear accident with use of mobile apps”

Liutsko L. et al., ISGlobal, Spain

 

“Ethical Aspects of Community Engagement”

Oughton D., Norwegian University of Life Sciences, Norway

 

“Psychological trauma after a nuclear accident: different burdens for different mother's choices”

Fassert C. (IRSN, France)

13:00

Lunch break

14:00

Session 5. Experiences with psychological support and care: approaches, methods and tools

Chair: Zhanat Carr (WHO); Co-chair: Robin Goodwin (University of Warwick)

Rapporteur: Fahmy Hanna (WHO)

 

Invited Keynote : “A psychosocial approach to understanding health and rebuilding trust with local communities after the Fukushima nuclear accident – Lessons learned from working together with people of Iitate Village”

Dr Yujiro Kuroda and Yohei Koyama, Fukushima prefectural centre for environmental Creation, Japan

14:30

“Psychological support for participants with thyroid-related issues”

Setou N.et al., Fukushima Medical University, Japan

 

“Access to emergency care in a repopulated village after the Fukushima disaster”

Nishikawa Y., Kyoto Univ., Japan

 

“Health risks of decontamination workers after the Fukushima nuclear disaster; comprehensive new interventions required”

Sawano T., Fukushima Medical University, Japan

 

“ How to better assess well-being and quality of life in post-accident situations?”

Maitre M. et al., Nuclear protection Evaluation Center, France

16:00

Tea/Coffee break

16:30

Session 5. Con’t

 

“Activities for prevention of PTSD in Minamisoma City, Fukushima after the nuclear disaster in 2011”

Hori A.,  Fukushima Medical University, Japan

16:50

Session 6. WHO Framework presentation

18:00

End of Day 2 – possible joint dinner at participants’ own cost

 

Friday, 20 March 2020 (09:00 - 13:30)

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09:00

Session 7. Breakout sessions to develop practical tools to support decision making

12:30

Session 8. Summary/recommendations / closing remarks

13:30

End of Workshop

 

Objective and expected workshop outcomes


This workshop will build on recent developments and aims to explore the available practical solutions to reduce the mental health and psycho-social impact of radiological or nuclear emergencies and to provide efficient support following a major accident.

A new WHO policy framework that builds upon existing WHO guidelines on mental health and psychological support in emergencies is currently being developed for nuclear or radiological emergency situations. Based on this framework, workshop participants will discuss strategies and methods to assist the decision-making process for the mitigation of mental health and psycho-social impact in nuclear or radiological emergency situations. The goal is to develop generic recommendations that can be adapted to national and local issues and concerns according to the prevailing circumstances. A “whole-of-society” approach (i.e. promoting inclusiveness of all stakeholder categories) and an “all-hazards” approach will guarantee that the decision-making process will result in the best protective actions in a multifaceted fashion integrating in itself cascading events of an evolving emergency cycle.

 

Background


In addition to the potential biological effects of ionising radiation, the health impacts of a nuclear or radiological accident often involve psychological and societal consequences. These non-radiological effects are a consequence of both the emergency itself and interventions to mitigate its effects. Current strategies for planning for, response to and recovery from radiological or nuclear emergencies need to be revisited and enriched by applying a holistic societal approach. Such approach must take into account the psycho-social and mental health impacts of the emergency as well as the associated response and recovery actions.

Guidance for managing the psychological and social effects of radiological or nuclear emergencies on public health would benefit from sharing experiences and lessons learnt from other emergencies. For nuclear or radiological emergencies, most existing national frameworks for preparedness and response are based on the International Commission on Radiological Protection’s principles of justification and optimisation. These principles provide guidance for protective strategies that primarily aim to prevent and reduce radiological exposure. Decisions on protective actions and countermeasures are mostly related to measurable and quantifiable concepts of radiation exposure rates, doses and radiological risk assessment. However, lessons from past nuclear accidents clearly demonstrate that the psychological effects associated with the specific circumstances of a nuclear accident should not be neglected. The consequences of accident response interventions include:

  • anxiety about future health consequences, especially for  children,
  • evacuation and resettlement,
  • home loss,
  • disruption of the psycho-social fabric of communities and families,
  • uncertainty about the possibility of returning to “normal life”.

As a result, there are challenges for ensuring the implementation of best protective strategies. Strategies will be affected by the prevailing circumstances and need to balance any deleterious effects against the resources available, while addressing stakeholders‘ views and concerns.

At present, it is unclear how psycho-social and other societal and economic aspects can be included in a measurable fashion in the preparedness stage and in the decision-making during both an emergency and its recovery phase. Numerous observational studies and reports based on the Chernobyl and Fukushima accidents do not offer solutions or practical guidelines on protection strategies. The existing international safety standards include generic requirements to make provision for mitigating the non-radiological consequences such as the psycho-social effects of nuclear accidents, but offer no explicit practical guidance. Numerous organisations have recognised these issues internationally and several research projects (e.g., the EC-funded CONCERT projects such as SHAMISEN or ENGAGE, the RICOMET annual conferences) have identified key elements to improve the situation (Shamisen Recommendations, 2017).

 

Topical areas of interest (not exhaustive)


  • Managing risk communication to the (potentially) affected population
  • Stakeholder engagement and consideration of vulnerable groups
  • Building radiological protection culture in the population to better communicate protection strategies
  • Identification of trusted communicators and characterization of effective communication to reduce psycho-social effects
  • Information needs of affected population; psychological support and care
  • Balancing radiological and non-radiological factors and integrating psycho-social support in decision-making;
  • Quantifying and balancing negative health effects of countermeasures 
  • Similarities and differences of mental health planning for and responses to nuclear or non-nuclear disasters, including good practices in emergency risk management
  • Case studies covering one or several topics

 

Timeline


The workshop will take place on 18-20 March 2020. It will include invited and contributed talks, posters as well as joint discussions.

Key dates:

  • Registration 15 November 2019 - 1 March 2020 (New)
  • Abstracts, less than 300 words, targeting one or several topical areas, should be submitted via the workshop website before 15 December 2019. Now extended to January 6th, 2020.
  • Notification of abstracts acceptance by10 January 2020.
  • Preliminary programme : 20 January 2020;
  • Final programme: 15 February 2020
  • Workshop: 18-20 March 2020

There will be no registration fee. Registration is recommended as soon as possible due to limited capacity. Remote participation will be possible.

 

Participants


The workshop is open to mental health experts, emergency responders, and crisis responders in any sector, policy-makers, governmental and non-governmental organisations, scientists, and any other stakeholders from related fields and civil society interested in the topic.

 

Venue


The workshop will take place at the campus of Helmholtz Gesellschaft in Neuherberg near Munich, Germany.

A joint dinner will be organised on 19 March 2020 at the participants own cost.

 

How to register?

Participants are kindly requested to register online by 1 March 2020 via ConfDB. New participants or those who have not registered their contact information to NEA can do so by creating an account.

How to submit an abstract?

Submission should be sent to MUNICH2020@oecd-nea.org and should use the following abstract template.

How to reach the venue and find a hotel?

Logistical information is provided in this document.

 

Programme Committee (alphabetical order)


  • Prof. Elizabeth Cardis, Research Professor in Radiation Epidemiology at ISGlobal, Barcelone, Spain
  • Dr Zhanat Carr, Scientist, Radiation Programme, World Health Organisation (WHO), Geneva, Switzerland
  • Dr Jacqueline Garnier-Laplace, Secretary of the Working Party on Nuclear Emergency matters under the OECD/NEA Committee on radiological protection and Public Health, Radiological Protection Expert, OECD/NEA
  • Prof. Robin Goodwin, Head of Department Department of Psychology, Warwick University, UK
  • Dr Fahmy Hanna, medical doctor and psychiatrist, World Health Organisation (WHO), Geneva, Switzerland
  • Martin Krottmayer, Senior Officer, Technological hazards prep, Civil Protection Relations Disaster and Crisis (Prevention, Response and Recovery) Programmes and Operations Division, International Federation of Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland
  • Prof. Masaharu Maeda, professor at the Center for the Fukushima Health Management Survey, Fukushima Medical University, Japan
  • Patricia Milligan, vice chair of the Working Party on Nuclear Emergency matters under the OECD/NEA  Committee on radiological protection and Public Health, Senior Advisor in the Office of Nuclear Security and Incident Response, Nuclear Regulatory Commission (NRC), United States of America
  • Prof. Deborah Oughton, Research Director at Centre for Environmental Radioactivity (CERAD), Norwegian University of Life Sciences, Oslo, Norway
  • Prof. Dr Britta Renner, Department of Psychology, Psychological Assessment & Health Psychology, University of Konstanz, Germany
  • Prof. Robert J. Ursano, Professor of Psychiatry and Neuroscience, Director Center for the Study of Traumatic Stress (CSTS) Dept of Psychiatry, Bestheda, USA
  • Matthias Zaehringer, Chair of the Working Party on Nuclear Emergency matters under the OECD/NEA  Committee on radiological protection and Public Health, Head of Emergency Management Division, Federal Office for Radiation Protection (BfS), Munich, Germany

 

Contact


Dr Jacqueline GARNIER-LAPLACE
Division of Radiological Protection and Human Aspects of Nuclear Safety
Nuclear Energy Agency (NEA)
Tel.: +33 (0)1 73 21 29 38


Last reviewed: 24 February 2020