Radiation, Dangerous Goods, All Hazards Dr Anthony Evans Chief, Aviation Medicine Section International Civil Aviation Organization Montreal, Canada

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International Civil Aviation Organization Radiation, Dangerous Goods, All Hazards Dr Anthony Evans Chief, Aviation Medicine Section International Civil Aviation Organization Montreal, Canada Ulaanbaatar, April 2012

Plan International Reaction to Fukushima From ICAO viewpoint Plans in place at time of accident ICAO s action during crisis Formal proposals by ICAO resulting from accident Lessons learned Dangerous Goods Transport UN All Hazards Approach

Fukushima Daiichi Nuclear Power Plant 11 March 2011 What if: An aircraft flies through the plume? An aircraft is parked overnight downwind? An exposed individual wants to fly for treatment? Should Japan be screening departures? Cargo? People? Should other countries be screening for arrivals? Cargo? People? What levels are acceptable? What equipment/training/ppe is needed? Etc.

Nuclear Power Plants where are they?

Reaction to accident - Haphazard Information difficult to obtain IAEA and other UN agencies need invitation to intervene Some border controls used security scanner results (very sensitive). Levels used variable and of uncertain validity Some States screened containers Throughout, IAEA did not recommend screening Note similarity to response to H1N1 WHO did not recommend screening over 50% of countries instigated screening

Predicted atmospheric spread Is it safe to fly through the plume? What are the deciding factors?

Concern by crew about levels in food and water Is it safe to upload food and water from Japan? At all airports in Japan? Where do airlines obtain information?

Are crew members safe? Any precautions? Do aircraft need to be decontaminated? How?

Association of European Airlines ALERT LEVELS Below Level I (< 4 Bq/cm2) No action Level I (4 to 9 Bq/cm2) Airline expert called Level II (10-39 Bq/cm2) AEA communication system started Level III (>40 Bq/cm2) Protection for workers must be provided

Plans already in place International Atomic Energy Agency Joint Radiation Emergency Management Plan World Meteorological Organization provides information on spread of plume ICAO provides air traffic routings Did not address the questions mentioned CAPSCA Cooperative Arrangement for the Prevention of Spread of Communicable disease through Air Travel Experience proved very useful

Interlinking guidelines developed through CAPSCA Interlinking guidelines Guide to Hygiene and Sanitation in Aviation Case management of Influenza A(H1N1) in air transport WHO global Preparedness ICAO SARPs & Guidelines IHR 2005 Airports Council International airport guidelines International Air Transport Association airline guidelines Electricity, ground transport, IT support, food, water, security, etc BUSINESS CONTINUITY

WHO involvement Public health emergency of international concern an extraordinary event that is: International Require a coordinated international response [WHO did not declare the Japanese situation a PHEIC] IHR does not address all aspects related to travel e.g. advice for workers or risk to aircraft

ICAO Transport Task Force ICAO International Civil Aviation Organization IAEA International Atomic Energy Agency WHO World Health Organization IMO International Maritime Organization WMO World Meteorological Organization UNWTO UN World Tourism Organization ILO International Labour Organization IATA International Air Transport Association ACI Airports Council International Weekly teleconference call ICAO IAEA WHO IMO WMO UNWTO ILO IATA ACI Output - Three press releases during the initial weeks

Proposal to IAEA ministerial conference Amendment of the Joint Radiation Emergency Management Plan Strengthen involvement of the international transport modal authorities e.g. International Maritime Organization and ICAO Creation of Inter-agency Transport Committee. Participate in Logistics Cluster

Lessons learned Communication, communication, collaboration, collaboration Between agencies/organizations Agencies to public Management of fear : actual risks are small For passengers in H1N1: Increased anxiety = increased information needs No relation between anxiety and actual risk of illness Lack of information = increased anxiety (regardless of actual risk) Staff require special attention Public health/medical staff authentic source of information Dickmann et al. (2011) New influenza A/H1N1 ( Swine Flu ): information needs of airport passengers and staff. Influenza and Other Respiratory Viruses 5(1), 39-46

Lessons learned Planning is crucial Took a week to establish Transport Task Force after Fukushima accident Pre-established networks are required Don t rush to monitoring cleaning is first protection Hand washing analogy

Lessons learned Crisis management is generic (all hazards approach) Networks established for CAPSCA (www.capsca.org) were useful Crisis management is usually multi-sectoral Public and private e.g. IATA and ACI

Lessons learned Crisis management requires changes in work practices (at least for ICAO) Crisis management room Changes in work practices (24/7 availability during crisis) Resources Increased (but also more available)

Lessons learned Improved management of politicians (Who want to do something and be seen to be doing something) Buy-in for preparedness planning at high level required: all levels - UN, governmental, industry ICAO needs increased visibility in UN crisis management (MOU with WFP)

Transport of Dangerous Goods (ICAO Annex 18) Do limits for cargo apply to contaminated individuals? Do limits for post treatment individuals apply to those seeking treatment?

Multimodal harmonization Road Rail Air Sea CAPSCA, Cairo, December 2011 21

Classification Class 1: Explosives Class 2: Gases Division 2.1: Flammable gas Division 2.2: Non-flammable, non-toxic gas Division 2.3: Toxic gas Class 3: Flammable liquids Class 4 Division 4.1: Flammable solids Division 4.2: Substances liable to spontaneous combustion Division 4.3: Substances, which on contact with water, emit flammable gases Class 5 Division 5.1: Oxidizer Division 5.2: Organic Peroxides Class 6 Division 6.1: Toxic substances Division 6.2: Infectious substances Class 7: Radioactive material Class 8: Corrosives Class 9: Miscellaneous dangerous goods CAPSCA, Cairo, December 2011 22

Specific packaging requirements

One Response website - collaborative inter-agency website Aim - enhance humanitarian coordination Owned by: Office for the Coordination of Humanitarian Affairs

UN All Hazards Humanitarian Response to crises The Cluster System Camp Coordination Early Recovery Education Emergency Telecommunications Food Security Health Logistics transport cell proposed Nutrition Protection Water and Sanitation Project title (Insert, Header & Footer) 25

Summary Reviewed issues raised during the accident and its aftermath Considered plans in place at time of accident ICAO s action during crisis Formal proposals by ICAO resulting from accident Lessons learned Communication Dangerous Goods Transport All Hazards Approach

Radiation, Dangerous Goods, All Hazards Dr Anthony Evans aevans@icao.int