Abstracts ASN Report 2019

and, finally, nuclear medicine, with radiopharmaceutical administration errors; Ҋ for the public and the environment: nuclear medicine, with radioactive source losses, leaks from pipes and radioactive effluent containment systems. Concerning external beam radiotherapy, the number Ȓǔ ژ ɀǣǕȇǣǔǣƬƏȇɎ ȸƏƳǣƏɎǣȒȇ ȵȸȒɎƺƬɎǣȒȇ ƺɮƺȇɎ ȸƺȵȒȸɎɀ ɀɎƏƫǣǼǣɀƺƳ ǣȇ אژ ׎׏ ח ِ Áǝȸƺƺ ƺɮƺȇɎɀ ɯƺȸƺ ȸƏɎƺƳ ƏɎ ǼƺɮƺǼ א Ȓȇ Ɏǝƺ ³z ٮ ³I«… scale (5 in 2018). The security of access to high-level sealed sources needs to be improved in brachytherapy units and will remain a priority inspection topic. The occurrence of two events in which the source remained blocked in a projector recalls the importance of staff training in the emergency measures to be taken in such a situation. The deployment of new therapies in nuclear medicine, with high activity levels being administered to the patients, requires particular attention with regard to radioactive effluent management. In addition, personnel training efforts must be maintained and the coordination of preventive measures during work by outside contractors must be improved. With regard to fluoroscopy-guided interventional practices, too few of the premises where they are carried out actually fully meet the regulatory requirements, although the situation is however better in the interventional radiology units. Insufficient training of the professionals in patient radiation protection and a shortfall in application of the principle of optimisation of procedures are recurring findings during the inspections. There is insufficient exploitation of the collection of the doses received by the patients during procedures in order to optimise practices. Patient follow-up –as defined by the French National Authority for Health– if the skin exposure limit is exceeded, is not very satisfactory, particularly in the operating theatres. Similarly, in the field of external beam radiotherapy, this monitoring is also considered to be insufficient. It led ASN to request that a follow-up study be conducted by professionals on patients affected by a level 2 significant radiation protection event. Proposals to reinforce the management of a nuclear post-accident situation …ȇ Ɏǝƺ ƫƏɀǣɀ Ȓǔ Ɏǝƺ ǼƺɀɀȒȇɀ ǼƺƏȸȇƺƳ ǔȸȒȅ Ɏǝƺ IɖǸɖɀǝǣȅƏ ژ z¨¨ accident and the emergency exercises, the Steering Committee for the management of the post-accident phase of a nuclear accident (Codirpa) headed by ASN, proposed a number of changes to post-accident doctrine to the Prime Minister. They primarily aim to simplify the post-accident zoning used as the basis for the population protection measures. More specifically, new criteria were proposed to define the population evacuation perimeter. The Codirpa also drew up a public guide and created a joint Anccli/ASN/IRSN website to raise awareness of post-accident situations. This site enables elected officials, health professionals, associations, education personnel and economic players to access documents and information for preparing or managing life in a region contaminated by a nuclear accident. New exchange framework to reinforce cross-border cooperation ASN took the initiative of setting up a new framework of exchanges to reinforce the sharing of experience on specific subjects with its counterparts in neighbouring countries: Germany, Belgium, Luxembourg and Switzerland. In November 2019, it therefore organised the first inter-regional seminar devoted to cross-inspections, consultation with the stakeholders, emergency preparedness and response and maintaining the skill levels of the nuclear safety regulators. This format for sharing, which is broader than a bilateral meeting and more focused than a multilateral framework, showed the added value to be gained from examining these subjects in greater depth and formulating common proposals to reinforce international cooperation. ASN Report on the state of nuclear safety and radiation protection in France in 2019 5 COMMISSION EDITORIAL