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Begin New Search Topic Medicine Publishing Institution James Martin Center for Nonproliferation Studies

1. US and Russia Can End Use of Weapons-Usable Uranium for Medical Uses

Author:
Miles A. Pomper
Publication Date:
02-2014
Content Type:
Working Paper
Institution:
James Martin Center for Nonproliferation Studies
Abstract:
A new report co-authored by CNS Senior Research Associate Miles Pomper recommends steps for the United States and Russia to cooperate in ending Russian use of highly enriched uranium (HEU) in medical isotope production, an important step in keeping this nuclear weapons material from terrorists. Great progress has been achieved in recent years in minimizing civilian use of HEU as part of the international efforts to reduce the nuclear terrorism threat. In particular, the leading global suppliers of the molybdenum-99 (Mo-99) isotope, which is widely used in medical diagnostics, are taking steps to reduce and, in the medium time frame, completely eliminate the use of HEU in the production of medical isotopes. Major new steps towards phasing out HEU use in medical isotopes production could be announced at the Nuclear Security Summit that will take place in The Hague on March 24-25, 2014. The Russian nuclear industry has set for itself an ambitious goal of becoming one of the three top global suppliers of Mo-99, used in 80 per cent of the medical procedures involving isotopes particularly as a diagnostic tool. Growing Russian production could help stabilize the global Mo-99 market, which faced severe shortages on several occasions in 2005-2013. According to some estimates, in 2010 during a six month period medical facilities around the world were unable to perform diagnostic procedures for several million people due to the shortage of Mo-99; the shortfall was estimated at 7 million doses. However, until recently, Russia had been bucking global trends by planning to use HEU fuels and targets rather than safer low enriched uranium (LEU) for much of this production. The ‘Ending HEU Use in Medical Isotope Production: Options for Russian-US Cooperation’ report co-authored by the Moscow-based Center for Energy for Energy and Security Studies (CENESS) analyses what can be done by Moscow and Washington to harmonize the Russian producers’ plans to win a share of the global market, while at the same time facilitating the Russian nuclear industry’s transition to new market requirements for producing Mo-99 without HEU.
Topic:
Diplomacy, Nuclear Weapons, Nuclear Power, Nonproliferation, and Medicine
Political Geography:
Russia, Europe, North America, and United States of America

2. Alternatives to High-Risk Radiological Sources

Author:
Miles A. Pomper, Egle Murauskaite, and Tom Coppen
Publication Date:
03-2014
Content Type:
Working Paper
Institution:
James Martin Center for Nonproliferation Studies
Abstract:
There is growing global awareness of the need to secure radiological sources in order to prevent terrorists from using such materials in a radiological weapon, such as a “dirty bomb.” A new CNS report calls for a move towards permanently reducing this threat by substituting non-isotopic alternatives for these sources in civil uses. As an initial step, the authors propose a move towards gradual phase-out of cesium chloride use in pre-transfusion blood irradiation on a global scale – a domain where non-isotopic alternatives are considered to be the most viable in the short-term. They urge United States to launch an international initiative involving the phase out of cesium-chloride and other high-risk radiological sources as a “gift basket” for the upcoming 2014 Nuclear Security Summit. Cesium chloride is one of the most commonly used radiological materials, despite being an IAEA Category 1 “extremely dangerous” source. Because cesium chloride is easily dispersible, water soluble, and relatively easy to handle, it is particularly suitable for terrorist purposes. The blood irradiators that use it as a source are located in many large hospitals and blood banks (inherently publicly accessible spaces), and the source is usually transported through regular civilian infrastructure at the beginning and the end of its lifecycle, giving more cause for concern. Cesium chloride based irradiators are used to treat blood and blood products prior to transfusion in order to prevent a rare but fatal Graft Versus Host Disease (GVHD). A growing number of non-isotopic alternatives are becoming available for that purpose, but there is a serious lack of awareness about the range of options and how they compare to current practices, both among the medical professionals and national regulators.
Topic:
Health, Biological Weapons, Radiological Weapons, and Medicine
Political Geography:
Global Focus

3. Mind the Gap: Regimes & Strengthening Radiological Security

Author:
Miles A. Pomper
Publication Date:
08-2014
Content Type:
Working Paper
Institution:
James Martin Center for Nonproliferation Studies
Abstract:
According to a new paper from CNS Senior Research Associate Miles A. Pomper, inadequate liability and insurance regimes mean that users of high-risk radiological sources have insufficient incentive to protect those sources from terrorists or substitute less risky alternatives. Such sources are used in medicine, oil and gas exploration, and industry, among other fields, and can be used in “dirty bombs” or other forms of radiological terrorism. Since the 9/11 attacks, governments, including the United States, have taken it upon themselves to institute emergency measures to improve source security, often using public funds. However, these measures are less than optimal and are expected to take many more decades. Moreover, even the United States—the lead country in spending on these efforts—routinely sacrifices radiological security to other budget priorities. Pomper therefore recommends two potential options to improve liability and insurance regimes governing radiological sources in order to incentivize users to reduce the risk of radiological terrorism.
Topic:
Security, Terrorism, Budget, Radiological Weapons, and Medicine
Political Geography:
North America and United States of America

4. Stories of the Soviet Anti-Plague System

Author:
Raymond A. Zilinskas, James W. Toppin, and Casey W. Mahoney
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
James Martin Center for Nonproliferation Studies
Abstract:
Throughout the 20th century, the USSR Ministry of Health’s 2nd Directorate headed an “anti-plague (AP) system” whose main objective was to protect the country from endemic and imported dread diseases such as plague, anthrax, and others. In addition, it had an important, two-phased role in the Soviet Union’s biological warfare (BW) program—to provide training to the BW program’s scientific workers on biosafety practices and to submit cultures of especially virulent pathogens to that program’s research and development institutions. Because the USSR considered information about endemic infectious disease, as well as BW-related activity, to be state secrets, hardly any outsiders knew about the AP system’s work and scientific accomplishments. To this day, the five Russian AP institutes remain closed to outsiders and are almost as secretive about their current activities as they were during the Soviet era.
Topic:
Health, Science and Technology, Public Health, Pandemic, and Medicine
Political Geography:
Europe and Soviet Union