| | Steve,
You're right; there is a big difference between receiving a given dose of radiation over a short vs. a long period of time. An acute dose (over a short time) can lead to more immediate effects. The effects of radiation exposure are divided into two categories: deterministic and stochastic. Deterministic effects are due to acute doses and are usually due to the death of cells. These are the effects usually described in radiation poisoning and there is a threshold dose below which the effect doesn't happen. And the effect gets worse with higher doses.
Stochastic (or probabilistic) effects are the result of lower doses and include cancer, genetic damage, and risk to a fetus. Here the radiation dose only affects the probability of the effect occurring. And the severity of the effect is independent of the dose; it either happens or it doesn't. The model usually assumed for stochastic effects is the linear, no threshold model. This means that no matter how low the dose is, there is still a non-zero probability of the effect happening; and the probability increases in direct proportion to the dose. The cutoff between these two regimes (obviously a blurry boundary) is about 0.5 Gray (Gy) or 50 rad.
Since I'm talking about units, let me elaborate a little. The original unit for radiation measurement was the Roentgen (R). This was a measure of how much ionization of air in a fixed volume the radiation exposure would produce. This is based on the operation of the ionization chamber method of measuring radiation exposure, which is still the method used for measuring radiation exposures in x-ray exams and other lower-level exposures. But the ionization of air is different from the ionization of, for example, tissue, so the rad was introduced. The "rad" is an acronym for "radiation absorbed dose" and it's the amount of energy deposited in a given amount of mass (of tissue). The fancier unit is called the Gray (Gy) and 100 rad = 1 Gy.
Now, not all types of radiation cause the same biological damage for a given dose. There are the x-rays which are produced in x-ray machines and in radioactive decay (gamma rays are just higher energy x-rays), there are the beta particles (electrons or positrons) released in radioactive decay, and there are neutrons and alpha particles released in radioactive decays. So, the equivalent dose was introduced to take into account the effectiveness of the different forms of radiation. It's related to the absorbed dose by a multiplicative factor. The units of the equivalent dose are the rem ("radiation equivalent man") and the Sievert (Sv); 100 rem = 1 Sv. To add to the confusion, these are the same units as the "effective dose", which is a different quantity. As I said in another post, the effective dose is the whole-body dose that would have the same biological effect as the particular exposure being studied. So, this is really physically different from the equivalent dose, but it has the same units.
The kinds of doses received by the emergency workers at Chernobyl were acute doses which led to radiation sickness which led to death in many, but not all, of them. Others exposed to lower levels, through fallout, directly or indirectly (drinking milk from cows who had eaten contaminated grass), would be subject to the stochastic effects. These may take many years to happen and again you can only talk about the probability of it happening.
Thanks, Glenn
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