Article 1 These Provisions are formulated in order to ensure the health and safety of radiation workers and comprehensively evaluate the health status of radiation workers who are competent for their work.
Article 2 These Provisions shall apply to all radiation work units and radiation workers.
Article 3 The health bureaus of all provinces, autonomous regions and municipalities directly under the Central Government shall be responsible for organizing the implementation of these Provisions.
Chapter II Daily Medical Supervision
Article 4 Radiation workers must undergo a physical examination before taking up their posts, and only those who pass the physical examination can engage in radiation work.
Article 5 Radiation workers must have regular health checks after taking up their posts. Radiation workers working under working conditions A and B should have a health examination once a year; Radiation workers working under Class C working conditions should have a health examination every 2-3 years; If necessary, you can increase the number of physical examinations.
The physical examination results before and after employment are recorded in the personal health records in detail and truthfully by the physical examination unit (attachment 1).
Sixth radiation work units must establish personal health files and personal dose files for radiation workers.
Article 7 Before and after employment, the health examination of personnel shall be organized by the radiation work units to the medical and health protection units designated by the health bureaus of provinces, autonomous regions and municipalities directly under the Central Government.
Chapter III Health Requirements of Radiation Workers
Eighth radiation workers must have the health conditions to perform their duties correctly and safely in normal, abnormal and emergency situations.
Article 9 Personnel engaged in nuclear reactors (including all kinds of nuclear power reactors) must have normal eyesight, hearing and good mental state in addition to general health requirements, and have no allergic reaction to wearing protective equipment.
Article 10 Persons under any of the following circumstances shall not engage in radiation work. Workers who have participated in radiation work can be given reduced contact, short-term isolation, rest or transfer according to the situation.
1, hemoglobin is lower than 120g/L or higher than 160g/L (male),
Hb is lower than 1 10g/L or higher than 150g/L (female);
2. The red blood cell count is lower than 4× 10 12/L or higher than 5.5× 10 12/L (male).
Red blood cell count is lower than 3.5× 12 power/liter or higher than 5× 10 power/liter (female);
Plateau areas can be treated with reference to the local normal range.
3. The total number of white blood cells of the personnel preparing for radiation work is lower than 4.5× 10 to the 9th power /L or higher than 10 to the 9th power /L, and the total number of white blood cells of the personnel participating in radiation work is lower than 4× 10 to the 9th power /L or higher than 10 for six consecutive months.
4, ready to participate in radiation work, platelet is lower than 1 10× 10 to the 9th power/liter; Platelets of people who have participated in radiation work are continuously lower than the ninth power /L of 100× 10.
5, suffering from cardiovascular, liver, kidney, respiratory diseases, endocrine diseases, blood diseases, skin diseases and severe lens opacity or high myopia.
6. Serious neuropsychiatric abnormalities, such as epilepsy and hysteria.
7, other organic or functional diseases, the health department can be determined according to the specific situation of illness or exposure to radioactive substances (including the types and levels of radiation work, etc.). ), my working ability, professional and technical needs and other comprehensive measures.
Chapter IV Health Management Institutions and Their Duties
Article 11 The Ministry of Health shall, on the basis of the radiation disease diagnosis standard sub-committee of the National Health Standards Technical Committee, set up a national radiation disease diagnosis team, whose duties are:
1. Provide technical guidance, supervision and inspection for national health examination and diagnosis of radiation diseases;
2, accept the difficult cases and problems put forward by the radiation disease diagnosis group of all provinces, autonomous regions, municipalities directly under the central government and the Ministry of nuclear industry or the medical institutions responsible for the diagnosis of radiation diseases;
3, participate in the medical treatment of major radiation accidents.
The Industrial Hygiene Laboratory of the Ministry of Health is the office of the National Radiological Disease Diagnosis Group, which is responsible for its daily work.
Article 12 The health administrative departments of provinces, autonomous regions and municipalities directly under the Central Government shall set up diagnostic teams for radiation diseases or designate radiation health protection institutions and hospitals to be responsible for occupational health examination, diagnosis and management of radiation diseases of radiation workers. Their duties are:
1, responsible for the occupational health examination of radiation workers in this area;
2, responsible for the diagnosis and treatment of occupational radiation diseases of radiation workers in the region;
3. Participate in the investigation and medical treatment of radiation accidents;
4, responsible for the referral of difficult cases.
Article 13 The Ministry of Nuclear Industry may set up a radiation disease diagnosis group or designate a full-time hospital, which, with the approval of the health bureaus of provinces, autonomous regions and municipalities directly under the Central Government, shall be responsible for the health examination and radiation injury medical treatment of radiation workers in enterprises and institutions directly under its jurisdiction, and accept the guidance of the local radiation disease diagnosis group.
Article 14 Doctors from all disciplines who participate in the health management and health examination of radiation workers must have knowledge of radiation medicine, master the diagnostic standards and relevant regulations of radiation-induced diseases issued by the state, and have the ability to correctly and timely deal with radiation accident exposed personnel.
Article 15 The diagnosis of radiation-induced diseases must focus on the local area, and take the collective diagnosis of the designated radiation health protection and medical department or diagnosis team as the standard, and issue a radiation-induced diseases diagnosis certificate (Annex 2) in triplicate, one for the diagnosis unit, one for the radiation work unit and one for the individual.
Article 16 The diagnosis of radiation diseases must be based on personal health files and personal dose files and according to national standards:
Diagnostic criteria and principles of management of acute radiation sickness caused by external irradiation (GB 8280-87)
Diagnostic criteria and principles of management of chronic radiation sickness caused by external irradiation (GB 828 1-87)
Diagnostic criteria and principles of management of radiation dermatosis (GB 8282-87)
Diagnostic criteria and principles of management of radiation cataract (GB 8283-87)
Diagnostic criteria and treatment principles of radiation sickness caused by internal irradiation (GB 8284-87).
Chapter V Medical Management of Persons Exposed to Accidents
Seventeenth radiation accident handling and reporting should be strictly in accordance with the Ministry of health, the Ministry of public security, the National Nuclear Safety Administration 1986 issued the "Regulations on the Management of Radioisotopes and Radiation Accidents".
Eighteenth designated medical and health protection units shall quickly determine the dose of the personnel exposed to radiation accidents, and according to the different doses and injuries, carry out medical treatment or send them to the higher radiation medical units for diagnosis and treatment.