On 5 February 1989, a radiological accident occurred at an industrial irradiation facility near San Salvador, El Salvador. Medical products are sterilized at the facility by irradiation by means of an intensely radioactive cobalt-60 source in a movable source rack. This source rack became stuck in the irradiation position. The operator bypassed the irradiator's degraded safety systems and entered the radiation room with two other workers to free the source rack manually. The three men were exposed to high radiation doses and developed the acute radiation syndrome. They received initial hospital treatment in San Salvador and subsequent, more specialized treatment in Mexico City. The legs and feet of two men were so seriously injured that amputation was required. The worker who had been most exposed died six and a half months after the accident from lung damage due to irradiation complicated by injury sustained during treatment. The report describes the accident and the response to it and presents lessons derived for operators and suppliers of irradiators, national authorities, medical staff and international organizations. Detailed information on dosimetric and medical aspects of the accident is presented in appendices and annexes.

On 21 June 1990 a fatal radiological accident occurred at an industrial irradiation facility at Soreq, Israel. An operator entered the irradiation room by circumventing safety systems and was acutely exposed, with an estimated whole body dose of 10-20 Gy. The accident, like earlier accidents at similar irradiators, was the consequence of the contravention of operating procedures. An IAEA review team investigated the causes of the accident. This report presents its findings and recommendations and describes the clinical management of the patient, particularly of the haematological phase. The medical treatment included the use of emerging therapies with haematopoietic growth factor drugs which may rescue the overexposed patient, albeit in this case only temporarily. The report is intended for regulatory authorities responsible for the regulation and inspection of irradiators, operating organizations and physicians who may need to treat overexposed patients.

Under the Convention on Assistance in the Case of a Nuclear or Radiological Emergency, the Peruvian authorities requested assistance from the IAEA in relation to the radiological accident that occurred during non-destructive testing using a nuclear radioactive source in the district of Chilca, Peru, in 2012. This assistance related to dose assessment and medical management of those involved in the accident was provided during 2012 and 2013. The report gives a detailed account and analysis of the event, as well as, the actions taken in order to assist organizations responsible for radiation protection, source safety and emergency preparedness and response in identifying lessons to be learned that may help to prevent similar accidents.

A serious radiological accident occurred in Istanbul, Turkey, in December 1998 and January 1999 when two packages used to transport 60Co teletherapy sources were sold as scrap metal. This report gives an account of the circumstances which led to the accident and the medical aspects, and the lessons learned.

On March 28, 1979, the worst nuclear reactor accident in U.S. history occurred at the Three Mile Island power plant in Central Pennsylvania. Radiation Nation tells the story of what happened that day and in the months and years that followed, as local residents tried to make sense of the emergency. The near-meltdown occurred at a pivotal moment when the New Deal coalition was unraveling, trust in government was eroding, conservatives were consolidating their power, and the political left was becoming marginalized. Using the accident to explore this turning point, Natasha Zaretsky provides a fresh interpretation of the era by disclosing how atomic and ecological imaginaries shaped the conservative ascendancy. Drawing on the testimony of the men and women who lived in the shadow of the reactor, Radiation Nation shows that the region's citizens, especially its mothers, grew convinced that they had sustained radiological injuries that threatened their reproductive futures. Taking inspiration from the antiwar, environmental, and feminist movements, women at Three Mile Island crafted a homegrown ecological politics that wove together concerns over radiological threats to the body, the struggle over abortion and reproductive rights, and eroding trust in authority. This politics was shaped above all by what Zaretsky calls "biotic nationalism," a new body-centered nationalism that imagined the nation as a living, mortal being and portrayed sickened Americans as evidence of betrayal. The first cultural history of the accident, Radiation Nation reveals the surprising ecological dimensions of post-Vietnam conservatism while showing how growing anxieties surrounding bodily illness infused the political realignment of the 1970s in ways that blurred any easy distinction between left and right.

The radiological accident described in this report took place in Lilo, Georgia, when sealed radiation sources were abandoned by a previous owner at a site without following established regulatory safety procedures. As a consequence, 11 individuals at the site were exposed for a long period of time to high doses of radiation which resulted inter alia in severe radiation induced skin injuries. The present report, which is co-sponsored by the World Health Organization, provides information on the medical management of radiation induced skin injuries as well as a comprehensive report on the circumstances and details of the accident and the lessons to be learned.