Response to Toshihide Tsuda, Yumiko Miyano and Eiji Yamamoto [1]

Joachim Schüz, Evgenia Ostroumova, Ausrele Kesminiene, Louise Davies, Hyeong Sik Ahn, Kayo Togawa, Salvatore Vaccarella

Research output: Contribution to journalComment/debatepeer-review

2 Citations (Scopus)


Background: Using a toolkit approach, Tsuda et al. critiqued work carried out by or in collaboration with the International Agency for Research on Cancer (IARC/WHO), including the IARC technical publication No. 46 on “Thyroid health monitoring after nuclear accidents” (TM-NUC), the project on nuclear emergency situations and improvement on medical and health surveillance (SHAMISEN), and the IARC-led work on global thyroid cancer incidence patterns as per IARC core mandate. Main body: We respond on the criticism of the recommendations of the IARC technical publication No. 46, and of global thyroid cancer incidence evaluation. Conclusion: After nuclear accidents, overdiagnosis can still happen and must be included in informed decision making when providing a system of optimal help for cases of radiation-induced thyroid cancer, to minimize harm to people by helping them avoid diagnostics and treatment they may not need.

Original languageEnglish
Article number13
JournalEnvironmental Health: A Global Access Science Source
Issue number1
Publication statusPublished - 2023 Dec

Bibliographical note

Publisher Copyright:
© 2023, The Author(s).


  • Incidence
  • Nuclear accident
  • Overdiagnosis
  • Thyroid cancer

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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