title: Evaluation of a scheme for the pre-distribution of stable iodine (potassium iodate) to the civilian population residing within the immediate countermeasures zone of a nuclear submarine construction facility.
abstract: BACKGROUND
  The Barrow-in-Furness stable iodine (potassium iodate) tablet pre-distribution scheme was the first of its kind to be introduced to protect the population living around a fixed site nuclear facility in the United Kingdom. Pre-distribution schemes have attracted critical comment principally because the certainty of availability of potassium iodate tablets was unknown. This study aimed to establish the reliability of such a scheme.
  
  
  METHODS
  A structured interviewer-administered survey of a random sample of households served by the pre-distribution scheme was carried out using a standardized questionnaire.
  
  
  RESULTS
  The ability of this scheme to provide stable iodine protection declined from 100 per cent to 60 per cent coverage over a period of two years for the designed worst-case demand (the ability to supply stable iodine tablets to all household residents normally living within the pre-distribution scheme zone).
  
  
  CONCLUSIONS
  Pre-distribution has value in areas where evacuation to a centre where stable iodine tablets are available or post-accident distribution to sheltering households is difficult. The value of such a scheme must be calculated against a predictable decline in its effectiveness. In implementing such a scheme it should be noted that this decline in coverage can be reduced by calculating the frequency with which tablet packs are redistributed to take account of this factor.
authors.affiliation: Morecambe Bay Health Authority, Tenterfield, Kendal.
authors.forename: J
authors.initials: J
authors.lastname: Astbury
authors.forename: S
authors.initials: S
authors.lastname: Horsley
authors.forename: N
authors.initials: N
authors.lastname: Gent
mesh_terms: D004189:Disaster Planning / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D007452:Iodates / Q000600:supply & distribution*; D017680:Potassium Compounds / Q000600:supply & distribution*; D011837:Radiation-Protective Agents / Q000600:supply & distribution*; D018788:Radioactive Hazard Release; D012767:Ships; D006113:United Kingdom
chemical_list: D007452:Iodates; D017680:Potassium Compounds; D011837:Radiation-Protective Agents; C039693:potassium iodate