Uranium

ATSDR Public Health Statement, December 1990

This Statement was prepared to give you information about uranium and to emphasize the human health effects that may result from exposure to it. The Environmental Protection Agency (EPA) has identified 1,177 sites on its National Priorities List (NPL). Uranium has been found above background levels at 26 of these sites. However, we do not know how many of the 1,177 NPL sites have been evaluated for uranium. As EPA evaluates more sites, the number of sites at which uranium is found may change. The information is important for you because uranium may cause harmful health effects and because these sites are potential or actual sources of human exposure to uranium.

When a radioactive chemical is released from a large area such as an industrial plant, or from a container such as a drum or bottle, it enters the environment as a radioactive chemical emission. This emission, which is also called a release, does not always lead to exposure. You are exposed only when you come into contact with the radioactive chemical. You can come into contact with it in the environment through breathing air, eating, drinking, or smoking substances containing the radioactive chemical. Exposure may also result from skin contact with the radioactive chemical alone, or with a substance containing it. Exposure can also occur by being near radioactive chemicals in concentrations that may be found at hazardous waste sites or at industrial accidents.

If you are exposed to a hazardous substance such as uranium, several factors will determine whether harmful health effects will occur and what the type and severity of those health effects will be. These factors include the dose (how much), the duration (how long), the route or pathway by which you are exposed (breathing, eating, drinking, or skin contact), the other chemicals to which you are exposed, and your individual characteristics such as age, sex, nutritional status, family traits, life style, and state of health.

What is uranium?

Natural uranium is a silver-colored metal that is radioactive. Small amounts of uranium are present in rocks, soil, water, plants, and animals and contribute to the weak background radiation from these sources. Soil commonly contains variable amounts, but the average is about 2 parts uranium per million parts of soil (2 ppm). This is equivalent to a tablespoon of uranium in a truckload of dirt. Fertilizers made from phosphate rocks contain higher amounts of uranium than natural soils. Some rocks and minerals in underground and open pit mines also contain uranium in a more concentrated form. After these rocks are mined, uranium is extracted and chemically converted into uranium dioxide or other usable forms. The remaining rock from which uranium has been extracted is called depleted ore or mill tailings.

Natural uranium is composed of three forms (called isotopes) of uranium: uranium-234, uranium-235, and uranium- 238. The amount of uranium-238 in natural uranium is more than 99%. Uranium-235 is present at just 0.72%, in natural uranium, but it is more radioactive (and therefore more hazardous) than uranium-238. Uranium-235 is used in nuclear bombs and nuclear reactors. An industrial process by which the percent of uranium-235 is concentrated is called enrichment, and the uranium obtained this way is called enriched uranium. Uranium-234 is even less abundant than uranium-235, so it can be ignored for most practical purposes.

Uranium-238 is not stable but breaks down into two parts. This process of breaking down is called decay. The decay of uranium-238 produces a small part called "alpha" radiation and a large part called the decay product. The breakdown of uranium-238 to its decay products happens very slowly. In fact, it takes about 4.5 billion years for one-half of the uranium-238 to break down (4.5 billion years is the half-life of uranium-238). Thorium, the decay product of uranium, is also not stable, and it continues to decay until stable lead is formed. During the decay processes, the parent uranium-238, its decay products, and their subsequent decay products release a series of new elements and radiation, including such elements as radium and radon, alpha and beta particles, and gamma radiation. Alpha particles cannot pass through human skin, whereas, gamma radiation passes through more easily.

Because of the slow rate of decay, the total amount of natural uranium in the earth stays almost the same, but it can be moved from place to place through natural processes or by human activities. When rocks are broken up by water or wind, uranium becomes a part of the soil. When it rains, the soil containing uranium can go into rivers and lakes. Mining, milling, manufacturing, and other human activities also move uranium around natural environments.

We use uranium mainly in nuclear power plants and nuclear weapons. Very small amounts are used in making some ceramics, light bulbs, photographic chemicals, and household products.

How might I be exposed to uranium?

Since uranium is found nearly everywhere, you can be exposed to it in the air, water, food and soil. We know, roughly, the average amounts of uranium in food (0.08 to 70 micrograms per kilogram [ug/kg]) and drinking water (0.4 to 1.4 micrograms per liter [ug/L]; 1 microgram = 1/1,000,000th of 1 gram). Most people in the United States take in some uranium with their food every day. Root vegetables, such as beets and potatoes, tend to have a little more uranium than other foods. In a few places, the concentration of uranium is higher in the water than in the food. People in these areas take in more uranium from their drinking water than from their foods. Your daily intake of uranium may be greater than average if you live near uranium mines or processing plants or an uncontrolled waste site containing uranium, eat food grown in contaminated soil, or drink water that contains unusually high levels of uranium. Normally, very little of the uranium in lakes, rivers, or oceans gets into the fish or seafood we eat. The amount in air is usually so small that it can be safely ignored.

However, people who work at factories that process uranium, work with phosphate fertilizers, or live near uranium mines have a greater chance of being exposed to uranium in the air than most other people. Larger-than- normal amounts of uranium might also enter the environment from accidental discharges from uranium processing plants.

How can uranium enter and leave my body?

If you were to breathe in uranium dust, most of it would leave the lungs when you cough or breathe out. However, you might swallow some of the uranium you breathe in as your body removes the uranium from your lungs. Some of the uranium in your lungs will enter your blood, pass through the kidneys, and be eliminated in the urine within a few days. A small amount may stay in your lungs for years.

Since uranium is present all over the earth, everyone normally eats or drinks a small amount of uranium daily. When it enters your body this way, about 99% of it leaves within a few days in your feces and never enters your blood. A small amount of uranium (about 1%) will enter the blood. Most of this will pass through the kidney and be eliminated in the urine in a few days. A small amount goes to your bones and may stay in your bones for years. A very small amount, about 1/5000th of the weight of an aspirin tablet, is found in most people, mainly in their bones.

Although uranium is radioactive, the type of radiation it gives off cannot go through your skin, so natural uranium that is outside the body is not hazardous. When uranium gets inside your body, after breathing it in, eating or drinking it, or through cuts in your skin, radiation and chemical toxicity are of concern to health.

How can uranium affect my health?

We do not know for certain if natural uranium is dangerous to human health, although evidence of kidney effects were seen in people who work in uranium mines. Animals have developed kidney disease after they have been exposed to large amounts of natural uranium in the food, in the drinking water, in the air, or on the skin.

There is always a concern about getting cancer from any radioactive material. Natural uranium has very low levels of radioactivity and has not definitely been shown to cause cancer in humans or animals. Nevertheless, it is possible that you could develop cancer from swallowing or breathing large amounts of natural uranium because the greater your exposure to a radioactive material, the greater your chance of developing cancer. This is particularly true for enriched uranium that has been made more radioactive. Cancer may develop many years after swallowing or breathing a radioactive material. Just being near natural uranium is of very little danger to your health because most of the radiation given off by uranium cannot go through your skin.

We do not know if natural uranium causes reproductive effects or birth defects in humans, but animal studies suggest that uranium may affect reproduction and the developing fetus.

What levels of exposure have resulted in harmful health effects?

Small amounts of uranium are always in your body and these amounts are not known to affect your health. Some uranium miners have developed lung cancer. This cancer is not from the uranium itself, but from the high levels of radioactive radon gas, which is formed when uranium decays.

Animals that ate food, drank water, or breathed air that had high levels of uranium dust have developed kidney damage. The extent of kidney damage depends on how much uranium gets into their bodies and on the chemical form to which the animals are exposed. Animals can eat or breathe large amounts of some forms of uranium without having any health problems at all.

Tables 1-1, 1-2, 1-3, and 1-4 show the relationship between uranium and known health effects.

Is there a medical test to determine whether I have been exposed to uranium?

There are medical tests that can be performed to determine the amount of uranium in your urine and feces. If you are exposed to a larger- than-normal amount of uranium, some uranium may appear in your urine and feces. Since most uranium leaves the body in the feces within a few days, the amount in the feces only shows whether you have been exposed to a larger amount than normal within the last week or so. Uranium can be found in your urine for up to several months after exposure. The amount of uranium in your urine and feces does not always accurately show how much uranium you were exposed to.

Since uranium is known to cause kidney damage in humans and animals, urine tests can be used to see if you have kidney damage that may have been caused by exposure to uranium. Some of these tests include measuring the amount of protein, sugar, or enzymes in the urine, or detecting the presence of damaged kidney cells in the urine. These tests, however, are not specific for uranium and are only useful to determine if kidney damage has occurred.

If you breathe large amounts of radioactive uranium, the amount of radioactivity in your body can be measured by a special test. This test is only useful if you have been exposed to certain types of uranium that stay in the lungs for a long time, or to enriched uranium that is more radioactive than normal.

What recommendations has the federal government made to protect human health?

EPA states that long-term exposure to 0.003 milligrams of uranium/kilogram of body weight/day in the food or drinking water is safe for humans. This value is for compounds of uranium that dissolve easily in water. EPA requires industries to report discharges of more than 0.1 curie for most uranium isotopes, including uranium- 238, and to report spills of 100 pounds or more of two uranium compounds, uranyl nitrate and uranyl acetate. Uranium levels in the workplace are regulated by the Occupational Safety and Health Administration (OSHA) and recommended by the National Institute for Occupational Safety and Health (NIOSH). Both organizations set the occupational exposure limit for an 8-hour workday, 40-hour workweek at 50 micrograms per cubic meter (ug/m3) for uranium compounds that dissolve easily in water. The limits for compounds that do not dissolve easily in water are 200 ug/m3 (OSHA) and 250 ug/m3 (NIOSH).