B+858A%;I1A8A/<<A8

68+A )9&'B)4'5.9
.N6/'5A 6/69I =%91N66 6.66'.<
B)49%A!6'4+5.1.+A );I19IA'H+

wzzz
Department of Disease Control
8Q::!9Q:E!/: :+D+=*)/:)&+5)E-8+5+9"
5@"9<D3@:+92=2Q:3+9"=)D%:+8/925"2/!D-?L5!=LD+K/
+)/"@)F+


(SRRT)



(SRRT)



88/21 11000
0 2590 4380, 4514
0 2590 4388

1 1,200

.. 2560

/



79 10900

ISBN : 978-616-11-3371-9


..

..

.

2560

/
(International Health Regulations: IHR 2005)

2560

1 1
(criteria) 2
3
5


10
(Fukushima)
11
(SRRT)

2 14
14
17

19

()

3 20
20
21

24
25
26

27
29
29

33
e-mail
37
38
44
54

1.1




-60
(Cobalt 60) .. 2543

25 ..2552
(Iridium: Ir)

-192 (Ir-192) 24
12 ..2559

(SRRT)

1.2 (criteria)
(criteria)



(SRRT) 2/2559 29 ..2559
(Criteria)
2
(1)
(2)

1.3
(radiation)

(X-ray) (Gamma ray : )
(cosmic ray) (Alpha ray : )
(Beta ray : )
2


(radioactive material)




(radiation source)

(background radiation)


(radiation accident)

(radiation emergency)

(radioactive contamination)

(contamination)

(natural radiation)

40
(radioactive waste)





(competent authority)

.. 2548 (International Health Regulations 2005: IHR 2005)
(affected)




..2558
(Surveillance and Rapid
Response Team: SRRT)

(public health emergency)
()

SRRT 3 1

2 (core group)

3



SRRT

1.4

1.4.1





5


1.4.2


GPS (Global Positioning System) ()
(
)
/ /



/
1.4.3


5-10

. 089-2006243 (24 )
0 2596 7699 (
) 0 2590 4380
1422
SRRT (.)

(.)
0 2972 9606 9
0 2354 4226 9 777 (
)
6


1.4.4
.

< 3

> 3


/ ./ ./
/ ./
(
)
1.4.5
./


/
/ . /

/
/ ./ ./ ./

() /
1.1

()

/ ()

//

5-10


1. . 089-2006243
(24 ) 02-5967699
(.)
2.
02-590 4380
()
1422
./ ./ SRRT 3. . 0 2972 9606 - 9
()
4. . . 0 2354 4226 - 9
777 ()
/ . / ./ /

/
./ . ( )

(.)/

< 3 > 3

(.)/
/ ()
/

/
/
/. +

/ ()
- /
/
(
./ ./ ./
)
(// .)
- /

1.1

: .
.
.
.
.
.

1.5
(Fukushima)


(Fukushima)


11 .. 2554 8.9
1
15.30 . 12 ..2554
()
131 (I-131)


4 16 30 .. 2554




1.

(1) (
)
(2) ( 12 15
.. 2554)
(3)
(20, 20-30 30 )
2.



10


(screening level)
5 (0.60 mSv/hr)

3.



1,000 10 30
1,000
1

1.6
(SRRT)
(SRRT)
1669 / SRRT //
/ ./
./.
1.6.1

1669
(.)/ (.) SRRT
.
11


GPS ()





15
1.6.2 (safety officer)
./ . . 1 safety
officer
zoning



1.6.3 ./ ../ .


SRRT

(cold zone)



15
.


1.2

12


(SRRT)


1669

/ SRRT

1669
() / SRRT / ./
././ ./ 1)


2) Major Incident Medical
./././.
Management and Support
: The Practical Approach
SRRT at the Scene (5th Impression
2006)
3) ... ..2558
- SRRT 4)
- ../../././ ()
- Safety officer - 5)
. SRRT /
- . ()

15 SRRT

SRRT

: . .
. .
.. ..

13
 2

2.1


2.1

14


2.1


(Hot zone) ( > 100 Sv/hr)

(Warm zone)

( 10 - 100 Sv/hr)


(Cold zone)
( < 10 Sv/hr)
: .
. 2556.

(Clean zone)

( = )
2.1

2.1

15


Warm zone

2.1

: . .


10 20
..2559 .

16


2.2

2.2.1

2.2
2.2

()

30

100
300
400

17


2.2
()


()







100
: .
. 2556.

2.2.2




(SRRT)
1/2559 20 .. 2559


5 10

18


2.3

2.3
2.3

OIL*
100 Sv/hr (
)
100 Sv/hr (
)


1 mSv/hr


1 Sv/hr ()



: * Operational Intervention Level (OILs)

: .
. 2556.

19
 3

ALARA (As low as reasonably
achievable)

3.1

3 Time Distance Shielding


3.1
20


3.1

: . .

, 20 2559 http://www.oaep.
go.th/images/tmp/20110603144958.pdf

3.2

3.1

21


3.1



(Coveralls)
( Level C)

: http://baansafety.com/product/97/
--tyvex-shake


N95
(N95 Particulate
Respirator)
: https://www.3mdelivery.com



(Mask, Cotton)

(Medical latex
glove)

: http://www.nortechlabs.com/images/
latex-gloves-large.jpg

22


3.1
()


(Boot)

: http://www.c-safetyfirst.com/


(Plastic Shoes
cover)

: http://surgical-instruments-supplies.
medical-supplies-equipment-company.com/
product/polyethylene-shoe-covers_2262.htm

(Radiation
protection
glasses)

(safety glasses) : http://www.phillips-safety.com/radiation-p
rotection/radiation-eyewear/model-
250-economy-radiation-glasses-rg-250.html

23


3.3





2
( 3.2)

.. 2558
3.2




(Direct-
reading personal
radiation dosim-
eters) : http://drct.com/nuclear/index.
php?main_page=popup_image&pID=1

(Survey meter)




: http://www.biodex.com/nuclear-medicine/
products/radiation-detection/model-14
c-survey-meter-end-window-gm-probe

24


3.4 (Radioactive waste management)

3.2






/

3.2
:
.. 2546 ( 17 2547)
25


3.5








1)
( 3.3)
2) (.)

3.3

: . (Warning Sign)
[]. 2555 [ 9 2559].
: http://www.oaep.go.th/dt_news4.php?id=1152

26


. .


10 ; 20 22 ..2559;
. 2559.
.
.. 2558. :
; 2558.
. . :
; 2547.
. (Acute Radiation
Syndrome, ARS). []. 2557
[ 4 2559]; 27(1): 11-5. : http://www.
oaep.go.th/images/news/20150305153948.pdf
, , , ,
, , .

( 2548) .. 2550 2555.
2557; 23: 147-157.
. ..2558.
2. : ; 2558.
.
. :
; 2557.

27


. . :
; 2551.
.
. 2. :
; 2556.
. (Warning Sign) [].
2555 [ 9 2559]. : http://www.oaep.
go.th/dt_news4.php?id=1152
. .
: (); 2556.
. . 2. :
.; 2552.
.
(Surveillance and rapid response team: SRRT) []. 2554
[ 8 2559]. : http://www.boe.moph.
go.th/news.php?cat=4&id=122
.
. :
; 2558.
. [].

. (...). [ 20 2559]. :
http://www.oaep.go.th/images/tmp/20110603144958.pdf

Centers for Disease Control and Prevention (CDC). Acute Radiation
Syndrome: A Fact Sheet for Physicians [Internet]. 2005 March
[updated 2015 December 10; cited 2016 August 4]. Available from:
http://emergency.cdc.gov/radiation/pdf/arsphysicianfactsheet.pdf
Centers for Disease Control and Prevention (CDC). Radiation Emergencies
[Internet]. 2014 July [updated 2016 June 23; cited 2016 August
4].Available from: http://emergency.cdc.gov/radiation/index.asp
International Atomic Energy Agency (IAEA). Manual for First Responders
to a Radiological Emergency. Vienna, Austria: Incident and Emer-
gency Centre IAEA; 2006.
28


: 1. ..2558

: ... .. 2558 4
(1) (2) (3)
(4)



..2558 ..2548
(IHR-2005)
/

: 2.
:




: 3.
:
/
/

29


: 4.
: .
(
)
: 5.
:
.

Quarantine area

30

100
300

: 6.

:

3



: 7.

:

30


: 7.
()
:

.
: 8.

:


( Tyvek)

( )



: 9.
:





: 10.
: (
)
( )

31


: 10.
:



: 11.
:








: 12.

:
(dose) 0.7
()
(acute/ immediate exposure)



(Prodromal stage)
/

32

e-mail

/
16
(Office of Atoms for Peace) 10900
. 0 2579 5230, 0 2596 7600, 0 2562 0123

02-596-7699
089 200 6243 24 ..
0 2562 0086
( e-mail : -
)
9/9 7 . . . 26120
(.) . 02-401-9889 Fax. 037-392-913
e-mail: wuthidaj@tint.or.th
16 . 10900

() . 0 2401 9889

33
02 579 0220

 /
0-2872-1669 1669
(.) e-mail : pr@niems.go.th
.
. . . 11000
0-2590-4380, 4389, 1422
E-mail : phergroup@googlegroups.com
(Ramathibodi 1
Poison Center) Back office

() : 0-220-11084-6
Hotline : 1367 ( 24 )
Line ID : poisrequest
Email : poisrequest@gmail.com
679
10230
02-5174270-9, 0 2517 4333 1658, 1659

34
e-mail: admin@nopparat.go.th
6
10210 02 553 8555
 /
2 . 10400
02-3548108-37 3037
E-mail : crm@rajavithi.go.th
Facebook : facebook.com/PR.Rajavithi
88/7 4 . . . 11000
: 0 2951 0000 - 9
: 0 2951 0000 - 9
: 0 2951 1027 - 8
Email : brmd.cmp@dmsc.mail.go.th

(IAEA)
:+43 1 260000
/ 75/6 .6 . 10400
0 2202 4215-6
92 .7 .
.10400
1650, 0 2298 2423, 089-8112509
1032 . .

10900
.1584 0 2272 3100

35

 /
4353
10260 192
. 0 2399 4114

3/12 . . 10300
(.) 1784, 0 2243 0020-7, 0 2241 7470

. . .

. 11120
/ / 0 2980 7184


/ . 1
10330
191
0 2205 3158

36


71/1 .6 .
10400
199, 1555
0 2354 6858, 0 2279 7301-5


/
16 .
. 10900
. 0 2579 5230,
0 2596 7600, 0 2562 0123
..
02-596-7699
089 200 6243 24 ..
0 2562 0086
..
16 .
() . 10900
. 02-5620100, 0628200770
..
. .
. . 11000
. 02-5918173, 02-5903008
..

88/21 . .
. . 11000
. 02-5904380
. 679

10230
. 02-5174270-9 1658, 1659
: 1. . 17 .. 60
www.disaster.go.th/th/download-src.php?did=1163
2. , 2558
37


38








38
38


: , 2559.
39
39


: , 2559.
40
40


: , 2559.
41
41


/
-125 (I-125)

1
1. .. 2. (Gender) ( )
(Patient name) () ( )
3. ............................................................... 4. () .......
(Date of birth) (Occupation)
5. 6. ..
(Address) (Telephone number) ..
..
2 /
1. ( ) / ( 2 )
( ) 1 ( 3 )
2. / 2.1 () .................................. 2.2 ..............................
2.3 ......................... 2.4 ..........................

3. 1 3.1 3.2 3.3 3.4
1........................... 1.................... 1....................... ................................
2........................... 2.................... 2....................... ................................
3........................... 3.................... 3....................... ................................
4........................... 4.................... 4....................... ................................
....................................... ................................
4. ()
( ) / ..
( ) 2 ..
( ) 3 ..
( ) ............ ..
( ) ............ ..
3
1.
1 ( 30 ) ........................ .............. .
1 ........................ .............. .

() ............................................................ /
(..........................................................)
............................................................
............../.............../.................

: , 2559.
42

42


11 2554
..........................................................................................................................................
..........................................................................................................................................
13 ..........................................................................................................................................
2 .........................................................................................................................
....................................................................................................................
...........................................................................................................
........................................... ............................................................

1. ()
1.1
1.2 20 ()
1.3 20 30 ()
1.4 ()
1.5 ()
2. ()
2.1 12 ..54
2.2 12 .. 54 15 ..54
2.3 15 ..54

- ..................
- 02 3548138 02 3548108 37
02 5170606 02 5174270 9
1422

( 1) ( 2)
20 15 ..54

(20 Km) (20 30 Km) () ()
12 ..54
12 15 ..54
15 ..54

. . (CBC) Thyroid hormone

(acute radation sickness)

. . (CBC) Thyroid
hormone 1
/

: , 2559.

43
43


()
...............................................................................
...............................................................................

....................................................................................................................................................................................
...................................................................................................................................................................................
()
1. ............................................. ................. ...............()
2. ............................................. ................. ...............()
()
1. .......................................................................................................
2. .......................................................................................................
3. .......................................................................................................
(/ / )
....................................................................................................................................................................................
....................................................................................................................................................................................
...................................................................................................................................................................................
. . .
....................................................................................................................................................................................
...................................................................................................................................................................................
...................................................................................................................................................................................
()
....................................................................................................................................................................................
...................................................................................................................................................................................
....................................................................................................................................................................................
//
....................................................................................................................................................................................
..................................................................................................................................... ..............................................
..............................................
..............................................
..........................................
: , 2559.

44

45


24

46
45


46


47


48


49


50


51


52


53


(SRRT)

1. ..
2. ..

3. .

4.

5. .

6.

7.

8.

9.

10.

11.
12. .
13.
14. ..

54


15. ..

16. .
17.

18. .
19.
20.

21.

22.

23.


24.


25.


26.


27.


28.

55


56

58


59
57


60
60
58
 wzzz
Department of Disease Control

8Q::!9Q:E!/: :+D+=*)/:)&+5)E-8+5+9"

5@"9<D3@:+92=2Q:3+9"=)D%:+8/925"2/!D-?L5!=LD+K/
+)/"@)F+