Joint Resolution No. 103/59 of the Ministry of Health and of the Ministry for Emergency Situations “On the organization of iodine prophylaxis of the thyroid gland”.

This Joint Resolution primarily addresses the organization and conduct of iodine prevention in response to potential or actual radiation accidents, particularly those involving nuclear facilities. It operates within a legal and policy framework aimed at protecting public health and safety, emphasizing the importance of pre-planned measures for radiation emergency preparedness. The policy objectives include establishing procedures for the storage, distribution, and administration of stable iodine to mitigate thyroid exposure from radioactive iodine isotopes, with specific attention to facilities classified under emergency planning categories I, II, and V. Key measures outlined involve the creation and maintenance of stable iodine reserves, including the establishment of emergency kits for the population residing in designated zones. The document specifies the responsibilities of public health organizations and local authorities in stockpiling, replenishing, and distributing stable iodine, as well as issuing guidelines for the dosage and contraindications of iodine drugs. It emphasizes the importance of public awareness campaigns and the designation of extradition points for drug distribution. The decision-making process for initiating iodine prevention is clearly delineated, involving emergency managers at nuclear facilities and local authorities, with criteria based on projected radiation doses. The document also details the procedures for issuing stable iodine, including the timing, dosage, and contraindications, and underscores the necessity of reporting and coordination among relevant agencies. Implementation mechanisms include the designation of specific storage locations, the organization of distribution points, and the establishment of hand-delivery brigades to ensure timely access to iodine drugs. The plan specifies that distribution should occur 24 hours a day during the initial 24 hours following an emergency declaration. It also addresses procedures for the destruction of expired iodine stocks and the importance of compliance with existing legislation. Overall, the document provides a comprehensive framework for legal and procedural preparedness to ensure effective iodine prophylaxis during radiological emergencies in the national territory. To protect the thyroid gland from the risk of radioactive iodine isotopes ingested through the digestive system, other protective measures are advisable: prohibiting the consumption of local foods (including milk and leafy vegetables) and drinking water from open drinking water sources (reservoirs and uncovered wells) until radiation monitoring results are available. Potassium iodide tablets are used as the primary iodine prophylaxis.