Medically used radionuclides in sewage sludge

The concentration of medically used radionuclides has been studied in sludge from the sewage treatment plant serving the borough of Malmo. In this area all nuclear medicine procedures are carried out in one hospital and almost all patients live in the borough. Therefore, the input of medically used radionuclides into the sewage system can be estimated with good accuracy. Samples of digested sludge have been taken once or twice a week during half a year. Iodine-131 (physical half life (T) = R.05 d) was detected in all samples. The ¹³¹I-activity concentration due to medical use varied between (0.03±0.01) and (0.12±0.02) nCi kg^?1. The ratio between the total output of ¹³¹I via the sludge and an adherent input of the radionuclide into the sewage system was determined to (2.6 ± 0.6) × 10^?3, which is equivalent to a ratio of (2 ± 1) × 10^?2 for stable I. Occasionally measurable activities of ¹⁹⁸Au (T=2.7 d) and ²⁰¹T1(T=3.l d) have been found. The radioactivity concentration of medically used radionuclides in the sludge is low and constitutes no health problems for the persons involved. The sludge however has proved to be a very sensitive and suitable integrator of radioactive material released from a large urban area.