FrontMatter -- Acknowledgments -- Contents -- Summary -- 1 Introduction -- 2 Effluent Releases from Nuclear Power Plants and Fuel-Cycle Facilities -- 3 Radiation Dose Assessment -- 4 Epidemiologic Studies -- 5 Risk Communication and Public Engagement -- Appendixes -- Appendix A: Radiation as a Carcinogen -- Appendix B: Biographical Sketches of Committee and Staff -- Appendix C: Presentations and Visits -- Appendix D: Origin of Radioactivity in Nuclear Plants -- Appendix E: Origin of Radioactivity in Fuel-Cycle Facilities -- Appendix F: Regulation of Effluent Releases -- Appendix G: Radiological Effluent Technical Specifications (RETS) -- Appendix H: Radiological Environmental Monitoring Program (REMP) -- Appendix I: Radiation Dose Assessment -- Appendix J: Modeling Incidence and Mortality Data in an Ecologic Study -- Appendix K: Letter Template to State Cancer Registries -- Appendix L: Letter Template to State Vital Statistics Offices -- Appendix M: Letter Template to Departments of Public Health -- Appendix N: Glossary -- Appendix O: Acronyms.