"

Re: Fukushima Radiation Hitting The North

American West Coast
Rabbi Shemaiah said: "Love work. Hate authority. Don't get friendly with the
government." (Avoth 1:10)
This article is Non-Profit and for the purposes of education only.
All rights reserved (Please see Appendix 2, Page 13)

03-February-2014 (updated);
London
Dear Sir/Madam,
My name is Dr. Shmuel Iger-Kinyan and currently I work and live in the UK.
I am sending you this letter not to persuade or convince you but to raise
concern and provide information so that you will be able to protect yourself
and your family from the radioactive pollution coming from Fukushima,
Japan and causing irreversible damage to millions of people, especially
children, in Japan, Hawaii and the West Coast of Northern America.
Feel free to ignore or challenge my opinion and check the
information provided in this letter yourself but I want my voice to be
heard.
I was born, grew up and graduated from the Medical School in the City of
Chelyabinsk, Russia where the first ever Nuclear Disaster took place in 1957
(many years before the Chernobyl Nuclear Disaster occurred in 1986) and
where the Soviet Nuclear Weapon was produced.
For more information:
http://www.wentz.net/radiate/cheyla/index.htm
When I lived in the City of Chelyabinsk, Russia I developed radiation
awareness and learned how to protect myself and my family against
radioactive pollution based on the scientific evidence of Russian scientists
and the medical doctors who treated people exposed to the harmful
radiation.
We have to understand that the danger from radiation is invisible.
It is not accessible by our five senses. It demands an entirely new
consciousness in order to protect ourselves from this danger. Our
natural instincts therefore do not help to protect us. With my own
eyes I saw mothers allowing small children to swim in radiation polluted
rivers and lakes as they did not seem to be polluted. Later on these children
suffered from leukemias.

I practiced Medicine in Russia for two years in the Paediatric

Department from 1994 to 1996 and also in Israel in Emergency Department
for five years from 2000 to 2005. I am not actively practicing medicine at
the present time.
Due to my background and experience I want to warn you that the huge
plume of the Fukushima Radiation which is travelling from Japan through the
Pacific Ocean is already hitting The North American West Coast right
now with further rapid escalation over the next 20-40 years. An informative
lecture by Dr. Stephen Hosea, a physician from Santa Barbara on this
subject see: https://www.youtube.com/watch?v=2zGQPe3_ikQ For more
information:
http://www.washingtonsblog.com/2013/08/west-coast-of-north-america-tobe-hit-hard-by-fukushima-radiation.html
It means that the population on the North American West Coast penetrating
up to 250-300 miles inland is going to be profoundly affected by extremely
harmful radioactive hot particles for many years to come. For more
information: http://www.prisonplanet.com/study-fukushima-radiationfallout-has-devastated-health-of-us-babies-on-west-coast-and-in-otherareas.html
The group most vulnerable to these radioactive harmful hot particles
pollution will be children and young adults up to 40-year-old.
The younger the person, the more harm will be done by the
radioactive hot particles pollution.
The consequences will be devastating: mainly birth defects, thyroid cancer
and leukaemia among children and young adults, lung cancer, lymphomas
and other different kinds of malignant solid tumors mainly carcinomas
among adults. The effects will last from two to seventy years after the
exposure to the radioactive pollution. Social impact on those who survived
the radioactive pollution also will be devastating: children and young adults
after medical treatments will have serious difficulties in getting married and
even having children.
The Fukushima Radioactive plume carries different harmful substances
mainly radioactive isotopes or so-called the hotparticles likeIodine-131
Cesium-137 http://large.stanford.edu/courses/2012/ph241/wessells1/
Strontium-90 and many others which have a cumulative effect: they enter
into the body with air, water, food and dust and never go away, irreversibly
damaging the healthy body tissue and cells causing years later on different
kinds of cancers. http://fairewinds.org/media/fairewinds-videos/new-videoof-scientist-kaltofen-presenting-to-american-public-health-association
These harmful invisible hot particles have no taste, do not smell and
cannot be felt: they are already present in air, water, soil, all seafood, meat,
vegetables and ESPECIALLY MUSHROOMS AND ALL MILK PRODUCTS
which originate from the radioactively polluted areas like Japan, Hawaii and
the North West American Coast for the last two years.

http://thewatchers.adorraeli.com/2011/11/04/report-us-topsoil-contains-levelsof-radioactive-cesium-up-to-10000-percent-higher-than-previously-believed/
Page 2 of 13

They are going to increase dramatically after the Fukushima Radioactive

plume from Japan hits the North American West Coast. For more
information: http://www.psr.org/news-events/press-releases/psrconcerned-about-reports-increased-radioactivity-food-supply.html These
hot particles do not do you much harm if they are OUTSIDE of your body
but they do a lot of harm if they are INSIDE of your body causing socalled INTERNAL Radiation. In most cases even these hot particles are
present in the environment, the level of external radiation can be absolutely
normal.
Unfortunately the USA, Canadian and Japanese Governments with full
cooperation of the main global stream mass media have been trying to cover
up the real situation since the Fukushima Nuclear Disaster took place in
March, 2011 and they did not, do not and will NOT make any steps to
protect the public health.
At this present moment the three Fukushima main nuclear plants that
disintegrated completely are still releasing into the Pacific Ocean an
absolutely enormous amount of extremely harmful, radioactively polluted
water every day, carrying these harmful hot particles towards the West
Coast of the Northern America. These has being going on for the almost
three years since March 2011 and the fourth nuclear plant is about to
collapse making the Fukushima Nuclear Disaster much more
devastating than Chernobyl.
Read more about what can happen to whole World if the fourth
Fukushima nuclear reactor collapses:
http://akiomatsumura.com/2012/04/682.html
Taking into consideration all mentioned above, the ultimate solution for
everybody but especially for the children and young adults younger than
40 is
Relocation far away from Japan, Hawaii
and
The North American West Coast ASAP!

Before relocation please consider the following steps:

1. STOP consuming any sea products from Japan, Hawaii and the
Pacific Ocean (fish, seaweeds and etc.) any meat, leafy vegetables
such as lettuce and especially mushrooms and all milk products that
originate from Japan, Hawaii and the North American West Coast which
can contain large amount of the hot particles ASAP! All the Blue tuna
has already been found to be poisoned with these particles.
All fruits, berries, pods, leaves and vegetables always should be cleaned,
washed and peeled (when applicable) before being eaten even they do not
originate from radioactively polluted areas. Before cooking/eating
immerse all fruits and vegetables in cold water mixed with three
teaspoons (20 g.) of baking soda per one liter for 20 minutes: it will
help to get rid of radioactive particles and other harmful substances.

Page 3 of 13

2. Filter any drinking water and also for cooking and having shower using
Reverse Osmosis and Ion Exchange Radiation Filters or any other
radiation filters which can prevent the hot particles entering into your
drinking water:
http://purepro.net/japan_nuclear_crisis_affect_drinking_water.htm
or http://purewaterfreedom.com/osc/reverse-osmosis-c-4.html or/and
http://www.highwaterfilters.com/T-R-A-P-Radiation-Filters-s/52.htm
and http://www.infowarsshop.com/RAD-Eliminator-Pro-Filtered-28ozSports-Bottle_p_817.html
Radiation Water Filtration Straw: http://www.nukepills.com/radiationwater-filtration-straw.htm
If you cannot use such water filters, use ONLY bottled drinking water that
originated far away from Japan, Hawaii and the North American
West Coast.
3. Minimise your radioactive exposure to the dust containing the
hot particles by:

Staying more inside of the premises rather than outside.

Avoiding sunbathing, swimming or/and going to the beach of
the Pacific Ocean.
Discouraging your children from playing outside, especially on the
ground.
Washing your clothes and the clothes of your children that were used
for outdoor activities, as often as possible always adding baking
soda into washing powder 20g per liter or 100g per five liters
of water being used in the washing machine.
Washing your hands carefully each time when you touch food, having
shower daily mixing liquid soap with some baking soda and
encourage your children to do the same.
Removing your shoes and outdoor clothes before entering your
dwelling place and leaving them outside your place of
accommodation, clean and wash those with baking soda (20g or three
teaspoons per liter) regularly, wearing disposable gloves, disposable
aprons, safety goggles and NIOSH-Approved N100 particle face
masks:
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100list
1.html and also shoes, shoe laces and outdoor clothes of your
children. Put a coat rack just-inside the entry door. Put a shoe
rack too. First thing everyone does when they walk in the door
- ditch the outerwear and shoes right then and there.
Cleaning floor using a real sealed HEPA Vacuum Cleaner in your
dwelling place as often as possible wearing NIOSH-Approved N100
particle face masks:
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100list
1.html
Page 4 of 13

Read more how to select the real HEPA Vacuum Cleaner wisely:
http://www.bestvacuum.com/how-select-hepa-vacuum-cleaner
Change the HEPA Vacuum filters regularly.
Learn more how to know when to replace the HEPA Vacuum filter
http://homeguides.sfgate.com/replace-hepa-vacuum-filter-23555.html

Trying getting rid of all carpets in your dwelling place as they collect
and absorb a lot of radioactive harmful particles.

Cleaning air in your dwelling place regularly by a high quality

portable HEPA filtered air purifier
http://www.allergycosmos.co.uk/air-purifiers/hepa
Learn more how to choose a high quality portable HEPA filtered air
purifier wisely: https://aircleaners.com/air_cleaner_report/
Remember, the whole house HEPA air cleaners will NOT do the proper
cleaning of the air from the harmful radioactive particles!
Read more: https://aircleaners.com/wholehouse/

Always wear disposable gloves ,safety goggles, disposable

aprons and NIOSH-Approved N100 particle face masks:
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100list
1.html when you clean air filters (air conditioner filters, car
filters and etc.) and vacuum cleaner bags, when you do
hoovering, gardening, any outdoor construction works, when
you clean floors and also when you clean shoes and outdoor
clothes !

NEVER let your children or/and pregnant women clean air filters (air
conditioner filters, car filters and etc.) and vacuum cleaner filters and be
nearby when you clean them. Always collect the dust from the air filters
using disposable gloves, safety goggles, disposable aprons and
NIOSH-Approved N100 particle face masks:
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100list1.html
into plastic bags, seal and dispose them carefully far away from human
dwelling places!
Store and always have on hand disposable particle face masks:
Get a minimum "NIOSH N100-certified" filter mask for yourself and
each member of your family
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100list1.html

Avoiding any contact with small, soft, sponge-like plants such

as mosses, mushrooms and fungi: do not touch them and do not
sit on them. Watch your children carefully not to play with them and
not to sit on them.

NOT picking up any flowers growing in your garden, parks, open

spaces or/and forests especially during springtime bud burst when
the process of pollination takes place and watch your children
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carefully not to pick up any flowers or smell them. The pollen of the
flowers in radioactive polluted areas is enormously contaminated by
the hot particles, especially by Cesium-137. If you come into any
contact with such plants/flowers always wear disposable gloves,
aprons, safety goggles and "NIOSH N100-certified" filter mask
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100list
1.html

Not spending your time outside when it rains or/and snows

and watch your children carefully to be inside of the premises when it
rains or snows. If you or your children have been out in a rain storm,
take a shower strait away afterward mixing baking soda with liquid
soap and wash your children in it.

Never travel to any parts of Japan with your little children

and/or pregnant women!
Never fly over the Pacific Ocean, the North American West Coast
neither with your children nor with pregnant women: radiation
levels over the Pacific Ocean and up in jet stream are very high and
going to increase dramatically!
All these measures will help you to avoid and get rid of the radioactive dust
containing the harmful hot particles coming from the atmosphere.

4. Consider excessive consuming seaweeds regularly harvested far

away from the Pacific Ocean and the Irish Sea (the Irish Sea has been
radioactively polluted for the last 55-60 years) on a daily basis and ONLY
after consultation with your Physician and Pediatrician for your
children. http://www.ryandrum.com/radiationprotectionusingseaweeds.htm
Read more how to consume seaweed wisely for children, pregnant
and breastfeeding women:
http://www.foodstandards.gov.au/consumer/safety/brownseaweed/pages/d
efault.aspx
Those who have allergic reaction or medical contraindications to the sea
products should avoid consuming the seaweeds.
http://www.infowarsshop.com/Modifilan_p_631.html and here:
http://www.powersuperfoods.com.au/seaweed/organic-wakameseaweed.html
Norwegian Kelp is very good as well:
http://www.livestrong.com/article/496339-norwegian-kelp-benefits/
5. Consider using Nascent Iodine to protect your thyroid on a daily basis
and ONLY after consultation with your Physician and Pediatrician for your
children. Those who have allergic reaction to the Iodine or have medical
contraindications especially related to the Thyroid Gland diseases should
avoid consuming the Nascent Iodine;
http://www.infowarsshop.com/Survival-Shield--NascentIodine_p_1104.html
Page 6 of 13

6. Consider changing your diet preferences and habits by

Adding flaxseeds, garlic, miso, seaweed powder and ginger to

your food regularly, harvested far away from radioactively
polluted areas which have a radio-protective effect and encourage
your children to do the same. For more information:
http://www.greenmedinfo.com/blog/protect-yourself-radiationflaxseeds
Please learn more how to consume flaxseeds wisely, reading from here:
http://www.nlm.nih.gov/medlineplus/druginfo/natural/991.html
About Ginger: http://www.ncbi.nlm.nih.gov/pubmed/22596078
About Garlic: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2150001/
About Miso: http://www.ncbi.nlm.nih.gov/pubmed/11833659
and here: http://holisticradioprotection.wordpress.com/tag/miso/

Not eating meat of animals and fish that are high in the food
chain such as beef, lamb and tuna.

Avoiding any milk products from any animals and replacing them
with vegetable milk products such as soya, almond and coconut
milk products or any other dairy-free products.

Eating more vegetables that grow underground: like potatoes,

carrots, beets instead of those that grow above the ground.

Eating whole unrefined food, cooked from scratch, instead of

processed and refined food: brown sugar instead of white sugar,
brown rice instead of white rice, sea or natural rock salt (Not from
Japan, Hawaii or Pacific Ocean) instead of refined (a.k.a. table) salt,
brown bread instead of white bread, whole grains instead of
refined grains, green tea instead of black tea, eat more grain-like
seeds such as buckwheat which is very good in cleansing your guts.

7. Consider light or moderate consuming alcohol beverages (beer, red

wine, vodka, brandy and whisky) regularly (2-5 times a week) for those who
are older than 18-21: (vodka, whisky and brandy: not more than 50-75 ml a
day in average), never exceed your daily units: 3-4 units for males and 2-3
units for females.
Do not consume any alcohol beverages originated from Japan,
Hawaii or/and The North American West Coast.
Pregnant women, children and those who have medical
contraindications should avoid consuming alcohol regularly.
For more information: https://www.drinkaware.co.uk/check-the-facts/whatis-alcohol/daily-guidelines
Light and moderate regular drinking of alcohol is effectively radioprotective; Please read more here:
http://www.ncbi.nlm.nih.gov/pubmed/19395196
Page 7 of 13

and here: http://bjr.birjournals.org/content/60/714/577.abstract

Be prepared!!! Unfortunately, according to the Experts, the Nuclear
Accident in the USA is inevitable and can happen at any time!
http://fairewinds.org/podcast/fukushima-daiichi-nuclear-accident-ongoinglessons In case of Nuclear Emergency and if one of the Nuclear
Fukushima Reactors collapses:
1.

Store and have Potassium Iodine (KI) Tablets and/or liquid

Potassium Iodide (KI) on hand for yourself and especially for
your children ASAP!
http://www.infowarsshop.com/THYROSAFE-KI_p_627.html
and here: http://www.nukepills.com/potassium-iodide.htm
It's strongly recommended to use Potassium Iodine (KI) tablets or/and
liquid in Nuclear emergency situations ONLY and within 24 hours before
or/and after it occurred in order to protect the Thyroid Gland especially for
children and those who are younger than 40. If you did not take it within
first 24 hours, take it later within first 30 days after the nuclear emergency
event took place anyway!
For more information about using Potassium Iodine (KL) in Nuclear
Emergency Situations:
http://www.nrc.gov/about-nrc/emerg-preparedness/about-emergpreparedness/potassium-iodide/ki-faq.html
and here: http://www.nukepills.com/nuclear-reactor-maps.htm
It is still possible but NOT recommended to use Potassium Iodine (KI) for
those who are older than 40 even the Nuclear Accident occurs!
Avoid repeat dosing of Potassium Iodine (KI) to newborns unless
otherwise recommended to you by your physician!
Get advice from your Physician BEFORE preparing to use Potassium Iodine
(KI) and have it on hand in case of Nuclear Emergency Event within 350
miles from your location or/and if the Fourth Fukushima Plant collapsed
or/and if the earthquake/tsunami hits the east cost of Japan or/and
if the earthquake/tsunami hits the nuclear plant within 350 miles from
your location!
Read leaflet and follow manufacturer instructions carefully about children
doses BEFORE administrating Potassium Iodine (KI) to children.
When the appropriate dosage is followed, side effects from KI are
rare in children and young adults. However, they may include mild
allergic reactions, skin rash, and gastrointestinal upset.
http://www.who.int/ionizing_radiation/pub_meet/tech_briefings/potassium_i
odide/en/
Generally speaking, Potassium Iodine (KI) is cheap, effective thyroid
protector against harmful radioactive Iodine-131 and has minimum side
effects. http://news.nationalpost.com/2011/03/14/post-primer-how-iodinetablets-help-protect-against-radiation-exposure/
It was used by the Polish Authorities after Chernobyl Nuclear Disaster took
place in 1986 and was very effective in protecting more than 10 (ten) million
Page 8 of 13

Polish children and 7 (seven)million young Polish adults against Thyroid

Carcinoma with minimum side effects.
Remember: Potassium Iodine (KI) will not protect you and your
children from other harmful radioactive substances (the hot
particles) but from the radioactive Iodine-131 ONLY!
Do not use iodized table salt or food as a substitute for Potassium
Iodine (KI)!
Avoid using Potassium Iodine (KI) if you have any allergy or
hypersensitivity to the Iodine Products or/and have the following Medical
conditions:
a). Multinodular goiter, Graves' disease and autoimmune thyroiditis;
b). Dermatitis herpetiformis and hypocomplementemic vasculitis;
Read more by yourself and make your physician/pediatrician read more
about Potassium Iodine (KI):
https://www.health.ny.gov/environmental/radiological/potassium_iodide/inf
ormation_for_physicians.htm
*Always keep records of Administration of Kalium Iodine (KI) to each member of your family
separately using a Kalium Iodine (KI) Administration Form (please see Appendix 1, Page 12 ).
*Print out right now two Kalium Iodine (KI) Administration Forms (Appendix 1, Page 12) for
each member of your family and keep them in a plastic wallet at the same place where you
keep the Kalium Iodine (KI) Tablets for the sake of a Nuclear Emergency Situation.
2.
Have a Radiation Detector on hand in order to
determine radiation exposure and if any medical treatment required in
a major radiological incident.
http://www.infowarsshop.com/RADSticker-5-pack_p_443.html
or here: http://www.nukepills.com/radiation-detector.htm
3. Read more about Prussian Blue and other treatments in case of
Radiation Emergencies and make your physician read more about it:
http://www.bt.cdc.gov/radiation/prussianblue.asp
Read more here:
http://www.hpa.org.uk/webc/hpawebfile/hpaweb_c/1287146529825
Nuclear Reactor Emergency Preparedness:
http://www.nukepills.com/emergency-preparedness.htm
4. Get right now and have on hand
*Disposable NIOSH-Approved N100 Particle Masks:
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/n100lis
t1.html safety goggles, disposable gloves and aprons for each
member of your family for any outdoor activities in case of
nuclear emergency!

Page 9 of 13

*Disposable Tyvek suit and booties for each member of your

family: http://www.envirosafetyproducts.com/tyvek-coverallsdisposable-clothing-1414.html for any outdoor activities!
*Water radiation filters for drinking water (please see
information mention above)
*Rolls of plastic, Duct tape, wide masking tape and rolls of
self-adhesive weather stripping for sealing your dwelling
place from inside.
immediately after the nuclear event which took place within 350
miles of your location http://www.nukepills.com/nuclear-reactormaps.htm#zip or/and if one of the Fukushima Plans collapses!
Please learn more how to act and seal your dwelling place if radiation is
identified as heading toward your area or has arrived in your area:
http://planet.infowars.com/preparedness/radioactive-steam-fromfukuishima-alert
*Food, medicine and water supply for at least 10-15 consecutive
days for each member of your family in case of the nuclear emergency
when all family will have to spend a few days sitting inside of the sealed
premises.
* Emergency Radio: http://www.infowarsshop.com/-EmergencyRadios_c_26.html
* Emergency Pocket Electricity Generator:
http://www.infowarsshop.com/Pocket-Socket-20_p_1031.html or
*Emergency Pedal Powered Electricity Generator
http://www.infowarsshop.com/The-Power-Box-Pedal-PoweredGenerator_p_1108.html

5. Be always updated about situation with No4 Fukushima plant

and other nuclear plants within 350 miles of your location:
through Nuclear Emergency Tracking Centre: http://www.netc.com/
and read more about the situation in the Fukushima Nuclear Plants by
regularly reading information from reliable resources:
Energy News: http://enenews.com/top-scientist-fukushima-is-the-mostterrifying-situation-i-can-imagine-ive-seen-a-paper-which-says-its-bye-byejapan-and-to-evacuate-n-americas-west-coast-if-unit-4-goes-after-q
Fukushima Facts http://fukushimafacts.com/
Fukushima Update: http://fukushimaupdate.com/what-is-the-actual-riskfor-pacific-coast-residents-from-fukushima-radiation/
Alex Jones Prison Planet: http://www.prisonplanet.com/study-fukushimaradiation-fallout-has-devastated-health-of-us-babies-on-west-coast-and-inother-areas.html
Do NOT trust blindly to information provided by official, Main Stream
Mass Media: They have other interests to protect. You need to care
for your own interests, your health and that of your family. Question
everything!

Page 10 of 13

Please remember!
All steps mentioned above can reduce the risk of
harmful exposure to the Radioactive Pollution but
they protect neither you nor your children from the
harmful radioactive pollution completely!
ONLY RELOCATION
FAR AWAY FROM the radioactively polluted areas
CAN PROTECT YOU AND YOUR CHILDREN
FROM THE RADIOACTIVE POLLUTION.
DO NOT WAIT FOR THE WORSE TO COME
ACT NOW!
Remember, this problem will never go away!
If the Fukushima Reactor No4 collapses, it will release into the air an
absolutely enormous amount of the radioactive particles and all
flights over the Pacific Ocean and North American West Coast might
be suspended for a long time. Therefore you can find yourself
trapped under huge radioactive fallout with very limited options for
any reasonable maneuvers and it can happen at any time.
Disclosure: Neither myself nor my friends or/and relatives have personal involvement,
investment or any other personal benefits from the selling, distributing or/and promoting any
of the products, memberships, advertisements or/and any other materials, websites, items
mentioned in this article no in their enterprise or any similar business. All information
provided in this article is exclusively and only for the education purposes.
The information transmitted in this article is for the person or entity to which it is addressed.
No responsibility is accepted by Dr. Shmuel Iger-Kinyan for any loss or damage, health,
mental, financial or emotional problems arising from receipt of this message, implementing
or ignoring the information provided in this article.
The information in this article has not been evaluated by the Food and Drug Administration and any
advice is not intended to diagnose, treat, cure or prevent any disease. Consult with a health care
professional before taking any action to treat or cure any illness or condition. The author disclaims
responsibility for any adverse effects resulting directly or indirectly from the material presented,
suggested procedures, undetected errors, or reader misunderstanding. It is your responsibility, as the
reader, to research how to protect yourself from radiation prior to deciding on which actions to take.

Furthermore, unless explicitly stated, this article is in no way a legally binding agreement.

May Almighty help us all in this difficult time!

Dr. Shmuel Iger-Kinyan (Mr.)
Page 11 of 13

Appendix 1: To be completed and checked BEFORE administration

of oral Kalium Iodine (KI) Tablet or Liquid;
Patients Records
& Contact Details:
Family Name:
Given Name:
Date of Birth:
Home Address:

e-mail address:
Local Tel. Number:
Gender:
Pregnant/Lactating?

(by Dr. Shmuel Iger-Kinyan; all rights reserved)

Administration of Kalium Iodine (KI) form

.. Mg per Tablet
..Mg per Drop
Manufacturer Name: Batch No..
Expiry Date: Day:. Month:..Year:.

Day: Month: . Year:.

Flat No: House Name/No:.
Street:
City:
Country: .
Post Code
@
Tel/Mob:
Male

Female

Yes

No

Iodine Allergy?

Yes

No

Contraindication
for use of Iodine?

Past or present thyroid disease: Yes

Known iodine hypersensitivity: Yes
Dermatitis herpetiformis: Yes
History of vasculitis: Yes
No

No
No
No

KI dose administered:
Tablet
Liquid

.Mg per Drop;

.. Mg per Tablet;

Drops received:.
Tablets received:.

Date and Local Time

when it was given
Where it was given:

Day:

By whom it was given:

Relation to the patient:

Total dose received in Mg:

. Month:. Year: ..
Hour:
Minutes:
Post Address:
Country: ..
Family Name:
Given Name:.
Signature:

Contact details: Exact Postal

Address/Tel/e-mail

..

Page 12 of 13

Appendix 2: FAIR USE NOTICE/ COPYRIGHT DISCLAIMER

UNDER SECTION 107 OF THE COPYRIGHT ACT OF

1976 , ALLOWANCE IS MADE FOR "FAIR USE " FOR
THE PURPOSES OF CRITICISM , COMMENT, NEWS
REPORTING , TEACHING , SCHOLARSHIP , AND
RESEARCH .
FAIR USE IS A USE PERMITTED BY COPYRIGHT
STATUTE THAT MIGHT OTHERWISE BE INFRINGING.
NON-PROFIT, EDUCATIONAL OR PERSONAL USE
TIPS THE BALANCE IN FAVOR OF FAIR USE".
This article is Non-Profit and for the purposes of Education
only.
All rights reserved by Dr. Shmuel Iger-Kinyan (Mr.)

Page 13 of 13