2011 Tōhoku earthquake and tsunami
It was reported that radioactive iodine was detected in the tap water in Fukushima, Tochigi, Gunma, Tokyo, Chiba, Saitama, and Niigata, and radioactive caesium in the tap water in Fukushima, Tochigi and Gunma. Radioactive caesium, iodine, and strontium were also detected in the soil in some places in Fukushima. There may be a need to replace the contaminated soil. Many radioactive hotspots were found outside the evacuation zone, including Tokyo. Food products were also found contaminated by radioactive matter in several places in Japan. On 5 April 2011, the government of the Ibaraki Prefecture banned the fishing of sand lance after discovering that this species was contaminated by radioactive caesium above legal limits. As late as July 2013 slightly elevated levels of radioactivity were found in beef on sale at Tokyo markets.
Thyrotoxic myopathy
One treatment option is the use of radioactive iodine which directly destroys the overactive thyroid gland. The thyroid gland naturally uses iodine to produce thyroxine and other hormones. It cannot distinguish between normal iodine and the radioactive version. Administering the radioactive isotope causes the thyroid to take in the lethal iodine and quickly radiation destroys it. Typically overproduction of thyroxine using radio-iodine is blocked with one dose. The drawback to this treatment is the thyroid gland is completely destroyed and patients often develop hypothyroidism. Some do so only a few months after treatment while others may not be affected for 20–30 years. Hypothyroidism patients must begin a lifelong regimen of thyroid replacement hormones. While the onset of hypothyroidism is most common with radio-iodine treatment, the condition has been observed in patients treated with medication series and surgery.