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BRIEF RESEARCH REPORT article

Front. Public Health, 31 October 2025

Sec. Radiation and Health

Volume 13 - 2025 | https://doi.org/10.3389/fpubh.2025.1674819

Changes in cosmic radiation doses of aircraft crew over the COVID-19 pandemic (2019–2022)

Hiroshi Yasuda,
Hiroshi Yasuda1,2*Kazuaki YajimaKazuaki Yajima2
  • 1Research Institute for Radiation Biology and Medicine (RIRBM), Hiroshima University, Hiroshima, Japan
  • 2National Institutes for Quantum Science and Technology, Chiba, Japan

The in-flight cosmic radiation exposure of crew members in commercial jet aircraft is considered occupational exposure. In Japan, a guideline for the management of in-flight exposure of aircraft crews was established in 2006 by the radiation council. Accordingly, in-flight doses of aircraft crews have been calculated, and their annual in-flight doses have been recorded for the last 18 years, for which the authors have cooperated with airlines to calculate aviation route doses on a monthly basis. In this brief report, we present the trend of annual dose distributions of cabin attendants (CAs) and pilots (PLs) working in one of the Japanese airlines over the period of the COVID-19 pandemic from fiscal year 2019 to 2022. The cosmic radiation exposure of the CAs was significantly affected by the pandemic. The percentage of the CAs who annually received >1 mSv sharply decreased from 65% in the pre-pandemic year (2019) to 4.6% in the first year of the pandemic (2020), and their collective doses notably decreased in 2020 to 30% of the pre-pandemic level, followed by gradual recovery in subsequent two years. In contrast, the annual dose distribution of the PLs did not show a notable change, which is attributable to the increase in cargo flights and the introduction of small aircrafts during the pandemic.

1 Introduction

An increase in certain types of cancers, such as skin and breast cancers, has been observed in aircraft crews although a causal relationship is yet to be clarified (14). The enhanced cosmic radiation at aviation altitude is considered to be one of the causes of the cancer risk increase, as the effective dose rate of cosmic radiation at typical cruising altitude (10–12 km) is approximately 100 times higher than that on the ground. At aviation altitudes, neutrons account for approximately 50% of the effective dose, with protons contributing 10–20%, whereas the muons account for nearly 80% dose on the ground (5). Based on these facts, the International Commission on Radiological Protection (ICRP) recommends that the exposure of personnel to cosmic radiation during the operation of commercial jet aircraft should be treated as occupational exposure (68).

Along the ICRP recommendations and corresponding legal settings, in-flight cosmic radiation exposure of aircraft crews has been managed in selected countries or regions, such as the United States (9), Europe (1012), and Japan (13). Partial data on the cosmic radiation doses of aircraft crews indicated that their annual doses were 1–3 mSv on average and 4–6 mSv in maximum (1317). For example, according to an only source that were published by the Japanese government, the annual in-flight effective doses of the aircraft crews of Japanese airlines operating international flights were approximately 2 mSv on average and 4 mSv at maximum, as shown in Table 1 (13). Considering the reality of the cosmic radiation exposure of aircraft crews, national authorities have set regulations or guidance with reference dose levels above which additional protective actions, such as more precise individual monitoring and longer record keeping, need to be taken. The current reference levels are 6 mSv y−1 in most European countries (1012) and 5 mSv y−1 in Japan (13).

Table 1
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Table 1. Annual in-flight effective doses of aircraft crews of Japanese airlines operating international flights in the fiscal year 2007 (April 1, 2007 to March 31, 2008) (13).

However, these data were published before the COVID-19 pandemic began in early 2020, and its effects on the cosmic radiation exposure of aircraft crews remain unclear. During the initial phase of the pandemic, people feared the serious consequences of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and many of them cancelled air travel. Subsequent international and domestic travel restrictions and quarantine regulations caused a remarkable drop in flights on a global scale (1820), which is presumed to have significantly reduced the cosmic radiation exposure of aircraft crews, as reported for Japanese passengers (21). Therefore, in this study, we present the trend of in-flight dose distributions of aircraft crew working for a Japanese airline over the period of the COVID-19 pandemic (2019–2022), with the aim of contributing to discussions about the total impact of this pandemic on public and occupational health.

2 Methods

This study focused on the four-years period over the COVID-19 pandemic from 2019 (one year before the pandemic) to 2022 (third year of the pandemic). Annual in-flight doses of aircraft crews for this period were provided by a Japanese airline without traceable information that could be used to identify individuals. The dose from cosmic radiation during each flight (hereafter called “route dose”) was calculated based on a flight plan, which was determined by the airline. The authors cooperated in the route-dose calculations using the program “JISCARD EX” that was developed as part of the program package “JISCARD” (22) for the management of cosmic radiation exposure of aircraft crews in Japan (13). JISCARD EX incorporated an analytical code for calculation of atmospheric dose rates, named ‘PARMA,’ which was originally developed in Japan (23) and, by default, employed the up-to-date radiation and tissue weighting factors recommended in the ICRP recommendations (7). The accuracy of the aviation doses calculated by the JISCARD EX was validated through comparisons with in-flight measurements (2427) and different calculation codes developed in other countries (28, 29). In the comparison with German code EPCARD. Net, the route doses calculated by JISCARD EX for 68 major commercial flight routes agreed within ±20%, which is considered satisfactory for radiological protection purposes (28).

Route doses calculated by the JISCARD EX were provided to the airline every month. The airline estimated the individual effective doses of aircraft crews for each fiscal year (April–March) by adding the route doses provided by the authors and their flight records during the respective period. In this process, the route doses of domestic flights were uniformly given as 2 μSv per flight after careful examination of the dose levels and their uncertainties for the major domestic routes. For examples, we confirmed that the route doses from Tokyo/Haneda to Chitose (flight time: 70 min) were approximately 1.9 μSv in 2019 and 1.3 μSv in 2022, and those from Tokyo/Haneda to Fukuoka (flight time: 90 min) were approximately 2.6 μSv in 2019 and 2.4 μSv in 2022; the flying times of most other domestic flights were between those of these two routes. As the levels of any domestic route doses in Japan were significantly lower than those of long-haul international flights from Japan to Europe or North America (>50 μSv) (21), it was considered that the impact of this simplification was small and acceptable from the viewpoint of radiological protection. Therefore, we judged that a uniform route dose of 2 μSv per domestic flight could be rationalized for the management of cosmic radiation exposure of Japanese aircraft crews.

3 Results

The histograms of the annual effective doses of cabin attendants (CA) for each fiscal year are shown in Figure 1 where the dose level of 1 mSv is indicated with a dotted line in each graph, considering that the European Union directive requires European airlines whose aircraft crew may annually receive an effective dose greater than 1 mSv to carry out dose assessments (1012). Remarkable changes in the dose levels were observed during the focused period (2019–2022). The maximum and mean CA doses in 2020 were 2.7 mSv and 0.5 mSv, respectively, both of which were much smaller than those in 2019 (4.8 mSv and 1.4 mSv, respectively) and also those in 2007 (4.2 mSv and 2.2 mSv, respectively) shown in Table 1. The dose levels gradually recovered in subsequent years with increasing mean dose (0.6 mSv in 2021 and 0.9 mSv in 2022). It should be noted that, while the total number of CA did not notably change during the pandemic period, the percentage of the CAs who received the annual doses of >1 mSv remarkably decreased from 65% in 2019 to 5% in 2020, followed by a gradual increase to 15% in 2021 and 40% in 2022. As a result, the collective dose decreased by 29% in 2020 and recovered to approximately 50% by 2022, compared to the 2019 values. The bimodal shapes of the CA dose distributions can be attributed to the flight regions they mainly engaged in; the crew engaged in flights to Asian or Oceanian cities from Japan, including domestic flights, receive notably lower doses than those engaged in long-haul flights to European or North American cities.

Figure 1
Histograms showing annual dose distributions in millisieverts for years 2019 to 2022 in California. Panel a: 2019, n=9645, peaks near 1.5 mSv. Panel b: 2020, n=8944, peaks below 1.0 mSv. Panel c: 2021, n=8304, similar to 2020. Panel d: 2022, n=8095, with broader distribution beyond 1.0 mSv. Each histogram has a vertical line near 1.0 mSv.

Figure 1. Histograms showing annual effective doses of cabin attendants (CA) for fiscal years 2019 (a), 2020 (b), 2021 (c), and 2022 (d). A vertical dashed line in each graph marks the level of 1.0 mSv.

Histograms of the annual doses of pilots (PL) are shown in Figure 2. Unfortunately, the annual doses of PL in the initial period of the pandemic (2020–2021) were missing because the unexpected changes in their work plan caused the boarding of flights that did not have monthly flight plans, which were necessary for calculating route doses. Nevertheless, it was confirmed that the change in PL doses between the pre-pandemic year (2019) and the third year of the pandemic (2022) was much smaller than that in CA doses. The PL dose distributions in both years exhibited similar bimodal shapes, which could be deconvoluted into two-peak normal distributions. The maximum and mean PL doses in 2020 were 4.1 mSv and 1.7 mSv, respectively, while those in 2022 were 3.7 mSv and 1.6 mSv, respectively. These dose values were comparable to those in 2007 (3.8 mSv and 1.7 mSv, respectively) (Table 1). Unlike the CA doses, the percentage of the PLs who received >1 mSv slightly increased from 65% in 2019 to 68% in 2022, whereas the collective dose decreased by approximately 5%.

Figure 2
Two histograms comparing annual radiation doses in millisieverts (mSv) for populations labeled PL in 2019 and 2022. Panel (a) shows 2019 data with a sample size of 2115, while panel (b) shows 2022 data with a sample size of 2172. Both histograms display similar distribution patterns with peaks around 1.0 mSv and a range from 0.0 to 5.0 mSv.

Figure 2. Histograms showing annual effective dose distributions of pilots (PL) for 2019 (a) and 2022 (b). A vertical dashed line in each graph marks the level of 1.0 mSv.

Figure 3 shows the cumulative probability plots of the annual doses of CAs (Figure 3A) and PLs (Figure 3B) for the study period. The CA doses exhibited remarkable changes in both dose level and distribution shape with time. After an overall notable reduction in the first year of the pandemic (2020) from the previous year, a prompt recovery of the CA doses in 2021 was observed only in the higher dose range, followed by considerable recovery in the lower dose range in 2022. In contrast, the PL doses did not show a notable change between the pre-pandemic year (2019) and the third year of the pandemic (2022) (Figure 2). The selected statistical values regarding the annual doses of CAs and PLs are summarized in Table 2.

Figure 3
Two graphs compare cumulative distributions of annual dose (mSv) over different years. Graph (a) shows data for CA from 2019 to 2022 with red, pink, blue, and green lines. Graph (b) shows data for PL from 2019 and 2022 with green and blue lines. Percentages are on the vertical axis, ranging from 0.01% to 99.99%, and the annual dose is on the horizontal axis, ranging from 0 to 5 mSv. A vertical dashed line marks the 1.0 mSv threshold in both graphs.

Figure 3. Cumulative probability plots of annual effective doses of cabin attendants (CA) (a) and pilots (PL) (b) from fiscal year 2019 to 2022. A vertical dashed line in each graph marks the level of 1.0 mSv.

Table 2
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Table 2. Statistical values on the annual in-flight effective doses of aircraft crews of a Japanese airline over the COVID-19 pandemic period (fiscal year 2019–2022).

4 Discussion

This study presented quantitative estimates of in-flight cosmic radiation doses of aircraft crews of a Japanese airline, including >8,000 cabin attendants and >2,100 pilots, over the COVID-19 pandemic period (2019–2022) for the first time. The annual doses of CAs were significantly affected by the pandemic. The number of the CAs who annually received >1 mSv remarkably decreased by >93% in the first year of the pandemic (2020) in comparison to the previous year, followed by a gradual recovery during the subsequent two years (~2022). These data indicate significant effects of the pandemic on the work of CAs, as previously reported (1820).

In contrast, such changes were not observed with PL doses. This is partially attributable to an increase in the number of cargo flights during the pandemic period as observed worldwide (3032), which contributed to an increase in flight opportunities only for pilots. In addition, according to information privately shared by the airline company, the stability of the PL doses was attributable to their efforts to reduce operational costs by introducing small aircrafts, which has continued over the pandemic period. To respond to the reduction in passengers, they attempted to maintain the operated flights for each route by promoting aircraft downsizing from the beginning of the pandemic. Consequently, while the flight opportunities of cabin attendants significantly decreased with the reduced number of passengers, those of pilots did not notably change because they were required to be on board regardless of aircraft size. This information is consistent with our previous findings which implied insignificant changes in the flight route distributions of Japanese travelers in the first year of the pandemic (2020) (21).

The smaller PL doses in 2022 only in a higher dose range (>1.4 mSv per year) (Figure 3B) compared to those in 2019 could be partially explained by the change in solar activity shown in Figure 4. The heliocentric potential, which indicates the strength of solar modulation related to the cosmic radiation incidence to the Earth’s atmosphere (33), was relatively stable for the initial three years of this study (fiscal years 2019–2021), and notably increased in the fiscal year 2022 (34), which is considered to have reduced the cosmic radiation doses received only in long high-latitude flights. It should be noted that large solar flares, which can significantly affect cosmic radiation dose rates at aviation altitude (35), did not occur during the study period.

Figure 4
Line graph displaying heliocentric potential (HP) from 2019 to 2023. Monthly HP in red shows fluctuations and an upward trend. Annual HP in blue is a step-like line with a gradual increase. HP values rise from around 300 megavolts in 2019 to over 600 megavolts by 2023.

Figure 4. Changes in the monthly and annual average heliocentric potentials over the period from 2019 to 2022 (34).

This study had some limitations, mainly due to the limited access to detailed records that could be used to identify individuals. While the annual doses of aircraft crews were calculated from the monthly determined route doses based on flight plans, real flights may have different times (speeds) and routes, including altitudes, owing to bad weather or traffic status. Potential errors due to such unexpected changes could not be quantified in this study because the authors were not allowed to obtain the precise flight-log data linked to individual crew members. In addition, we cannot discuss the effect of the pandemic on the cumulative doses of aircraft crews over two or more years because of the lack of information for personnel identification. In particular, missing PL doses during the initial period of the pandemic (2020–2021) have made this study incomplete, and it is desirable to present these critical data through a comprehensive analysis. We will continue further efforts to overcome these limitations for a deeper discussion on the recent changes in the cosmic radiation exposure of aircraft crews.

Data availability statement

The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.

Author contributions

HY: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Supervision, Visualization, Writing – original draft. KY: Data curation, Funding acquisition, Resources, Software, Validation, Writing – review & editing.

Funding

The author(s) declare that no financial support was received for the research and/or publication of this article.

Acknowledgments

This study used the annual dose data of aircraft crews of a Japanese airline company with their permission and technical support. We used the resources of the National Institutes for Quantum Science and Technology (QST) and Hiroshima University to conduct this study.

Conflict of interest

The authors declare that this research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest.

Generative AI statement

The author(s) declare that no Gen AI was used in the creation of this manuscript.

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Keywords: cosmic radiation, aircraft crew, aviation dose, COVID-19 pandemic, JISCARD

Citation: Yasuda H and Yajima K (2025) Changes in cosmic radiation doses of aircraft crew over the COVID-19 pandemic (2019–2022). Front. Public Health. 13:1674819. doi: 10.3389/fpubh.2025.1674819

Received: 28 July 2025; Accepted: 10 October 2025;
Published: 31 October 2025.

Edited by:

Lorenzo Manti, University of Campania Luigi Vanvitelli, Italy

Reviewed by:

Marina Poje Sovilj, Josip Juraj Strossmayer University of Osijek, Croatia
Benjamin Hogan, Space Environment Technologies, United States
Daniel Phoenix, Analytical Mechanics Associates, United States

Copyright © 2025 Yasuda and Yajima. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Hiroshi Yasuda, aHlhc3VkYUBoaXJvc2hpbWEtdS5hYy5qcA==

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.