What Does Radon Do to Your Lungs and Health?

Radon is a naturally occurring radioactive gas that seeps into buildings from the ground and, when inhaled over years, damages lung cells in ways that can lead to cancer. It’s the second leading cause of lung cancer in the United States, responsible for an estimated 21,000 lung cancer deaths every year. You can’t see, smell, or taste it, and it produces no immediate symptoms, which is exactly what makes it dangerous.

How Radon Gets Into Your Home

Radon forms underground when uranium in soil and rock naturally breaks down. As a gas, it migrates upward through soil and enters buildings through any available opening: cracks in the foundation, gaps around pipes, sump pits, and joints between the floor and walls. The driving force is simple physics. Indoor air pressure is typically lower than the pressure in the surrounding soil, so your house acts like a mild vacuum, pulling radon gas inside.

The geology beneath your home matters enormously. Granite, black shale, and soils derived from limestone (especially in areas with cave-like karst terrain) tend to produce the most radon. In glaciated regions like the northern Appalachians, the type and thickness of glacial deposits control radon levels more than the bedrock itself. Roughly a third of the U.S. population lives in areas where average indoor radon has the potential to exceed the EPA’s action level of 4 picocuries per liter (pCi/L).

What Radon Does Inside Your Lungs

Radon itself is a gas you breathe in and out. The real threat comes from its decay products, solid radioactive particles that radon produces as it breaks down. Radon-222, the most common form, has a half-life of about 3.8 days and decays into a chain of short-lived radioactive elements. Two of these, polonium-218 and polonium-214, emit alpha particles, which are tiny but intensely energetic bits of radiation.

When you inhale radon, these decay products stick to the moist lining of your airways. As they continue to break down, the alpha particles slam into the cells lining your lungs at close range. Alpha radiation is “densely ionizing,” meaning it deposits a lot of energy in a very small area. This creates clusters of damage in your DNA, particularly double-strand breaks, where both sides of the DNA helix are severed at once.

Your cells have repair mechanisms for this kind of damage, but the repair isn’t always accurate. Misrepaired DNA can produce permanent mutations in the genes that control cell growth. Over many years of repeated exposure, these mutations accumulate. A single alpha particle hit can trigger a cascade: DNA breakage, faulty repair, gene mutations, chromosomal changes, and eventually the uncontrolled cell growth that defines cancer.

Why There Are No Early Warning Signs

Radon exposure produces no immediate symptoms. No cough, no headache, no irritation. The damage accumulates silently over years or decades. By the time symptoms appear, they’re typically symptoms of lung cancer itself: a persistent cough, coughing up blood, unexplained weight loss, chest pain, or shortness of breath. And most commonly, even those symptoms don’t show up until the cancer has reached a later stage. Testing your home is the only way to know if you’re being exposed.

The Combined Risk With Smoking

Radon and smoking together create a risk far greater than either one alone. At the EPA’s action level of 4 pCi/L, roughly 62 out of every 1,000 smokers exposed over a lifetime would develop lung cancer. For people who have never smoked, that number drops to about 7 out of 1,000 at the same radon level. That’s still significant (about 2,900 never-smokers die from radon-related lung cancer in the U.S. each year), but the multiplying effect of smoking is dramatic. If you smoke and live in a home with elevated radon, your combined risk is substantially higher than either risk factor on its own.

How to Test Your Home

Radon test kits fall into two categories. Short-term kits, like charcoal canisters, stay in your home for 2 to 4 days before you mail them to a lab. They give you a quick snapshot but can miss the natural fluctuations in radon levels that happen day to day and season to season. Long-term kits, like alpha-track detectors, remain in place for 3 months to a full year. Because radon levels shift with weather, soil moisture, and how your home is heated or ventilated, a long-term test gives a much more reliable picture of your actual year-round exposure. The closer a long-term test runs to 365 days, the more accurately it reflects your true average.

For a quick initial check, a short-term test works fine. If it comes back at or above 4 pCi/L, follow up with a second test. Many homeowners start with a short-term test and then place a long-term detector to confirm the results.

What the Action Levels Mean

The EPA recommends fixing your home if radon levels reach 4 pCi/L or higher. Most countries worldwide use a similar threshold. But there is no known safe level of radon exposure, so the EPA also recommends considering mitigation if your levels fall between 2 and 4 pCi/L. The 4 pCi/L number isn’t a safety line. It’s a practical threshold where the agency determined the cost of fixing the problem is clearly justified by the reduction in risk.

How Mitigation Works

The most common fix is called subslab suction (or active soil depressurization). A contractor installs a pipe through the foundation slab and connects it to a fan that pulls radon-laden air from beneath your home and vents it safely above the roofline, where it disperses harmlessly outdoors. This approach typically reduces indoor radon by 50 to 99 percent.

Other techniques exist depending on your home’s construction. Homes with crawlspaces can use a heavy plastic membrane over the soil with suction applied beneath it, achieving similar 50 to 99 percent reductions. Homes with hollow block walls can have suction applied directly to the wall cavities. Even passive systems (pipe without a fan) can reduce levels by 30 to 70 percent, though they’re less effective than active systems. For the small number of homes where radon enters through well water, aeration systems can remove 95 to 99 percent of radon from the water supply.

Sealing cracks alone won’t solve the problem. It helps as a complement to suction-based systems, but radon finds too many microscopic pathways through concrete for sealing to work as a standalone fix. The goal of any effective system is to change the pressure dynamics so that soil gas gets redirected away from your living space before it ever enters.