This study evaluates the ambient external radiation levels and their association with public health around the Qinshan Nuclear Power Plant (QNPP) before and after the extended service of its Phase I project. By monitoring the cumulative ambient external exposure around QNPP from 2010 to 2023 and analyzing the health data of residents in Haiyan County from 2012 to 2022, changes in cancer mortality-related rates were examined. Results showed that during the study period, ambient radiation around Q

