Bone mineral density in residents of radioactive territories of Chelyabinsk Region

Operation of the Mayak plutonium production association resulted in radioactive contamination of a part of Chelyabinsk Region in the 1950–1960s. Significant gas-aerosol emission of ¹³¹I occurred since 1948; in 1957, a radiation accident resulted in ⁹⁰Sr contamination of large territories. This paper presents comparison of the bone mineral density of persons who lived on territories with different levels of ⁹⁰Sr-soil contamination with that of a control group. It was found that in 1970–1975, the bone mineral density, estimated from the mineral content in bone samples, in residents of contaminated areas born in 1936–1952 was significantly lower compared to the control group. For persons born in 1880–1935, such differences were not found. It was shown that the decrease in the bone mineral density was not related to ⁹⁰Sr exposure of osteogenic cells in the dose range from 0.1 to 1300 mGy: the coefficient of correlation between individual ⁹⁰Sr doses and bone mineral contents is not significant. The decrease in bone mineral density of persons born in 1936–1952 may be associated with exposure of the thyroid and parathyroid glands (systemic regulators of calcium metabolism) to ¹³¹I from gas-aerosol emissions from Mayak. The highest levels of gas-aerosol emissions occurred in 1948–1954 and coincided with the growth and development of the thyroid gland, characterized by intensive accumulation of ¹³¹I, and with the growth and maturation of the skeleton of persons born in the given calendar years.     

The characteristics of 90Sr accumulation and elimination in residents of the Urals region in the period of 1957-1988

A number of radiation accidents occurred at the "Mayak" plutonium production complex (Southern Urals, Russia) in 1950-60s that resulted in environmental contamination of large territories in the Southern and Middle Urals with long-lived radionuclides (90Sr, 137Cs). The results of long-term radiological monitoring were compiled into special databases at the Urals Research Center for Radiation Medicine, which allow the study of 90Sr behaviour in the environment and its accumulation in the human body. Retrospective analysis of the data on postmortem measurements of 90Sr in bones performed on residents of the Urals region over 1957-1988 were conducted for the first time. A time-dependence of 90Sr accumulation in the human body upon its density in soils was observed. Age and gender characteristics of 90Sr retention in bones were studied. It was shown that the levels of 90Sr in residents of large territories north and north-east of Chelyabinsk region, and of bordering territories of Sverdlovsk region were several times higher than the average values for the Russian Federation. Based on the measurements the direct dependence of 90Sr content in the skeleton on 90Sr density in soils was observed 30 years after the 1957 accident (the so called "Kyshtym accident"). However, for individual settlements this dependence may be weakened as a result of the influence of different biological and social factors. No influence of gender on 90Sr accumulation in the skeleton was found in the study. The analysis of age characteristics of 90Sr accumulation in bone, as influenced by skeleton growth and maturation, showed maximal levels of 90Sr from global fallout to be accumulated in bones of the persons born in 1949-1955.     

Reconstruction of 90Sr intake for breast-fed infants in the Techa riverside settlements

The Techa River (Southern Urals, Russia) was contaminated as a result of radioactive releases by the Mayak plutonium production facility during 1949-1956. The persons born after the onset of the contamination have been identified as the "Techa River Offspring Cohort" (TROC). The TROC has the potential to provide direct data on health effects in progeny that resulted from exposure of a general parent population to chronic radiation. The purpose of the present investigation is the estimation of (90)Sr intake from breast milk and river water in the period from birth to 6 months of life, necessary for an infant dose calculation. The investigation is based on all available data concerning radioactive contamination due to global fallouts and Mayak releases in the Southern Urals where extensive radiometric and radiochemical investigations of human tissues and environmental samples were conducted during the second half of the twentieth century. The strontium transfer factor from mother's daily diet to breast milk was estimated as 0.05 (0.01-0.13) d L(-1). Based on this transfer factor and data on (90)Sr water contamination, the average total (90)Sr intake for an infant born in the middle Techa River region was found to be equal to 60-80 kBq in 1950-1951. For the same period, calculations of (90)Sr intake using ICRP models gave values of 70-100 kBq. From 1952 onwards, the differences in intakes calculated using the two approaches increased, reaching a factor of 2-3 in 1953. The Techa River data provide the basis for improving and adapting the ICRP models for application to Techa River-specific population.     

Thyroid abnormalities associated with protracted childhood exposure to 131I from atmospheric emissions from the Mayak weapons facility in Russia

Between 1948 and 1960, the Mayak nuclear weapons facility in Ozyorsk, Russia discharged relatively high levels of radionuclides, primarily (131)I, into the atmosphere, resulting in appreciable exposure to the residents of Ozyorsk. To evaluate the association between thyroid diseases and childhood exposure to radioiodines, we screened 894 Ozyorsk residents born between 1952 and 1953. The study population was comprised of 581 exposed individuals living in Ozyorsk during the years of heaviest exposure and 313 nonexposed individuals who moved to Ozyorsk when radiation exposure from Mayak largely had ended. The screening protocol included a patient interview, palpation of the thyroid, cervical lymph nodes and salivary glands, an ultrasound examination, and measurement of fT4, TSH and TPOAb. Twenty-eight percent of the study group was diagnosed with a thyroid abnormality. The prevalence of nodular disease was significantly higher in the exposed group (20.7%) compared with the nonexposed (14.4%) group (relative risk = 1.4, 95% CI = 1.1; 1.9). Risks were larger for solitary nodules and for nodules > or = 10 mm in diameter. Expansion of the study to increase the number of persons screened as well as detailed dose estimation would offer an unique opportunity to evaluate thyroid disease in relation to chronic exposure to radioiodines during childhood.     

Chromosome aberration frequency in children with chronic thyroiditis born before and after the accident at the Chernobyl nuclear reactor

Children with chronic thyroiditis born before and after Chernobyl accident have been investigated cytogenetically using G-banding staining. It was shown that the chromosome instability and sensitivity to cesium radioisotopes increased and the pathological process in a thyroid gland implemented in persons exposed to 131I in their childhood and living in iodine-deficient territories.     

Environmental radioactivity in the South Urals 1990-1997. An international study supported by INTAS, EC and national funding

Radioecological studies carried out in a joint co-operation between Russian, Ukrainian and Danish Laboratories are reported. The environmental impact of routine, discharges as well as accidental events, notably the Kyshtym accident in 1957 and the Karachay wind dispersion in 1968 have been studied. From measurements and based on model assumptions it has been estimated that the Ob river system outside Mayak, i.e. first of all the Techa and Iset rivers and their floodplains contain 0.1 PBq 90Sr, 0.3 PBq 137Cs and 0.8 TBq 239, 240Pu. The uncertainty of these estimates is a factor of 3-4. The present contamination from the Kyshtym accident outside the Mayak area is calculated to 0.1-0.5 PBq 90Sr and from the Karachay incident the contamination is 0.05-0.1 Bq 137Cs. The environmental contaminations with Pu from these two events are in the order of 1 TBq. The occurrence of 99Tc, 129I and 237Np in highly contaminated Techa river sediments collected outside Mayak is for the first time reported.     

Radioecological situation at the villages of the Techa river

The Techa river was contaminated in 1949-1956 from the nuclear enterprise "Mayak". The investigations were carried out in flood plain of the Techa river in 1992-2001. 90Sr and 137Cs stores were calculated in the soil-vegetation cover. There is uneven character of the spatial radionuclides contamination of the investigated area. The store with 90Sr changes from 25 to 930 kBq/m2 (0.7-25.0 Ci/km2) and that with 137Cs--from 30 to 1700 kBq/m2 (0.8-46.0 Ci/km2). In the preriver-bed soils the ratio 90Sr/137Cs increases with further from discharge point. Individual effective dose was calculated for the Brodocalmak population. 90Sr was revealed in the flood plain soils of the Iset river. The contribution of the contaminated Techa river and its flood plains soils accounted for as by incorporated radionuclides as background gamma-radiation does not exceed 0.13-0.17 mSv/yr if the contaminated Techa river utilization is limited. In other case the contribution of the contaminated Techa river increases to 1.6-3.0 mSv/yr. These values exceed international safety norms.     

Results of studies on the effect of radiologic contamination after the Czernobyl catastrophe and prophylactic iodine on thyroid morphology and function of inhabitants of North-East Poland]

The results of the investigations of radioactive contamination after the Chernobyl catastrophe and subsequent iodine prophylaxis on the thyroid gland function and morphology in Northeast Poland. The aim of the study was to determine whether kalium iodine in one dose during radioactive contamination in Poland limited the radioactive dose in the thyroid gland and if significant disadvantageous side-effects in the intrathyroid and extrathyroid occurred. Additionally during the studies we tried to determine if radioactive iodine contamination which occurred in the region of the Medical Academy in Bia?ystok caused an increase in thyroid disease. It is interesting to note the different results obtained after radioactive contamination with the results from the investigations in this same territory in 1983-1985. In 1983-1985, before the Chernobyl catastrophe, 6,921 persons in Northeast Poland were investigated. In 1986-1988, immediately after the disaster 4,010 persons were investigated. The main study according to grant No MZ-XVII was carried out in three provinces: Bia?ystok, Suwa?ki and Olsztyn. In this investigation 10,011 persons born before April 26, 1986 and after January 1, 1936 participated, 5,789 townspeople and 4,222 villagers, 3,987 children up to 16 years of age it the time of the disaster 1,973 boys and 2,009 girls; 6,024 adults 2,509 men and 3,516 women were drawn from a register. Committed doses to the thyroid in the investigated region were one of the highest in Poland and depended on age group and were depended on time of prophylaxis non proportional. Iodine prophylaxis was provided mainly with one dose of Lugol solution about 90%, 95% children and 30% adults took iodine. The majority of the population (53.3%-74%) were given iodine in April. From May 1st to 5th 23.0-43.4% received iodine, but after May 5th very few persons. Iodine was well tolerated, but Lugol Solution was better tolerated than other kinds of iodine. Only 241 (4.4%) cases had side effects, mainly vomiting (143), symptoms such as stomach ache, diarrhea, dyspnoe, skinrash etc. in lesser numbers. 12% (29 persons) were seen by a physician. In the investigated population were 200 pregnant women aged 19-40 years of which the majority (177) delivered full term healthy babies. Only 1 interrupted pregnancy and 7 had spontaneous abortion. Changes in the thyroid were noticed by 187 persons (2.3%-11.7%) most of which were enlargement of the thyroid, but only a few were confirmed by a physician. In the studied population from 1989 to 1990 over 30% of the population had struma.(ABSTRACT TRUNCATED AT 400 WORDS)     

The accumulation of radionuclides 137Cs and 90Sr by different kinds and grades legumes crops

The decision of protein problem on contaminated by radionuclides territories as a result of the accident on Chernobyl NPP is not possible without increase of the sowing areas legumes crops (peas, lupine, soybean). Introduction in agricultural manufacture of grades with a low level of accumulation radionuclides (peas--Aist, Polesskay, Gomelskay Agat; soybean--Severnaya zvezda, Mageva) will allow to receive agricultural production adequate "Republican allowable levels of the contents of 137Cs and 90Sr in agricultural raw material and forages" on arable lands at their higher density of radioactive contamination: 137Cs--1300-1480 kBq/m2 (35.0-40.0 Ci/km2): 90Sr--18.5-37.0 kBq/m2 (0.50-1.00 Ci/km2).     

Radioecological investigation of the soil cover of eastern Urals State radioactive reserve and neighboring areas

The contamination levels and spatial distribution of 90Sr and 137Cs in the soil cover of the Eastern Ural State Radioactive Reserve and neighboring areas have been studied. Situated in the Chelyabinsk region, the Reserve embraces the frontal part of the Eastern Urals Radioactive Trace. This Trace emerged in 1957 as a result of the nuclear accident at the Production Association "Mayak". In the studied areas, the content of radionuclides in soils decreases exponentially as the distance from the source of contamination increases. 90Sr received by the soil cover as a result of the accident in 1957 has remained the main contaminant of the Reserve central part (97% of the total contamination). Its contribution throughout western neighboring areas reduces up to 67%, which decreases the effect of 90Sr on the environment. Within eastern neighboring areas, soil is mainly contaminated by 137Cs received as a result of the wind disseminated dried sediments from the shores of Lake Karachay (1967) that was used for dumping high-level radioactive waste. Also observed was enrichment of forest litters with this radionuclide due to current atmospheric fallout.     

Does the cortical bone resorption rate change due to <Superscript>90</Superscript>Sr-radiation exposure? Analysis of data from Techa Riverside residents

The Mayak Production Association released large amounts of ⁹⁰Sr into the Techa River (Southern Urals, Russia) with peak amounts in 1950–1951. Techa Riverside residents ingested an average of about 3,000 kBq of ⁹⁰Sr. The ⁹⁰Sr-body burden of approximately 15,000 individuals has been measured in the Urals Research Center for Radiation Medicine in 1974–1997 with use of a special whole-body counter (WBC). Strontium-90 had mainly deposited in the cortical part of the skeleton by 25 years following intake, and ⁹⁰Sr elimination occurs as a result of cortical bone resorption. The effect of ⁹⁰Sr-radiation exposure on the rate of cortical bone resorption was studied. Data on 2,022 WBC measurements were selected for 207 adult persons, who were measured three or more times before they were 50–55 years old. The individual-resorption rates were calculated with the rate of strontium recirculation evaluated as 0.0018 year⁻¹. Individual absorbed doses in red bone marrow (RBM) and bone surface (BS) were also calculated. Statistically significant negative relationships of cortical bone resorption rate were discovered related to ⁹⁰Sr-body burden and dose absorbed in the RBM or the BS. The response appears to have a threshold of about 1.5-Gy RBM dose. The radiation-induced decrease in bone resorption rate may not be significant in terms of health. However, a decrease in bone remodeling rate can be among several causes of an increased level of degenerative dystrophic bone pathology in exposed persons.     

The application and adaptation of ICRP internal dosimetry models to the calculation of bone marrow tissue doses from 90Sr for epidemiological studies of Techa River populations

The operation of the Mayak Production Association in the Southern Urals region of Russia, resulted in releases of large amounts of radioactive effluent into the Techa River during the period 1949-1956. The residents of the riverside communities were thus exposed to both external radiation, and internal radiation following ingestion of contaminated water and foodstuffs. One of the most important radionuclides for internal exposure was 90Sr. This paper gives a brief overview of the models provided by International Commission on Radiological Protection (ICRP), which are of interest for assessing internal doses from 90Sr. The application of these models to the calculation of red bone marrow doses for the fetus and infant from 90Sr intakes by the mother and the infant is illustrated by an example. A hypothetical individual born in 1951 is used as an example for dose calculations. The following doses due to intakes of 90Sr are taken into account: received in utero due to maternal intakes during pregnancy; received after birth from 90Sr accumulated by the fetus in utero; from intakes in breast milk; from intakes in the infant's diet after weaning. It is shown that doses to the fetus following maternal ingestion and subsequent transfer to the fetus via the placenta dominate the doses received for this particular individual for the first two years of life. Doses to the infant from intakes in breast milk are substantially lower but do make significant contributions to total doses in the first two years after birth. By about the age of two years residual 90Sr from placental transfer still contributes about the same dose as do intakes by the infant, but in later years doses from intakes by the infant dominate.     

Regulation of acidity of arable lands contaminated by Sr-90: analysis of cost of the averted doses of irradiation of population of Belarus

Results of researches on study of efficiency of soil acidity optimization on decrease of a collective doze from 90Sr to the population of Belarus are presented. On the basis of the "cost--benefit" analysis it is shown, that the savings for averted collective doze due to optimization of soil acidity of arable lands on cereals amount to 21-170 thousand US dollars per 1 man.-Sv depending on density of 90Sr soil contamination of districts of Belarus. It is established, that high effect on averting of collective doze 90Sr at cultivation of cereals can be expected at liming of sod-podsolic loamy sand soils with contamination density of 90Sr more than 12 kBq/m2, sand soils more than 16 kBq/m2, light loam soils more than 17 kBq/m2, at present time share of these lands in Belarus is about half from the area of the arable lands contaminated with radiostrontium - 86 thousand hectares.     

Thyroid cancer incidence in Ukraine: trends with reference to the Chernobyl accident

For the first time, a comparative analysis of thyroid cancer incidence in Ukraine after the Chernobyl accident was done in a cohort that is almost as large as the general population. On the basis of thyroid doses from radioactive iodine in individuals aged 1-18 years at the time of accident, geographic regions of Ukraine with low and high average accumulated thyroid doses were established and designated "low-exposure" and "high-exposure" territories, respectively. A significant difference of thyroid cancer incidence rates as a function of time between the two territories was found. That is, the increase in the incidence was higher in high-exposure regions than in low-exposure regions. The incidence rates varied substantially among the different attained age-groups, especially in the youngest one (up to 19 years old). The analysis that was adjusted for screening and technological effects also indicated that in the high-exposure regions, thyroid cancer incidence rates at the age of diagnosis of 5-9, 10-14 and 15-19 years were significantly higher in those born in 1982-1986 compared to those born in 1987-1991, while in the low-exposure regions, no significant difference was observed. The observed probable excess of radiation-induced thyroid cancer cases in adults exposed to radioactive iodine from the Chernobyl accident, especially in females, may be due to the high power of the present study. However, it should be noted that our investigation was not essentially free from ecological biases.     

Bone cancers in Mayak workers

Bone cancer mortality risks were evaluated in 11,000 workers who started working at the "Mayak" Production Association in 1948-1958 and who were exposed to both internally deposited plutonium and external gamma radiation. Comparisons with Russian and U.S. general population rates indicate excess mortality, especially among females, plutonium plant workers, and workers with external doses exceeding 1 Sv. Comparisons within the Mayak worker cohort, which evaluate the role of plutonium body burden with adjustment for cumulative external dose, indicate excess mortality among workers with burdens estimated to exceed 7.4 kBq (relative risk = 7.9; 95% CI = 1.6-32) and among workers in the plutonium plant who did not have routine plutonium monitoring data based on urine measurements (relative risk = 4.1; 95% CI = 1.2-14). In addition, analyses treating the estimated plutonium body burden as a continuous variable indicate increasing risk with increasing burden (P < 0.001). Because of limitations in current plutonium dosimetry, no attempt was made to quantify bone cancer risks from plutonium in terms of organ dose, and risk from external dose could not be reliably evaluated.     

Characteristics of the cohort of workers at the Mayak nuclear complex.

At Branch No. 1 of the Russian State Research Center "Biophysics Institute", a registry has been created of workers at the "Mayak" Production Association, the first nuclear complex in Russia. This registry includes 18,830 persons hired at Mayak's nuclear reactors and radiochemical and plutonium production plant between 1948 and 1972. Twenty-five percent of these workers are women. As of December 31, 1994, the vital status is known for approximately 90% of the cohort members. A total of 5,118 persons have died. The cause for 97% of total deaths has been ascertained. The cohort members were exposed to both external gamma radiation and internal radiation from incorporated plutonium. The plutonium body burden has been measured in 30% of the cohort members with potential for plutonium exposure. External gamma-ray doses were in the range from tenths of milligrays to about 10 Gy, and plutonium body burdens were up to about 260 kBq. In view of the nature of the Mayak worker cohort, it has the potential to provide reasonably precise, quantitative estimates of the long-term health effects associated with chronic low-dose-rate exposure to external gamma radiation as well as internal radiation from plutonium. However, a number of issues must be addressed before credible risk estimates can be obtained from this cohort. These issues include the development of an appropriate internal comparison group and/or external rates and separating of the effects of internal and external exposures on risk estimates.     

Evaluation of age and gender dependences of the rate of strontium elimination 25-45 years after intake: analysis of data from residents living along the Techa river

The Mayak Production Association released large amounts of 90Sr into the Techa River with peak amounts in 1950-1951. Residents near the Techa River ingested an average of approximately 3,000 kBq of 90Sr. The affected people have been followed by scientists at the Urals Research Center for Radiation Medicine. The whole-body content of 90Sr of approximately 15,000 individuals has been measured over a period of 24 years (1974-1997) using a special whole-body counter. This report evaluates the gender and age dependences of individual rates of strontium elimination. Data on persons who had been measured 12 or more times were selected for study. There were 108 men and 81 women older than 30 years who met this criterion. Individual measurement results were fitted to an exponential function and grouped mean averages of the rate of strontium elimination as a function of age for each sex were derived. For men, a significant increase (from 2.8% year(-1) to 3.2% year(-1)) in the rate of strontium elimination after age 55 years is seen. For women, the increase in the rate of elimination was significant at age 45 and reached 5.8% year(-1) after the age of 60. The results may be used to develop a gender- and age-dependent model of strontium metabolism.     

Radiation Effects on Mortality from Solid Cancers Other than Lung,Liver, and Bone Cancer in the Mayak Worker Cohort: 1948–2008

Radiation effects on mortality from solid cancers other than lung, liver, and bone cancer in the Mayak worker cohort: 1948–2008. The cohort of Mayak Production Association (PA) workers in Russia offers a unique opportunity to study the effects of prolonged low dose rate external gamma exposures and exposure to plutonium in a working age population. We examined radiation effects on the risk of mortality from solid cancers excluding sites of primary plutonium deposition (lung, liver, and bone surface) among 25,757 workers who were first employed in 1948–1982. During the period 1948–2008, there were 1,825 deaths from cancers other than lung, liver and bone. Using colon dose as a representative external dose, a linear dose response model described the data well. The excess relative risk per Gray for external gamma exposure was 0.16 (95% CI: 0.07 – 0.26) when unadjusted for plutonium exposure and 0.12 (95% CI 0.03 – 0.21) when adjusted for plutonium dose and monitoring status. There was no significant effect modification by sex or attained age. Plutonium exposure was not significantly associated with the group of cancers analyzed after adjusting for monitoring status. Site-specific risks were uncertainly estimated but positive for 13 of the 15 sites evaluated with a statistically significant estimate only for esophageal cancer. Comparison with estimates based on the acute exposures in atomic bomb survivors suggests that the excess relative risk per Gray for prolonged external exposure in Mayak workers may be lower than that for acute exposure but, given the uncertainties, the possibility of equal effects cannot be dismissed.     

The dependence of accumulation of 137Cs and 90Sr radionuclides in the forages cultivation degree of sod-podzolic soils

For prognosis of accumulation of 137Cs and 90Sr in forages harvested in radionuclide contaminated sod-podzolic soils, it is suggested to use transfer factors (TF9a) (Bq/kg)/(kBq/m2)) established not only by the content of mobile potassium (137Cs, r = -0.53) and the value of exchange acidity (90Sr, r = -0.73), but also by the index of agrochemical soil cultivation I(cd) (137Cs, r = -0.69; 90Sr, r = -0.64). The possibility of obtaining forages conforming to the state standards on the haymaking and pasture areas with high density of radioactive contamination of soils was shown by the example of "Sudkovo" collective farm. The approach is based on achievement of a high degree of cultivation (l(cd) - 0.81-1.0) due to a complex of protective measures, which resulted in a 10-fold decrease in the specific activity of 137Cs and a 4-fold decrease in the activity of 90Sr, compared to the soils with a low degree of cultivation (I(cd) - 0.41-0.60).     

The content of 90Sr in the bone tissue of the population of the Soviet Union (1959 - 1971). (The basic laws of its accumulation and distribution).

On the basis of the results of long-term observations, general laws have been identified determining the dynamics of 90Sr concentration in the bone tissue of the population of the USSR in 1959-71, the peculiarities of 90Sr accumulation in different age groups and the connection and dependences between the intake and the contect of the isotope in human organism. It has been found that maximum 90Sr concentration occur in children born in the year when nuclear tests were carried out. The type of distribution of the frequency of occurrence of cases showing different levels of 90Sr content in uniform population groups was determined. Characteristic features of 90Sr distribution in different bones of the skeleton and its changes in the course of time were de monstrated.