Methodological approach to countermeasure options in rural settlements in the long terms after the accident at the Chernobyl NPP

A methodological approach for the justification of rational countermeasure options in agricultural production in the long term after the Chernobyl NPP accident is presented. The decrease in the scale of countermeasures in 1993-1996 in the most affected regions has resulted to a rise in internal exposure doses to the population. A need for further application of protective measures in the long term after the Chernobyl NPP accident is estimated. It has been shown that the remediation of some rural settlements should be continued till 2045.     

External exposure of the population living in areas of Russia contaminated due to the Chernobyl accident

An updated version of external dose modeling is presented with reference to the population in Russian areas contaminated due to the Chernobyl accident. An earlier version has been modified by applying a study time interval with a starting point immediately after radionuclide deposition (rather than 4 years after the accident as applied earlier) and by introducing an estimate of individual dose distributions. New input data to the model are the nuclide-specific composition of the deposit, additional data about migration of caesium in soil, time dependence of location factors and uncertainty distributions of all input parameters. Model results (i.e. effective dose-rates and accumulated effective doses) from external exposure for the rural and urban populations in contaminated areas of Russia during 100 years after the accident are presented. Radionuclide contributions to the dose during various time intervals after the accident have been estimated. The model has been validated by measurements of absorbed dose-rate in air during the first 30 days after the accident and by TLD measurements of individual external doses among inhabitants of contaminated rural settlements in the year 1993. Both the measurements and model show that the geometric mean of individual external doses is about 10% lower than the arithmetic mean and the upper bound of the 95% confidence range is larger by a factor of about 2.     

Cytogenetic damage in lymphocytes for the purpose of dose reconstruction: a review of three recent radiation accidents

The analysis of chromosomal aberrations in peripheral blood of radiation accident victims is an established method of biological dosimetry. The dose estimate on the basis of an in vitro calibration curve is straightforward when the radiation exposure is homogeneous and the analysis not delayed. In recent years three radiation accidents occurred, where the irradiation or sampling conditions precluded a simple estimation of the dose. During the Georgian accident soldiers carried in their pockets small sources of 137Cs leading to partial and protracted body exposures. During the Tokai-mura accident, three employees involved in the process of 235U enrichment were exposed to very high doses of gamma rays and neutrons. During the Bialystok accident, five patients with breast cancer undergoing radiotherapy were exposed to a single dose of electrons which reached about 100 Gy. In the present paper the approaches chosen to estimate, by cytogenetic methods, the doses absorbed by the people involved in the accidents are described.     

Ultrasonography survey and thyroid cancer in the Fukushima Prefecture

Thyroid cancer is one of the major health concerns after the accident in the Fukushima Dai-ichi nuclear power station (NPS). Currently, ultrasonography surveys are being performed for persons residing in the Fukushima Prefecture at the time of the accident with an age of up to 18 years. Here, the expected thyroid cancer prevalence in the Fukushima Prefecture is assessed based on an ultrasonography survey of Ukrainians, who were exposed at an age of up to 18 years to ¹³¹I released during the Chernobyl NPS accident, and on differences in equipment and study protocol in the two surveys. Radiation risk of thyroid cancer incidence among survivors of the atomic bombings of Hiroshima and Nagasaki and preliminary estimates of thyroid dose due to the Fukushima accident were used for the prediction of baseline and radiation-related thyroid cancer risks. We estimate a prevalence of thyroid cancer of 0.027 % (95 % CI 0.010 %; 0.050 %) for the first screening campaign in the Fukushima Prefecture. Compared with the incidence rate in Japan in 2007, the ultrasonography survey is predicted to increase baseline thyroid cancer incidence by a factor of 7.4 (95 % CI 0.95; 17.3). Under the condition of continued screening, thyroid cancer during the first fifty years after the accident is predicted to be detected for about 2 % of the screened population. The prediction of radiation-related thyroid cancer in the most exposed fraction (a few ten thousand persons) of the screened population of the Fukushima Prefecture has a large uncertainty with the best estimates of the average risk of 0.1–0.3 %, depending on average dose.     

A Conceptual Model for Analyzing the Risks Involved in the Transportation of Hazardous Goods: Implementation in a Geographic Information System

The transportation of hazardous goods by road implies a risk for both humans and the environment, in that an accident involving a vehicle transporting this kind of material may cause extensive material and environmental damage and might even endanger lives. For this reason, both public and private entities (e.g., insurance companies) have a growing interest in studies that assess the risks associated with hazardous goods transportation This article describes a method for calculating these risks. The risk is determined on the basis of a calculation of the probability of the occurrence of an accident and the gravity of the damage, which is in turn a function of the potential damage inherent in the goods being transported taken with the vulnerability of the environmental medium in which the accident takes place. The mathematical model proposed is easily implemented in a geographical information system that will produce risk maps delimiting the more potentially conflictive stretches of roadway.     

Improving the care of patients with major trauma in the accident and emergency department.

OBJECTIVE--To determine whether improvement in the care of victims of major trauma could be made by using the revised trauma score as a triage tool to help junior accident and emergency doctors rapidly identify seriously injured patients and thereby call a senior accident and emergency specialist to supervise their resuscitation. DESIGN--Comparison of results of audit of management of all seriously injured patients before and after these measures were introduced. SETTING--Accident and emergency department in an urban hospital. PATIENTS--All seriously injured patients (injury severity score greater than 15) admitted to the department six months before and one year after introduction of the measures. RESULTS--Management errors were reduced from 58% (21/36) to 30% (16/54) (p less than 0.01). Correct treatment rather than improvement in diagnosis or investigation accounted for almost all the improvement. CONCLUSIONS--The management of seriously injured patients in the accident and emergency department can be improved by introducing two simple measures: using the revised trauma score as a triage tool to help junior doctors in the accident and emergency department rapidly identify seriously injured patients, and calling a senior accident and emergency specialist to supervise the resuscitation of all seriously injured patients. IMPLICATIONS--Care of patients in accident and emergency departments can be improved considerably at no additional expense by introducing two simple measures.     

Trends in infant leukaemia in West Germany in relation to in utero exposure due to the Chernobyl accident

A temporary increase in the incidence of infant leukaemia in Greece was reported by Petridou et al., which was attributed to in utero exposure to ionising radiation resulting from the Chernobyl accident. We performed a similar analysis based on the data of the German Childhood Cancer Registry in order to check whether the observation could be confirmed by means of independent data. Applying the same definitions as Petridou et al., we also observed an increased incidence of infant leukaemia in a cohort of children born after the Chernobyl accident. More detailed analyses, regarding areas with different contamination levels and dose rate gradients over time after the accident, showed, however, no clear trend with regard to exposure. It would therefore appear less likely that the observed effect was caused by exposure to ionising radiation due to the Chernobyl accident. Received: 30 January 1998 / Accepted in revised form: 23 April 1998     

Ecosystem remediation in radioactively polluted areas: the Chernobyl experience

The ecosystems of Chernobyl nuclear accident zone, having been deeply transformed by normal long-term agricultural and forestry activity, have been damaged by irradiation after the nuclear accident of 1986 and then influenced by post-accident countermeasures. Ecosystem remediation is being undertaken in this area, including maintenance of the forests, artificial afforestation, and processes of spontaneous self-restoration of the natural coenoses. Both natural and artificial remediation of the landscapes and ecosystems at the abandoned territory improves their capacity to retain radionuclides and their ability to stabilise the processes of redistribution of radionuclides and their spread in the environment. The Chernobyl zone is a territory of great importance for studying ecosystem remediation processes and elaborating on ecological engineering technologies to correct serious environmental problems arising from radionuclides release.     

Specific changes in auditory cognitive evoked potentials in those who participated in the liquidation of the chernobyl accident: I. Analysis of the early N1 component

The amplitude and temporal parameters of the N1 component of the auditory cognitive evoked potential (EP) were analyzed in ten people who participated in the elimination of the consequences of the Chernobyl accident (the liquidators) and ten healthy subjects aged 47 ± 6.0 and 50.5 ± 4.0 years, respectively. In the liquidators of the Chernobyl accident, the amplitudes of the N1 component of the auditory EP were decreased in all cortical areas. This decrease was the greatest in the central and frontal areas. The changes in response to stimuli of different significances in the liquidators were inverted as compared to the healthy subjects of the same age. The differences between the control group and the liquidators were the most pronounced in the temporal characteristics of the N1 component. The latent periods (LPs) for all stimuli presented under all experimental conditions were significantly shorter in the group of liquidators, and this effect was even stronger for the significant stimulus in the case of stimulus counting. In the liquidators, the maximum changes in the LPs of the N1 component were observed in the frontal area of the left hemisphere, and they were associated with an inversion of the LP asymmetry. Changes in this parameter were smaller in the central areas and were similar in the parietal areas in both groups studied. Changes in the amplitude and temporal characteristics of the N1 component of the auditory cognitive EP observed in the liquidators of the Chernobyl accident indicate the impairments of their involuntary attention and its capacity due to weakening of inhibition processes as compared to healthy subjects. This effect is similar to that found in elderly subjects. Our data support the hypothesis on the accelerated aging of the brain in the liquidators of the Chernobyl accident due to the effect of low doses of irradiation. The data also suggest that irradiation results in pathological aging.     

Psychological and social evaluation in cases of deliberate self-poisoning seen in an accident department.

The outcome in 115 consecutive patients with mild self-poisoning seen by junior medical staff and discharged from the accident department was compared with that of 98 similar patients admitted to the medical wards. Psychiatrists saw only four patients in the accident department and 25 admissions. In making their assessments the junior medical staff considered psychosocial factors as well as the patients'' physical condition. Most patients recommended for further care, and discharged from the accident department, subsequently received it. Repetition rates were similar in the two groups and there had been no suicides when patients were followed up at one year. It is feasible for junior staff in an accident department to decide whether patients with self-poisoning need admission or may be discharged with or without subsequent referral for psychiatric or social work help.     

Evaluation of the effectiveness of protective measures for reduction of the rural population exposure related to contamination of forest ecosystems

The contribution of different forest pathways to the irradiation of inhabitants of the forest settlements after the ChNPP accident is estimated. It has been shown that the long-term negative impact of forest ecosystems contaminated to the rural population requires application of special protective measures for a long time after the ChNPP accident.     

The problem of induced genome instability as the basis of the increased morbidity in children exposed to low-intensity radiation at low doses

The main results of the complex examination of the genome instability are presented in children constantly living on territories contaminated with radionuclides as a result of the accident at the CNPP (Novozybkov district, Bryansk region, 16-18 Ci/km2, 137Cs) and in children exposed to low-intensity radiation at different stages of ontogenetic development: children exposed to postnatal irradiation in 1986 (born before the accident), children exposed to intrauterine irradiation during the accident in 1986, children of irradiated parents born after the accident in 1987-1992 and in 1994-2000. In all examined groups of irradiated children increased frequencies of certain radiation-induced chromosome aberrations were observed as well as a reduced activity of unscheduled synthesis of genomic DNA in lymphocytes and peculiarities in individual heterozygosity of genes encoding structural and enzymatic proteins of blood. An increased radiosensitivity of lymphocyte genomes to testing in vitro irradiation and peculiarities in the dynamics of the frequencies of chromosome aberrations and sister chromatid exchanges in 3 cell generations were revealed in children from the contaminated areas. The data obtained suggest a systemic character of dysgenomic effects, the reality of induction of genome instability in the growing organism of children exposed to low-intensity radiation at low doses the expression of which is determined by individual genotypic features of the organism. Biological significance of the phenomenon of the post-radiation genome instability, its relation to the state of health and the pathogenetic role in the development of somatic pathology are postulated.     

The effect of Chernobyl accident on the development of non malignant diseases

The early medical complications of Chernobyl accident include post radiation disease, which were diagnosed in 134 subjects affected by ionizing radiation. 28 persons died during the first 100 days after the event. The increase occurrence of coronary heart disease, endocrine, haematological, dermatological and other diseases were observed after disaster in the contaminated territories. We also discussed the impact of ionizing radiation from Chernobyl accident on pregnancy and congenital defects occurrence. Changes following the Chernobyl accident, as the inhabitants migration from contaminated regions, political and economic conversions, led to depression, anxiety, and even to "epidemic" of mental diseases. Increased suicide rate, car accidents, alcohol and drug abuse have been observed in this population. Nowadays vegetative neurosis is more often diagnosed in Ukrainian children. Epidemiological studies were conducted on the ionising radiation effect on the health and on the dose of received radiation after Chernobyl accident face numerous problems as the absence of reliable data regarding diseases in the contaminated territories.     

Risk of acute childhood leukaemia in Sweden after the Chernobyl reactor accident. Swedish Child Leukaemia Group.

OBJECTIVE--To evaluate the risk of acute childhood leukaemia in areas of Sweden contaminated after the Chernobyl reactor accident in April 1986. DESIGN--Population based study of childhood leukaemia diagnosed during 1980-92. SETTING--Coordinates for places of residence of all 1.6 million children aged 0-15 years; aerial mapped areas of Sweden heavily contaminated after the Chernobyl accident. SUBJECTS--888 children aged 0-15 years with acute leukaemia diagnosed in Sweden during 1980-92, identified with place of birth and residence at diagnosis. MAIN OUTCOME MEASURES--Risk of leukaemia in areas contaminated after the Chernobyl accident compared with the rest of Sweden and in the same areas before the accident. RESULTS--During six and a half years of follow up after the accident the odds ratio for acute leukaemia was 0.9 (95% confidence interval 0.6 to 1.4) in highly contaminated areas (> or = 10 kBq/m2) compared with the same areas before the accident. For the subgroup acute lymphoblastic leukaemia in children aged under 5 years at diagnosis the odds ratio was 1.5 (0.8 to 2.6). For all cases diagnosed after May 1986 in highly contaminated areas compared with areas of low contamination the odds ratio was 0.9 (0.7 to 1.3). For acute lymphoblastic leukaemia in children aged under 5 years at diagnosis the odds ratio was 1.2 (0.8 to 1.9) in highly contaminated areas compared with areas of low contamination. Dose-response analysis showed no correlation between the degree of contamination and the incidence of childhood leukaemia. CONCLUSION--There has been no significant increase in the incidence of acute childhood leukaemia in areas of Sweden contaminated after the Chernobyl reactor accident.     

Medical protection during radiation accidents: some results and lessons of the Chernobyl accident

Actions of medical radiation protection of liquidators of consequences of on Chernobyl atomic power station accident are analysed. It is shown, that during the early period of the accident medical protection of liquidators was provided by administration of radioprotectors, means of prophylaxis: of radioactive iodine incorporation and agent for preventing psychological and emotional stress. When carrying out decontamination and regenerative works, preparations which action is caused by increase of nonspecific resistance of an organism were applied. The lessons taken from the results of the Chernobyl accident, have allowed one to improve the system of medical protection and to introduce in practice new highly effective radioprotective agents.     

A preliminary assessment of the consequences for inhabitants of the UK of the Chernobyl accident

The accident with the nuclear power reactor at Chernobyl in the USSR resulted in the release of substantial quantities of radioactive material and subsequent increases in radioactivity in the environment in many countries. In this paper the situation in the UK is considered and, from the preliminary monitoring measurements, the major routes of exposure of the population are identified and quantified. For the most part exposures in the UK are within variations in levels of natural background radiation to be found in Europe. An exception is the dose likely to have been received by the thyroids of young people in the north of the UK. From reported measurements of I-131 in milk it is predicted that thyroid doses up to 10-20 times the annual doses received from 'normal' natural background radiation might have affected young children drinking fresh cows' milk. The ways in which this component of exposure could have been reduced and the criteria that govern decisions as to whether or not to implement counter-measures are discussed. The importance of I-131 in milk as a route of exposure of the population to radioactivity is a feature that the Chernobyl accident has in common with the Windscale accident in the UK in 1957, and underlines the importance of milk-producing regions in relation to reactor-sitting policy.     

Current development of the human and environmental contamination in the Bryansk-Gomel Spot after the Chernobyl accident

Up to 1991, it was assumed that after the Chernobyl accident in 1986 the time development of radioactive contamination with regard to environment, foodstuff, and man would decrease due to migration processes in the soil, radioactive decay, and protective measures. This assumption was confirmed by all measurements in the first few years after the accident. Since 1991, however, a change in this development has been observed, as many measurements show stagnation or in some cases even an increase of foodstuff and human contamination. If normalised to an average local ground contamination, only a few groups of foodstuffs (e.g., potatoes) show a slight decrease in radioactivity. In this paper, the time development of radioactive contamination in the Bryansk-Gomel Spot on the basis of measurements since 1991 is presented. The consequences for long-term dose assessment are discussed. Received: 10 November 1998 / Accepted: 20 January 2000     

The Shift-Work Accident Rate is More Related to the Shift Type than to Shift Rotation

The current study investigated the accident rates across morning, late, and night shifts in rotating shift-workers employed in two different shift rotations at the same steel work factory. A retrospective analysis has been performed of accident data (N = 578) over a 5-year period (2003 through 2007) of 730 male shift-workers employed in either a clockwise (mean age of the workers 38.1 ± SD 9.8 years) or counterclockwise rotation (mean age 38.0 ± SD 10.1 years) with comparable work conditions. The overall accident rate across the 24-h day was not significantly different between clockwise and counterclockwise shift rotation. In both shift-work rotations, morning shifts as opposed to night shifts exhibited a significantly higher accident rate. There was no significant difference between late shifts and morning or night shifts in either shift rotation. The increased accident rate in the morning shift at this steel factory could be related to the early starting time of the shift and to this shift being more labor intensive in both shift rotations. These findings suggest that work-related factors must be considered in addition to shift-work schedules when investigating accident rates in rotating shift-workers.     

Aerial contamination of agroecosystems following the accident at the Chernobyl Nuclear plant

The regularities of the aerial contamination of agricultural ecosystems are described in the early period after the Chernobyl NPP accident. The aerial contamination is shown to be caused by the development of the above-ground biomass of plants and fallout characteristics. A specific coefficient of primary retention varied between 0.46 and 1.2 m2 kg-1 for 137Cs. The first half-life period varies from 9.7 to 13.4 days. The second period varies from 46.2 to 52.2 days. It has been found that parameters of aerial contamination from the Chernobyl accident well correlate with the results of observation in the period of global fallout.     

Distribution of Saprophytic Bacteria in the Atomic Submarine Accident Zone in Chazhma Bay, Sea of Japan

The numerical and taxonomic composition of saprophytic bacteria was studied in the atomic submarine accident zone in Chazhma Bay. With increasing depth in the epicenter of the accident zone, the mean of the ratio of bacterial taxa in the resistance series tends toward a constant. The numerical structure of the pelagic saprophytic bacterial assemblage becomes ordered as the bottom is approached. Analysis of radioactive suspended matter allowed us to obtain model distribution of numbers of all saprophytes and each taxon from the different environmental sources (sediment surface and upper layers of the sea).Original Russian Text Copyright © 2005 by Biologiya Morya, Ivanova, Gorshkova, Mikhailov, Sergeev, Gladkikh, Goryachev, Dudarev, Botsul, Mozherovsky, Slinko, Kiselev.