RESULTS OF WBC-MONITORING OF FIREFIGHTERS PARTICIPATING IN RESPONSE TO CHORNOBYL FOREST FIRES IN APRIL-MAY 2020. / REZUL'TATY LVL-MONITORYNGU POZhEZhNYKh, ShchO BULY ZADIIaNI U GASINNI LISOVOÏ POZhEZhI V ZONI VIDChUZhENNIa ChAES U KVITNI­TRAVNI 2020 ROKU.

OBJECTIVE: of this study was to determine the levels of radionuclides in the rescuers' bodies of the SES during firefighting in the exclusion zone of the Chornobyl nuclear power plant and to assess the dose of internal radiation dueto this receipt. MATERIALS AND METHODS: From 06.04.2020 to 19.05.2020 in the State Institution «National Research Center forRadiation Medicine of the National Academy of Medical Sciences of Ukraine¼ (NRCRM) measurements of the contentof incorporated gamma radionuclides on whole body counters (WBC) operational class «Screener-3M¼ (Minimumdetected activity (MDA) is 300-500 Bq for 5 minutes of measurement at 137Cs) and expert high-sensitivity WBC (MDAis 20 Bq for 10 minutes of measurement at 137Cs). 470 people (523 measurements) in three groups of personnel ofthe SES of Ukraine who took part in the forest fire liquidation in the exclusion zone in the period from April 4 toMay 5, 2020 were examined. Mathematical and spectrometric methods are used in the work. RESULTS AND CONCLUSIONS: In the vast majority (95 %) of the personnel of the SES of Ukraine, examined at the WBCoperational class «Screener-3M¼ (more than 500 measurements), the assessment of the values of the individualeffective dose of internal radiation due to 137Cs in the body during firefighting, assuming that it receipt occurredduring operation in the exclusion zone, did not exceed the minimum dose detected by MDD (5-14 µSv). The average value of the effective dose of internal radiation in the group of personnel of the State Emergency Service ofUkraine in Kyiv, which participated in the elimination of forest fires in the exclusion zone from April 4 to May 5, 2020(26 people) studied at the expert WBC, is 2.5 ± 1.1 µSv, in the group of personnel of the SES of Ukraine in Cherkasyregion, which participated in the fire on April 19-24, 2020 (9 people) - 2.2 ± 0.6 µSv, in the group of personnel ofthe SES of Ukraine in the Kyiv region, which took part in the elimination of the forest fire in the exclusion zone onApril 4 - May 5, 2020 (42 people) - 4.4 ± 2.4 µSv. Maximum values of 5.1 µSv, 3.5 µSv, 11.8 µSv in the groups ofKyiv city, Cherkasy and Kyiv regions, respectively, which is much lower than the basic dose limit for the populationfrom man-made sources of 1000 µSv · year-1 according to the Law of Ukraine about protection of the person againstinfluence of ionizing radiation.

ENDOCRINE REGULATION OF ERYTHROID LINEAGE OF HEMATOPOIESIS IN CHILDREN LIVING UNDER A LOW-DOSE RADIATION EXPOSURE AFTER THE CHORNOBYL NPP ACCIDENT. / ENDOKRYNNA REGULIaTsIIa ERYTROTsYTARNOÏ LANKY GEMOPOEZU V DITEI, IaKI ZhYVUT' NA RADIOAKTYVNO ZABRUDNENYKh TERYTORIIaKh PISLIa AVARIÏ NA ChAES.

OBJECTIVE: Elucidation of relationship between the levels of thyroid-stimulating hormone (TSH), free serum thyroxine, serum and urine cortisol and parameters of erythroid lineage of hematopoiesis to estimate the thyroid functionin children of prepubertal, pubertal, and postpubertal age permanently residing under a low-dose radiation exposureto determine the premorbid state of thyroid function. MATERIALS AND METHODS: Children aged 3 to 18 years old (n = 203) living in the most intensively radionuclide-contaminated regions of Kyiv, Zhytomyr and Chornihiv oblasts of Ukraine after the Chornobyl NPP accident wereenrolled. Complaints of ossalgia, arthralgia, fatigue, bone fractures in the history, bone dysembryogenetic stigmata,hypermobility syndrome degree, and types of somatic diseases were taken into account. Peripheral blood countparameters, biochemical indices of blood serum were studied, namely the levels of total protein, cholesterol, creatinine and alkaline phosphatase activity. Levels of the free thyroxine, pituitary TSH, serum and daily urine cortisol, anddoses of radiation exposure were determined. RESULTS: The radiation dose values in children ranged from (0.35 ± 0.09) mSv to (0.54 ± 0.12) mSv. There was nodifference between the parameters of erythroid lineage of hematopoiesis depending on radiation dose. At the levels of serum TSH up to 1.0 µIU/ml no correlation was found with cortisol levels; at TSH levels of 1.0-3.0 µIU/ml thecorrelation coefficient was r = 0.31; at TSH levels higher than 3.0 µIU/ml the correlation coefficient was r = 0.61probably indicating a compensatory role of adrenal cortex in children at risk of thyroid disease development. In children with joint hypermobility grade II there was a higher incidence of dentofacial anomalies (χ2 = 6.9), deformitiesof lower extremities (χ2 = 6.9), and dental caries (χ2 = 4.3) (p < 0.05). There was a direct correlation between theserum TSH level (over 3 µIU/ml) and micrognathia (brachygnathia) (r = 0.62) indicating the impact of thyroid disease on dentofacial development. The TSH at a level of upper limit of the reference range values may contribute toa decreased RBC count in peripheral blood, increased average volume and hemoglobin content in erythrocyte beingassociated with the initial manifestations of thyroid dysfunction. CONCLUSIONS: Abnormal endocrine regulation of hematopoiesis affects the connective tissue, stromal microenvironment of bone marrow, and accordingly the erythroid branch of hematopoiesis in children, which may be relevant inthe development and course of oncohematological diseases.