Physical dosimetry and biological indicators of carcinogenic risk in a cohort of persons exposed to unhealthy ecological factors following the Chernobyl Nuclear Power Plant accident.

The April 1986 Chernobyl Nuclear Power Plant accident caused ecological changes in the Ovruch State forests in the Zhytomir oblast in the Ukraine. The highest radioactivity existed in moss, followed by the pine-forest substrate and soil. During 1984-1985, the pine needles were primarily surface contaminated, whereas during 1986-1988, they were contaminated secondarily. Radioactivity in air was highest (1.07+/-0.185 Bq/l) during dry and sunny weather and when trees were felled; the lowest levels (0.196+/-0.044 Bq/l) occurred during periods of stable snow coverage. Between 1987 and 1989 (i.e., after the Chernobyl accident), the caesium levels in forestry employees exceeded by 13.9-fold the average levels found in the Ukrainian Polessje population. Ovruch forest guards and woodcutters had the highest effective equivalent doses of radiation, and they therefore exhibited the highest carcinogenic risk.

Epidemiological survey of the medical consequences of the Chernobyl accident in Ukraine.

The characteristics of the contamination resulting from the Chernobyl accident are defined, as a basis for epidemiological investigations. Due to loss of integrity of the nuclear fuel and thermal buoyancy from fire and nuclear heating, a large quantity of radioisotopes were released over a period of up to 16 days. The areas affected were very large, 37 million hectares in Ukraine alone. About 5 million persons were affected in one way or another, over 2 million of them in Ukraine. For registration and follow-up of health consequences from the accident, 4 main groups were distinguished, namely: (1) the participants in the containment of the accident and its cleanup ("liquidators"); (2) evacuees; (3) residents of contaminated areas; and (4) children born to parents with significant radiation exposure. Registration and epidemiological follow-up in the former USSR and the three republics afterwards are presented with an emphasis on Ukraine. Considering the long incubation times for some of the expected illnesses and relatively low average doses, the difficulties of confirming significant effects become evident. For example leucosis morbidity among cleanup personnel within a 30 km zone around the accident was 3.4 per 100,000 before the accident and 7 per 100,000 afterwards. The question of the statistical significance of such numbers is discussed by the authors, in the context of confounding factors. For some of the observed effects it has already been established that stress and anxiety caused by the accident and living conditions in the affected areas are the principal cause rather than radiation. According to the authors, more detailed retrospective and prospective epidemiological studies are needed in the future, in order to clarify the causes of observed health effects.

[An attempt to study the psychological sequelae of the accident at the Chernobyl Atomic Electric Power Station]. / Opyt izucheniia psikhologicheskikh posledstvii avarii na Chermobyl'skoi AES.

The paper describes the image of radiation menace. Basic differences in image parameters are revealed for some population groups. The psychological levels of the image are regarded as psychosocial phenomena. Some specific psychological consequences of mental regression are outlined in the paper.

[Hygienic evaluation of women's work in radio-manufacturing industry]. / Gigienicheskaia otsenka truda zhenshchin v promyshlennom radioproizvodstve.

Conditions and character of labour of women working in revolver production are determined by exposure to noise, contact with cooling oils, static field, monotony, hypodynamics, tension of the visual analyser, which leads to the stress of the functional systems of the organism, development of fatigue, decrease in labour productivity, increased morbidity level with temporary loss of capacity for work. A complex of health-improving measures on normalization of occupational factors, rationalization of labour and rest regimen, implementation of which would promote increase in the capacity for work of women engaged in revolver production.