Enhancements in the Techa River Dosimetry System: TRDS-2016D Code for Reconstruction of Deterministic Estimates of Dose From Environmental Exposures.

Waterborne releases to the Techa River from the Mayak plutonium facility in Russia during 1949-1956 resulted in significant doses to persons living downstream. The dosimetry system Techa River Dosimetry System-2016D has been developed, which provides individual doses of external and internal exposure for the members of the Techa River cohort and other persons who were exposed to releases of radioactive material to the Southern Urals. The results of computation of individual doses absorbed in red bone marrow and extraskeletal tissues for the Techa River cohort members (29,647 persons) are presented, which are based on residence histories on the contaminated Techa River and the East Urals Radioactive Trace, which was formed in 1957 as a result of the Kyshtym Accident. Available Sr body-burden measurements and available information on individual household locations have been used for refinement of individual dose estimates. Techa River Dosimetry System-2016D-based dose estimates will be used for verification of risk of low-dose-rate effects of ionizing radiation in the Techa River cohort.

Consequences of the radiation accident at the Mayak production association in 1957 (the 'Kyshtym Accident').

This paper presents an overview of the nuclear accident that occurred at the Mayak Production Association (PA) in the Russian Federation on 29 September 1957, often referred to as 'Kyshtym Accident', when 20 MCi (740 PBq) of radionuclides were released by a chemical explosion in a radioactive waste storage tank. 2 MCi (74 PBq) spread beyond the Mayak PA site to form the East Urals Radioactive Trace (EURT). The paper describes the accident and gives brief characteristics of the efficacy of the implemented protective measures that made it possible to considerably reduce doses to the exposed population. The paper also provides retrospective dosimetry estimates for the members of the EURT Cohort (EURTC) which comprises approximately 21 400 people. During the first two years after the accident a decrease in the group average leukocyte (mainly due to neutrophils and lymphocytes) and thrombocyte count was observed in the population. At later dates an increased excess relative risk of solid cancer incidence and mortality was found in the EURTC.

Cancer Incidence after In Utero Exposure to Ionizing Radiation in Techa River Residents.

Health effects of in utero exposure to ionizing radiation, especially among adults, are still unclear. The aim of this study was to analyze cancer risk in a cohort of subjects exposed in utero due to releases of nuclear waste into the Techa River in the Southern Urals, taking into account additional postnatal exposure. Analysis for solid cancer was based on 242 cases among 10,482 cohort members, accumulating 381,948 person-years at risk, with follow-up from 1956-2009, while analysis for hematological malignancies was based on 26 cases among 11,070 persons, with 423,502 person-years at risk, with follow-up from 1953-2009. Mean doses accumulated in soft tissues and in red bone marrow during the prenatal period were 4 mGy and 30 mGy, respectively. Additional respective mean postnatal doses received by cohort members were 11 and 84 mGy. Poisson regression analysis was used to estimate the excess relative risk (ERR) of cancer incidence related to in utero and postnatal doses. No association was observed for in utero exposure with solid cancer risk [ERR per 10 mGy: -0.007; 95% confidence interval (CI): <-0.107; 0.148] or with hematological malignancy risk (ERR/10 mGy: -0.011; 95% CI: <-0.015; 0.099). However, ERR of solid cancer increased significantly with increasing postnatal dose (ERR/10 mGy: 0.11; 95% CI: 0.04; 0.22). The very wide confidence intervals in these ERR results are similar to those of studies performed on the LSS cohort and the offspring of the Mayak Female Worker Cohort, as well as case-control studies of effects after in utero medical exposure. There were limitations of this study, with decreased statistical power, due to the low prenatal doses received by most of the cohort members, the small number of cancer cases and the absence of cohort members over the age of 59 years (living cohort members had reached 49-59 years of age). Further aging of the cohort and extension of the follow-up period will enhance the statistical power of this study in the future. There is a shortage of cohort studies reporting on the effects of prenatal radiation exposure, as well as information on chronic exposure during the prenatal period. Therefore, further research of this unique cohort will be a useful addition to the published literature on this subject, and a valuable means of elucidating the long-term effects of low-dose radiation exposure in the fetus.

[Characteristic of the normal values of the pain threshold values in the dorsal region of the young women obtained by the pressure algometry method under different condition]. / Kharakteristika normal'nykh znachenii bolevogo poroga v oblasti spiny u devushek, poluchennykh metodom tenzoalgometrii v razlichnykh usloviyakh.

The application of modern techniques for different types of massage and manual therapy is associated with the exposure of the paravetrebral points. The knowledge of pain threshold values at these points is of great practical significance. AIM: The objective of the present study was to obtain the statistical characteristics of the individual pressure pain threshold (PPT) for the healthy women and patients presenting with minor disturbances of spinal motion segments (SMS) at the trigger points on the back. The secondary objective was to estimate the dependence of the PPT parameters on a variety of conditions. MATERIAL AND METHODS: Two groups of female volunteers (students of the South Ural State Humanitarian Pedagogical University aged 19-21 years) were formed, one composed of the girls in the quiescent state (group 1, n=45), the other comprised of the girls in the state of emotional agitation and prepared for physical activity (group 2, n=105). Each group was split into two sub-groups depending on the presence or absence of complaints about the state of the SMS. PPT was evaluated in terms of kg/cm2 with the use of the Wagner FPX algometer (USA) at 3 paired paravertebral points localized at different levels: the second and third lumbar vertebrae (LII-LIII); the ninth-to-tenth thoracic vertebrae (DIÐ¥-DÐ¥), the seventh cervical, and first thoracic vertebrae (CVII-DI); as well as in pairs on the trapezius muscles in their upper parts. The height, weight, and body mass index of the participants in the study were measured. RESULTS: The PPTs values at the selected points on the back were log-normally distributed. The minimum values were measured on the trapezoidal muscles (about 2 kg/cm2) and the maximum ones in the lumbar spineregion (up to 7 kg/cm2). Complaints about the condition of SMS in group 1 were associated with the decrease of the PPT values at the paravertebral points on the neck and the lower back. No decrease of the PPT values in connection with the complaints was documented in the patients of group 2. The PPT values determined in the women of group 2 were statistically higher than in those of group 1 at all points studied and in all the subgroups; the differences ranged from 20% to 40%. The PPTs values at different points of the back correlated significantly between each other (Spearman correlation coefficient 0.6-0.9, p<0.001). In all the groups statistically significant asymmetry of the PPT values was documented (Kruskal-Wallis test, p<0.05); the right-side PPT values were lower than the left-side ones, with the difference amounting to 2-8%. CONCLUSION: The conditions of PPT measurements at the paravertebral points have a significant impact on the resultant values, being higher when the subject is ready for performing the physical exercises. The complaints about the state of the SMS are associated with the decrease in the PPT values that are lower on the right side of the body than on its left side.

[Application of the EPR and FISH Methods to Dose Reconstruction for People Exposed in the Techa River Area].

Release of liquid radioactive waste into the Techa River from the Mayak Production Association during 1949-1956 resulted in a significant exposure of about 30000 people who lived in downstream settlements. The residents were exposed to internal and external radiation. The article discusses the capability of two methods that were used 50 years after the termination of radioactive discharges for the dose reconstruction, namely EPR measurements of tooth enamel, and FISH measurements of stable chromosome aberrations in circulating lymphocytes. The Main issue in the application of these methods for the dose reconstruction was local irradiation from strontium radioisotopes incorporated in teeth and bones. The EPR and FISH assays were supported by measurements of the 90Sr content in the skeleton and teeth in order to estimate and subtract internal doses from incorporated 89, 90Sr. The resulting dose estimates obtained from EPR and FISH mea- surements were found to be consistent The settlement-averaged values in the upper-Techa Region varied from 550-570 mGy to 130-160 mGy and showed a reduction with the distance from the release site. The EPR- and FISH-based dose estimates were in agreement with the doses calculated with the dosimetry system TRDS that uses data on radionuclide contamination of the Techa River floodplain and individual residential histories.

Contemporary Understanding of Radioactive Contamination of the Techa River in 1949-1956.

Analysis of recently available archive materials regarding the liquid radioactive waste storage and reprocessing at the "Mayak" Production Association in 1949-1956 has led to a more accurate reconstruction of radionuclide releases into the Techa River. Radionuclide concentrations in the Techa River water, bottom sediments and floodplain soils in 1949-1951 were reconstructed with the use of a purposely-developed Techa River model. Model calculations agree with the measurements of the specific activity in the river water and bottom sediments conducted since 1951. The model output for the (90)Sr concentration in the river water shows a good agreement with the retrospective estimates derived from (90)Sr measurements in teeth and the whole body of the Techa riverside residents. Modeled (137)Cs-contamination of the floodplain shows agreement with the values reconstructed from (137)Cs measurements in the floodplain soils obtained in later years. Reconstructed contamination levels by radionuclides in the Techa River water and floodplain are being used to refine internal and external doses and risk estimates of late effects in the population chronically exposed to radiation.

Strontium biokinetic model for the pregnant woman and fetus: application to Techa River studies.

A biokinetic model for strontium (Sr) for the pregnant woman and fetus (Sr-PWF model) has been developed for use in the quantification of doses from internal radiation exposures following maternal ingestion of Sr radioisotopes before or during pregnancy. The model relates in particular to the population of the Techa River villages exposed to significant amounts of ingested Sr radioisotopes as a result of releases of liquid radioactive wastes from the Mayak plutonium production facility (Russia) in the early 1950s. The biokinetic model for Sr metabolism in the pregnant woman was based on a biokinetic model for the adult female modified to account for changes in mineral metabolism during pregnancy. The model for non-pregnant females of all ages was developed earlier with the use of extensive data on (90)Sr-body measurements in the Techa Riverside residents. To determine changes in model parameter values to take account of changing mineral metabolism during pregnancy, data from longitudinal studies of calcium homeostasis during human pregnancy were analysed and applied. Exchanges between maternal and fetal circulations and retention in fetal skeleton and soft tissues were modelled as adaptations of previously published models, taking account of data on Sr and calcium (Ca) metabolism obtained in Russia (Southern Urals and Moscow) relating to dietary calcium intakes, calcium contents in maternal and fetal skeletons and strontium transfer to the fetus. The model was validated using independent data on (90)Sr in the fetal skeleton from global fallout as well as unique data on (90)Sr-body burden in mothers and their still-born children for Techa River residents. While the Sr-PWF model has been developed specifically for ingestion of Sr isotopes by Techa River residents, it is also more widely applicable to maternal ingestion of Sr radioisotopes at different times before and during pregnancy and different ages of pregnant women in a general population.

Strontium biokinetic model for the lactating woman and transfer to breast milk: application to Techa River studies.

This paper presents a biokinetic model for strontium metabolism in the lactating woman and transfer to breast milk for members of Techa River communities exposed as a result of discharges of liquid radioactive wastes from the Mayak plutonium production facility (Russia) in the early 1950s. This model was based on that developed for the International Commission for Radiological Protection with modifications to account for population specific features of breastfeeding and maternal bone mineral metabolism. The model is based on a biokinetic model for the adult female with allowances made for changes in mineral metabolism during periods of exclusive and partial breast-feeding. The model for females of all ages was developed earlier from extensive data on (90)Sr-body measurements for Techa Riverside residents. Measurements of (90)Sr concentrations in the maternal skeleton and breast milk obtained in the1960s during monitoring of global fallout in the Southern Urals region were used for evaluation of strontium transfer to breast and breast milk. The model was validated with independent data from studies of global fallout in Canada and measurements of (90)Sr body-burden in women living in the Techa River villages who were breastfeeding during maximum (90)Sr-dietary intakes. The model will be used in evaluations of the intake of strontium radioisotopes in breast milk by children born in Techa River villages during the radioactive releases and quantification of (90)Sr retention in the maternal skeleton.

Age and gender specific biokinetic model for strontium in humans.

A biokinetic model for strontium in humans is necessary for quantification of internal doses due to strontium radioisotopes. The ICRP-recommended biokinetic model for strontium has limitations for use in a population study, because it is not gender specific and does not cover all age ranges. The extensive Techa River data set on (90)Sr in humans (tens of thousands of measurements) is a unique source of data on long-term strontium retention for men and women of all ages at intake. These, as well as published data, were used for evaluation of age- and gender-specific parameters for a new compartment biokinetic model for strontium (Sr-AGe model). The Sr-AGe model has a similar structure to the ICRP model for the alkaline earth elements. The following parameters were mainly re-evaluated: gastrointestinal absorption and parameters related to the processes of bone formation and resorption defining calcium and strontium transfers in skeletal compartments. The Sr-AGe model satisfactorily describes available data sets on strontium retention for different kinds of intake (dietary and intravenous) at different ages (0-80 years old) and demonstrates good agreement with data sets for different ethnic groups. The Sr-AGe model can be used for dose assessment in epidemiological studies of general populations exposed to ingested strontium radioisotopes.

Concentrations of 90Sr in the tooth tissues 60 years after intake: results of TL measurements and applications for Techa River dosimetry.

This article focuses on the study of (90)Sr in the tooth tissues of Techa riverside residents 60 years after intake. The Techa River was contaminated by radioactive wastes in the 1950s. Contamination of the river system, including water, bottom sediment, floodplain soil, and grass, depended on the distance from the source of releases. Therefore, the average (90)Sr intake was different in different settlements located downstream the river. An additional factor influencing (90)Sr accumulation in the teeth is the rate of tissue mineralization at the time of intake which depended on the donor's age at the time of releases. Measurements of (90)Sr concentration in various dental tissues (enamel, crown, and root dentin) of 166 teeth were performed about 60 years after the main intake using the method of thermoluminescence passive beta detection. The paper presents the current levels of tooth tissue contamination, and the tooth-to-tooth variability of (90)Sr concentration in tooth tissues was assessed for the tissues which were matured at the time of massive liquid radioactive waste releases into the Techa River. A model describing the expected levels of (90)Sr in matured dental tissues depending on age and intake has been elaborated for the population under study. The results obtained will be used for calculation of internal dose in enamel and for interpretation of tooth doses measured by means of the electron paramagnetic resonance method, among the population of the Techa River region.

Reconstruction of long-lived radionuclide intakes for Techa riverside residents: 137Cs.

Radioactive contamination of the Techa River (Southern Urals, Russia) occurred from 1949-1956 due to routine and accidental releases of liquid radioactive wastes from the Mayak Production Association. The long-lived radionuclides in the releases were Sr and Cs. Contamination of the components of the Techa River system resulted in chronic external and internal exposure of about 30,000 residents of riverside villages. Data on radionuclide intake with diet are used to estimate internal dose in the Techa River Dosimetry System (TRDS), which was elaborated for the assessment of radiogenic risk for Techa Riverside residents. The Sr intake function was recently improved, taking into account the recently available archival data on radionuclide releases and in-depth analysis of the extensive data on Sr measurements in Techa Riverside residents. The main purpose of this paper is to evaluate the dietary intake of Cs by Techa Riverside residents. The Cs intake with river water used for drinking was reconstructed on the basis of the Sr intake-function and the concentration ratio Cs-to-Sr in river water. Intake via Cs transfer from floodplain soil to grass and cows' milk was evaluated for the first time. As a result, the maximal Cs intake level was indicated near the site of releases in upper-Techa River settlements (8,000-9,000 kBq). For villages located on the lower Techa River, the Cs intake was significantly less (down to 300 kBq). Cows' milk was the main source of Cs in diet in the upper-Techa River region.

Cortical bone resorption rate in elderly persons: estimates from long-term in vivo measurements of (90)Sr in the skeleton.

The rate of cortical bone resorption was assessed from long-term in vivo measurements of (90)Sr content in the skeleton for men aged 50-80 years and for women 0-30 years after menopause. Measurements of (90)Sr were conducted with a whole body counter (WBC) for residents of the Techa Riverside communities (Southern Urals, Russia), who ingested large amounts of (90)Sr as a result of releases of liquid radioactive wastes into the river from the Mayak plutonium facility in early 1950s. The results of this study showed an increase in the rate of cortical bone resorption in both men and women, as based on the use of accidentally ingested (90)Sr as a tracer for bone metabolism. In men there was a continuous gradual increase in the rate of cortical bone resorption after 55 years from 2.8 to 4.5%/year by the age of 75 years. In women, there was a doubled increase in the rate of cortical bone resorption after menopause of up to 6%/year; then the rate remained unchanged for 10-12 years with a subsequent gradual decline down to 5-5.5%/year. Comparison of the rate of cortical bone resorption in men and women older than 55 years showed that women expressed significantly higher levels of cortical bone resorption.

Reconstruction of long-lived radionuclide intakes for Techa riverside residents: strontium-90.

Releases of radioactive materials from the Mayak Production Association in 1949-1956 resulted in contamination of the Techa River; a nuclide of major interest was 90Sr, which downstream residents consumed with water from the river and with milk contaminated by cows' consumption of river water and contaminated pasture. Over the years, several reconstructions of dose have been performed for the approximately 30,000 persons who make up the Extended Techa River Cohort. The purpose of the study described here was to derive a revised reference-90Sr-intake function for the members of this cohort. The revision was necessary because recently discovered data have provided a more accurate description of the time course of the releases, and more is now known about the importance of the pasture grass-cow-milk pathway for the members of this cohort. The fundamental basis for the derivation of the reference-90Sr-intake function remains the same: thousands of measurements of 90Sr content in bone with a special whole-body counter, thousands of measurements of beta-activity of front teeth with a special tooth-beta counter, and a variety of other measurements, including post mortem measurements of 90Sr in bone, measurements of 90Sr in cow's milk, and measurements of beta activity in human excreta. Results of the new analyses are that the major intake started in September 1950 and peaked somewhat later than originally postulated. However, the total intake for adult residents has not changed significantly. For children of some birth years, the intake and incorporation of Sr in bone tissue have changed substantially.

[Bone mineral density in residents living on radioactive territories of Cheliabinsk Region].

Operation of "Mayak" plutonium production complex resulted in radioactive contamination of the part of Chelyabinsk Region in 1950-60s. Significant gas-aerosol emissions of 1311 occurred since 1948; in 1957, a radiation accident resulted in 90Sr contamination of large territories. This paper presents comparison of bone mineral density of persons lived on territories with different levels of soil 90Sr-contamination with a control group. It was found that in 1970-1975 the bone mineral density, estimated from mineral content in bone samples, in residents of contaminated areas born in 1936-1952 was significantly lower compared with the control group. For persons born in 1880-1935 such differences were not found. It was shown that the decrease in 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 was not significant. The decrease in bone mineral density of persons born in 1936-1952 could be associated with exposure of thyroid and parathyroid glands (systemic regulators of calcium turnover) by 131I from gas-aerosol emissions from "Mayak". Maximum gas-aerosol emissions occurred in 1948-1954 and coincided with growth and development of thyroid gland, characterizing by intensive accumulation of 131I, and with growth and maturation of the skeleton of persons born in these calendar years.

[Secular trend of bone mineral content decrease in human bone tissue: analysis of the data from Ural region].

Bone mineral content in rib samples from Ural region residents was analyzed depending on donors' gender, age and year of birth. Bone mineral content, that reflects the mineral density, was estimated as gram of minerals per 1 kg of wet bone mass. The period of sampling and measurements covered 1958-1988, the age of donors ranged from newborn to 99 years, birth years varied from 1872 to 1984, and the total number of samples was equal to 4685. A decrease in bone mineral density during 1958-1988 period was found in groups of close ages but different years of birth indicating an existence of the secular trend. For people born before 1920, the trend was insignificant. For people born in later years, a continuous decrease in bone mineral content was observed in groups of the same ages with an average rate of 3 g/kg per year, which is about 1% per year. Longitudinal and cross-sectional studies of bone mineral density provide different estimates of age dependent rate of bone mineral loss, and these values may differ by a factor of two. Different generations, i.e. people born in different periods of the XX century, have age-dependent features of bone mineral density specific for their groups.

[90Sr in residents of the Iset riverside settlements].

The river Iset belongs to the Techa-Iset-Tobol-Irtysh-Ob system contaminated by liquid radioactive wastes from Mayak plutonium facility in 1949-1956. This study represents the first retrospective analysis of postmortem measurements of 90Sr in bones from residents of the Iset riverside settlements in 1960-1982. It was shown that 90Sr concentration in bones of residents lived in settlements located downstream from the Techa river mouth (Shadrinsk, Isetskoye, Yalutorovsk) was 5 times higher than average 90Sr concentration in bones of the Russian residents. There was not statistically significant difference in accumulated 90Sr in bones between residents of the considered Iset' settlements indicating similar levels of 90Sr ingestion. Dietary 90Sr intake was reconstructed from the measurements of the radionuclide in bones. Total 90Sr dietary intake in 1950-1975 was 68 kBq; and 90% of the intake occurred in 1950-1961. In 1960s, 90Sr-contamination of the diet in settlements located downstream from the Techa river mouth was mostly (by 70%) due to global fallouts. Absorbed dose in the red bone marrow cumulated over 25 years of exposure was equal to 14 (4.7-42) mGy.

An approach to reduction of uncertainties in internal doses reconstructed for the Techa River population.

A methodology was developed for reduction of uncertainties in estimates of internal dose for residents of the Techa Riverside communities, who were exposed as a result of releases of radionuclides from the Mayak plutonium production facility in 1949-56. The 'Techa River Dosimetry System' (TRDS) was specifically elaborated for reconstruction of doses. A preliminary analysis of uncertainty for doses estimated using the current version of the TRDS showed large ranges in the uncertainty of internal absorbed dose and led to suggestions of methods to reduce uncertainties. The new methodological approaches described in this paper will allow for significant reduction of uncertainties of 90Sr-dose. The major sources of reduction are: making use of individual measured values of 90Sr and through development of a Household Registry to associate unmeasured persons with measured persons living in the same household(s).

In utero and postnatal haemopoietic tissue doses resulting from maternal ingestion of strontium isotopes from the Techa River.

Reliable estimates of tissue doses to individuals exposed as a result of radioactive releases to the Techa River are essential prerequisites for epidemiological analyses. This paper describes progress made in collaborative studies, sponsored by the European Union, between the Urals Research Center for Radiation Medicine and the UK Health Protection Agency to provide dose estimates to Techa River populations following in utero exposures and infant exposures resulting from breast-feeding. Studies have concentrated on the assessment of internal doses from 90Sr as the main contributor to internal doses to the Techa River populations.

Possibilities of using human teeth for retrospective dosimetry: analysis of the Techa River data.

Different methods for utilising teeth were applied for the reconstruction of internal and external doses for the population of the Techa riverside area contaminated as a result of radioactive releases from the Mayak plutonium-production facility. Information on 90Sr content in the enamel of teeth obtained from the Techa River residents has been used for the reconstruction of intakes of this nuclide. Analyses of dosimetric investigations on dental tissues performed in the Techa River region provide an understanding of the possibilities and limitations of using human teeth in retrospective dosimetry studies.

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.