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The Chernobyl accident and its consequences: update at the millennium.

A marked increase in the incidence of papillary thyroid cancer in children has been documented in regions of the former Soviet Union most heavily contaminated by radioactive fallout from the Chernobyl nuclear power plant accident in April 1986. Accumulation of radioactive iodines by normal iodine trapping mechanisms resulted in significant radiation doses to the thyroid gland. Although it has long been known that thyroidal radiation resulted in nuclear and chromosomal abnormalities visible by light microscopy, modern molecular biology techniques are beginning to identify much smaller alterations in chromosomal coding sequences that are associated with malignant transformation. Although stable chromosomal abnormalities can be detected in Chernobyl-associated thyroid cancers, they are much less prevalent than in thyroid cancers developing after external beam irradiation. However, several unique chromosomal breakpoints have been described in radiation-associated thyroid cancers that are not commonly found in spontaneously occurring thyroid cancer. Furthermore, activation of specific subtypes of the ret/PTC tyrosine kinase oncogene appears to be more common in radiation-associated thyroid cancers than in spontaneous thyroid cancers. In summary, thyroid cancers developing in the aftermath of the Chernobyl accident provide a unique opportunity to search for chromosomal abnormalities that may be specific for radiation-induced thyroid cancer.

Chromosome Aberrations↗

Measurement of radiocaesium, radiostrontium, and plutonium in whole diets, following deposition of radioactivity in the UK originating from the Chernobyl power plant accident.

Radionuclide contamination of whole diets as a result of the Chernobyl accident has been measured following the collection of individual diets from adults and children during 1 week in June 1986. The study was conducted in three different parts of the UK, to represent rural areas of both high and low deposition of Chernobyl fallout, and an urban area where the food supply was likely to be derived from a more diverse range of sources. The overall caesium-137 plus caesium-134 concentrations in the diets was less than 5 Bq kg-1 fresh weight, and ranged from less than 0.8 Bq kg-1 to 22 Bq kg-1, the highest levels being found in diets from the high deposition area. The isotopic ratios confirmed contamination to have been predominantly of Chernobyl origin. These levels of radiocaesium would have given rise to an average committed effective dose equivalent to age 70 of less than 0.4 microSv, with a range of less than 0.05 microSv to 1.9 microSv, from intakes in the study week. The opportunity was also taken to analyse the samples for weapons fallout contamination, that is, strontium-89/strontium-90 and plutonium-239/plutonium-240. No diet contained strontium above the reporting level of 0.2 Bq kg-1 but 18% of the diets contained plutonium above the limits of detection (0.1 mBq kg-1), the highest of these being 12 mBq kg-1, found in a diet from one of the low deposition areas.

Accidents↗

Radiation doses in Sweden resulting from the Chernobyl fallout: a review.

The risk associated with the Chernobyl fallout is the product of radiation dose and risk factor per dose unit. The radiation doses originate from inhalation of radioactive particles, ground irradiation from deposited nuclides and internal irradiation caused by contaminated food. In Sweden the largest dose contribution is due to external radiation. The deposition has been mapped by aerial measurements and in situ high-resolution gamma measurements at ground level over the whole country. On the basis of these measurements, population-weighted doses for external radiation have been estimated. Whole-body measurements on randomly selected individuals have been performed in order to estimate the average dose from internal irradiation. The collective dose, i.e. the sum of all individual doses, has been estimated to be about 1500 man-Sievert for the first year after Chernobyl and 5000-7000 man-Sievert for a 50-year period. Using a risk factor of 0.02 fatal cancers per man-Sievert the Chernobyl fallout over Sweden might cause 100-200 fatal cancers.

Accidents↗

Unstable and stable chromosomal aberrations in lymphocytes of people exposed to Chernobyl fallout in Bryansk, Russia.

Analyses of unstable and stable chromosomal aberrations in peripheral blood lymphocytes were used in the assessment of radiation exposure of residents of a village situated in the Chernobyl fallout-contamination zone of Bryansk, Russia. Blood samples were taken from subjects residing in villages with high (> 1100 kBq/m2 137 Cs; Mirnyi) and very low (< 37 kBq/m2 137 Cs; Krasnyi Rog) contamination, 7 years after the Chernobyl accident. The groups were matched by age, sex, smoking habits and previous medical radiological exposures. A total of 200 people (100 exposed, 100 controls) were analysed for the presence of unstable aberrations from Giemsa-stained slides. To study stable aberrations, chromosome painting analyses were performed on 100 subjects (50 exposed, 50 controls), using painting probes for chromosomes 1, 2 and 4 and a pancentromeric probe. People living in the contaminated area showed significantly higher rates of unstable chromosome-type aberrations but not chromatid-type aberrations in their lymphocytes, indicating radiation exposure as a causative factor for the observed difference. No significant differences were found in the aberration rates between the two areas by the chromosome painting method. The levels of chromosome exchanges were low in both populations, but consistently higher in Mirnyi compared with the control area. The magnitude of radiation exposure resulting from Chernobyl fallout was estimated on the basis of excess stable chromosomal aberrations in the lymphocytes of the Mirnyi population compared with the controls.

Adult↗

Elevated minisatellite mutation rate in the post-chernobyl families from ukraine.

Germline mutation at eight human minisatellite loci has been studied among families from rural areas of the Kiev and Zhitomir regions of Ukraine, which were heavily contaminated by radionuclides after the Chernobyl accident. The control and exposed groups were composed of families containing children conceived before and after the Chernobyl accident, respectively. The groups were matched by ethnicity, maternal age, parental occupation, and smoking habits, and they differed only slightly by paternal age. A statistically significant 1.6-fold increase in mutation rate was found in the germline of exposed fathers, whereas the maternal germline mutation rate in the exposed families was not elevated. These data, together with the results of our previous analysis of the exposed families from Belarus, suggest that the elevated minisatellite mutation rate can be attributed to post-Chernobyl radioactive exposure. The mechanisms of mutation induction at human minisatellite loci are discussed.

Abnormalities, Radiation-Induced↗

Studies of cancer risk among Chernobyl liquidators: materials and methods.

The current paper presents the methods and design of two case-control studies among Chernobyl liquidators-one of leukaemia and non-Hodgkin lymphoma, the other of thyroid cancer risk-carried out in Belarus, Estonia, Latvia, Lithuania and Russia. The specific objective of these studies is to estimate the radiation induced risk of these diseases among liquidators of the Chernobyl accident, and, in particular, to study the effect of exposure protraction and radiation type on the risk of radiation induced cancer in the low-to-medium- (0-500 mSv) radiation dose range. The study population consists of the approximately 10000 Baltic, 40000 Belarus and 51 000 Russian liquidators who worked in the 30 km zone in 1986-1987, and who were registered in the Chernobyl registry of these countries. The studies included cases diagnosed in 1993-1998 for all countries but Belarus, where the study period was extended until 2000. Four controls were selected in each country from the national cohort for each case, matched on age, gender and region of residence. Information on study subjects was obtained through face-to-face interview using a standardised questionnaire with questions on demographic factors, time, place and conditions of work as a liquidator and potential risk and confounding factors for the tumours of interest. Overall, 136 cases and 595 controls after receiving their consent were included in the studies. A method of analytical dose reconstruction has been developed, validated and applied to the estimation of doses and related uncertainties for all the subjects in the study. Dose-response analyses are underway and results are likely to have important implications to assess the adequacy of existing protection standards, which are based on risk estimates derived from analyses of the mortality of atomic bomb survivors and other high dose studies.

Baltic States↗

Low prevalence of the ret/PTC3r1 rearrangement in a series of papillary thyroid carcinomas presenting in Belarus ten years post-Chernobyl.

After the Chernobyl accident in 1986, there was a significant increase in the incidence of papillary thyroid cancer in fallout-exposed children from Belarus. Radiation-induced rearrangements of chromosome 10 involving the c-ret proto-oncogene have been implicated in the pathogenesis of these cancers. The ret/PTC3r1 rearrangement was the most prevalent molecular lesion identified in post-Chernobyl papillary thyroid cancers arising in 1991 and 1992. We identified the ret/PTC1 rearrangement in 29% of 31 papillary thyroid cancers presenting in Belarus in 1996. In the present report, we examined 14 cases from this series (plus 1 additional case) and found a ret/PTC3r1 rearrangement in only 1 (7%). The prevalence of ret/PTC3r1 in this series is significantly lower than previously reported (p = 0.0006, Fisher exact test). This result suggests a switch in the ratio of ret/PTC3 to ret/PTC1 rearrangements in late (1996) versus early (1991-1992) post-Chernobyl papillary thyroid cancers.

Base Sequence↗

The ret/PTC1 rearrangement is a common feature of Chernobyl-associated papillary thyroid carcinomas from Belarus.

An increase in the incidence of papillary thyroid cancer has been documented in individuals exposed to Chernobyl fallout in 1986. Experiments using cultured human cells have suggested that radiation can induce the ret/PTC1 rearrangement involving the ret proto-oncogene. To test the hypothesis that the ret/PTC1 rearrangement is involved in the pathogenesis of Chernobyl-associated papillary thyroid carcinomas, we studied a panel of 31 cases from Belarus. All individuals lived in fallout-contaminated oblasts (regions) of Belarus at the time of the accident: Gomel (n = 13), Brest (n = 12), Minsk (n = 4), and Grodno (n = 2). All were under age 20 at the time of the accident; 20 were born between 1982 and 1986. Individual thyroid radiation doses were estimated at 1.1 to 110 rem. Patients underwent surgery in Minsk in 1996. Fifteen patients had locally advanced disease (stage T4). The majority had regional lymph node involvement (stage N1, n = 27). There were no distant metastases. Surgical specimens were frozen at -80 degrees C, RNA was extracted and cDNA prepared. The polymerase chain reaction (PCR) was performed with specific primers for ret/PTC1, and c-ret and GAPDH as controls. Controls were positive in all 31 cases. Nine cases yielded a positive PCR product for the ret/PTC1 rearrangement (29%). Thus, the ret/PTC1 rearrangement is a feature of some Chernobyl-associated papillary thyroid cancers, and is one possible mechanism involved in the pathogenesis of these cancers.

Age Distribution↗

Conversion factors for a mobile survey method by car in the Chernobyl area.

Conversion factors for the purpose of mobile survey by car in the Chernobyl area have been evaluated using simulation calculations. In the calculations, the width of road is assumed as being 4 m, 10 m and 20 m and the surrounding area is divided into ten zones contaminated homogeneously by 137Cs with different depth profiles in the ground. The air kerma contribution from all zones to the road is simulated. A conversion factor is calculated by dividing the air kerma rate in typical land-use adjacent to the road by that on the road. Conversion factors in various land uses around the roads are examined. The calculated conversion factors agree with the conversion factors measured in the Chernobyl area within an accuracy of 20%. Further, basic data, needed for composing conversion factors appropriate to other contaminated regions with different depth distributions from the Chernobyl area, are also indicated.

Air Pollutants, Radioactive↗

Transport of iodine and cesium via the grass-cow-milk pathway after the Chernobyl accident.

More than 150 data sets giving time-dependent concentrations of 131I and 137Cs in feed and milk of cows after the Chernobyl accident are evaluated using a minimal compartmental modeling approach. Transfer of cesium via the grass-cow-milk pathway is adequately described by a three-compartmental model. No unique model results for 131I, as a compartment with slow secretion of 131I into milk, are identified for some datasets only. Frequency distributions of weathering half-lives on grass and of equilibrium feed-to-milk transfer coefficients are approximately lognormal. Mean values of weathering half-lives on plants are 9.1 +/- 0.6 d for iodine and 11.1 +/- 0.8 d for cesium, in good agreement with means established from experiments performed before 1986. Mean values of equilibrium feed-to-milk transfer coefficients are 3.4 +/- 0.4 10(-3) d L-1 for 131I and 5.4 +/- 0.5 10(-3) d L-1 for 137 Cs. Both are lower than means calculated from the pre-Chernobyl data base. Plausible explanations of the differences include (1) reduced availability of fallout compared to soluble tracer; (2) underestimation of post-Chernobyl transfer coefficients by some experiments concluded too early to record slow transport processes; and (3) reduced transfer of 131I compared to long-lived iodine isotopes due to decay during fixation in the thyroid. Feed-to-milk transfer of 131I is related to milk yield, but no influence of milk yield and type of feed on transfer is apparent for cesium.

Accidents↗

Time dependence of the 137Cs resuspension factor on the Romanian territory after the Chernobyl accident.

On the basis of the radioactivity levels in aerosol and atmospherical deposition samples due to the Chernobyl accident, the resuspension factor of 137Cs as a four-parameter function has been inferred. The standard procedure to derive the dependence of resuspension on time assumes that the initial deposit is instantaneous. A simple method assuming a constant deposition rate over a fixed period has been proposed. Also, based on existing experimental data, an attempt was made to consider a realistic time dependence of the deposition rate to cope with the particular case of the Chernobyl accident. The differences between the two models are outlined. The Chernobyl direct deposit has been assumed to be the deposit measured between 30 April and 30 June 1986. The calculated values of the resuspension factor are consistent with the IAEA's recommended model and depend on the rainfall that occurred in June 1986 and the site-specific disturbance conditions during the first 100 d following 1 July 1986 and only on artificial disturbance by humans and vehicles after that.

Accidents↗

Risks from radionuclide migration to groundwater in the Chernobyl 30-km zone.

Remediation of contaminated groundwater in the Chernobyl 30-km evacuation zone is frequently identified as a priority by technical experts and Chernobyl site officials in Ukraine. In order to evaluate the health risk basis for this groundwater remediation, we have estimated both on-site and off-site health risks caused by radionuclide migration to the groundwater and compared these risks with those from exposure to radioactive contamination on the ground surface. A simple and conservative analytical model was developed to assess radionuclide transport to the groundwater from the soil surface contaminated by radioactive fallout. 90Sr, the primary radioactive contaminant of concern for the groundwater-migration exposure pathway, was evaluated in the analysis. The estimated health risk to hypothetical, self-sufficient residents in the 30-km zone is dominated by external and internal irradiation (due primarily to ingestion of agricultural products) from 137Cs, which is present in soils of the 30-km zone in roughly equal proportion with 90Sr. The estimated risk from contaminated groundwater is approximately an order of magnitude lower. Analysis of 90Sr migration via groundwater to surface water and down-river population centers shows that, despite generally unfavorable environmental conditions in the 30-km exclusion zone, radionuclide transport via the groundwater pathway has potential to contribute only marginally to the off-site radiological risk, which is governed by wash-out of radionuclides from the contaminated river flood plain and catchment areas by surface water during spring snowmelt and rains. Health risks due to off-site radionuclide migration via groundwater are below the level requiring application of counter-measures. This analysis implies that, relative to other exposure pathways, there is little current or future health risk basis for the proposed complex and costly groundwater remediation measures in the 30-km zone. Therefore, these activities should be abandoned in favor of more pressing health issues caused by the Chernobyl accident.

Humans↗

Present concept on current water protection and remediation activities for the areas contaminated by the 1986 Chernobyl accident.

The results of radiation monitoring data and migration pathway analysis of water bodies within areas affected by the 1986 Chernobyl accident provide a unique opportunity for decision-makers working in other extensively contaminated regions to optimize their approaches to surface and groundwater protection. Most engineering measures within the Chernobyl 30-km exclusion zone were focused on preventing secondary contamination of surface and groundwater from entering the Pripyat River and the Kiev Reservoir. However, implementation of these measures required huge financial and human resources. Therefore, lessons about post-accidental water protection activities can be learned from the Chernobyl example.

Humans↗

Modeling the washoff of 90Sr and 137Cs from an experimental plot established in the vicinity of the Chernobyl reactor.

After the Chernobyl event, a large area of land was contaminated following the deposition of radionuclides. This area became a continuing source of radionuclides to natural waters and aquatic ecosystems. In 1986, an experimental plot was constructed in a contaminated area near the Chernobyl Nuclear Power Plant to study the washoff of radionuclides by surface runoff. Concentrations of 137Cs and 90Sr were measured in the top 10 cm of the soil prior to the experiments. During two separate experiments, intense artificial rainfall was applied to the plot. A washoff scenario was then prepared with site-specific information on initial soil contamination, duration and quantities of rainfall and runoff, physicochemical properties of the topsoil, and some climatological data. Modelers were asked to predict (a) the vertical distributions of the initial concentrations of 137Cs and 90Sr in various chemical forms in the topsoil, (b) concentrations of these radionuclides in various chemical forms in the runoff water during each experiment, and (c) the total amounts of these radionuclides that were washed off during each experiment. Stochastically generated local rainfall data were used in a water budget model to generate annual average runoff and infiltration rates. A vertical, one-dimensional, multiphase, multispecies transport model was then developed to simulate the movement of contaminants in the topsoil during the 160-d period between the Chernobyl event and the experiments as well as the washouts of contaminants by runoff during the experiments and during the 24-h period thereafter. The model provided very good predictions of the vertical distributions of total contaminant concentrations in the top 10 cm of the soil; however, the concentrations in individual chemical forms were not predicted as accurately. Initially, the model overpredicted the washout of contaminants for the two experiments and the 24-h period thereafter. Fraction of runoff that flows as interflow and average sediment loading in the runoff were identified as parameters responsible for the overprediction. Calibration of the interflow fraction and adjustment of the average sediment loading in runoff to a level representative of Eastern Europe considerably improved these predictions. The complete modeling approach and comparisons of model predictions with measurements and with predictions from other modelers are presented.

Cesium Radioisotopes↗

Kinetics of fuel particle weathering and 90Sr mobility in the Chernobyl 30-km exclusion zone.

Weathering of fuel particles and the subsequent leaching of radionuclides causes 90Sr mobility in Chernobyl soils to increase with time after deposition. Studies of 90Sr speciation in soils collected in 1995 and 1996 from the Chernobyl 30-km exclusion zone have been used to calculate rates of fuel particles dissolution under natural environmental conditions. Results show that the velocity of fuel particle dissolution is primarily dependent on the physico-chemical characteristics of the particles and partially dependent on soil acidity. Compared to other areas, the fuel particle dissolution rate is significantly lower in the contaminated areas to the west of the Chernobyl reactor where deposited particles were presumably not oxidized prior to release. The data have been used to derive mathematical models that describe the rate of radionuclide leaching from fuel particles in the exclusion zone and changes in soil-to-plant transfer as a function of particle type and soil pH.

Models, Theoretical↗

The impact of Chernobyl fallout on the Southern Saami reindeer herders of Norway in 1996.

The reindeer-herding Southern Saamis, from Central Norway, were the population group exposed to the highest levels of radioactivity in Norway, following the Chernobyl accident. Radiocesium whole-body contents and dietary habits have been investigated regularly in this population group since 1987. Meat of semi-domesticated reindeer is important in their diet, and earlier studies have shown that contaminated reindeer meat contributes about 90% to the total intake of radiocesium. A major part of the group also consumes wild food products like game, freshwater fish, mushrooms, and berries. The application of countermeasures has been a common practice for the reindeer herders since the Chernobyl accident. According to the interviews in 1996, the three most commonly used and socially accepted countermeasures were (1) selection of reindeer for consumption after live monitoring of radiocesium concentrations; (2) selection of reindeer for consumption from less contaminated grazing areas; and (3) clean feeding of animals before slaughtering. Despite these countermeasures about one third of the population still have reduced reindeer meat intake because of the Chernobyl fallout. In 1996, the average whole body concentration of 137Cs for this population was found to be 88+/-7 Bq kg(-1) for women and 164+/-11 Bq kg(-1) for men(arithmetic mean +/- standard error). This is approximately half of the whole-body concentration of 137Cs measured in the same population in 1990-1991.

Adult↗

Thyroid cancer incidence among adolescents and adults in the Bryansk region of Russia following the Chernobyl accident.

Thyroid cancer incidence in the Bryansk region, the most contaminated area of Russia after the Chernobyl accident, is analyzed for the residents aged 15-69 y at the time of the accident (about 1 million persons according to the 1989 census) for the period from 1986 to 1998. Sex and age standardized incidence rates are presented and compared to the whole Russian population rates (SIR analysis). Also, a geographical correlation analysis is performed for incidence rates and mean thyroid doses at the district level, which provides a basis for preliminary estimation of radiation associated risks for the period 1991-1998 (to allow for a potential five year latent period). Thyroid doses were estimated based on the State official document "Methodology for reconstruction of dose from iodine radioisotopes in residents of the Russian Federation exposed to radioactive contamination as a result of the Chernobyl accident in 1986" (2000). Altogether, 1,051 thyroid cancer cases were detected in the Bryansk oncological dispensary from 1986 to 1998 and 769 from 1991 to 1998. Histological confirmation was available for 87% and 95% of these cases, respectively. Standardized incidence ratios (SIR) were 1.27 (95% CI = 0.92, 1.73) for the period 1986-1990 and 1.45 (95% CI = 1.20, 1.73) for the period 1991-1998 for males and 1.94 (95% CI = 1.70, 2.20) and 1.96 (95% CI = 1.82, 2.1) for females. The excess relative risk per 1 Gy (using external control) estimate for the period 1991-1998 was -0.4 (95% CI = -3.5, 2.7), -1.3 (95% CI = -2.8, 0.1) for males and females, respectively, and -0.6 (95% CI = -2.1, 0.8) for both sexes. Using internal controls, the excess relative risk (ERR(1Gy)) per unit dose of 1 Gy was found to be 0.7 with 95% CI (-2.3, 5.2) for males, -0.9 with 95% CI (-2.4, 0.8) for females and 0.0 with 95% CI (-1.4, 1.7) for males and females together. These results are discussed in the light of the quality of information available on thyroid cancer cases and screening campaigns carried out after the Chernobyl accident.

Adolescent↗

Carotenoids, sexual signals and immune function in barn swallows from Chernobyl.

Carotenoids have been hypothesized to facilitate immune function and act as free-radical scavengers, thereby minimizing the frequency of mutations. Populations of animals exposed to higher levels of free radicals are thus expected to demonstrate reduced sexual coloration if use of carotenoids for free-radical scavenging is traded against use for sexual signals. The intensity of carotenoid-based sexual coloration was compared among three populations of barn swallows Hirundo rustica differing in exposure to radioactive contamination. Lymphocyte and immunoglobulin concentrations were depressed, whereas the heterophil:lymphocyte ratio, an index of stress, was enhanced in Chernobyl swallows compared to controls. Spleen size was reduced in Chernobyl compared to that of two control populations. Sexual coloration varied significantly among populations, with the size of a secondary sexual character (the length of the outermost tail feathers) being positively related to coloration in the two control populations, but not in the Chernobyl population. Thus the positive covariation between coloration and sexual signalling disappeared in the population subject to intense radioactive contamination. These findings suggest that the reliable signalling function of secondary sexual characters breaks down under extreme environmental conditions, no longer providing reliable information about the health status of males.

Animals↗