Epidemiological survey ot the medicat consequences ot the Chernobyl accident in Ukraine V .A. 8Ulunov/ N.P. Strapko! f A. PirtJgQV3.' U. KrasnikoviI,' V. N Bugayev.· NA K oro/,' T .V. T reskunova.' BA Ledoschuk,O NA Gudztnko.' E.I, Bomko,' O.A. BotJyleva< & G./. Kartushin'
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consequences
",,,ne~, (ll tr>e partICipants in lr>e COOlair-rnen1 of !tie accidef!1and os cleanup rhqwlalOl'S'); ( 2) evac.-s; (3) residents of con tamrnated areas; and (4 ) children tJorn to parents w<!tl liign ll ocanl ' adial iOr1 e.pos",e
des recllefcl>es ~,ques. Du tail de la per1e d'intagr ita du con-tKJslible ~aire et de la !IoItabj. lile lherm""", h<le 11 nnC eod;e et au ,tochauffemen1 """reai,e. una mu~ltude de radioisotopes onI<'!la i1b(lres pendant une periOOe d'au I'\'lOirIs 16 joots. Les zones lOuCho!es al8lenlt,M vaSles, doni 37 mdlioos d·hectares da ns la seuie l!l<r8lne En"'ron 5 mjllibns de 'pe ,sonoes oot ale anec l lles d'une man;ere ou d' une aul,e. dOnt 2 millions en Ukra,ne AUK I,ns de l'enreglstr emeo1 el du sui... des conS<!l· quences saniratres de r acc >denl. 00 a d islin g"'" Q.....I' e grou pe . pri nc ipau. , a savoir: i) tee particl. p ants au. ope' atioos "'sanl a limrt.... les consllQuen· cas de l"eccident et a ,,,,,,,,II ,e le site en (otat (_Ie s liQuida leurs_j; iil les P8<s00n8S evac uees ; ;;;) tas residerus des zooes contaminl!es : et iv) les ernanlS MS de parenl. ayanl suDi una exPOs<lI00 cons'dara· bla au. rayonnemeols L'en ,eg lstrement et le SUM llp~Que
USSR and the evee 'epu~ icsah_ards a'a presen ted Wlth an empI\aSI$ on Ukraine, C<Yls>derin" lhe lOng incubaborl limes lor some oltr>e e.peclad illoosses arid relallvely low avera"a doses. !he d;Hoc.. nes or con!,,"," S'llndicam eHec1s become eviden1. For example ieucosis morbid,ty among clean up pefsor>nel w,!h in a 30 km zone er",""", !tie ac<:idenl was 3.4 pef 100 000 !)elore ee acc ident and 7 pee 100 000 aN_a",. The question of1he stat..li<:al SiQn~ocance of &UCh numbers is diSCUSsed b y !he au!tl()f!l. on !he conte"' or ccorcoooing 1ec10fS. For some or 1he observed eHeelS d has
Registral ion and epIClemIoIogocallollow-up in !tie former
in"
dens re. -
URS$ el Ies lfOlS 'O»U~iq<>ElS """t pr<!senllls t<;;, race enl <!1anl mis sur r Ukraone. Elanl
eccee reccoeot
already been establIShed !hal st'ess and anxoety caused by tr>e accklern and living conddions in !he aHectad areas a'e lI>e pl1l"lCipal cause ra!hef lI'Ian rad " allon. Accord'ng 101t>e &uIMrs. more delailed rel 'ospecl ive and P'OSPective eprdemoologi<;al sludies a'e needed in the futu'e . ;n orde< 10 c larify lI>e causes or observed 1>eall!1 eHeels.
Resume mId/callS de racc/d.nt d, Tch, rnobyl , n Ukraine Cel af'licte d&cnt "'" ca 'acta"sliques de .. conlamifla lion due Il l'accOdenl de Td>efrlObyl en tanl que base
o:Ionn<! le dur<le 00 lampS d"r'lCVba'"", pour Cerlanes des malad..s pr&/UeS er es doses m:ly""",," ~atlve mentla,bles , l o.nlC~e de COf1~rmer des "nets ma<QlJ8nrs.. Alfl$i, la morDiej,ta par ieuoose pa ,mi 18 pe""""",t d>arg(ode la r"""se en atal dartS una zone de 30 km lMour de ('aceldent ara;t de 3.4 pou , 100 000 ""ani r ace Od" nl et de 7 PO<JI" 100 OOD ap,as eelui-o. La quasI"'" de I'importance statistoque de Cl> type de nombo"e est m,se eo QUeSlion par ee auleurs COIYIj)le lenu des laetllUfS de conlusioo . En Ce qui conr;eme cert8InS etI<'!lS observes. i 8 dajA <!laateDh Que 18st'ess
"""i8n1
[flqu'" I pidl mi% g/qu, i U' /IS cOflil qu,nces
et l'am:rAta ~per l ·ac::dden1 .. ltIlSeond ll""'" de .... dans Ies zooes l<l<.>CMes sonl, pu. Que Iesraj'Oflfl8menls. ies Cl>u&e<; pr"",tpatllS , Selon ies aul"urs. iI taudra prOCl!der a r a.enir a des al\)(jes epi~i . Ques nluospecttves el prospeclives plus detailll!es alin de clanf,,,, ies causesdeSelletsQU8 l'on a oDservlls sur la sanle
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