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Girl smiles and clutches to doll at a children’s facility in a Lviv hospital. One of the many leukemia victims due to Chornobyl radiation fallout. the Chornobyl disaster. Category II: requires special medical care. These are persons who have taken immediate part in elimina tion of the accident consequences; more than 2,000 persons with irradiation doses 25 mSv, 130,000 evacuees and relocated people. Category III: children with thyroid gland irradiated. Results of thyrodosimetric passportization in the Cherni- hiv oblast testify that up to 1.5 million children from Chernihiv, Zhitomir, Rivno oblast and the city of Kyyiv can be included in this group. Category IV: inhabitants of territories in the zone of enhanced radiological control. According to changes incorporated into the Law on Status of Victims (July 1, 1992), the main criteria for inclusion into this category is an irradiation dose of 5 mSv (50 rem) established on results of dosimetric passportization. One of the major goals of the Ukrainian Health Ministry in the context of the Chornobyl problem is the establishment of the State National Registry of Victims as a single system of registration, reconstruction of dose loading and medical and sanitarian support for victims. The concept and statute of the Registry have been developed. The Registry will have a three-element system on the rayon, oblast and national level. Each of the subsystems will be connected with the highest level of electronic mail. Today the Ukrainian Registry of Victims includes data on 374,607 persons. Military Medical Registry includes 36,000 persons. The data bank of the Registry encompasses 100,000 results of direct measurements of thyroid irradiation doses in 1986, 40,000 reconstructed irradiation doses, about 200,000 results of measurement of incorporated radio cesium, 150,000 results of radioimmune investiga tions, and up to 1 million of hematological investigations. According to the Law on Status of Victims, measures are being undertaken to enter data about all the victims into the Registry. Number of victims to date is 3 million (without the city of Kyyiv). Measures are also being taken for all these people to have medical examinations. Dynamics of health status of the victims, taking into account 7 years of observations, are characterized by negative tendencies. In 1987-1988 47 percent of adults and 53 percent of children were found to be healthy. At present these figures have worsened: 28-32 percent of adults and 27-31 percent of children are considered to be healthy. In dispensary registration there are 2,600,000 per sons, including 570,000 children, living in Kyyiv, Zhitomir, Rivno, Chernihiv, and Volyn oblast. 5,721 children live in zones of compulsory relocation. In 1993 in Polesskoye and Narodichi rayons, 558 neonates have been registered which can be included into a group irradiated in the uterus. ’’НАШЕ ЖИТТЯ”, ЛИСТОПАД 1993 19
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