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PRESS-RELEASE MEDICAL CONSEQUENCES OF THE CHORNOBYL CATASTROPHE IN UKRAINE (8 YEARS AFTER THE ACCIDENT) Medical consequences of the Chornobyl accident are becoming clearer with each postaccident year. It is connected both with accumulation of results of medical studies, detailed deepening of radiological investigation of the territory of Ukraine and determination of concept and criteria of assessment of the Chornobyl NPP acci dent consequences in the Ukrainian Law. In concordance with the state objectives and for implementation of the Ukrainian law on issues of the Chornobyl catastrophe, the basic goal of activities of the Ukrainian Health Ministry is establishment of the State /National/ Registry of victims, the single system of registration, reconsrtuction of dose loadings and medi cal and sanitarian support for the victims. Only under condition of establishment of such system,scientifically substantiated assessment of health status for each indi vidual and the whole population in general, develop ment of organization of medical and prophylactic mea sures, implementation of appropriate treatment and sanitation, would be possible. Nowadays the Ukrainian Registry of the victims includes (as of January 1994) data for 405,576 individu als; there are 36,000 individuals included into the Mil itary Medical Registry of the Ministry for Internal Affairs and the Security Service of Ukraine. In data bank of the Registry there are more than 100,000 results of direct measurements of thyroid irra diation doses in 1986, about 40,000 reconstructed irra diation doses, about 200,000 results of measurements of incorporated caesium. Besides, there are 150,000 results of radioummune studies, up to one million results of haematological studies. The Health Ministry of Ukraine is conducting an analysis of health status of suffered population using the most recent methods. The health care system establishments together with the Research Institute for Endocrinology and Metabolism have determined (by results of analyses) that in structure of morbidity among children and adolescents special attention be given to diseases connected with changes in thyroid. In recalculation per 100,000 of children’s population number of cases of thyroid cancer among Ukrainian children during 1981-1985 deviated within 0.04-0.06. In 1990 this index increased to 0.23, in 1991 — to 0.19, and in 1992 it was 0.41, in 1993 — 0.36: it exceeds pre- Chornobyl level in 6.5-10 times. Particulary, in most effected areas of Ukraine this index is considerably higher: in Kyyiv oblast (region) 2.4 (1992), (in 1993 — 1.73); in Chernihiv oblast — 1.1 (1992), (1993 — 1.73); in Rivno oblast — 1.7 (1992); in Zhytomyr oblast — 0.6 (1992), (1993 — 0.63). The increase of mortality is spe cially noticed in the city of Kyyiv (1.45 cases in 1992, 1.12 — 1993) and Cherkassy oblast (1.3 cases). The official statistics are confirmed by data of dee pened complex investigation by health care system establishments and the Research Institute for Pediat rics, Obstetrics and Gynecology, Research Center for Radiation Medicine, Academy of Medical Sciences of Ukraine, within the framework of the “Children of Chor nobyl” Program. This data indicates that indices of extension of thyroid hyperplasia, l-ll degree, diseases of digestion organs nasopharynx, neurous system, respira tory organs, lymphoadenopathies, anemiae, vegetovas cular dystonia, allergic diseases in contaminated areas exceeds by several times the morbidity indices of child ren from conditionally clean areas. For last years mortality among pregnant women has been growing. The diseases of kidneys, have increased from 12 to 51 percent, cardiovascular diseases — from 19 to 63 per cent, and iron deficiency anemiae — from 17 to 65 per cent. The growth of cardiovascular diseases is observed on account of functional disruptions of type
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