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Yablokov: Nonmalignant Diseases after Chernobyl 107TABLE 5.46. Quantitative Parameters <strong>of</strong> IntellectualDevelopment <strong>of</strong> Heavily Irradiated Evacuees’Children from Pripyat City and Less Exposed Childrenfrom Kiev City (Yablokov et al., 2006)Irradiated, Controls,n = 108 n = 73Verbal intelligence 107 116Distinctions pIQ-vIQ 10.4 2.9 ∗∗ p < 0.05.9. Children exposed in utero at 16 to 25 weeks<strong>of</strong> gestation developed a range <strong>of</strong> conditions,including:• Increased incidence <strong>of</strong> mental and personalitydisorders owing to brain injury orbrain dysfunction (F06, F07).• Disorders <strong>of</strong> psychological development(F80–F89).• Paroxysmal states (headache syndromes,G44; migraine, G43; epileptiform syndromes,G40).• Somat<strong>of</strong>orm autonomic dysfunction(F45.3).• Behavioral and emotional disorders <strong>of</strong>childhood (F90–F99).10. Quantitative parameters <strong>of</strong> intellectualdevelopment (IQ) <strong>of</strong> the heavily irradiatedevacuees’ children from Pripyat City wereworse than those <strong>of</strong> the less heavily irradiatedchildren from Kiev City (Table 5.46).11. A marked growth <strong>of</strong> adult nervous systemmorbidity was observed in the contaminatedterritories during the first 6 years after thecatastrophe, especially after 1990 (Table 5.47).12. Nervous system and sense organ morbidityin the contaminated territories increased3.8- to 5-fold between 1988 and 1999. Amongadult evacuees these illnesses occurred significantlymore <strong>of</strong>ten than in the population as awhole (Prysyazhnyuk et al., 2002). In 1994, nervoussystem illnesses in adults and teenagersand among evacuees accounted for 10.1% <strong>of</strong>the overall morbidity in the contaminated territories(Grodzinsky, 1999).TABLE 5.47. Nervous System Morbidity (per10,000 Adults) in the Contaminated Territories <strong>of</strong>Ukraine, 1987–1992 (Nyagu, 1995a)Number <strong>of</strong> cases1987 1988 1989 1990 1991 1992All nervous 264 242 356 563 1,504 1,402system diseasesVasomotor 128 43 32 372 391 312dyscrasia ∗∗ In Russian-language literature <strong>of</strong>ten named “vegetativevascular dystonia,” also known as autonomic nervoussystem dysfunction.13. From 93 to 100% <strong>of</strong> the liquidatorshave neuropsychiatric disorders, with predominantlyorganic symptomatic mental disorders(F00—F09) (Loganovsky, 1999, 2000). Posttraumaticstress disorder (PTSD), psychosomatic,organic, and abnormal schizoid personalitydevelopment were documented accordingto local psychiatric classifications and ICD-10and DSM-IV criteria (Loganovsky, 2002).14. A total <strong>of</strong> 26 out <strong>of</strong> 100 randomly selectedliquidators who suffered from fatiguemet the chronic fatigue syndrome (CFS) diagnosticcriteria. CFS may therefore be one<strong>of</strong> the most widespread consequences <strong>of</strong> thecatastrophe for liquidators (Loganovsky, 2000b,2003). Moreover, although CFS incidence decreasedsignificantly (p < 0.001) (from 65.5%in 1990–1995 to 10.5% in 1996–2001), the frequency<strong>of</strong> occurrence <strong>of</strong> metabolic syndromeX (MSX—a group <strong>of</strong> risk factors for heart disease)increased significantly (p < 0.001) duringthe same period (from 15 to 48.2%). CFSand MSX are considered to be the first stagesin the development <strong>of</strong> other pathologies, andCFS can transform into MSX neurodegeneration,cognitive impairment, and neuropsychiatricdisorders (Kovalenko and Loganovsky,2001; Volovik et al., 2005).15. A cross-sectional study was carried outon a representative cohort <strong>of</strong> liquidators withinthe frame <strong>of</strong> the Franco-German ChernobylInitiative (Subproject 3.8) using a compositeinternational diagnostic interview. The results

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