Yablokov: Oncological Diseases after Chernobyl 185TABLE 6.21. Predicted Incidence <strong>of</strong> CancerCaused by Chernobyl and the Resultant Death Tollin Europe from 1986 to 2056 (Malko, 2007)Number <strong>of</strong> casesCountry All FatalitiesBelarus 28,300 17,546Ukraine 28,300 17,546Russia 25,400 15,748Germany 9,280 5,754Romania 5,220 3,236Austria 5,050 3,131Great Britain 4,280 2,654Italy 3,770 2,337Bulgaria 2,920 1,810Sweden 1,980 1,228Greece 1,880 1,166Poland 1,755 1,088Finland 1,600 992Switzerland 1,530 949Czech Republic 1,410 874Moldova 1,320 818France 1,220 756Slovenia 960 595Norway 920 570Slovakia 715 443Croatia 630 391Hungary 625 388Lithuania 420 260Ireland 375 233The Netherlands 135 84Belgium 110 68Spain 80 50Latvia 75 47Denmark 70 43Estonia 60 37Luxembourg 15 9European total 130,405 89,851Included figures 82,000 50,840for Belarus, Ukraine,and European Russiawhich is still in evidence, in the incidence <strong>of</strong>various malignant neoplasms in all <strong>of</strong> the territoriessubjected to Chernobyl fallout—thatis, where adequate studies have been carriedout.Even the incomplete data now available indicatethe specific character <strong>of</strong> cancers causedby Chernobyl. The onset <strong>of</strong> many cancers begannotafter20years,asinHiroshimaandNagasaki, but in only a few years after theexplosion. The assumption (e.g., Pryasyaznjuket al., 2007) that Chernobyl’s radioactive influenceon the incidence <strong>of</strong> malignant neoplasmswill be much weaker than that <strong>of</strong> the Hiroshimaand Nagasaki radiation is very doubtful. InChernobyl’s contaminated territories the radioactiveimpact may be even greater because<strong>of</strong> its duration and character, especially because<strong>of</strong> irradiation from internally absorbedradioisotopes.The number <strong>of</strong> illnesses and deaths determinedby Malko’s (2007) calculations cannotbe dismissed as grossly overestimated: 10,000–40,000 additional deaths from thyroid cancer,40,000–120,000 deaths from the other malignanttumors, and 5,000–14,000 deaths fromleukemia, for a total <strong>of</strong> 55,000 to 174,000deaths for the “Chernobyl generation” from1986 to 2056.ReferencesAbdelrahman, R. (2007). Swedes still dying from Chernobylradiation. The Local-Sweden’s News in English(//www.thelocal.se/7200/20070504/).Annual Report (2006). Industrial Catastrophes andLong-Term Surveillance. Surveillance <strong>of</strong> ThyroidCancer: Twenty Years after Chernobyl.French Institute for Public Health Surveillance.(//www.invs.sante.fr/presentations/edito_en_htm).Anonymous (2005). Even nowadays they are doing theirbest to cover the truth <strong>of</strong> Chernobyl. November 26(www.chernobyl-portal.org.ua) (in Russian).Associated Press (2000). Study cites Chernobyl health effectsin Poland. April 26, Warsaw, Poland 12:39:09.Barylyak, I. R. & Diomyna, E. A. (2003). Morbidity analysisamong the participants <strong>of</strong> Chernobyl NPP accidentliquidation. Bull. Ukr. Soc. Genet. Breeders 1: 107–120 (in Ukrainian).Belookaya, T. V., Koryt’ko, S. S. & Mel’nov, S. B.(2002). Medical effects <strong>of</strong> low doses <strong>of</strong> ionizing radiation.In: Fourth International Congress on IntegratedAnthropology (Materials, St. Petersburg): pp. 24–25 (inRussian).Borysevich, N. Y. & Poplyko, I. Y. (2002). Scientificsolution <strong>of</strong> Chernobyl problems. Year 2001results (Radiology Institute, Minsk): 44 pp. (inRussian).Brown, P. (2000). 50,000 extra Chernobyl cancers predicted.The Guardian, April 26.
186Busby, C. (1995). The Wings <strong>of</strong> Death: Nuclear Pollution andHuman Health (Green Audit Books, Aberystwyth): IX+ 340 pp.Busby, C. (2006). Infant leukemia in Europe after Chernobyland its significance for radioprotection: Ameta-analysis <strong>of</strong> three countries including new datafrom the UK. In: Busby, C. C. & Yablokov, A. V.(Eds.), ECRR Chernobyl 20 Years On: Health Effects <strong>of</strong>the Chernobyl Accident. ECRR Doc. 1 (Green AuditBooks, Aberystwith): pp. 135–143.Busby, C. & Scot Cato, M. (2000). Increases in leukemia ininfants in Wales and Scotland following Chernobyl.Energ. Environ. 11(2): 127–137.Busby, C., Bertell, R., Schmitze-Fuerhake, I., Scott Cato,M. & Yablokov, A. (2003). Recommendations <strong>of</strong> ECRR.The Health Effect <strong>of</strong> Ionising Radiation Exposures atLow Doses for Radiation Protection Purposes. Regulator’sEdition (Green Audit Press, Aberystwith): 186 pp.(www.euradcom.org 2003).Byrich,T.V.,Byrich,T.A.&Pesaerenko,D.K. (1994)Diagnostics, clinical characters and prophylaxis <strong>of</strong>cancer setbacks in adults and children. In: ChernobylCatastrophe: Prognosis, Prophylaxis, Treatment andMedical-Psychological Rehabilitation <strong>of</strong> the Sufferers (Materials,Minsk): pp. 32–34 (in Russian).Cardis, E., Krewski, D., Boniol, M., Drozdovitch, V.,Darby, S. & Gilbert, E. (2006). Estimates <strong>of</strong> the cancerburden in Europe from radioactive fallout fromthe Chernobyl accident. Int. J. Cancer 119: 1224–1235.Cherie-Challine, L., Boussac-Zarebska, M., Schvartz, C.& Caserio-Schwenmann, C. (2006). Analyse descriptivede l’incidence des cancers de la thyroïde dans lesdépartements de la Marne et des Ardennes àpartirdes données du registre 1975–2004. In: Cherie-Challine, L. (Ed.), Surveillance sanitaire en France en lienavec l’accident de Tchernobyl. Bilan actualise sur les cancersthyroidiens et etudes epidemiologiques en cours en 2006.Part4.3 (Institute de Veille Sanitaire, Saint-Maurice): pp.25–29 (//www.invs.sante.fr) (in French).Chernobyl Forum (2006). Health Effect <strong>of</strong> the ChernobylAccident and Special Health Care Programmes.Report <strong>of</strong> the UN Chernobyl Forum Expert Group“Health.” Bennett, B., Repacholi, M. & Carr, Zh.(Eds.) (WHO, Geneva): 167 p (//www.who.int/ionizing_radiation/chernobyl/WHO%20Report%20on%20Chernobyl%20Health%20Effects%20July%2006.pdf).Cotterill, S. J., Pearce, M. S. & Parker, L. (2001). Thyroidcancer in children and young adults in the North<strong>of</strong> England: Is increasing incidence related to theChernobyl accident? Eur. J. Cancer 37(8): 1020–1026.Davydescu, D. & Jakob, O. (2004). Thyroid cancer incidenceafter the Chernobyl accident in Eastern Romania.Int. J. Rad. Med. 6(1–4): 31–37 (in Russian).Davydescu, D., Iacob, O., Miron, I. & Georgescu, B.(2004). Infant leukemia in eastern Romania in relationto exposure in utero due to the Chernobyl accident.Int. J. Rad. Med. 6(1–4): 38–43 (in Russian).Demidchik, E. P. (2006). International Conference. Chernobyl20 Years After. April 19–21, 2006, Minsk (Abstracts,Minsk): pp. 193–194 (in Russian).Demidchik, E. P. & Demidchik, Yu. E. (1999). Results <strong>of</strong>thyroid cancer surgery in children. Int. J. Rad. Med.3/4:44–47 (in Russian).Demidchik, E. P., Demidchik, Yu. E. & Gedrevich, Z.E. (2002). Thyroid cancer in Belarus. Int. Congr. Ser.1234: 69–75.Demidchik,E.P.,Drobyshevskaya,I.M.&Cherstvoy,E. D. (1996). Thyroid cancer in children in Belarus.First International Conference. RadiobiologicalConsequences <strong>of</strong> the Chernobyl Catastrophe. March, 1996,Minsk, Belarus (Collected Papers, Minsk): pp. 677–682 (in Russian).Demidchik, E. P, Kenigsberg, Ya. A., Buglova, E. E. &Golovneva A.L. (1999). Thyroid cancer in Belarussianchildren and adolescents irradiated after theChernobyl accident: State and prognosis. Med. Radiol.Rad. Safety 2: 26–35 (in Russian).Dobrynyna, S. (1998). “Chernobyl children” were alsoborn in the Ural area. Consequences <strong>of</strong> radioactivesnowfall on May 1, 1986, are still with us. NezavisimayaGazeta (Moscow), May 19, p. 15 (in Russian).Dobyshevskaya, I. M., Krysenko, N. A., Okeanov, A. E. &Stezhko, V. (1996). Public health in Belarus after theChernobyl catastrophe. Belarus Publ. Health 5: 3–7(cited by Bandazhevsky, 1999) (in Russian).Drozd, V. M. (2001). Thyroid system in children irradiatedin utero. Inform. Bull. 3: Biological Effects <strong>of</strong>Low-Dose Ionizing Radiation (Belarussian Committeeon Chernobyl Children, Minsk) (//www.library.by/shpargalka/belarus/ecology/001/ecl-005.htm) (inRussian).Dymitrova, M. (2007). Chernobyl 21 years later. BulgariaNational Radio, April 26, 2007, 10 05 BG(//www.bnr.bg/radiobulgaria/emission_english/theme_science_and_nature/material/chernobyl.htm).Economist (1996). Chernobyl, cancer and creeping paranoia.Economist, March 9, pp. 91–92.Emmanuel P., Prokopakis, E. M., Lachanas, V. A., Velegrakis,G. A., Tsiftsis, D. D., et al. (2007). Increasedincidence <strong>of</strong> papillary thyroid cancer among totalthyroidectomies in Crete. Otolaryng. Head Neck Surgery136(4): 560–562.Fairlie, I. & Sumner, D. (2006). The Other Report <strong>of</strong> Chernobyl(TORCH) (Altner Combecher Foundation, Berlin):91 pp. (//www.greens-efa.org/cms/topics/dokbin/118/118499 the_other_report_on_chernobyl_torch@en.pdf).
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This monograph is a reprint of
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ChernobylConsequences of the Catast
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viChapter III. Consequences of the
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viiiFor a long time I have thought
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CHERNOBYLPrefaceThe principal idea
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xii• Chapter IV: Radiation Protec
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CHERNOBYLAcknowledgmentsThe present
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xviPintchouk, L.B., Institute of Ex
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2The basic conclusion of the report
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CHERNOBYLChapter I. Chernobyl Conta
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6tled outside of Belarus, Ukraine,
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8TABLE 1.1. Estimations of a Geogra
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10Figure 1.6. Some of the main area
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12Figure 1.7. The path of one Chern
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14Figure 1.10. Reconstruction of co
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16Figure 1.12. Transuranic radionuc
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18TABLE 1.3. Radioactive Contaminat
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20Figure 1.15. Spotty concentration
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22Figure 1.16. Maps of the Chernoby
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24the teeth of 6,000 children and f
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26TABLE 1.8. Estimation of the Popu
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28observations of fallout from the
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30Contamination: Chernobyl’s lega
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CHERNOBYL2. Chernobyl’s Public He
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34persons who were involved in liqu
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36the incomplete official data for
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38periodic journals and magazines a
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40Chernobyl Forum (2006). Health Ef
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CHERNOBYL3. General Morbidity, Impa
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44TABLE 3.2. Frequency of Complaint
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46Figure 3.2. Number (percentage) o
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48TABLE 3.7. Percent of “Practica
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50TABLE 3.12. Disability in Liquida
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52Gutkovsky, I. A., Kul’kova, L.
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54prenatally irradiated children. B
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56encephalopathy in those 40 years
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CHERNOBYL5. Nonmalignant Diseases a
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602. Children of liquidators living
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625.1.2.1. Belarus1. Cardiovascular
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64blood pressure was characteristic
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66TABLE 5.4. Incidence of (%, M ±
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687. For the majority surveyed in t
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70TABLE 5.12. Chromosomal Mutations
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72TABLE 5.16. Incidence of Down Syn
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74mortality; (c) an increase in de
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76Organization (WHO) (Chernobyl For
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78Adequate and timely thyroid funct
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805.3.1.2. Ukraine1. The noticeable
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82TABLE 5.24. General Endocrine Mor
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84of cases of autoimmune thyroiditi
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86between 1992 and 2001 (Moskalenko
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88protein X concentration in urine,
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90the 30-km Chernobyl zone. In 1986
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9211. In the 7 to 9 years after the
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94Figure 5.7. Chronic bronchitis an
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96TABLE 5.33. Respiratory Morbidity
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985.6.2. Ukraine1. Urogenital disea
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100TABLE 5.36. Urogenital Morbidity
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102from Chernobyl fallout changed o
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104TABLE 5.43. Primary Osteomuscula
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10610. From 1991 to 2000 there was
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108indicated an almost twofold incr
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110TABLE 5.49. Dynamics of Nervous
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1123. SWEDEN. A comprehensive analy
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1143. In 1991 a group of 512 childr
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116Only after 2000 did medical auth
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11819. In 7 to 8 years after the ca
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120TABLE 5.58. Digestive System Mor
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122TABLE 5.62. Overall Skin Disease
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1243. The incidence of kidney infec
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126TABLE 5.68. Incidence of Congeni
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128TABLE 5.73. Comparison of the In
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130TABLE 5.74. Congenital Malformat
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132Figure 5.15. Typical examples of
- Page 151 and 152: 134TABLE 5.79. Incidence (per 100,0
- Page 153 and 154: 136Arynchyna, N. T. & Mil’kmanovi
- Page 155 and 156: 138Brogger, A., Reitan, J. B., Stra
- Page 157 and 158: 140Drygyna, L. B. (2002). Clinical
- Page 159 and 160: 142Goncharova, R. I. (2000). Remote
- Page 161 and 162: 144September 27-29, 1999, Minsk (Be
- Page 163 and 164: 146Vuazen, K. (Eds.), Pulmonary Sys
- Page 165 and 166: 148June 4-8, 2001, Kiev, Ukraine (A
- Page 167 and 168: 150Noshchenko, A. G. & Loganovsky,
- Page 169 and 170: 152Ukr. Herald Soc. Hygien. Publ. H
- Page 171 and 172: 154Cytogenetic observations of chil
- Page 173 and 174: 156dysfunction in persons sick from
- Page 175 and 176: 158Tytov, L. P. (2002). Early and r
- Page 177 and 178: 160Zaitsev, V. A., Petrenko, S. V.
- Page 179 and 180: 162that all data from former republ
- Page 181 and 182: 164TABLE 6.4. Childhood Cancer Morb
- Page 183 and 184: 166Figure 6.5. General thyroid canc
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- Page 187 and 188: 170Figure 6.9. Thyroid cancer morbi
- Page 189 and 190: 172Figure 6.12. Total I-131 contami
- Page 191 and 192: 174Figure 6.16. Papillary thyroid c
- Page 193 and 194: 176well as being a result of the ad
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- Page 199 and 200: 182Figure 6.20. Breast cancer morbi
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- Page 205 and 206: 188Ivanov, V. K. & Tsyb, A. F. (200
- Page 207 and 208: 190ujf-grenoble.fr/SANTE/alpesmed/e
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- Page 211 and 212: 194Figure 7.3. Stillbirth rate (per
- Page 213 and 214: 196Figure 7.7. Trends of stillbirth
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- Page 217 and 218: 200Figure 7.11. Perinatal mortality
- Page 219 and 220: 202Figure 7.14. Trend of infant mor
- Page 221 and 222: 204Figure 7.19. Trend of mortality
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- Page 225 and 226: 208TABLE 7.9. Estimates of the Numb
- Page 227 and 228: 210TABLE 7.11. Number of Additional
- Page 229 and 230: 212Buzhievskaya, T. I., Tchaikovska
- Page 231 and 232: 214Law of Ukraine (2006). About Sta
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- Page 235 and 236: 218Figure 1. Absolute number of the
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- Page 239 and 240: 222Twenty Years of Chernobyl Catast
- Page 241 and 242: 224TABLE 8.1. Concentration (Bq/m 3
- Page 243 and 244: 226Concentrations of Cs-131/Cs-134/
- Page 245 and 246: 228TABLE 8.6. Coefficients of Accum
- Page 247 and 248: 230Figure 8.2. The annual mean Cs-1
- Page 249 and 250: 232TABLE 8.10. Ground Deposition (k
- Page 251 and 252: 234ReferencesAarkrog, A. (1988). St
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236pectin-containing food additives
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238Figure 9.1. Radioautographs of p
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240TABLE 9.4. Levels of Radionuclid
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242TABLE 9.6. Inter- and Intraspeci
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244TABLE 9.8. Intensity of Cs-137 A
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246each place and time for each ind
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248TABLE 9.14. Frequency of Some Mo
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250TABLE 9.20. Change in Anthocyani
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252Grodzinsky, D. M. (2006). Reflec
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254after accident. Radiat. Biol. Ra
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256TABLE 10.1. Maximum Concentratio
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258Figure 10.2. Individual variabil
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260TABLE 10.4. Concentration of Som
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262TABLE 10.7. Some Recorded Cherno
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264isotope analyses on current and
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266TABLE 10.12. Abnormalities in La
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268TABLE 10.16. The Frequency of Do
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27015. Animals in the Chernobyl zon
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272TABLE 10.25. Immune Status of th
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274ReferencesAdamovich, V. L. (1998
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276Environmental Health (Center for
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278water bodies. Herald Nat. Belar.
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280E. V. (1996). Chromosome aberrat
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282with up to 40 Ci/km 2 (Zymenko e
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284Luk’yanova, E. M., Denysova, M
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286demonstrate a return to historic
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288enterosorbents, and Chapter IV.1
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290on contaminated foodstuffs avail
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292Figure 12.1. Countrywide mean co
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294TABLE 12.5. Concentration (pCi/l
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296TABLE 12.7. Cs-137 Body Burden i
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298Figure 12.5. Average specific ac
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300Figure 12.10. Body burden of Cs-
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302Omelyanets, N. I. (2001). Radioe
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304formation. The additives prevent
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306TABLE 13.2. EKG Normalization Re
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308increased sense of personal resp
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310Nesterenko, V. B. (2005). Radiat
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312require a separate monograph. Th
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3141. In the exclusion zone, which
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316Foods rich in K include potatoes
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CHERNOBYL15. Consequences of the Ch
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320• Inadequacy of modern knowled
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322with illnesses characteristic of
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324Chernobyl-contaminated areas, ra
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326information which can be unwante