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The health consequences of Chernobyl nuclear accident: deficiencies, inabilities, invalidity (at persons who participate at liquidation of catastrophe from Chernobyl Nuclear Electric Central)


Author: Leonid Margine
Degree:doctor of medicine
Speciality: 14.00.33 - Social Medicine and Management
Year:2007
Scientific adviser: Dumitru Tintiuc
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Scientific consultant: Olga Bleandur
doctor habilitat, professor
Institution:
Scientific council:

Status

The thesis was presented on the 6 December, 2006
Approved by NCAA on the 18 January, 2007

Abstract

Adobe PDF document1.44 Mb / in romanian

Thesis

CZU 614.2+614.876:[616-001.28+616-036.86/.88]

Adobe PDF document 0.86 Mb / in romanian
104 pages


Keywords

morbidity, invalidity, the loss of vitality, mortality, „liquidators”, ionizing radiation, Chernobyl nuclear power station catastrophe

Summary

There where examined 2481 „liquidators”, military and 2994 social assistance documents of the participants at the Chernobyl nuclear catastrophe consequences abolition with a view to health consequence estimation in persons who participated to the Chernobyl nuclear power station.

The comparative morbidity, invalidity and mortality rate of „liquidators” and population from the Republic of Moldova (recording to Public Health and Medical Management Center data of Health and Social Protection Ministry), age modifications morbidity, invalidity and mortality origin as well as their estimation in dynamics have been analyzed.

Simultaneously affection of some body system, progressive evolution of disease with rapid invalidity represents characteristic peculiarities of „liquidators” somatic pathology. The most frequent neuropsihic (98,5%), gastrointestinal (66,2%), endocrine (32,4%) and cardiovascular (27,9%) affection have been diagnosed.

At the study onset in 2481 (82,9%) of „liquidators” the invalidity stage and with the loss of vitality in 69,2% has been registered. Primary invalidity increases in 37,5 times (from 0,4% to 15%) during 1993-1998 with a further decrease till 1% in 2004 has been observed. The highest increase of invalidity is characterized in 10-15 years after ionizing radiation.

„Liquidators” general mortality during 1986-2004 constitutes 7,2%, average 47,15±0,6 years. About 2/3 from dead persons had 50 years. Health consequence indexes invalidity of „liquidators” from South region are higher then the North and Center ones. This phenomenon requires subsequent scientific studies.

The men are more sensible to ionizing radiation comparative with women. Men invalidity represents 85,4% and women - 47,8%, but mortality – 7,6% and 2,5% respectively.

Belated medical evidence and medical treatment negatively influence to the „liquidators” health. Money compensation of „liquidators” represents 90% from month medium salary.

Prophylaxis and treatment methods the ionizing radiation persons are ineffective and it is necessary to elaborate new more effective and treatment methods.