Section 2. Materials of All-Russia Medical and Dosimetric State Registry 1994

"Radiation and Risk", 1995, Issue No.5, pp. 25-47

Abstract

The section presents the main results of the organizational and methodological work of the RNMDR in 1994, discusses the main problems of the register for data collection and verification, and provides a brief analytical review of the register data. In the course of the analysis of the incidence, it was concluded that among the liquidators there is an excess of the indicators for newly detected diseases over the control diseases (general statistics for Russia) for most classes of diseases, and the structure of the incidence mostly remains constant. The data of the RNMDR allow us to present the general trends in the dynamics of the health status of the population in contaminated areas. The overall incidence rate for the population of the most polluted areas in 1993 exceeded that for 1992, although it is lower than the figures for 1990 and 1991. However, a comparison of these data with the dynamics of growth of the studied population and coverage of its annual dispensary examinations suggests that with a constant growth of the decree, the coverage of the annual medical examination only in 1992 exceeded 50%. Therefore, it can be assumed that since 1992, the controlled sample reached a representative level and, therefore, the data of 1992 and 1993 are more realistic. When analyzing the incidence of major age groups, it can be noted that the increase in the overall incidence of the controlled population in 1993 was associated with an increase in the incidence of children in the contaminated areas. At the same time, the overall incidence rate of newly diagnosed diseases among the child population of the “registered” population of the most polluted areas did not differ much from that in Russia (114073 and 112951 per 100 thousand people, respectively). However, in most classes of diseases, the intensive morbidity rates of children in the contaminated areas are much higher than the national ones. This applies to diseases of the blood and blood-forming organs, diseases of the endocrine system, mental disorders, diseases of the digestive system and the circulatory system. The growth of malignant neoplasms, in particular, leukemias and thyroid malignant neoplasms, is alarming, which can also be traced among adult residents of the most polluted territories. In addition to these two nosological forms, the rise in the incidence of the adult population in 1993 is also characteristic of diseases of the nervous and urogenital systems, as well as diseases of the skin and subcutaneous tissue, and, unlike the others, the registered incidence rates of the latter class of diseases exceed the all-Russian ones. At present, a register of causes of death is being created at RNMDR and during 1995 the database of this register will have verified data on all deaths for the registered contingent of contaminated territories.

Key words
General morbidity index, RGMDR data, morbidity analysis, children, blood diseases, hematopoietic organ, neoplasm, thyroid gland, malignant neoplasms, growth, leukemia.

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