Solid cancer incidence among emergency workers of the Chernobyl accident: assessment of radiation risks for the follow-up period of 1992-2009

«Radiation and Risk», 2014, vol. 23, No. 1, pp.19-31

Authors

Kashcheev V.V. – Senior Researcher, C. Sc., Biol.,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk. Contacts: 4 Korolyov str., Obninsk, Kaluga region, Russia, 249036. Tel.: (48439) 9-32-81; e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. .
Chekin S.Yu. – Senior Researcher,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk.
Maksioutov M.A. – Head of Lab., C. Sc., Tech.,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk.
Tumanov K.A. – Senior Researcher, C. Sc., Biol.,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk.
Kochergina E.V. – Head of Lab., C. Sc., Med.,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk.
Shchukina N.V. – Research Assistant,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk.
Ivanov V.K. – Chairman of RSCRP, Deputy Director, Corresponding Member of RAMS,Medical Radiological Research Center of the Russian Ministry of Health, Obninsk.

Abstract

The cancer among emergency workers of the Chernobyl accident for the follow-up period of 1992–2009 is analyzed in the article. The cohort consists of 67,568 emergency workers of 1986–1987. Mean dose in emergency workers is 132 mGy. Over the period of 1992-2009 a total of 4,002 solid cancers of different sites were diagnosed in the study cohort. The statistically significant increase by 18% in the incidence rates for all solid cancers in the emergency workers was detected in comparison with the background incidence in the male population of Russia (SIR=1.18, 95% CI: 1.15; 1.22). As for the malignant neoplasms of respiratory system, the average incidence rate was 27%, it is significantly higher than in men of Russia (SIR=1.27, 95% CI: 1.19; 1.34). Radiation risk for cancer incidence [excess relative risk per unit dose 1 Gy (ERR Gy-1) is 0.47; 95% confidence interval (CI): 0.03; 0.96, p–value=0.034)] is found to be statistically significant. The obtained results are preliminary, further epidemiological studies are necessary.

Key words
Emergency workers, cancer morbidity, radiation risks, attributable risk.

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