Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, DHHS, Bethesda, MD, United States.
Front Endocrinol (Lausanne). 2021 Jan 5;11:569041. doi: 10.3389/fendo.2020.569041. eCollection 2020.
The Chernobyl accident resulted in a considerable release of radioactivity to the atmosphere, particularly of Iodine-131 (I), with the greatest contamination occurring in Belarus, Ukraine, and western part of Russia.
Increase in thyroid cancer and other thyroid diseases incidence in population exposed to Chernobyl fallout in these counties was the major health effect of the accident. Therefore, a lot of attention was paid to the thyroid doses, mainly, the I intake during two months after the accident. This paper reviews thyroid doses, both the individual for the subjects of radiation epidemiological studies and population-average doses. Exposure to I intake and other exposure pathways to population of affected regions and the Chernobyl cleanup workers (liquidators) are considered.
Individual thyroid doses due to I intake varied up to 42 Gy and depended on the age of the person, the region where a person was exposed, and their cow's milk consumption habits. Population-average thyroid doses among children of youngest age reached up to 0.75 Gy in the most contaminated area, the Gomel Oblast, in Belarus. Intake of I was the main pathway of exposure to the thyroid gland; its mean contribution to the thyroid dose in affected regions was more than 90%. The mean thyroid dose from inhalation of I for early Chernobyl cleanup workers was estimated to be 0.18 Gy. Individual thyroid doses due to different exposure pathways varied among 1,137 cleanup workers included in the epidemiological studies up to 9 Gy. Uncertainties associated with dose estimates, in terms of mean geometric standard deviation of individual stochastic doses, varied in range from 1.6 for doses based on individual-radiation measurements to 2.6 for "modelled" doses.
The I was the most radiologically important radionuclide that resulted in radiation exposure to the thyroid gland and cause an increase in the of rate of thyroid cancer and other thyroid diseases in population exposed after the Chernobyl accident.
切尔诺贝利事故导致大量放射性物质释放到大气中,特别是碘-131(I),最大的污染发生在白俄罗斯、乌克兰和俄罗斯西部。
在这些国家,暴露于切尔诺贝利沉降物的人群中甲状腺癌和其他甲状腺疾病发病率的增加是该事故的主要健康影响。因此,人们非常关注甲状腺剂量,主要是事故发生后两个月内的碘摄入量。本文回顾了甲状腺剂量,包括辐射流行病学研究对象的个体剂量和人群平均剂量。考虑了受影响地区和切尔诺贝利清理工人(清理人员)的碘摄入量以及其他暴露途径。
由于 I 摄入,个体甲状腺剂量差异高达 42Gy,取决于人的年龄、暴露地区和他们的牛奶消费习惯。在白俄罗斯受污染最严重的戈梅利州,年龄最小的儿童的人群平均甲状腺剂量高达 0.75Gy。碘摄入是甲状腺暴露的主要途径;在受影响地区,其对甲状腺剂量的平均贡献超过 90%。早期切尔诺贝利清理工人吸入 I 的平均甲状腺剂量估计为 0.18Gy。纳入流行病学研究的 1137 名清理工人中,由于不同暴露途径,个体甲状腺剂量差异高达 9Gy。个体随机剂量的平均几何标准差表示剂量估计的不确定性,范围从基于个体辐射测量的剂量的 1.6 到“建模”剂量的 2.6。
I 是最重要的放射性核素,导致甲状腺暴露于辐射,并导致切尔诺贝利事故后暴露人群的甲状腺癌和其他甲状腺疾病发生率增加。