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俄罗斯斯维尔德洛夫斯克州斯捷尔利塔马克市西伯利亚化学联合企业工人队列的职业暴露和医疗随访描述性特征。

Descriptive characteristics of occupational exposures and medical follow-up in the cohort of workers of the Siberian Group of Chemical Enterprises in Seversk, Russia.

机构信息

Seversk Biophysical Research Center of the Federal Medical and Biological Agency, Seversk, Russia.

Siberian State Medical University of the Ministry of Health of the Russian Federation, Tomsk, Russia.

出版信息

Int J Radiat Biol. 2021;97(6):848-860. doi: 10.1080/09553002.2021.1917787. Epub 2021 May 12.

Abstract

PURPOSE

To date, only a few studies have examined long-term health risks of exposures in the uranium processing industry and reported contradictory results, necessitating further research in this area. This is the first description of a cohort of ∼65,000 uranium processing workers (20.6% women) of the Siberian Group of Chemical Enterprises (SGCE) in Seversk, Russia, first employed during 1950-2010.

METHODS

SGCE is one of the largest and oldest uranium processing complexes in the world. SGCE workers at the Radiochemical, Plutonium, Sublimate and Enrichment plants were exposed to a combination of internal and external radiation, while workers at the Support Facility were primarily exposed to non-radiation factors.

RESULTS

Mean cumulative gamma-ray dose based on individual external dosimetry was 28.3 millisievert. About 4,000 workers have individual biophysical survey data that could be used for estimation of organ doses from uranium. SGCE workers were followed up for mortality and cancer incidence during 1950-2013 (vital status known for 80.8% of workers). The SGCE computerized database contains information on the results of regular medical examinations, and on smoking, alcohol and other individual characteristics.

CONCLUSIONS

The SGCE cohort is uniquely suited to examine long-term health risks of exposures to gamma-radiation and long-lived radionuclides in uranium processing workers.

摘要

目的

迄今为止,仅有少数研究检查了铀处理行业暴露的长期健康风险,且报告结果相互矛盾,因此需要在该领域开展进一步研究。本研究首次描述了俄罗斯斯维尔德洛夫斯克州塞韦尔斯克西伯利亚集团化学企业(Siberian Group of Chemical Enterprises,SGCE)的一个约 65000 名铀处理工人(20.6%为女性)队列,这些工人于 1950 年至 2010 年期间首次受雇。

方法

SGCE 是世界上最大和最古老的铀处理联合体之一。放射化学、钚、升华和浓缩工厂的 SGCE 工人受到内照射和外照射的双重影响,而辅助设施的工人主要受到非辐射因素的影响。

结果

基于个人外照射剂量的平均累积γ射线剂量为 28.3 毫希沃特。大约有 4000 名工人具有个体生物物理调查数据,可用于估计铀所致器官剂量。SGCE 工人的死亡率和癌症发病率从 1950 年至 2013 年进行了随访(已知 80.8%工人的存活状态)。SGCE 的计算机数据库包含定期体检结果以及吸烟、饮酒和其他个体特征的信息。

结论

SGCE 队列非常适合研究铀处理工人γ辐射和长寿命放射性核素暴露的长期健康风险。

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