Institute of Radiobiology and Radiation Protection, JSC Astana Medical University, Astana, Kazakhstan.
CF University Medical Center, Kazakhstan.
Asian Pac J Cancer Prev. 2024 Aug 1;25(8):2685-2693. doi: 10.31557/APJCP.2024.25.8.2685.
This study evaluates the impact of radioactive uranium waste storage facilities on cancer occurrence in nearby areas.
Current research evaluates the effect of radioactive uranium waste storage facilities on cancer epidemiology in nearby areas. The critical area had Aqsu, Kvartsitka, Zavodskoy and Stepnogorsk cities, which are located at a less than 5 km distance to the south of the Hydrometallurgical Plant tailings dump while the control group had Akkol region in 90 km from the source. The majority of population had lived in this territory more than the 30 years. Data were obtained from the Electronic Register of Cancer Patients of the Republic of Kazakhstan from 2001-2015, and 2,271 incident cases of cancer were registered.
The most frequent malignancies were observed in the digestive organs (646 cases, 28%) and respiratory and intrathoracic organs (376 cases, 17%). The proportion of digestive organ cancers was higher in the critical group (560 cases out of 1913, 29%) than in the control group (86 cases out of 358, 24%). Additionally, respiratory organ cancers were more common in men, but the cancer incidence rate ratio was higher in the critical area. Notably, the study found that the cancer incidence rate ratios decreased over time, specifically for digestive, respiratory and female genital organs and breast cancer.
In conclusion, while our study highlights significant differences in cancer incidence rates and frequencies between the critical and control groups, further analytical research, incorporating age-adjustment, is needed to provide a more conclusive evaluation of the potential impact of residence in proximity to the uranium mining waste storage on cancer occurrence in the study area.
本研究评估放射性铀废料储存设施对附近地区癌症发生的影响。
目前的研究评估了放射性铀废料储存设施对附近地区癌症流行病学的影响。重点区域包括阿克套、克瓦西特卡、扎沃德斯基和斯捷普诺戈尔斯克城市,这些城市距离水冶厂尾矿库以南不到 5 公里,对照组为距离源 90 公里的阿科尔地区。大多数居民在该地区居住时间超过 30 年。数据来自哈萨克斯坦共和国电子癌症患者登记册,2001-2015 年共登记了 2271 例癌症病例。
最常见的恶性肿瘤发生在消化器官(646 例,28%)和呼吸和胸腔器官(376 例,17%)。在重点组中,消化器官癌症的比例较高(1913 例中有 560 例,29%),而在对照组中,呼吸器官癌症的比例较高(358 例中有 86 例,24%)。此外,呼吸器官癌症在男性中更为常见,但在重点地区的癌症发病率比值更高。值得注意的是,研究发现,癌症发病率比值随着时间的推移而降低,特别是在消化、呼吸和女性生殖器官以及乳腺癌方面。
总之,虽然我们的研究强调了重点组和对照组之间癌症发病率和频率的显著差异,但需要进一步的分析研究,包括年龄调整,以提供对居住在铀矿废料储存附近对研究地区癌症发生的潜在影响的更具结论性的评估。