Ginzburg H M
Office of Emergency Preparedness, PHS, Rockville, MD.
Public Health Rep. 1993 Mar-Apr;108(2):184-92.
In October 1989, more than 3 years after the nuclear power plant accident at Chernobyl, in the Ukraine, the Government of the Union of Soviet Socialist Republics requested that the International Atomic Energy Agency (IAEA) evaluate the medical and psychological health of residents living in areas identified as being contaminated with radioactive fallout. The IAEA designed and conducted a collaborative study to examine whether there were any measurable effects of exposure to the low levels of ionizing radiation resulting from the accident. The study, using structured interviews and IAEA laboratory equipment, collected data on more than 1,350 residents of 13 villages. IAEA clinical staff members concluded that they could not identify any health disorders in either the contaminated or nearby (uncontaminated) control villages that could be attributed directly to radiation exposure. The clinical staff, however, did note that the levels of anxiety and stress of the villagers appeared to be disproportionate to the biological significance of the levels of IAEA-measured radio-active contamination. Almost half the adults in all the villages were unsure if they had a radiation-related illness. More than 70 percent of persons in the contaminated villages wanted to move away, and approximately 83 percent believed that the government should relocate them. The IAEA effort indicates that the villagers need to be educated about their actual risks, and they need to understand what types of illnesses are, and are not, associated with exposure to radioactive contamination. Unfortunately, the villagers' needs may exceed the available resources of their local and central governments.
1989年10月,在乌克兰切尔诺贝利核电站事故发生三年多后,苏维埃社会主义共和国联盟政府要求国际原子能机构(IAEA)评估居住在被确定为受放射性沉降物污染地区的居民的医疗和心理健康状况。国际原子能机构设计并开展了一项合作研究,以调查事故产生的低水平电离辐射暴露是否有任何可测量的影响。该研究通过结构化访谈并使用国际原子能机构的实验室设备,收集了13个村庄1350多名居民的数据。国际原子能机构的临床工作人员得出结论,他们在受污染村庄或附近(未受污染)的对照村庄中均未发现任何可直接归因于辐射暴露的健康问题。然而,临床工作人员确实注意到,村民的焦虑和压力水平似乎与国际原子能机构测量的放射性污染水平的生物学意义不相称。所有村庄中近一半的成年人不确定自己是否患有与辐射相关的疾病。受污染村庄中超过70%的人想搬走,约83%的人认为政府应该重新安置他们。国际原子能机构的工作表明,需要对村民进行关于其实际风险的教育,他们需要了解哪些疾病与放射性污染暴露有关,哪些无关。不幸的是,村民的需求可能超出其地方和中央政府现有的资源。