National Academy of Medical Sciences of Ukraine
State Institution "The National Research Center for Radiation Medicine"

ISSN 2313-4607 (Online)
ISSN 2304-8336 (Print)

Problems of Radiation Medicine and Radiobiology



V. A. Prylypko1, M. M. Morozova1, O. O. Petrychenko2, Yu. Yu. Ozerova1, O. V. Kotsubinskij3

1State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», 53 Melnykova str., Kyiv, 04050, Ukraine
2National Academy of Medical Sciences of Ukraine, 12 Gertzena str., Kyiv, 04050, Ukraine
3State Institution «Specialized healthcare infirmary #3 of the Ministry of Health of Ukraine», Varash city, Rivne oblast, 34400, Ukraine


Objective. Comparative review of integral variables of mortality rates in children aged 0-17 years and adult population of the surveillance zone (SZ) of the Rivne NPP (RNPP) with the morbidity level in respective population groups of the radiologically contaminated areas (RCA).
Materials and methods. Morbidity rates were studied in population of the RNPP SZ (Volodymyretskyi and Manevytskyi regions, Varash city) and RCT (Bereznivskyi and Kamin-Kashirskyi regions) according to the official statistical data for 2016. The data set included data on the morbidity rates (from all diseases) and by the classes of diseases in children and adults in conversion to the 1000 persons of respective population in Rivne and Volyn oblasts. Morbidity review in children and adults was also carried out according to the «percentile-profile» methodology, the method taking into account the age-related factors of morbidity, and the method of the sum of places. Mathematical, statistical, and programmatic capabilities of Microsoft Office Excel 2007 software were used for calculations.
Results. Morbidity review in children of the RNPP SZ in 2016 indicates the lowest incidence level in children of the Varash city. Incidence rates in children aged 0-17 years living in the RCA are higher compared with the incidence rates of children of the RNPP SZ. Comparative review of the morbidity rates in adult population of the RNPP SZ indicates lower incidence rates by the classes of diseases in adults in Manevytskyi region compared with the Volodymyretskyi region and the city of Varash. The adult morbidity indices are higher in RCT than in RNPP SZ.
Conclusions. According to the results of «percentile-profile» approach, the studied areas were selected into the two groups by a level of overall morbidity below and above the average level. Morbidity levels in children and adults in the place of residence were distributed in different ways. Method of using the age coefficients of morbidity allowed determining the proportions that are related to childhood and adult morbidity in the studied areas. Disease incidence in children in the Varash city comprised a lowest share (21.0%) in the RNPP SZ general morbidity. The highest share was made by children in Volodymyretskyi region of the SZ (49.0%). The highest morbidity level (from all diseases) in adult population was observed in the Kamin-Kashirskyi region (RCT), in children it was the highest one in Bereznovskyi region (RCT). The lowest general morbidity in adult population was observed in the Volodymyretskyi region, and in children it was the lowest one in the city of Varash (RNPP SZ).
Key words: adult and pediatric morbidity, NPP surveillance zone, radiologically contaminated territories.

Problems of radiation medicine and radiobiology.
2018;23:188_199. doi: 10.33145/2304-8336-2018-23-188-199.

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