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

MORBIDITY RATES IN THE NPP SURVEILLANCE ZONE AND RADIOLOGICALLY CONTAMINATED AREAS

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.

full text

Barbashev SV. System for complex radioecological monitoring of the regions in Ukraine with NPP locations : author’s abstract. dis ... Dr. Tech. Sciences: specialty 05.14.14 «Thermal and Nuclear Power facilities». Odesa: Odesa. Nat. Polytechnic Univ., 2009. 36 p. Ukrainian.

2. Bonchuk YuV, Ratya GG, Kasparov AV. Emissions in the normal operation of NPPs and irradiation of population. Yaderna ta Radiatzijna Bezpeka. 2009;(1):12-7. Ukrainian.

3. Prilipko VA, Shevchenko KK. Radiation protection of NPP monitoring zone population according to expert estimates in case of emergency. Probl Radiac Med Radiobiol. 2015;20:216-28.

4. [Incidence of malignant neoplasms of the Ukrainian cities with nuclear-energy production enterprises] / D.A. Bazyka, A.Ye. Prisyazhnyuk, A.Ye. Romanenko, Z.P. Fedorenko, N.A. Gudzenko, N.N. Fuzik, E.N. Khukhryanskaya, L.O. Gulak, E.L. Gorokh, E.V. Sumkina. Radiatziya i Risk: A collection of scientific papers. 2011. V. 20. No. 3. P. 58-69. Russian.

5. Social safety and medical maintenance of the labour pool in surveillance areas of the nuclear power plants / Prylipko V.A., Ozerova Yu.Yu., Kotsubinskij O.V., Morozova M.M., Petrychenko O.O., Bondarenko I.V. Probl Radiat Med Radiobiol. 2017;22:147-160.

6. Gordelier S. Allemagne, Grande Bretagne : Le risque de leucemie croit a proximite de centrales nucleaires. l’Universite de Mayence en collaboration avec le registre allemand des cancers infantiles, 15 december 2011. URL: http://www.lexpress.fr/actualite/sciences/sante/habiter-pres-d-une-centrale-nucleaire favoriserait-la-leucemie-chez-l-enfant_1070801.html (last accessed: 10.10.2017).

7. Bach P. Centrale nucleaire et leucemie enfantine. l’Inserm et de l’Institut de radioprotection et de surete nucleai, 14 janvier 2012. URL: http://www.gauchemip.org/spip.php?article17955 (last accessed: 10.10.2017).

8. Kovacs P., Gordelier S. L’energie nucleaire et l’opiion publique. La Division du development nucleaire de l’AEN. AEN Infos. 2009. № 27.1 9. Rocrelle D. Rapport d’information sur la surete nucleaire et la radioprotection du site de Romans Ce rapport est redige au titre de l’article 21 de la loi de transparence et securite en materiere nucleaire. URL: http://www.ladrome.fr/sites/default/files/9-_fbfc_rapport_annuel_snr_2011.pdf. (Last accessed: 10.10.2017).

10. Antonomov M.V. [Mathematical processing and analysis of medical and biological data]. Kyiv, 2006. 558 p. Russian.

11. Gudinova ZhV, Zhernakova GN, Ghegechkori IV, Blinova EG, Tolkova EI. [Methodological approaches to the estimation of occupational incidence in the Omsk region during interregional comparisons]. Fundamentalnyie Issledovaniya. 2011. No. 9, part 2, p. 245-248. Russian.

12. Shestopalov NV, Samoshkin VP, Kriga AS et al. [Social hygienic monitoring. Analysis of medical-demographic and socio-economic variables at the regional level]: Method. Recommendations. Moscow. Federal Service for Supervision of Consumer Rights Protection and Human Welfare, 2010. 53 p. Russian.

13. Sazykin V.L. [A new integral assessment method]. Bulletin of Omsk State University. 2014;(12):137-41. Russian.

14. Voloshchuk O.V., Antonomov M.Yu., Gushchuk I.V. Analysis of the level of morbidity of the population of Rivne region. Dovkillya ta Zdorovya. 2017;1(81):27-31. Ukrainian.