Eleven Years Epidemiological Investigation Health Effects Among Chernobyl Child Victim. Natalia Korol, PhD, MD, and Tatyana Dukhota, Scientific Centre for Radiation Medicine, Ukraine, Kiev, Melnikov st. 53, 254050, telephone (044) 431-98-28, fax (044) 213-72-02
Epidemiological register of Chernobyl child victims was created in 1986 in Scientific Centre for Radiation Medicine. It includes most important, risk groups: evacuated children from Chernobyl's zone; children who were exposed with doses on thyroid gland more than 2 Gy; children who were exposed in utero; children who were born from clean-up workers. The annual clinical observation program includes: physical examination, biochemical and haematological analysis, ultrasound of thyroid gland and abdomen, psychological tests for children, social observation for parents. For coding ICD-9 was used.
The observations indicate a deterioration of health status among the children victims of the Chernobyl. disaster. The healthy children's number decreased from 31 % in 1987 to 8 % in 1997. The number of the invalids more than 4 times higher in comparison Ukrainian children. The annual prevalence all diseases including incidence, new cases, dramatically increased (from 5890.6 ‰0 in 1989 to 9148.3 ‰0 in 1997). The annual amount all diseases increased from. 27100 ‰0 in 1989 to 51971 ‰0 in 1997. Most important increasing was in such part as digestive tract (from 5294 ‰0 in 1989 to 10782 ‰0 in 1997), blood diseases (from 927 ‰0 in 1989 to 1471 ‰0 in 1997), diseases nervous system (from 2373 ‰0 in 1989 to 4152 ‰0 in 1997.
Relative risk was calculated in comparison with same age Ukrainian children for most important disorders: peptic (6.4), cardiovascular (5.3), nervous system (6.2), immune (5.3).
Such diseases as digestion organ diseases, nervous system, skin and cardiovascular diseases are more prevalent among victims with psychological impact.
All children victims Chernobyl disaster are at risk for psychosomatic disorders.
Psychosomatic health promotion programme will minimise significantly population health impact after Chernobyl as for children as for Ukrainian adult people.
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