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Published in: International Journal of Public Health 4/2017

01-05-2017 | Original Article

Chronic diseases and mortality among immigrants to Israel from areas contaminated by the Chernobyl disaster: a follow-up study

Authors: Danna A. Slusky, Julie Cwikel, Michael R. Quastel

Published in: International Journal of Public Health | Issue 4/2017

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Abstract

Objectives

To examine six chronic diseases and all-cause mortality among immigrants to Israel from areas contaminated by the Chernobyl accident.

Methods

The medical data were obtained from the two largest HMOs in Israel. In the assessment of chronic diseases, individuals were divided into three groups: less exposed (n = 480), more exposed (n = 359), and liquidators (n = 45) and in the mortality analysis, into two groups: less exposed (n = 792) and more exposed (n = 590).

Results

Compared to the less exposed, adults from the more exposed group had increased odds of respiratory disorders (OR = 2.34, 95% CI 1.21, 4.54) and elevated odds, with borderline significance, of ischemic heart disease (OR = 2.01, 95% CI 0.97, 4.20). In addition, the liquidators had increased odds of hypertension compared to the less exposed (OR = 2.64, 95% CI 1.24, 5.64). The Cox proportional-hazards model indicated no difference in the ratio of all-cause mortality between the exposed groups during the follow up period.

Conclusions

Our study, conducted approximately two decades after the accident, suggests that exposure to radionuclides may be associated with increased odds of respiratory disorders and hypertension.
Literature
go back to reference Abelin T et al (1994) Thyroid cancer in Belarus post-Chernobyl: improved detection or increased incidence? Soz Praventivmed 39(4):189–197CrossRefPubMed Abelin T et al (1994) Thyroid cancer in Belarus post-Chernobyl: improved detection or increased incidence? Soz Praventivmed 39(4):189–197CrossRefPubMed
go back to reference Astakhova LN et al (1998) Chernobyl-related thyroid cancer in children of Belarus: a case-control study. Radiat Res 150(3):349–356CrossRefPubMed Astakhova LN et al (1998) Chernobyl-related thyroid cancer in children of Belarus: a case-control study. Radiat Res 150(3):349–356CrossRefPubMed
go back to reference Cardis E, Hatch M (2011) The Chernobyl accident–an epidemiological perspective. Clin Oncol (R Coll Radiol) 23(4):251–260CrossRef Cardis E, Hatch M (2011) The Chernobyl accident–an epidemiological perspective. Clin Oncol (R Coll Radiol) 23(4):251–260CrossRef
go back to reference Cwikel JG, Abdelgani A, Goldsmith JR, Quastel M, Yevelson II (1997a) Two-year follow up study of stress-related disorders among immigrants to Israel from the Chernobyl area. Environ Health Perspect 105(Suppl 6):1545–1550 Cwikel JG, Abdelgani A, Goldsmith JR, Quastel M, Yevelson II (1997a) Two-year follow up study of stress-related disorders among immigrants to Israel from the Chernobyl area. Environ Health Perspect 105(Suppl 6):1545–1550
go back to reference Cwikel JG, Goldsmith JR, Kordysh E, Quastel M, Abdelgani A (1997b) Blood pressure among immigrants to Israel from areas affected by the Chernobyl disaster. Public Health Rev 25(3–4):317–335 Cwikel JG, Goldsmith JR, Kordysh E, Quastel M, Abdelgani A (1997b) Blood pressure among immigrants to Israel from areas affected by the Chernobyl disaster. Public Health Rev 25(3–4):317–335
go back to reference Davis S et al (2006) Childhood leukaemia in Belarus, Russia, and Ukraine following the Chernobyl power station accident: results from an international collaborative population-based case-control study. Int J Epidemiol 35(2):386–396. doi:10.1093/ije/dyi220 CrossRefPubMed Davis S et al (2006) Childhood leukaemia in Belarus, Russia, and Ukraine following the Chernobyl power station accident: results from an international collaborative population-based case-control study. Int J Epidemiol 35(2):386–396. doi:10.​1093/​ije/​dyi220 CrossRefPubMed
go back to reference IAEA (International Atomic Energy Agency) (2006) Chernobyl’s Legacy: health, environmental and socio-economics impacts and recommendations to the Governments of Belarus, the Russian Federation and Ukraine (the Chernobyl Forum: 2003–2005), International Atomic Energy Agency, Vienna. https://www.iaea.org/sites/default/files/chernobyl.pdf. Accessed 17 Dec 2016 IAEA (International Atomic Energy Agency) (2006) Chernobyl’s Legacy: health, environmental and socio-economics impacts and recommendations to the Governments of Belarus, the Russian Federation and Ukraine (the Chernobyl Forum: 2003–2005), International Atomic Energy Agency, Vienna. https://​www.​iaea.​org/​sites/​default/​files/​chernobyl.​pdf. Accessed 17 Dec 2016
go back to reference Ivanov VK et al (2005) [The radiation risks of cerebrovascular diseases among the liquidators]. Radiats Biol Radioecol 45(3):261–270PubMed Ivanov VK et al (2005) [The radiation risks of cerebrovascular diseases among the liquidators]. Radiats Biol Radioecol 45(3):261–270PubMed
go back to reference Ivanov VK, Gorski AI, Tsyb AF, Maksioutov MA, Tumanov KA, Vlasov OK (2006a) Radiation-epidemiological studies of thyroid cancer incidence among children and adolescents in the Bryansk oblast of Russia after the Chernobyl accident (1991–2001 follow-up period). Radiat Environ Biophys 45(1):9–16. doi:10.1007/s00411-006-0039-2 Ivanov VK, Gorski AI, Tsyb AF, Maksioutov MA, Tumanov KA, Vlasov OK (2006a) Radiation-epidemiological studies of thyroid cancer incidence among children and adolescents in the Bryansk oblast of Russia after the Chernobyl accident (1991–2001 follow-up period). Radiat Environ Biophys 45(1):9–16. doi:10.​1007/​s00411-006-0039-2
go back to reference Ivanov VK et al (2012) Radiation-epidemiological studies of thyroid cancer incidence in Russia after the Chernobyl accident (estimation of radiation risks, 1991–2008 follow-up period). Radiat Prot Dosimetry 151(3):489–499. doi:10.1093/rpd/ncs019 CrossRefPubMed Ivanov VK et al (2012) Radiation-epidemiological studies of thyroid cancer incidence in Russia after the Chernobyl accident (estimation of radiation risks, 1991–2008 follow-up period). Radiat Prot Dosimetry 151(3):489–499. doi:10.​1093/​rpd/​ncs019 CrossRefPubMed
go back to reference Kordysh EA et al (1995) Health effects in a casual sample of immigrants to Israel from areas contaminated by the Chernobyl explosion. Environ Health Perspect 103(10):936–941CrossRefPubMedPubMedCentral Kordysh EA et al (1995) Health effects in a casual sample of immigrants to Israel from areas contaminated by the Chernobyl explosion. Environ Health Perspect 103(10):936–941CrossRefPubMedPubMedCentral
go back to reference Krasnikova LI, Buzunov VO (2014) Role of radiation and non-radiation factors on the development of coronary heart disease in the Chornobyl clean-up workers: epidemiological study results. Probl Radiac Med Radiobiol 19:67–79PubMed Krasnikova LI, Buzunov VO (2014) Role of radiation and non-radiation factors on the development of coronary heart disease in the Chornobyl clean-up workers: epidemiological study results. Probl Radiac Med Radiobiol 19:67–79PubMed
go back to reference Noshchenko AG, Bondar OY, Drozdova VD (2010) Radiation-induced leukemia among children aged 0–5 years at the time of the Chernobyl accident. Int J Cancer 127(2):412–426. doi:10.1002/ijc.24834 PubMed Noshchenko AG, Bondar OY, Drozdova VD (2010) Radiation-induced leukemia among children aged 0–5 years at the time of the Chernobyl accident. Int J Cancer 127(2):412–426. doi:10.​1002/​ijc.​24834 PubMed
go back to reference Quastel MR et al (1995) Radiocesium body burdens in immigrants to Israel from areas of the Ukraine, Belarus and Russia near Chernobyl. Health Phys 69(1):102–110CrossRefPubMed Quastel MR et al (1995) Radiocesium body burdens in immigrants to Israel from areas of the Ukraine, Belarus and Russia near Chernobyl. Health Phys 69(1):102–110CrossRefPubMed
go back to reference Quastel MR et al (1997a) Lessons learned from the study of immigrants to Israel from areas of Russia, Belarus, and Ukraine contaminated by the Chernobyl accident. Environ Health Perspect 105(Suppl 6):1523–1527 Quastel MR et al (1997a) Lessons learned from the study of immigrants to Israel from areas of Russia, Belarus, and Ukraine contaminated by the Chernobyl accident. Environ Health Perspect 105(Suppl 6):1523–1527
go back to reference Quastel MR et al (1997b) Thyroid-stimulating hormone levels in children from Chernobyl. Environ Health Perspect 105(Suppl 6):1497–1498 Quastel MR et al (1997b) Thyroid-stimulating hormone levels in children from Chernobyl. Environ Health Perspect 105(Suppl 6):1497–1498
go back to reference UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) (2000) Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2000 report to the General Assembly, with scientific annexes. United Nations, New York UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) (2000) Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2000 report to the General Assembly, with scientific annexes. United Nations, New York
go back to reference UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) (2011) Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2008 report to the General Assembly, scientific annexes C, D, E, vol II. United Nations, New York UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) (2011) Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2008 report to the General Assembly, scientific annexes C, D, E, vol II. United Nations, New York
go back to reference UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) (2015) Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2012 report to the General Assembly, with scientific annexes. United Nations, New York UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) (2015) Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2012 report to the General Assembly, with scientific annexes. United Nations, New York
go back to reference Wishkerman VY, Quastel MR, Douvdevani A, Goldsmith JR (1997) Somatic mutations at the glycophorin A (GPA) locus measured in red cells of Chernobyl liquidators who immigrated to Israel. Environ Health Perspect 105(Suppl 6):1451–1454CrossRefPubMedPubMedCentral Wishkerman VY, Quastel MR, Douvdevani A, Goldsmith JR (1997) Somatic mutations at the glycophorin A (GPA) locus measured in red cells of Chernobyl liquidators who immigrated to Israel. Environ Health Perspect 105(Suppl 6):1451–1454CrossRefPubMedPubMedCentral
go back to reference Zablotska LB et al (2015) Analysis of thyroid malignant pathologic findings identified during 3 rounds of screening (1997–2008) of a cohort of children and adolescents from belarus exposed to radioiodines after the Chernobyl accident. Cancer 121(3):457–466. doi:10.1002/cncr.29073 CrossRefPubMed Zablotska LB et al (2015) Analysis of thyroid malignant pathologic findings identified during 3 rounds of screening (1997–2008) of a cohort of children and adolescents from belarus exposed to radioiodines after the Chernobyl accident. Cancer 121(3):457–466. doi:10.​1002/​cncr.​29073 CrossRefPubMed
Metadata
Title
Chronic diseases and mortality among immigrants to Israel from areas contaminated by the Chernobyl disaster: a follow-up study
Authors
Danna A. Slusky
Julie Cwikel
Michael R. Quastel
Publication date
01-05-2017
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 4/2017
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-017-0941-1

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