[Increase of cancers of the thyroid gland in children in Byelarus]

Last September, "Nature" reported a great increase in the frequency of thyroid cancer in children in Belarus. Some additional data are now available and strengthen the previous findings. The overall incidence of thyroid cancer in children rose from an average of four cases per year till 1989 to more than 50 in 1991 and 1992. Nearly all of the 146 cancers recorded since 1986 are papillary carcinomas. Moreover these cancers appear relatively aggressive. The occurrence of such an increase within a few years of exposure--and only in children--is quite unexpected. Therefore, it seems very important to monitor trends in future and more information is needed, as different questions remain unanswered: dosimetry, diagnosis methods, other thyroid diseases... In conclusion, the authors stress on the very importance of iodine prophylaxis in case of an accidental contamination by radioisotopes of iodine. It seems possible that cancer excess would have been less important, if Belarus children had been given stable iodine.