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Published on: April 23, 2021
Cerebrovascular diseases in nuclear workers first employed at the Mayak PA in 1948-1972
Tamara V Azizova1, Colin R Muirhead, Maria B Moseeva
1Southern Urals Biophysics Institute (SUBI), Ozyorsk, Chelyabinsk Region, Russian Federation. clinic@subi.su
Insights
Radiation exposure from gamma-rays and internal alpha particles increased cerebrovascular disease incidence in Mayak PA workers. Higher doses correlated with increased disease occurrence, highlighting occupational radiation risks.
Area of Science:
- Occupational health
- Radiation epidemiology
- Public health
Background:
- Cerebrovascular diseases (CVD) pose significant health risks.
- Understanding occupational radiation exposure effects is crucial for safety standards.
- The Mayak Production Association (Mayak PA) cohort offers a unique study population.
Purpose of the Study:
- To investigate the relationship between radiation exposure (gamma and alpha) and CVD incidence and mortality.
- To analyze trends in CVD risk based on absorbed radiation doses.
- To compare risk estimates with other occupational studies and atomic bomb survivor data.
Main Methods:
- Cohort study of 18,763 Mayak PA workers employed 1948-1972, followed to 2005.
- Analysis of CVD incidence and mortality adjusted for non-radiation factors.
- Assessment of dose-response relationships for external gamma-rays and internal alpha radiation from incorporated plutonium-239.
Main Results:
- Significantly increasing trends in CVD incidence were observed with increasing absorbed doses of external gamma-rays and internal alpha radiation to the liver.
- CVD incidence was statistically significantly higher in workers with external gamma-ray doses >0.20 Gy and internal alpha-radiation doses to the liver >0.025 Gy.
- No statistically significant trends in CVD mortality risk were found with either radiation type.
Conclusions:
- Chronic occupational exposure to external gamma and internal alpha radiation is associated with increased CVD incidence.
- The findings suggest higher risk estimates for CVD incidence compared to Japanese A-bomb survivors.
- Further research on this cohort can refine radiation safety standards for occupational and public exposure.
Abstract:
Incidence and mortality from cerebrovascular diseases (CVD) (430-438 ICD-9 codes) have been studied in a cohort of 18,763 workers first employed at the Mayak Production Association (Mayak PA) in 1948-1972 and followed up to the end of 2005. Some of the workers were exposed to external gamma-rays only while others were exposed to a mixture of external gamma-rays and internal alpha-particle radiation due to incorporated (239)Pu. After adjusting for non-radiation factors, there were significantly increasing trends in CVD incidence with total absorbed dose from external gamma-rays and total absorbed dose to liver from internal alpha radiation. The CVD incidence was statistically significantly higher among workers with total absorbed external gamma-ray doses greater than 0.20 Gy compared to those exposed to lower doses; the data were consistent with a linear trend in risk with external dose. The CVD incidence was statistically significantly higher among workers with total absorbed internal alpha-radiation doses to liver from incorporated (239)Pu greater than 0.025 Gy compared to those exposed to lower doses. There was no statistically significant trend in CVD mortality risk with either external gamma-ray dose or internal alpha-radiation dose to liver. The risk estimates obtained are generally compatible with those from other large occupational studies, although the incidence data point to higher risk estimates compared to those from the Japanese A-bomb survivors. Further studies of the unique cohort of Mayak workers chronically exposed to external and internal radiation will allow improving the reliability and validating the radiation safety standards for occupational and public exposure.
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