Home Page   -   ditorial Board   -   Instructions to autors   -   Archive   -   Contact   -   Journal's Indexing UA   EN


Last issue

4 (101), 2021


Support

Edition of the journal is supported partially by the grant of the Fogarty International Center (FIC) of the National Institute of Health and Illinois University, Chicago.

JOURNAL

ISSN 2077-7477 (Print)
ISSN 2077-7485 (Online)

A journal "Dovkillia ta zdorovia" (Environment & Health) publishes the articles on the problems in the field of medical ecology, hygiene, health protection and ecological safety.

Founder of the Journal:
State Institution "O.M. Marzeiev Institute for Hygiene and Medical Ecology of the National Academy of Medical Sciences of Ukraine"

Frequency of publication:
quarterly

Environment & HealthISSN: 2077-7477 eISSN: 2077-7485
No: 4 (101)   -   December, 2021   -   Pages: 4-10
The development of the incidence of non-neoplastic diseases of the digestive system in adults evacuated from the 30-kilometer zone of the Chornobyl nuclear power plant during the post-accident observation period (19922016)
Prykashhykova K.Ye.1, Yaroshenko Zh.S.1, Kapustynska O.A.1, Kostiuk V.G.1, Sirovenko V.I.1, Olpr O.V.1, Lukianiuk V.A.1, Polianska V.M.1, Movchun T.I.1, Lytvyniuk I.V.1
1 State Institution "National Scientific Center of Radiation Medicine of the National Medical Academy of Ukraine, Kyiv

ABSTRACT:
Objective: We analyzed the absolute risk of the development of the incidence of non-neoplastic diseases of the digestive system in adults evacuated from the 30-kilometer zone of the Chornobyl NPP over 19922016 epidemiological surveillance.
Materials and methods: For the epidemiological study of the incidence of non-neoplastic diseases of the digestive system in the evacuated from the 30-kilometer Chornobyl zone after the Chornobyl accident in 19922016 we formed a cohort of 7,143 people aged 18 years and older (2,198 men and 4,945 women). To study the features of the incidence of diseases of the digestive system over the years of observation, we calculated the epidemiological indicator - the absolute risk of development (AR).
Results: During 19922016, 13,532 cases of the diseases of the digestive system: 3,298 (24.37%) in men; 10,234 (75.63%) - in women) were revealed for the first time. The absolute risk of the development of digestive diseases makes up 467.64 2.93 cases per 103 man-years of observation (further cases/103 man-years). It was found that 91.05% (12,321 cases) with an absolute risk of 425.32 5.89 93 cas./103 man-years ( 423.22 5.89- in men, 426.19 3, 34 - in women) belonged to the class of the diseases of digestive system (C00-C93). Mostly diseases of oral cavity, salivary glands and jaws (C00 C14) (200.63 4.77 cases/103 man-years), esophageal diseases, stomach and duodenum (C20 C31) (146.26 4.21 93) were manifested. Significant loss of health was also caused by the diseases of the gallbladder, biliary tract and pancreas (C83C87) (50.23 2.60 93), liver disease (C70-C77) (22.44 1.76 93), non-infectious enteritis and colitis (C50C52) (3.93 8.75), other intestinal diseases (C55C63) (1.83 0.51) respectively. Irrespective of gender, the development of the incidence of non-neoplastic diseases of the digestive system is characterized by the identity of the diseases and the ratio of their values to the total cohort. However, women suffered more from the diseases of the gallbladder, biliary tract and pancreas, diseases of the oral cavity, men from the diseases of esophagus, stomach and duodenum.
Conclusions:
1. The revealed features of the development of digestive diseases in the evacuated from the 30-kilometer zone of the Chornobyl NPP (high absolute risks of diseases of oral cavity, salivary glands and jaws (C00C14), diseases of esophagus, stomach and duodenum (C20C31), biliary diseases bladder, biliary tract and pancreas (C80C87)) need the improvement of medico-social measures to provide qualitative treatment-and-preventive, rehabilitative care from the primary level of medical care.
2. It is necessary to conduct medico-educational work on radiation hygiene, regimen, food intake and dietary nutrition for the minimization of the development of established prior nosological forms in the evacuees from the 30-kilometer zone of the ChNPP.


KEYWORDS:
evacuees, digestive diseases, epidemiological study
REFERENCES:
1. Likhtarov I.A., Pratsohan M.K., Chumak V.V., Nechaiev S.Yu., Vasylenko V.V. and Tsyhankov M.Ya. Dozy oprominennia [Doses of Irradiation]. In : Medychni naslidky Chornobylskoi katastrofy: 19862011 [Medical Consequences of Chornobyl Catastrophe : 1986 - 2011]. Serdiuk A.M., V.H. Bebeshko, D.A. Bazyka (Eds.). Ternopil : Ukrmedknyha ; 2011 : 4555 (in Ukrainian).
2. Komarenko D.I., Yakymenko D.M., Moroz H.Z., Sarkisova E.O. and Varshavska A.M. Stan orhaniv travlennia u postrazhdalykh vnaslidok avarii na ChAES [The State of Digestive Organs of the Suffered of the Accident at the ChNPP]. In : Medychni naslidky avarii na Chornobylskii atomnii elektrostantsii [Medical Consequences of the Accident at the Chornobyl Nuclear Power Plant ]. Vozianov O.F., Bebeshko V.H., Bazyka D.A. (Eds.). Kyiv : DIA; 2007 : 318326 (in Ukrainian).
3. Prykashchykova K.Ye. Analiz vplyvu radiatsiinoho oprominennia na rozvytok nepukhlynnoi zakhvoriuvanosti v evakuiovanykh u dytiachomu i pidlitkovomu vitsi iz 30-kilometrovoi zony ChAES [Analysis of the Impact of Radiation Exposure on the Development of Non-Neoplastic Morbidity in the Evacuated at Childrens and Adolescent Age from the 30-Kilometer Zone of the ChNPP ]. In : Radiolohichni ta medychni naslidky Chornobylskoi katastrofy trydtsiat rokiv potomu : Prohrama i tezy dopovidei mizhnarod. nauk. konf. [Radiological and Medical Consequences of the Chornobyl Catastrophe - Thirty Years Later: Program and Abstracts of the Reports of Intern. Sci.Conf.]. Kyiv ; 2016 : 215-215 (in Ukrainian).
4. Chumak A.A., Sarkisova E.O. and Hasanova O.V. Patolohiia systemy travlennia [Pathology of Digestive System ]. In : Trydtsiat rokiv Chornobylskoi katastrofy: radiolohichni ta medychni naslidky: Natsionalna dopovid Ukrainy [Thirty Years of the Chornobyl Catastrophe: Radiological and Medical Consequences: National Report of Ukraine]. Kyiv ; 2016 : 130134. (in Ukrainian). (Date of access : 7.08.2019). URL: https://drive.google.com/file/d/0B1bUIW1YACgZUWZoZm1vMGEyUnM/view
5. Buzunov V.O., Prykashchykova K.Ye., Kostiuk H.V., Martseniuk O.D. and Hubina I.H. Nepukhlynna zakhvoriuvanist meshkantsiv radioaktyvno zabrudnenykh terytorii Ukrainy [Non-Neoplastic Morbidity of the Residents of Radioactively Contaminated Territories of Ukraine]. In : Trydtsiat rokiv Chornobylskoi katastrofy: radiolohichni ta medychni naslidky: Natsionalna dopovid Ukrainy [Thirty Years of the Chornobyl Catastrophe: Radiological and Medical Consequences: National Report of Ukraine]. Kyiv ; 2016 : 5162. (in Ukrainian). (Date of access: 16.09.2019) URL: https://drive.google.com/file/d/0B1bUIW1YACgZUWZoZm1vMGEyUnM/view
6. Prykashchykova K.Ye., Pavlovskyi Ye.Ye., Kostiuk G.V., Kapustinska .A., Yaroshenko Zh.S., Lukianiuk V.A., Olpr O.V., Sirovenko V.I. and Romanenko N.T. Zminy u strukturakh nepukhlynnoi zakhvoriuvanosti ta smertnosti u meshkantsiv radioaktyvno zabrudnenykh terytorii: epidemiolohichnyi monitorynh za 19882015 roky [Changes in Structure of Nononcological Morbidity and Mortality of Inhabitants of Radioactively Polluted Areas: Epidemiologic Surveillance 1988-2015]. Dovkillia ta zdorovia (Environment&Health). 2017 ; 4 (84) : 813 (in Ukrainian). DOI : https://doi.org/10.32402/dovkil2017.04.008
7. Prykashchykova K.Ye., Kapustynska O.A., Yaroshenko Zh.S., Kostiuk H.V., Lukianiuk V.O., Syrovenko V.I., Olepir O.V. and Polianska V.M. Nepukhlynni zakhvoriuvannia shchytopodibnoi zalozy u meshkantsiv radioaktyvno zabrudnenykh terytorii ta dorosloho naselennia, evakuiovanoho iz 30-kilometrovoi zony ChAES. Period sposterezhennia 19882016 roky [Non-Tumoral Thyroid Gland Diseases in the Residents of the Radioactive-Contaminated Areas and Adult Population Evacuated from the 30-Kilometer Zone of the ChNPP. Observation Period 1988-2016]. Dovkillia ta zdorovia (Environment&Health). 2018 ; 4(89) : 4047 (in Ukrainian). DOI : https://doi.org/10.32402/dovkil2018.04.040
8. Zhang W., Haylock R.G.E., Gillies M., Hunter N. Mortality from Heart Diseases Following Occupational Radiation Exposure: Analysis of the National Registry for Radiation Workers (NRRW) in the United Kingdom. J. Radiol. Protec. 2019 ; 39 : 327353. DOI : a.https://doi.org/10.1088/1361-6498/ab02b2
9. Buzunov V.O., Pyrohova O.Ya., Krasnikova L.I., Tsuprykov V.A., Voichulene Yu.S. and Domashevska T.Ye. Pokaznyky ta metody yikh rozrakhunku v epidemiolohii neinfektsiinykh zakhvoriuvan: navch.-metod. posib. [Indicators and Methods of Their Calculation in the Epidemiology of Non-Communicable Diseases: Textbook]. Kyiv : Avitsena; 2013 : 120 p. (in Ukrainian).
Designed by: IPH NAMSU Environment & Health, 2006-2021. All rights reserved.
Use of text and graphic materials of the site is allowed only upon written permission of the editoral board.