scholarly journals Clinical and Epidemiological Analysis of Morbidity and Mortality from Malignant Neoplasms among Employees of Radiation Hazardous Enterprises and the Population Living Near Nuclear Industry and Nuclear Power Facilities

2021 ◽  
pp. 42-46
Author(s):  
A.P. Biryukov ◽  
◽  
E.P. Korovkina ◽  
E.V. Vasilyev ◽  
Yu.V. Orlov ◽  
...  

The purpose of the study is to analyze the oncoepidemiological situation in the vicinity of nuclear industry and nuclear power plants. Materials and methods of the study. The main materials of the study were the data of official medical statistics for 2012-2018 on the incidence of malignant neoplasms and mortality from them: the contingent of medical treatment organizations of FMBA of Russia in 10 closed administrative-territorial formations of Rosatom State Corporation — a research sample; total contingent served by medical treatment organizations of FMBA of Russia — data of the Federal Center for Extreme Problems Information Technology of FMBA of Russia; population of Russian Federation as a whole. An in-depth analysis of the morbidity and mortality from malignant neoplasms among employees of enterprises and the population served by medical treatment organizations of FMBA of Russia was performed using data from the Branch Cancer Registry of FMBA of Russia. Results of the study and their analysis. According to the results of the analysis an increase in the incidence of malignant neoplasms was observed in medical treatment organizations of the Federal Medical and Biological Agency of Russia in closed administrative territorial formations, in all medical treatment organizations of the Federal Medical and Biological Agency of Russia, and in the Russian Federation as a whole. In 2012-2018 the incidence of malignant neoplasms (per 100,000 population) was: in closed administrative territorial entities — 412.4 and 526.6 respectively; in all medical treatment institutions of FMBA of Russia — 328.4 and 390.1; in the Russian Federation as a whole — 367.3 and 425.5 respectively. Analysis of mortality rates from malignant neoplasms showed that in all medical treatment institutions of the Federal Medical and Biomedical Agency of Russia the mortality rate from malignant neoplasms (per 100 thousand population) in this time interval was 149.1 and 167.9 persons respectively, which is significantly lower than the all-Russian rates of 201.0 and 200.0 persons respectively. Mortality from malignant neoplasms in closed administrative territorial units amounted to 220.1 and 257.3 persons respectively, which exceeds both all medical treatment institutions of the Federal Medical and Biological Agency and the Russian Federation as a whole.

Author(s):  
Alexey Arzhaev

The energy obtained at nuclear power plants is considered environmentally friendly, so an increase in the number of nuclear power plants is inevitable both in Russia and abroad. But the memory of accidents and incidents at nuclear power plants, their causes and destructive consequences should force all responsible participants in the process to follow the basic principles of defense in depth and safety culture. Analysis of the factors considered in the article indicates that the approach to the implementation of the principle of safety culture on the part of officials of the State Atomic Energy Corporation Rosatom and the world's second operating organization, Rosenergoatom Concern JSC, is subject to emasculation to the greatest extent. This indicates that the lessons of past accidents at nuclear power plants are not fully absorbed in the nuclear industry of the Russian Federation and the existing bureaucratic nihilism in relation to the fulfillment of the requirements of federal norms and rules requires urgent overcoming.


Author(s):  
С. Гончаров ◽  
S. Goncharov ◽  
Г. Аветисов ◽  
G. Avetisov

The article presents the results of 25-old activity of the head agency of the Service for Disaster Medicine of the Ministry of Health of the Russian Federation – All Russian Centre for Disaster Medicine «Zaschita» (ARCDM «Zaschita») of the Ministry of Health of the Russian Federation in the sphere of medical support of population in case of radiation accidents. The Service is a functional subsystem of the Unified State system of prevention and liquidation of emergency situations, intended for elimination of medical and sanitary consequences of emergency situation. In Russia, it is legally established that in case of radiation accident the Federal Medical Biological Agency of Russia (the FMBA of Russia) is responsible for radiation safety of the population living in the NPP surveillance zone (approximately 25 km). Responsibility for the radiation safety of the rest of the population living outside the surveillance zone is assigned to the Service for disaster medicine. In accordance with the current document “Model content of the protection plan of the population in case of an accident at the radiation facility” developed by the Ministry of Emergency Situations, mandatory protective measures are provided in the territory that radius is 25 km around the radiation object (planning zones of preventive and emergency measures). Early planning in the restrictive planning zone is not envisaged, and protective measures outside the 100-kilometer zone are considered inappropriate. The article presents the concept developed by the specialists of ARCDM «Zaschita» for drafting protection of the subjects of the Russian Federation for the nuclear power plants operating on the territory of Russia. The concept is based on experience of consequences of the Chernobyl NPP accident. The concept argues that the outer boundary of the planning area for protective measures around nuclear power plants should have an outer radius of 1000 km. Radius of the emergency planning area is 100 km. The problems of preparedness for radiation safety of population support in case of radiation accidents are discussed. They are: the need for elaboration of regulatory and normative documents of the federal level on obligatory advance planning of protective measures against the possibility of radiation accidents on radiation-hazardous objects from the nuclear power plants on the territory of Russia for the population, not supervised by the FMBA of Russia (living both in the observation zone and abroad) and regulating the need and procedure of planning, organization and carrying out in case of necessity iodine prophylaxis for the population on territories up to 1000 km from operating NPPs of Russia. Same approaches to the solution of the considered problems are suggested.


Author(s):  
Oleg Kondratenko

The policy and implementation of geostrategy of the Russian Federation in relation to the countries of the Latin-Caribbean region are considered. Russia is increasingly trying to demonstrate the status of a strategic partner with respect to Latin American Caribbean countries through the conclusion of various partnership agreements. On this basis, since the 2000s, the Russian Federation has sought to regain its influence in those Latin American countries that were the traditional sphere of presence of the USSR during the Cold War. It has been established that Russia is trying to gain favour among Latin American countries by establishing economic relations, mainly of a commercial nature. The Russian Federation has significant contracts for the supply of weapons to Latin American countries and is involved in the implementation of a number of energy projects, including the construction of nuclear power plants. Russia is also trying to demonstrate its presence in the region through the manoeuvres of its long-range strategic aviation and naval forces. At the same time, Russia is resorting to the support of bankrupt Latin American regimes such as the government of N. Maduro in Venezuela. All this has only exacerbated the crisis in Venezuela and its autocratic rule and led to a double rule in the country. However, Russia risks being pushed out of the region by China and the United States, which consider Latin America as a proving ground for a strategy of geo-economic “conquest”. The key countries for implementing the strategy of restoring Russia’s presence in the region are: Cuba, Venezuela, Nicaragua and partly Brazil. The Russian Federation views these countries as strategic partners and a foothold for the further expansion of geopolitical and geo-economic influence in Latin America, as well as restrictions in the region of US influence. Against the backdrop of isolated manoeuvres by the Russian Air Force and the Navy, Moscow makes periodic statements about the rebuilding of former Soviet military bases in Latin American countries. However, such rhetoric of the Russian Federation can be regarded more as geopolitical PR in order to represent the virtual grandeur of Russia.


2021 ◽  
Vol 66 (6) ◽  
pp. 5-9
Author(s):  
L. Il'in ◽  
V. Ivanov ◽  
I. Linge ◽  
V. Kashcheev ◽  
O. Kochetkov ◽  
...  

Purpose: In an article prepared on the basis of the conclusion of the Russian Scientific Commission on Radiological Protection (RSCRP) at the Department of Medical Sciences of the Russian Academy of Sciences "Assessment of the radiological consequences of the Chernobyl accident after 35 years according to the National Radiation and Epidemiological Register" (NRER), the main conclusions of the large-scale radiation-epidemiological studies carried out. Material and methods: The work uses information NRER – liquidators of the consequences of the Chernobyl accident and the Branch Register of FMBA of Russia – liquidators. When assessing the excess relative risk of malignant neoplasms, the EPICURE. Results: The current status of the National Radiation and Epidemiological Register, which is currently functioning within the framework of the Law of the Russian Federation of 30.12.2012 No. 329-FZ “On Amendments to Certain Legislative Acts of the Russian Federation in terms of ensuring that changes in the health status of certain categories of citizens are taken into account exposed to radiation". For the first time in an integral form, the article presents the medical radiological consequences of the accident at the Chernobyl nuclear power plant for the population of Russia. It was found that an increase in the incidence of thyroid cancer due to incorporated exposure to 131I was found in a cohort of children and adolescents (28 856 people) who received radiation doses of more than 200 mGy in 1986. There was no increase in the incidence of thyroid cancer among the adult population. Analysis of the incidence of solid cancers in the territories of the Bryansk, Kaluga, Tula and Oryol regions contaminated with radionuclides did not reveal an increase in the frequency of this pathology for children and adults. It is shown that in the cohort of liquidators of the Chernobyl accident, who received radiation doses of more than 150 mGy (35 303 people), an increase in the incidence of leukemia during the first 11 years after the accident at the Chernobyl nuclear power plant and solid cancers was revealed in comparison with the spontaneous level. Conclusions: The article points out serious limitations associated with a high degree of uncertainty in the received personal dosimetric data on liquidators in 1986–1987. and the need to use the total dose from all types of radiation (professional, emergency, medical, natural) to calculate the radiation risk. RSCRP emphasizes the high urgency of continuing work on reducing the uncertainty of dosimetry data and assessing the radiological consequences of the Chernobyl accident based on a comprehensive analysis of the NRER data.


The analysis of morbidity and mortality in the Primorsky Krai from malignant neoplasms is presented in the article. A comparative analysis and evaluation of similar indicators in the Russian Federation and the Far Eastern Federal District was performed.


Author(s):  
Michel Bie`th ◽  
Hubert Schoels

The European Union’ TACIS programme has been established for the New Independent States (NIS), among them in the Russian Federation since 1991. One priority of TACIS funding is Nuclear Safety. The European Commission has made available a total of 944 Million € for nuclear safety programmes covering the period 1991–2003. The TACIS nuclear safety programme is devoted to the improvement of the safety of Soviet designed nuclear installations in providing technology and safety culture transfer. JRC is carrying out works in the following areas: • On-Site Assistance for TACIS operating Nuclear Power Plants; • Design Safety and Dissemination of TACIS results; • Reactor Pressure Vessel Embrittlement for VVER; • Regulatory Assistance; • Industrial Waste Management; • Nuclear Safeguards. All TACIS projects, dealing with these areas of activity are now available in so called Project Description Sheets (PDS) or Project Results Sheets (PRS) in the Internet for everybody. JRC has created in the Internet an easy to open and to browse database which contains the result of works in relation to the above mentioned nuclear activities. This presentation gives an on-line overview of the app. 430 projects which have been implemented so far since the outset of the TACIS Nuclear Progremme in the Russian Federation, which is representative to the other CIS countries, benefiting from the TACIS. The presentation will mainly consist of an on-line-demonstration of the TACIS Nuclear WEB Page, created by JRC.


2019 ◽  
Vol 19 (3) ◽  
pp. 368-376
Author(s):  
Viktor Vladimirovich Anikeev ◽  
Sergey Viktorovich Bazavluk

This article examines the current state of nuclear power in the Middle East. The construction of nuclear power plants is closely related to the issues of energy security in the region. The necessity and prerequisites for diversification of the energy balance in the countries of the region, as well as the need for a reliable source of electricity, which will completely solve the problem of growing demand, are analyzed. The authors analyze the role of the Russian Federation in the development of nuclear energy in the Middle East and assess the prospects in the market of services in this sector, consider cooperation in the nuclear sector with all states of the region, identify the advantages and prospects of Russia’s possible participation in the implementation of nuclear power plant construction projects in the Middle East. The most promising direction for the development of nuclear energy today is the use of fast neutron technology and a closed cycle that allows the processing of spent nuclear fuel. The possession of such technologies has a significant potential for export and international cooperation and is a significant technological advantage of Russia. Rosatom group has competitive advantages in the market of nuclear technologies, including in the Middle East, as it has competencies in all parts of the production and technological chain of nuclear energy. The Russian Federation participates in many projects related to the construction of nuclear power plants and related infrastructure and plays a significant role in the development of nuclear energy in the Middle East, cooperates with all countries in the region that are promising for cooperation in this direction, having intergovernmental agreements, which include the construction of nuclear power plants with such States as Egypt, Jordan, Iran, UAE, Turkey, Saudi Arabia, and memorandums of cooperation with Bahrain, Qatar, Kuwait, Oman.


2021 ◽  
Vol 28 (3) ◽  
pp. 97-111
Author(s):  
V. E. Moiseenko ◽  
A. V. Pavlovsky ◽  
D. A. Granov ◽  
I. G. Kardanova ◽  
L. V. Kochorova ◽  
...  

Background. Pancreatic malignancies pose a challenging medical and social problem. The assessment of oncology care requires an in-depth analysis of morbidity and lethality. At a relatively improved prevalence and lethality in other-locale malignancies, pancreatic cancer remains a disappointing situation. Medical statistics in pancreatic malignancy can be used for the specialty care prediction and implementation of measures to advance diagnostic algorithms and population screening.Objectives. An assessment of the pancreatic malignancy incidence and mortality in the adult population of Russian Federation over a six-year period.Methods. A retrospective descriptive cohort trial included statistical data on morbidity and mortality in pancreatic cancer patients (C 25.0-C 25.9) according to the ICD of 10th edition. A comparison cohort sampled patients with all-locale neoplasms (C00-C96) according to the ICD of 10th edition, excluding nosologies C25.0-C25.9. Information was sourced in the Federal Statistical Abstracts for the period of 2014-2019. Inclusion criteria: the study cohort included pancreatic cancer patients diagnosed at the age of 18 years on, and comparison cohort — malignancy patients diagnosed with at 18 years on. The main study indicator were the pancreatic cancer morbidity and mortality figures in Russia.Results. Pancreatic cancer was shown to co-increase main morbidity figures in 2014-2019 compared to malignant neoplasms of other localities. Other-locale malignancies decreased mortality over the study period, which was not the case with pancreatic cancer. The period exhibits more frequent morphologically verified diagnoses and higher population numbers registered with specialty dispensaries. Registered pancreatic cancer figures are significantly higher in the female population. The proportion of advanced pancreatic malignancies at primary diagnosis exceeds that of early stages.Conclusion. The findings expose a demand for improving the system of early pancreatic cancer detection via intensifying preventive measures to capture the patient’s predisposition and screening techniques for early disease diagnosis. An active outpatient surveillance is prerequisite to an effective population involvement in dispensary screening.


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