Cancer incidence in northern Sweden before and after the Chernobyl nuclear power plant accident

Ionizing radiation and cancer: The failure of the risk model

This review presents evidence that the methodology that supports the current radiation risk model for cancer is insecure. As a consequence, the legal limits on internal exposures to certain common radionuclides are incorrect by several orders of magnitude. Because of this, hundreds of millions of people will have developed cancer due to internal exposures from atmospheric testing fallout, nuclear accidents, Depleted Uranium and releases from nuclear sites. There are fatal errors in both the mechanistic and epidemiological bases of the Linear No Threshold (LNT) Absorbed Dose model. The review discusses the history of the model and refers to published studies that clearly demonstrate these errors. It argues that the ways in which the models were constructed were arbitrary, capricious and unscientific.

Two-dimensional transition metal carbide (Ti3C2Tx) as an efficient adsorbent to remove cesium (Cs+)

Industrial utilization of nuclear resources greatly depends on the effective treatment of nuclear waste.

Long-Term Consequences of the Chernobyl Radioactive Fallout: An Exploration of the Aggregate Data

Policy Points Policymakers should invest more on researching the long-term health effects of low-ionizing radiation exposure, as we are far from reaching a consensus on a topic that is of enormous importance for public health and safety. Public policies such as those limiting the import of contaminated food from areas hit by a radioactive disaster or those regulating the resident population's access to such areas should follow a precautionary approach. Neoplasm diagnosis and medical care should be designed in order to take into account the possible role of long-term, low-dose radiation exposure. Health care policies should provide effective screening and prevention strategies with a specific focus on the regions that were hit most severely by the Chernobyl nuclear fallout. Health care expenditure should be targeted, taking into account the geographical dispersion of the fallout in order to attenuate its possible effect on neoplasm incidence.

CONTEXT

This study investigates the association between the radioactive ¹³⁷ Cesium fallout originated by the 1986 Chernobyl nuclear accident and dispersed over Western Europe, as a result of a combination of radioactive cloud passage days and rainy days over a 10-day period, and long-term health patterns and related costs. Since the half-life of ¹³⁷ Cesium is 30.17 years, part of the radioactivity in the affected regions is still present today, and it is usually still detected in the food chain, although at lower concentration levels.

METHODS

We match longitudinal data on neoplasm incidence over the time span 2000-2013 in a number of European regions not immediately adjacent to Chernobyl with the randomly distributed levels of cesium deposition after the nuclear disaster in order to assess whether we can detect an association with the long-term health effects on the European population through a random effects model.

FINDINGS

Considering 3 levels of fallout deposition-low, medium, and high-hospital discharges after treatment for neoplasms are, respectively, 0.36, 0.44, and 0.98 discharges over 100 inhabitants higher compared to regions with no fallout, with the population average being around 1.7 hospital discharges by neoplasms over 100 inhabitants. We checked the robustness of our findings to a number of tests including a placebo simulation and different model specifications.

CONCLUSIONS

Radioactive fallout is positively associated with a higher incidence of hospital discharges after treatment for neoplasms almost 30 years after its release, with larger effects in regions where the radioactivity was more intense. Our estimates are comparable to the findings of the largest-scale study on the long-term health effects of continuous low levels of radiation exposure among workers in the nuclear industry and suggest that more research is needed on this topic, given its enormous importance for public health and safety.

Total cancer incidence in relation to 137Cs fallout in the most contaminated counties in Sweden after the Chernobyl nuclear power plant accident: a register-based study

OBJECTIVES

To determine the total cancer incidence in relation to a 5-year exposure to caesium-137 (¹³⁷Cs) from the 1986 Chernobyl nuclear power plant accident.

METHODS

A closed cohort was defined as all individuals living in the three most contaminated counties in mid-Sweden in 1986. Fallout of ¹³⁷Cs was retrieved as a digital map from the Geological Survey of Sweden, demographic data from Statistics Sweden, and cancer diagnosis from the National Board of Health and Welfare. Individuals were assigned an annual ¹³⁷Cs exposure based on their place of residence (1986-1990), from which 5-year cumulative ¹³⁷Cs exposures were calculated, accounting for the physical decay of ¹³⁷Cs and changing residencies. HRs were adjusted for age, sex, rural/non-rural residence and pre-Chernobyl total cancer incidence.

RESULTS

The 734 537 people identified were categorised by exposure: the first quartile was low exposure (0.0-45.4 kBq/m²), the second and third quartiles were intermediate exposure (45.41-118.8 kBq/m²), and the fourth quartile was the highest exposure (118.81-564.71 kBq/m²). Between 1991 and 2010, 82 495 cancer cases were registered in the 3 counties. Adjusted HRs (95% CI) were 1.03 (1.01 to 1.05) for intermediate exposure and 1.05 (1.03 to 1.07) for the highest exposure compared to the reference exposure.

CONCLUSIONS

We found a small overall exposure-response pattern of the total cancer incidence related to ¹³⁷Cs after adjustment for age, sex, rural residence and pre-Chernobyl cancer incidence.