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

Synthesis of Prussian blue-embedded magnetic micro hydrogel for scavenging of cesium from aqueous solutions; Batch and dynamic investigations

A magnetic micro porous structure composite based on alginate and Prussian blue (M-SA-PB) was simply prepared for cesium removal from the aqueous solutions. The gelation and formation of PB proceeded through the same step, which made the PB homogenously distributed and firmly attached to the alginate matrix. The homogenizer was applied to break down the bulky gel structure into micro-ones, and the lyophilizer will provide the porous structure. Batch cesium sorption experiments showed that the adsorption kinetics and isotherms were attributed to the pseudo-second-order model and Langmuir isotherm. Moreover, the Cs-ion is favorably adsorbed on the M-SA-PB composite surface as a monolayer towards Cs, with a maximum adsorption capacity reach of 191.0 mg/g. Furthermore, the M-SA-PB adsorbent showed excellent adsorption selectivity of Cs from multiple-ion solutions. Our work was extended to use the M-SA-PB composite in dynamic cesium sorption. The column studies showed that the removal efficiency of Cs+ increased with increasing bed depth as well as the initial cesium concentration. Finally, as previously mentioned, the M-SA-PB could be considered an excellent Cs+ scavenger employing both batch and dynamic approaches, which makes it a promising adsorbent for practical investigations.

The correlation between small papillary thyroid cancers and gamma radionuclides Cs-137, Th-232, U-238 and K-40 using spatially-explicit, register-based methods

A steep increase of small papillary thyroid cancers (sPTCs) has been observed globally. A major risk factor for developing PTC is ionizing radiation. The aim of this study is to investigate the spatial distribution of sPTC in Sweden and the extent to which prevalence is correlated to gamma radiation levels (Caesium-137 (Cs-137), Thorium-232 (Th-232), Uranium-238 (U-238) and Potassium-40 (K-40)) using multiple geospatial and geostatistical methods. The prevalence of metastatic sPTC was associated with significantly higher levels of Gamma radiation from Th-232, U-238 and K-40. The association is, however, inconsistent and the prevalence is higher in densely populated areas. The results clearly indicate that sPTC has causative factors that are neither evenly distributed among the population, nor geographically, calling for further studies with bigger cohorts. Environmental factors are believed to play a major role in the pathogenesis of the disease.

Cancer incidence in a male adult population in relation to estimated protracted colon dose - A nested case control study in Northern Sweden after the Chernobyl Nuclear Power Plant accident

INTRODUCTION

Uncertainty in the dose-response of low dose radiation raised concern of an increased cancer incidence in Sweden after the Chernobyl Nuclear Power Plant (NPP) accident.

MATERIAL AND METHODS

A closed cohort was created of all males ≥18 years of age living in the Northern Sweden in 1986. In total 826,400 individuals were enrolled including 40,874 hunters. A nested case-control design was used with five controls randomly selected for each cancer case matched on year of diagnosis and year of birth. Individual absorbed colon dose was calculated 1986 to 2015. Allowing for a 5-year latency period Hazard Ratios (HR) per mGy with 95% Confidence Intervals (95% CI) were calculated in a conditional logistic regression adjusted by rural/non-rural living, length of education and pre-Chernobyl cancer incidence 1980 to 1985. A total of 127,109 cancer cases occurred from 1 January 1991 to 31 December 2015. Cancer was classified in: 1) Organ-specific (stomach, colon, liver, lung, prostate, urinary bladder, thyroid and leukaemia), 2) Other and 3) Not previously associated to ionizing radiation.

RESULTS

The average colon dose in cases was 1.77 mGy compared to controls 1.73 mGy. Hunters average colon dose was 2.32 mGy. Organ-specific cancers showed the highest HR per mGy both in the full cohort, adj HR 1.019 (1.014-1.024) and the hunter subcohort, adj HR 1.014 (1.001-1.027) during follow-up 1991 to 2015. Other cancer and Not previously associated with ionizing radiation showed lower HR per mGy. Therefore, the adj HR per mGy for Total cancer, 1.013 (1.009-1.017) was explained by Organ-specific cancer. Increased adj HR per mGy was seen in stomach, colon and prostate cancer, respectively in the full cohort and lung cancer in hunters.

CONCLUSIONS

Some cancer sites previously associated with ionizing radiation showed a positive adjusted HR per mGy both in the full cohort and in the hunter subcohort.

Introduction of a method to calculate cumulative age- and gender-specific lifetime attributable risk (LAR) of cancer in populations after a large-scale nuclear power plant accident

The effect of age and gender in risk estimates related to long-term residence in areas contaminated by nuclear power plant fallout was evaluated by applying the lifetime attributable risk (LAR) concept to an existing exposure model that was previously used for cumulative effective dose estimates. In this study, we investigated the influence of age distribution on the number of cancer cases by applying five different age distributions from nuclear power-producing countries (India, Japan, South Korea, and the United States), and Egypt because of intentions to develop nuclear power. The model was also used to estimate the effective dose and gender-specific LAR as a function of time after fallout for the offspring of the population living in 137Cs fallout areas. The principal findings of this study are that the LAR of cancer incidence (excluding non-fatal skin cancers) over 70 y is about 4.5 times higher for newborn females (5.4% per MBq m-2 of initial 137Cs ground deposition) than the corresponding values for 30 y old women (1.2% per MBq m-2 137Cs deposition). The cumulative LAR for newborn males is more than 3 times higher (3.2% versus 1.0% per MBq m-2 137Cs deposition). The model predicts a generally higher LAR for women until 50 y of age, after which the gender difference converges. Furthermore, the detriment for newborns in the fallout areas initially decreases rapidly (about threefold during the first decade) and then decreases gradually with an approximate half-time of 10-12 y after the first decade. The age distribution of the exposed cohort has a decisive impact on the average risk estimates, and in our model, these are up to about 65% higher in countries with high birth rates compared to low birth rates. This trend implies larger average lifetime attributable risks in countries with a highly proportional younger population. In conclusion, the large dispersion (up to a factor of 4 between newborns and 30 y olds) in the lifetime detriment per unit ground deposition of 137Cs over gender and age in connection with accidental nuclear releases justifies the effort in developing risk models that account for the higher radiation sensitivity in younger populations.

Activated Carbon/Transition Metal (Ni, In, Cu) Hexacyanoferrate Nanocomposites for Cesium Adsorption

Transition metal hexacyanoferrate/microporous activated carbon composites were obtained using a simple successive impregnation approach. The effect of metal type (nickel, indium, or copper), and the carbon oxidation on the composite characteristics (porosity, metal structure, and particle size), as well as on the removal efficiency of cesium from aqueous solution was investigated. Successful formation of the desired metal hexacyanoferrate phase was achieved and the size of the metallic nanoparticles and their dispersion in the carbon network was found to depend on the metal type, with the indium and nickel-based materials exhibiting the smallest particle size distribution (< 10 nm). Adsorption tests performed under batch conditions demonstrate that the copper hexacyanoferrate/activated carbon composite present the highest cesium removal capacity from aqueous solution (74.7 mg·g⁻¹) among the three studied metal-based nanocomposites. The carbon oxidation treatment leads to the increase in the number of functional groups to the detriment of the porosity but allows for an improvement in the Cs adsorption capacity. This indicates that the Cs adsorption process is governed by the carbon surface chemistry and not its porosity. Moreover, combining oxidized carbon support with copper hexacyanoferrate induces the highest cesium adsorption capacity (101.5 mg·g⁻¹). This could be related to synergistic effects through two absorption mechanisms, i.e., a cation exchange mechanism of Cs with the metallic hexacyanoferrate phase and Cs adsorption via carbon oxygen surface groups, as demonstrated using X-ray photoelectron spectroscopy (XPS) analyses.

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.