체르노빌 핵사고의 건강피해 보고서(2006)
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체르노빌의 긴 그림자 ~ 체르노빌 핵사고의 건강피해 ~ Dr. Olha. V. Horishna 저 발행: 체르노빌 어린이 구호 개발기금(2006년) CHORNOBYL'S LONG SHADOW health Consequences of the Chornobyl nuclear disaster A Summary of Findings Update 2006 Dr. Olha V. Horishna Published by : Children of Chornobyl Relief and Development Fund; Kyiv, Ukraine(2006) [차례] - 서문 1. 체르노빌 재해에 관한 역사적 경위의 개요 2. 방사선 피폭에 의해 발생하는 질병 3. 체르노빌의 희생자에 대한 몇 가지 중요한 건강문제의 분석 4. 체르노빌 사고의 의학적 영향에 관한 연구조사의 개요 면역계 임신 여성-태아-자녀간의 관계 세포유전학적 영향 및 돌연변이 갑상선 중추신경계 및 정신발달 특정 대사(代謝) 이상에 특유의 특징 검사는 3그룹 자녀에게 실시되었다 5. 국제방사선방호위원회, 국제원자력기구, 체르노빌포럼을 비롯한 체르노빌의 건강영향을 평가하는 국제기구의 정책에 대한 반응 의학적 재활 프로그램 - 결론TRANSCRIPT
- 1. CHORNOBYL'S LONG SHADOW health Consequences of the Chornobyl nuclear disaster A Summary of Findings Update 2006 Dr. Olha V. Horishna Publishedby:ChildrenofChornobylReliefandDevelopmentFund;Ukraine(2006) ~ < : 2006 > Dr. Olha. V. Horishna : (2006) (Children of Chornobyl Relief and Development Fund)Horishna () : 2013 6 26~Kyiv,
2. (Children of Chornobyl Relief and Development) ( ), (ZhinochaHromada) OlhaV.Horishna , . . Yuri Bandezhevsky . . (), () () Elena Lukyanova . George Lysychenko . . , . 137 30, 20 . () () 1 . , . . , . Horishna , , , ()- 1 - 3. . , . , Yaropolk Hladkyj , 20 . Zenon Matkiwsky . Viktor Horishny, Olena Welhasch-Nyzhnykevych, Viktoria Pavlotska Yulia Vitvitska . () , , . . . Alexander B. Kuzma, , 272 Old Short Hills Road, New Jersey, USA 07078 : 973-376-5140 : 973-376-4988 [email protected] http://www.childrenofchornobyl.org- 2 - 4. (: CCRF=) 1989 , CCRF 5500 US , 1300 () 32 16 . (Liviv Regional Specialized Pediatric Clinic) (1990). 1997, . ( Kyiy Emergency Hospital & Trauma Center) . 1994 MRI 1 1 , . . 11 , , , . (, , , , , , , , , ) , , , , . (The Manual of Neonatology) , . . CCRF . CCRF 1995 (1995 New Jersey Governor's Voluteer Award) .- 3 - 5. (John Deere), Monsanto(), UMC, Procter& Gamble( ), Philip Morris(), Nestle() Medtronic() .- 4 - 6. , , (Chornobyl remains with us) . . , , (IAEA), . , . 2005 9 . , . . () . 2005 9 () 1992, 1993 1995 , . , , 80 . , IAEA , . IAEA , . , , , , . (IAEA) 4,000 - 5 - 7. , IAEA . , , . 1. 130km, 18km . 12km, 140km. 4 1983 12 , 2 1986 4 26, 1 23 4 . 8 . 2km . 95, 95, 99, 103, 106, 131m, 132, 131, 132, 133, 140, 140, 141, 144, 134, 137, 90, 239 . 238, 239, 240, 241 242~244 . %() %(131 36%) . 5~8(, 131) 24,110(239) . 10 . , . , , . . , (131, 132, 133, 132 131m) . ( 137, 90( ), 239 240) . 137 . , .- 6 - 8. 137 1.8~2.2kBq/m(: 1kBq=1000 ) . , , , 40.0kBq/m , 20 . 137 100.0kBq/m .( 1) 1,000km . 1. 137 Lambert Azimutal EC/IGCE, Roshydromet/ Minchernobyl(UA)/ Belhydromet, 1996 , 20 .- 7 - 9. 2. 239 240 3. 137 , (2,3). 7 250 1,750 (2).- 8 - 10. , 50,500km , 2,218 240 .(3) 137 () , () 4 . 1-1986 2- 5mSv (: mSv=) 3- 1~5mSv 4- 0.5~1mSv . , , . . 1- 2- () 3- 4- 1~3 . , 1 . 25~45. . 20 , . . 2( ) 15.3mSv. 50mSv . . 3 , . . 1 2 . , , , - 9 - 11. . 4 1~3 . . ( ) (). . 3 () , . 4 . 12~14. . 4 . . 4 , . . , . . . . . . , 1986~19 90 20 . 20 , . , . . ( 2 ) () - .- 10 - 12. - . . . . , . 2. , . ( ) ( ) (, ) . , 1 ( 1 ) ( ) . . 5 , 5 . . , , , , ( ), , . 2~4 .- 11 - 13. 2 . . , () . . , (), . ( ) , . 2 . , , , , . 3 ( ) . , . 2 ( ) , . . 2 . , . 4 . . , (). 2 () . (4). 3. , - 12 - 14. . , . . 1 2 . , . 1997 3.2% 2005 0.5% . , . 4. 1 2 3 45. . 4.2 (1987 10,000 - 13 - 15. 1,372, 2004 5,731.63 . (5) 6. * *1987 2004 ( ). 3.1 (1987 10,000 455.4, 2004 1,422.9 .) . . (CRMAMS) , (2.6) . () (10%) (0.39%) . . (5) . : 1987 1 0.27, 2004 2.31 8 (8.6) . 5.5 . : 1987 1 2.6, 2004- 14 - 16. 5.3 1987 2 . , : 1987 1 3.3, 2004 22.75 , 6.9, 7 . : 1987 1 0.8, 2004 4.4 5(5.5) . , . . . 4 , 2.7 . . () . 2.0~3.1.(7) 7. 234 . 3.3, 2.6 . . . - 15 - 17. , . () . , . , . . 2004 5,423 . 5,171 , 252 14 . 1,621 , 126 , 3,362 , 62 4 . 2004 , . 14 , . () (Ukrainian Research Institute of Medicosocial Problems of Invalidity) . , , . (6). (Center of Medical Statistics of the Ministry of Health of Ukraine) . . , . 2() . 3 . 4 , . . () - 16 - 18. . . , . 1987~2000, 2000~2004 . . , () , (1). 1. . 1987~1992 2000~2004 .- 17 - 19. ( ) 65 . 1992 60 . . . . 3 85% 0.1~1.0 , - 18 - 20. . 4~15 60% 50% 0.05~0.3 . 1979~1986 1,500 2 . 50(cGy) 140,000 . , . , . () , , . 8. == 9. = = - 19 - 21. 20 . Mykola I. Omelianets 1987~20 04( ) . 504,117 34,449 . 1995 2,000 , 2000 3,000 . , 2010 . 2010 5,000 . 2004 5.5 , 1994 . 1998 (8, 9 ). 2. ( 1000 ) 2004 2010 () , 2010 21.7% () 17.6% (2). 2004 , , . 15 . , . 3 (9.6% 25.2% . 2004 9.9% ) ( ) 20 2.7 . - 20 - 22. . . 2005 9 . 4. . . . . , , . . . , . . , ( ). () () . T (Macrophage) () . T T , T T (T T ) (7). 5~6 () T - 21 - 23. T , T , 137 . , . a) , b) , c) () d) . . , . 1 2 A (, ) (ADAI), . , . 14 , , () . , T , , . ( , ()) . . . 9~10 . (8). , . , .- 22 - 24. -- , , (), , . , , (POG) . () (10). 10. ( ) 137-3.48Bq/kg -0.9Bq/kg ( )() - 137-7.75Bq/kg137- 0.74~1.27Bq/kg- 137-0.23Bq/kg - 137-0.19Bq/kg - -860mBq/kg - -390mBq/kg , () , - 23 - 25. . () . , , , , () . - . 33.6% . . . (9), . . . . . (10,11). , , . . . . . , 3 1 1, 2 . . 25.8%. . . - 24 - 26. , . . . Dennis Henshaw () , , , (, () ) . . , . . . . . () () . . ( 1) 1. 27 ( 137 3.25Bq/kg). . () . 200 van Gieson -(, , , , ) . - 25 - 27. , . . , , 1(2) . 1 , . 2 , () . 5 . . 2 . ( , 1994 ( ) . 1998 Petrova Stem Cell Magazine , .) , (), , . (Amosov National Institute of Cardiac Surgery) . ( ) (SAD ) . SAD , , , ( ), , , ( ), , () () . ( , ). (7 ) SAD . . ( , , 2,000- 26 - 28. , , . , . . () . ( ), , , () . ( 137 30) , , . (11). . 1997~ 1998 137 . 10 . (( ) , 1998 . 1998 ). . (-) , , , . , , . - 27 - 29. . . , 2( - ) . DNA DNA, (thyroglobulin) . (). 25% . , , (, , ) ( 4). , . ( 11). 11. (CF) (%) () - 28 -Sumskoy 30. () . 1 1 2 . ( ), 2 , . DNA(DNA) () . ( 1986~1988 ), . . (13). , DNA ( ), . () DNA . (National Scientific-Practical Center of Preventive Medicine) . , (14). . , . 7 . (Ukrainian Scientific Research Institute of medical-social problems of invalidity) (15). ( ) - . - 29 - 31. . , , (Homeostasis) () . , , () , , . ( , , ). . , . , () . . 1 , () (16). 2001 (Ukrainian-American Associa -tion for the Prevention of Birth Defects) () (March of Dimes, ) 1 Wolodymyr Wertelecki , . () , , () . Wertelecki 4 . () , , . Wertelecki . . , - 30 - 32. . 15 , 4~6 , . 1992 9 3 Nature 80 (17). 1986 , 80 . 1990 100 , 30 . , . , . . 1992 7 22, IAEA Fred Mettler IAEA . 15 . , IAEA . 1990 , 131 .(131 8). IAEA . IAEA . IAEA . , , ( ) , (18). - 31 - 33. . . , , 14 50 . 1990 . . 20 , . . . . . , . , , 70 ( 34, 36) . ( 5=8km) 1 . 2.8%. (9) 2.9% (11) 2.8% . 97.2% . 7.1% , 50% , () 42.9% . . () () 18.6% , . 5.7% . , . . . - 32 - 34. (86%) . 1 , , . . () ( ) , , (Homeostasis) , D3 . , . (free radi -cal) , (445.0 36.0imp./) (1278.086.0imp./) (12). 12. (imp./) () . () - 33 - 35. () , . . . . . () () - . - , . () - . () () . , , . . . ( , ) . , , , .- 34 - 36. 3. () , , , , 25OHD3 ( , , 25OHD, , , )*: 1 2 p