Health effects of the Chernobyl accident: fears, rumours and the truth.

The impact of the world's worst nuclear disaster at Chernobyl in 1986 is reviewed within a framework of a triad of fear, rumour and truth. The scope of the accident, Soviet secrecy about it, and the lack of general awareness of, or disregard for, the effects of radiation created a fertile ground for persistent fears and rumours attributing any health problem to Chernobyl. Scientifically correct answers to health issues have been the means to combat disinformation, and to replace interconnected fears, misconceptions and rumours. To date, according to the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) 2000 Report, based on a review of epidemiological and radiobiological studies, the main radiation-related effect of the Chernobyl accident is an increased risk of childhood thyroid cancer. In addition, the accident has had serious non-radiation-related psychological consequences on the residents of the contaminated territories, resettled populations and clean-up workers. Researchers in search of the truth through epidemiological reasoning are facing serious challenges which are reviewed within this article.

[1]  A. Auvinen,et al.  The Estonian study of Chernobyl cleanup workers: II. Incidence of cancer and mortality. , 1997, Radiation research.

[2]  Dillwyn Williams Cancer after nuclear fallout: lessons from the Chernobyl accident , 2002, Nature Reviews Cancer.

[3]  R F Mould Chernobyl Record: The Definitive History of the Chernobyl Catastrophe , 2000 .

[4]  M. Rahu Cancer epidemiology in the former Soviet Union. , 1992, Epidemiology.

[5]  G. Johnson The Wasted Land , 1938 .

[6]  K. Moysich,et al.  Chernobyl-related ionising radiation exposure and cancer risk: an epidemiological review. , 2002, The Lancet. Oncology.

[7]  V. Vlassov Is there epidemiology in Russia? , 2000, Journal of epidemiology and community health.

[8]  Henry I. Kohn,et al.  Sources, Effects and Risks of Ionizing Radiation , 1989 .

[9]  岩崎 民子 SOURCES AND EFFECTS OF IONIZING RADIATION : United Nations Scientific Committee on the Effects of Atomic Radiation UNSCEAR 2000 Report to the General Assembly, with Scientific Annexes , 2002 .

[10]  R. Tuttle,et al.  The Chernobyl accident and its consequences: update at the millennium. , 2000, Seminars in nuclear medicine.

[11]  C. Heath,et al.  Do People Prefer to Pass Along Good or Bad News? Valence and Relevance of News as Predictors of Transmission Propensity , 1996, Organizational behavior and human decision processes.

[12]  F. Castronovo Teratogen update: radiation and Chernobyl. , 1999, Teratology.

[13]  A. Schneider,et al.  Radioiodine-induced thyroid cancer: Studies in the aftermath of the accident at Chernobyl , 1998, Trends in Endocrinology & Metabolism.

[14]  Qu Liang,et al.  The United Nations Scientific Committee on the Effects of Atomic Radiation , 1965, Nature.

[15]  K. Trott,et al.  Chernobyl liquidators. The people and the doses , 2000 .