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The Chernobyl accident was in fact a tragic catastrophe with health
impacts that are still far from being fully evaluated. In case of the thyroid
it has led most likely (but not yet scientifically proven) to a significant
increase in the incidence of thyroid cancer in children. The first tumors
occurred 2-3 years after the accident and the majority of cases appeared
in those children, who were 1 year or under, or even in utero at the time
of radioiodine contamination. In this age group the thyroid is especially
sensitive to radiation. The TSH level is significantly higher than in adults.
In addition at this very young age, thyroid follicular cells undergo developmental
growth, rendering them more sensitive to mutagenic action of radiation
(60,76). Finally, carcinogenic effects of short-lived radioiodines, certainly
in combination with iodine deficiency, might be other important factors.
The health impacts of the Chernobyl accident should be carefully followed
in coming years.
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