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For more than thousands of years humans have tried to judge, evaluate and
avoid hazardous environmental situations and the development of nuclear
technologies have made it possible for man to cause catastrophic and long-lasting
damage. The complex nuclear technology with its harmful and rare effects
is unfamiliar for most people and trial-and-error learning is thus difficult
since few people have experienced this environmental hazard. Most individuals
obtain their information through news media, that thoroughly document mishaps,
accidents, and catastrophes around the world. Much of the public fear of
radiation is caused by the association of radiation with nuclear explosions
and nuclear war and the potential late effects of 131I thus
continue to cause anxiety in the general public and medical community.
Other radionuclides are used for diagnosis of thyroid disorders but 131I
is still used in most institutes, particularly for the treatment of hyperthyroidism
and thyroid cancer. Fears of carcinogenic and genetic effects limits the
use of radioiodines in children and adolescents although some clinicians
advocate the use of 131I in children due to the effectiveness
and low cost.
The present paper reviews the current epidemiological knowledge on
radiation-associated cancer, focusing on exposure to radioiodines, and
describes the latest findings from the Swedish iodine cohorts. A short
section on some of the latest findings from the Chernobyl area is also
added.
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