Did the Chernobyl incident cause an increase in Type 1 diabetes mellitus incidence in children and adolescents?

Zalutskaya, Alena; Мохорт, Т. В.; Garmaev, D.; Bornstein, S. R.

doi:10.1007/s00125-003-1271-9

Cited by 22 publications

(12 citation statements)

References 6 publications

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“…To the Editor: We read with interest the article by A. Zalutskaya and co-workers, which suggested that the Chernobyl incident caused an increase in the incidence of type 1 diabetes mellitus in children and adolescents in Gomel (Belarus) [1]. We do not support this hypothesis because the Chernobyl accident caused widespread effects across Europe, and huge areas were radiocontaminated [2].…”

contrasting

confidence: 46%

?to: Zalutskaya A, Bornstein SR, Mokhort T, Garmaev D (2003) Did the Chernobyl incident cause an increase in type 1 diabetes mellitus incidence in children and adolescents? Diabetologia 47:147?148 (Letter)

Bandurska-Stankiewicz¹,

Rutkowska²

2004

Diabetologia

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contrasting

confidence: 46%

?to: Zalutskaya A, Bornstein SR, Mokhort T, Garmaev D (2003) Did the Chernobyl incident cause an increase in type 1 diabetes mellitus incidence in children and adolescents? Diabetologia 47:147?148 (Letter)

Bandurska-Stankiewicz¹,

Rutkowska²

2004

Diabetologia

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“…They include breast cancer [24], leukemia [25], bladder cancer [26], circulatory system diseases [27], diabetes mellitus [28], and genetic and birth defects among infants born to those who had been exposed to Chernobyl radionuclides [29]. These findings are in contrast to comments in reports from IAEA and other agencies which noted that TCA is the only significant medical condition resulting from exposure to Chernobyl radiation [1].…”

Section: Discussionmentioning

confidence: 99%

Depression, Suicide Ideation, and Thyroid Tumors Among Ukrainian Adolescents Exposed as Children to Chernobyl Radiation

Contis¹,

Foley

2015

J Clin Med Res

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BackgroundThe Chernobyl Childhood Illness Program (CCIP) was a humanitarian assistance effort funded by the United States Congress. Its purpose was to assist the Ukrainian Government to identify and treat adolescents who developed mental and physical problems following their exposure as young children to Chernobyl radiation. Thirteen years after the Chernobyl nuclear plant accident in 1986, the CCIP examined 116,655 Ukrainian adolescents for thyroid diseases. Of these, 115,191 were also screened for depression, suicide ideation, and psychological problems. The adolescents lived in five of Ukraine’s seven most Chernobyl radiation contaminated provinces. They were up to 6 years of age or in utero when exposed to nuclear fallout, or were born up to 45 months after Chernobyl.MethodsUkrainian endocrinologist and ultrasonographers used physical examination and ultrasonography of the neck to evaluate the adolescents for thyroid tumors. The adolescents were then screened for depression by the Children’s Depression Inventory (CDI). After this, Ukrainian psychologists conducted individual psychological interviews to corroborate the adolescents’ CDI responses.ResultsPapillary thyroid carcinoma was diagnosed in eight adolescents, a high prevalence rate similar to that reported by other studies from the Soviet Union. Screening identified thyroid nodules in 1,967 adolescents (1.7%). Depression was diagnosed in 15,399 adolescents (13.2%), suicide ideation in 813 (5.3%), and attempted suicide in 354 (2.3%). Underlying components of the participants’ depression were negative mood, interpersonal difficulties, negative self-esteem, ineffectiveness, and anhedonia. Depression was greater in females (77%). Those with thyroid and psychological problems were referred for treatment.ConclusionsThe adolescents screened by CCIP represent the largest Ukrainian cohort exposed to Chernobyl radiation as children who were evaluated for both thyroid tumors and depression. The group had an increased prevalence of thyroid cancer, thyroid tumors, depression, and suicide ideation. CCIP demonstrated that psychological problems among Chernobyl exposed adolescents began earlier in life than previously reported. They also experienced socioeconomic problems from their relocation from radiation-affected areas and from the Soviet’s inadequate responses to their health needs. CCIP’s findings underscore the requirement that governments prepare plans to deal promptly with the diagnosis and treatment of nuclear accident victims’ medical and psychological problems.

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“…It is likely due to the disruption or destruction of beta cells of the pancreas caused by radiation (Cs-137). The incidence rate of type I diabetes in children in a highly contaminated area (Gomel) increased sharply to twice that before the accident (Zalutskaya et al 2004). …”

Section: Type I Diabetesmentioning

confidence: 97%

Hiroshima to Fukushima

Ochiai¹

2014

Science Policy Reports

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Did the Chernobyl incident cause an increase in Type 1 diabetes mellitus incidence in children and adolescents?

Cited by 22 publications

References 6 publications

?to: Zalutskaya A, Bornstein SR, Mokhort T, Garmaev D (2003) Did the Chernobyl incident cause an increase in type 1 diabetes mellitus incidence in children and adolescents? Diabetologia 47:147?148 (Letter)

?to: Zalutskaya A, Bornstein SR, Mokhort T, Garmaev D (2003) Did the Chernobyl incident cause an increase in type 1 diabetes mellitus incidence in children and adolescents? Diabetologia 47:147?148 (Letter)

Depression, Suicide Ideation, and Thyroid Tumors Among Ukrainian Adolescents Exposed as Children to Chernobyl Radiation

Hiroshima to Fukushima

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