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The Techa River Cohort: Study Design and Follow-up Methods (2005)

AuthorM.M.Kossenko, RRS
Date2005
Classification 2.34.8.80/13 (RUSSIA - MAYAK/CHELYABINSK (incl. Disaster Kyshtym Urals 1957))
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From the publication:

The Techa River Cohort: Study Design and Follow-up Methods

INTRODUCTION

The Mayak Production Association, located in the Southern Ural Mountains in Russia 
about 100 km northwest of Chelyabinsk city, began operating its first atomic reactor 
and radiochemical plant for plutonium separation in 1948. The process of plutonium 
separation resulted in the accumulation of a large amount of liquid waste consisting 
of mixtures of radionuclides. There were two approaches to waste management: (1) 
concentration and storage of high-level waste in specially designed tanks and (2) 
discharges of liquid waste into the Techa River (1). Between 1949 and 1956, an 
estimated 76 million m3 of radioactive waste with total activity of 1017 Bq (2.75 
million Ci) was discharged into the Techa River (2). About 95% of the waste was 
released during the period from March 1950 to November 1951. As a result of this 
contamination, residents of the villages located along the banks of the Techa River 
were exposed to varying levels of long-lived radionuclides, principally 90Sr and 
137Cs, over a prolonged period.
Dispensary 1, the predecessor of the current Urals Research Center for Radiation 
Medicine (URCRM), was established in 1955 to provide specialized health services to
persons exposed to this environmental radiation contamination (3). To learn about 
chronic radiation exposure, a cohort of people living in Techa riverside villages was 
established. With more than 50 years of follow-up, this cohort provides a unique 
opportunity to assess a large range of health effects associated with chronic, low-
dose-rate, internal and external exposures to ionizing radiation. In this paper we 
define the study cohort, describe the methods used to identify and follow this 
population for cancer mortality and incidence, and provide a description of current 
follow-up status. Solid cancer and leukemia mortality risk estimates are presented in 
a companion paper (4). This research is being carried out under the approval of the 
URCRM institutional review board.

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