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Global Translational Medicine                                                       Low-dose radiation



            Karachai in 1967 led to resident exposures. The East Urals   of acute exposure than chronic ones. Later, the same
            radioactive trace (EURT) cohort includes people exposed   scientists started to claim similar risks for cancer and other
            following the Kyshtym accident. The difference between   diseases in the Techa River, MPA, and EURT cohorts as
            the contaminations in the Urals and Chernobyl is that the   well as atomic bomb survivors. 18-20  Analogously, an earlier
            latter was a technogenic catastrophe; however, the former   study found a reduction in cancer mortality in the EURT
                                                                                                    15
            was radioactive contamination tolerated for 70  years,   cohort compared with the general population.  A review
            with several accidents in between. For inside observers,   confirmed the  same  level  of both cancer  and all-cause
                                                                                                   13
            the party leadership prepared an end to the communist   mortality in the EURT cohort and control.  In a later
            regime since the mid-1980s at the latest to privatize state   report on the same cohort, the authors avoided direct
            property, which was accomplished in the early 1990s. The   comparisons but fitted the data into a linear model. The
            most efficient tools to destabilize the Soviet society were   configuration of the dose–response curves shown in this
            as follows:                                        paper  is  inconclusive;  nonetheless, the  authors  claimed
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            (A)  Shortage of consumer goods (the word “deficit” is   a high cancer risk in the EURT cohort.  An unofficial
               used in Russian). The situation was somewhat better   directive was  apparently behind this  ideological shift
               in Moscow and certain Soviet republics in 1986 –   noticed in 2005 – 2007 (Table 1). Trimming of statistics
               1990. This was also a disguised inflation: salaries and   has been unusual in the former SU.  Potential motives
                                                                                             22
               prices in state-owned shops were kept stable; however,   have been discussed previously: financing, international
               shops were empty, while prices at markets were much   help after the Chernobyl accident, publication pressure,
               higher. This is explained by market economics. Shops   stirring antinuclear protests in other countries, and the
               would never be empty if prices were set by supply and   strangulation  of  atomic  energy  aimed  at  boosting  fossil
               demand. Waiting hours in queues is a cost.      fuel prices. Some papers about radioactive contaminations
            (B)  The Chernobyl accident contributed to the     in the former SU have common features: large volume,
               destabilization; however, it would be speculation to   plentiful details, and mathematical computations but no
               claim that there was an intention. At least, negligence   clear insight into medical consequences. Cancer-related
               and disregard for written instructions were among the   aspects of the problem have been reviewed previously.
                                                                                                            1,2
               causes of the disaster.  The number of control rods   Cardiovascular and cerebrovascular diseases (CeVD)
                                 6-8
               in the reactor was only half the minimum required   and their supposed associations with low-dose low-rate
               for safe operation.  An emergency power system   radiation exposure are discussed below.
                               9
               had been shut off, which is forbidden during online
               operation.  Purportedly, this was done to conduct an   3. Natural radiation background and Dose
                        10
               experiment.  The weightiest argument against NPPs   and Dose-rate Effectiveness Factor (DDREF)
                         9,11
               is that they are potential targets in an armed conflict,   Enhanced risks of cardiovascular diseases were claimed for
               with radiation-related environmental consequences.   the Chernobyl, MPA, Techa River, and EURT populations,
               Therefore, military threats are arguments against the   where the average doses were comparable with those
               use of nuclear power for electricity production, thus   from the natural radiation background. In many densely
               boosting fossil fuel prices. The Chernobyl accident   populated areas in the  world, the dose  rates from  the
               was exploited for the same purpose. 3           natural background are 10 – 100-fold higher than the
            (C)  The anti-alcohol campaign (1985 – 1989), which   global average (2.4 mSv/year) with no health risks reliably
               ended in failure, contributed to crime and the use   proven.   The  doses  have  been  protracted  over  decades:
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               of alcohol surrogates and narcotic drugs. After the   studied MPA workers were first employed in 1948 – 1982.
               campaign, drunkenness, which anesthetized the   For example, the mean dose of gamma radiation was
               population during the privatization of state property,   0.54 Gy in men and 0.44 Gy among women in the MPA
               increased.                                      cohort study, where the incidence of arteriosclerosis in
                                                                                                         32
            2. Dose–response relationships                     the lower limbs correlated with the radiation dose.  The
                                                               average doses in the Techa River cohort were 34 – 35 mGy,
            In earlier publications by Russian researchers, cancer   whereas the follow-up was since the 1950s ; thus, the
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            frequency did not increase in cohorts with average   dose rates were compatible with those from the natural
            exposures <0.5 Sv or among MPA employees in general. 12-17    background in some populated areas. Apparently, the
            The absolute risk of leukemia per 1 Gy and 10000 man-  Techa River cohort data do not possess sufficient statistical
            years was 3.5-fold smaller in the Techa River cohort than   power to determine the dose–response shape. The authors
            in atomic bomb survivors of Hiroshima and Nagasaki.   acknowledged that the risks for doses ≤0.1  Gy may be
            This was reasonably explained by the higher efficiency   smaller than those calculated based on the linear model.
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            Volume 4 Issue 1 (2025)                         57                              doi: 10.36922/gtm.7229
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