THE SYSTEM OF ORGANIZATIONAL MEASURES SEEKING TO IMPROVE MEDICAL CARE TO THE FIRST-GENERATION OFFSPRING BORN TO THOSE AFFECTED BY THE CHORNOBYL ACCIDENT AND LIVING IN THE RADIOACTIVELY CONTAMINATED AREAS

Authors

  • Zh. S. Yaroshenko National Research Centre for Radiation Medicine of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • S. O. Huryev Ukrainian Scientific and Practical Centre for Emergency Medical Care and Disaster Medicine, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2020.2.11409

Keywords:

first-generation offspring, radioactively contaminated areas, family doctor

Abstract

Purpose: to improve the primary medical care system provided to the generation of offspring born to those affected by the Chornobyl accident and living in radioactively contaminated areas.

Materials and Methods. The total cohort was 35 893, including 18 138 male and 17 755 female offspring. Subject to the time of birth, the offspring were divided into four groups, taking into account the frequency of birth every three years from 1987 to 1999. The observation period was conducted during 1987–2016. The database was the state register of Ukraine.

Result. There were detected 21 390 cases of diseases among the first-generation offspring whereby diseases of the respiratory system, digestive organs, diseases of the endocrine system jointly amounted to 66.87 %.

It was found that by the age of 18, only 37.3 % of the general cohort offspring were healthy (first group of health),
29.88 % – had a second group of health (with morpho-functional abnormalities), 31.6 % – had a third group of health (with chronic diseases).

At the primary medical care, there was proposed a three-stage system for monitoring the health of the offspring of those affected by the Chornobyl accident aged 3 to 18 and living in radioactively contaminated areas.

Stage I is mass screening of patients registered by a family doctor and is used to identify children and adolescents at risk of developing the disease. Stage II is selective screening for the formation of observation groups. Stage III is a medical examination of children and adolescents registered with the risk group in outpatient setting of the facilities of specialized or highly specialized medical care to those affected by the Chornobyl accident.

Conclusions. The proposed system would enable to early detect children from the risk group who are offspring of those affected by the Chornobyl accident, subject to the specifics of diseases and their course.

Author Biographies

Zh. S. Yaroshenko, National Research Centre for Radiation Medicine of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine

Chief Physician of hospital of NRCRM

S. O. Huryev, Ukrainian Scientific and Practical Centre for Emergency Medical Care and Disaster Medicine, Kyiv, Ukraine

Deputy Director of  Ukranian research-practical center of emergency medical aid and disaster medicine

References

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Published

2020-09-25

How to Cite

Yaroshenko, Z. S., & Huryev, S. O. (2020). THE SYSTEM OF ORGANIZATIONAL MEASURES SEEKING TO IMPROVE MEDICAL CARE TO THE FIRST-GENERATION OFFSPRING BORN TO THOSE AFFECTED BY THE CHORNOBYL ACCIDENT AND LIVING IN THE RADIOACTIVELY CONTAMINATED AREAS . Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 39–45. https://doi.org/10.11603/1681-2786.2020.2.11409

Issue

No. 2 (2020)

Section

Organization of medical care

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