Chornobyl 30 years later: Radiation, pregnancies, and developmental anomalies in Rivne, Ukraine

Wertelecki, Wladimir; Chambers, Christina D.; Yevtushok, Lyubov; Zymak‐Zakutnya, Natalya; Sosyniuk, Zoriana; Lapchenko, Serhiy; Ievtushok, Bogdana; Akhmedzhanova, Diana; Komov, Oleksandr

doi:10.1016/j.ejmg.2016.09.019

Cited by 13 publications

(8 citation statements)

References 33 publications

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“…Examples of the disasters include a nuclear reactor accident in Chernobyl in 1986 in Ukraine and a nuclear accident at Three Mile Island in Pennsylvania in 1979. A review of the in uence of the Chernobyl disaster showed an increase in microchepalous and neural tube defects [24][25][26]. However, the incidence of major congenital anomalies did not increase in most European countries [27][28][29].…”

Section: Discussionmentioning

confidence: 99%

Eight-year trends in the effect of the Great East Japan Earthquake on obstetrics outcomes using the Fukushima Health Management Survey

Kyozuka

Ohira

Murata

et al. 2022

Preprint

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Information on longitudinal effects of natural/environmental disasters on obstetrics outcomes is limited. This study analyzed longitudinal changes, over an 8-year period, in obstetrics outcomes after the Great East Japan Earthquake and the Fukushima power plant accident. We used data from the first 8 years of the Pregnancy and Birth Survey by the Fukushima prefectural government and compared data on obstetrics outcomes by year. Longitudinal changes in the occurrence of preterm birth before 37 gestational weeks, low birth weight, and anomalies in newborns were assessed in all six districts in Fukushima. The total number of participants was 57537. In 8 years, maternal age, rate of conception after sterility treatment, and incidence of cesarean section delivery tended to increase (p<0.001, p<0.001, and p=0.009, respectively). Although significant differences were observed in preterm birth and low birth weight among the districts (p=0.020 and p=0.025, respectively), no significant trend was observed in the preterm birth, low birth weight, and anomalies in newborns in all six districts (p=0.096, p=0.269, and p=0.239, respectively). The Great East Japan Earthquake and the Fukushima power plant accident were associated with increased incidence of cesarean section delivery but had no significant adverse effects on obstetrics outcomes.

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Section: Discussionmentioning

confidence: 99%

Eight-year trends in the effect of the Great East Japan Earthquake on obstetrics outcomes using the Fukushima Health Management Survey

Kyozuka

Ohira

Murata

et al. 2022

Preprint

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“…To test the TPP strategy, a "Spina Bifida TPP" was established to increase and strengthen FPO and SCP as well as to advocate the prevention of spina bifida and related anomalies. In fact, the prevalence and mortality associated with spina bifida in Ukraine is the highest in Europe (Wertelecki et al, 2017). The "Spina Bifida TPP" calls for Ukraine to legislate and implement folic acid flour fortification programs to reduce the frequency of spina bifida and related disorders, as observe in other nations where such was implemented, by at least 50%.…”

Section: Discussionmentioning

confidence: 99%

A teratology information system in vernacular: Closing an information gap

Patskun

Yevtushok

Zymak‐Zakutnia

et al. 2021

Birth Defects Research

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Background Leading Teratology Information Systems (TIS) arose in major industrial nations and are mostly in English. The prevalence of anglophone speakers in Ukraine is among the lowest in Europe. A TIS in Ukrainian (UTIS) seeks to diminish an information gap concerning teratogens. The process and results related to UTIS are applicable to formulations of other TIS in vernacular languages. Methods Implementation of a free‐access UTIS and analysis of utilization patterns. UTIS provides access to articles in Ukrainian (AU) which are summaries extracted from leading international TIS and other sources. AU are revised at least tri‐annually. Results UTIS provides access to over 1,100 AU accrued since 2016 to the present. The number AU views increased from nearly 30,000 (2016) to over 80,000 (2020); the number of visitors increased from 3,500 to 58,000 during the same periods. The highest percent of users per urban population (2.09, 1.77, and 1.72) was in Ternopil, Ivano‐Frankivsk, and Kyiv (capital), respectively; the lowest was in Odesa (0.17). Conclusions UTIS reduced an information gap in Ukraine concerning teratogenic risk factors. The process can be implemented elsewhere relying on generally available local resources.

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“…For example, there were higher rates of multiple congenital malformations, trisomy 21, polydactyly, and reduction limb defects in Belarus and regions of Germany; while in Croatia and Turkey they were higher rates of central nervous and neural tube defects (Akar, Cavdar, & Arcasoy, ; Caglayan, Kayhan, Mentesoglu, & Aksit, ; Dolk & Nichols, ; Feshchenko, Schroder, Muller, & Lazjuk, ; Guvenc et al, ; Haeusler, Berghold, Schoell, Hofer, & Schaffer, ; Harjulehto, Aro, Rita, Rytomaa, & Saxen, ; Harjulehto‐Mervaala, Salonen, Aro, & Saxen, ; Hoffmann, ; Irl, Schoetzau, van Santen, & Grosche, ; Kruslin, Jukic, Kos, Simic, & Cviko, ; Lazjuk, Nikolaev, & Novikova, ; Lie et al, ; Little, ; Mocan, Aydemir, Bozkaya, Mocan, & Ozbay, ; Mocan, Bozkaya, Mocan, & Furtun, ; Sperling, Neitzel, & Scherb, ). The Polissia regions of the Ukraine reported higher rates of microcephaly, neural tube defects, and microphthalmia (W. Wertelecki et al, ; Wladimir Wertelecki et al, ; W. Wertelecki et al, ). In contrast to Chernobyl, studies from the 2011 Fukushima Daiichi Nuclear Power Plant disaster in Japan, showed no statistically significant differences in birth defect prevalence between exposed and unexposed areas of Japan (Fujimori et al, ).…”

Section: Discussionmentioning

confidence: 99%

Nuclear radiation and prevalence of structural birth defects among infants born to women from the Marshall Islands

Nembhard

McElfish

Collins

et al. 2019

Birth Defects Research

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Background: With their unique history of exposure to extensive nuclear testing between 1946 and 1958, descendants of Marshall Island residents may have underappreciated genetic abnormalities, increasing their risk of birth defects. Methods: We conducted a retrospective cohort study of resident women with at least one singleton live birth between 1997 and 2013 in northwest Arkansas using state birth certificate data linked to data from the Arkansas Reproductive Health Monitoring System, a statewide birth defects registry. We calculated unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (CI) from modified Poisson regression analyses for non-Hispanic (NH) whites, NH-blacks, Hispanics and Marshallese, using NH-whites as the reference group. Results: Of the 91,662 singleton births during the study period, 2,488 were to Marshallese women. Due to the relatively small number of Marshallese births, we could not calculate prevalence estimates for some defects. Marshallese infants had higher rates of congenital cataracts (PR = 9.3; 95% CI: 3.1, 27.9). Although the number of defects was low, Marshallese infants also had higher rates of truncus arteriosus (PR = 44.0; 95% CI: 2.2, 896.1). Conclusions: Marshallese infants may have increased risk of specific birth defects, but estimates are unstable because of small sample size so results are inconclusive.Larger population-based studies would allow for further investigation of this potential risk among Marshallese infants.

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Chornobyl 30 years later: Radiation, pregnancies, and developmental anomalies in Rivne, Ukraine

Cited by 13 publications

References 33 publications

Eight-year trends in the effect of the Great East Japan Earthquake on obstetrics outcomes using the Fukushima Health Management Survey

Eight-year trends in the effect of the Great East Japan Earthquake on obstetrics outcomes using the Fukushima Health Management Survey

A teratology information system in vernacular: Closing an information gap

Nuclear radiation and prevalence of structural birth defects among infants born to women from the Marshall Islands

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