In the last three decades, an increase in thyroid cancer incidence has been observed worldwide, as well as in Lithuania. Although the rise was linked to overdiagnosis, the role of lifestyle and environmental factors, including exposure to ionizing radiation, cannot be excluded. In our retrospective study, we aimed to assess the association between the average age-specific thyroid dose due to the radioactive iodine uptake during childhood and adolescence from the Chernobyl fallout in Lithuania, and the trends of incidence of thyroid cancer from 1991 to 2015 in different regions. Averaged age-dependent thyroid doses were estimated for every municipality based on radioiodine activity in milk, reconstructed from available 131I activity measurements in the grass. Thyroid cancer incidence rates were calculated for the entire population and for two age at the time of exposure groups: 0-19 years and 0-9 years. Thyroid cancer relative risk (RR) was estimated for three municipality-specific thyroid dose (for 0-year-old babies) categories: less than 100 mGy (reference group), 100-199 mGy, and ≥200 mGy. Over the study period (1991-2015), a total of 5664 cases of thyroid cancer were registered in the entire Lithuanian population; 817 cases in the age group from 0 to 19 years at the time of the Chernobyl accident, and 266 cases in the age group from 0 to 9 years. Age-standardized thyroid cancer incidence rates have notably increased since 2000, peaked in 2009 (especially in females), and then slightly decreased and stabilized. The estimated average municipality-specific age-dependent thyroid doses ranged from 270 mGy in western Lithuania to 1.5 mGy in central and northern Lithuania. For the age group of 0-19 years at the time of the accident, in the period 1991-1995, the thyroid cancer relative risk was significantly increased (RR 3.91; 95 % CI: 1.27-10.29, p=0.01) in the highest dose category, compared to the lowest (although based on a small number of cases). For the age group 0-9 years at the time of the accident, a tendency of increased RR in the highest dose category appeared in the most recent period, 2011-2015. Our observations need to be confirmed by further following trends of thyroid cancer incidence in the cohort of 0-19-year-old Lithuanians at the time of the Chernobyl accident.

Plutonium, as well as fission products such as 137Cs, had been released into the earth environment in 1945 after the first atmospheric nuclear explosion of plutonium bomb in the desert of New Mexico (USA, July 16) and later over Nagasaki (August 9), followed then by many other explosions. Thus, plutonium cycling in the atmosphere and ocean has become a major public concern as a result of the radiological and chemical toxicity of plutonium. However, plutonium isotopes and 137Cs are important transient tracers of biogeochemical and physical processes in the environment, respectively. In this review, we show that both physical and chemical approaches are needed to comprehensively understand the behaviors of plutonium in the atmosphere and ocean. In the atmosphere, plutonium and 137Cs attach with aerosols; thus, plutonium moves according to physical and chemical processes in connection with aerosols; however, since plutonium is a chemically reactive element, its behavior in an aqueous environment is more complicated, because biogeochemical regulatory factors, in addition to geophysical regulatory factors, must be considered. Meanwhile, 137Cs is chemically inert in aqueous environments. Therefore, the biogeochemical characteristics of plutonium can be elucidated through a comparison with those of 137Cs, which show conservative properties and moves according to physical processes. Finally, we suggest that monitoring of both plutonium and 137Cs can help elucidate geophysical and biogeochemical changes from climate changes.

Few studies have explored the effects of n utero radiation exposure on human health and cognition and none have taken into account thyroid hormone levels (T3), which have shown to affect cognitive performance. We investigated mechanisms of possible radiation effects on IQ in two cohorts of 250 persons each: exposed n utero after the Chernobyl accident: a \'higher exposure group (HEG)\', whose mothers resided in more heavily contaminated territories at the time of the Chernobyl accident, and a \'lesser exposure group (LEG)\' whose mothers resided in less contaminated areas. The dataset included information on estimated prenatal thyroid radiation dose, gestation week at the time of the accident (ATA); thyroid hormones: T3 (triiodothyronine) and T4 (thyroxine) levels measured at age 11-12 years and general IQ measured at three time points: t1: 6-7 years old; t2: 11-12 years old and t3: 15-16 years old. Descriptive and inference analyses were used to explore the dynamic of changes through time and the associations between key variables at the three time points. Estimated radiation doses to the thyroid gland were substantially higher in the HEG than in the LEG (mean 391 vs 25 mGy respectively). Significant differences in thyroid hormones levels were observed between the two groups, with lower values in T3 (higher in T4) in the LEG. At t1, the general IQ, as well as verbal and non-verbal IQ scores, were lower in the HEG than in the LEG. In the HEG, analyses adjusting simultaneously for radiation dose, gestational week ATA and T3 levels suggest that all three variables are associated with IQ, with the latter being highest among those exposed later during gestation and decreasing with increasing level of dose and of T3. No significant association was observed between IQ and T4 levels. No effect of exposure on IQ was seen in the LEG. Further investigation of this hypothesis will be important to understand the relation between n utero exposure radiation dose to thyroid, thyroid hormone levels and IQ, taking into account effects of potential confounding factors (physiological stress, maternal anxiety related evacuation).
We followed up persons exposed in utero to radiation from the Chernobyl accidentAmong the most highly exposed, IQ was higher among those exposed later during gestationAmong the most highly exposed, IQ also decreased with increasing level of dose and of T3No such relation was seen in those with lower exposureOur study provides insights into the possible relation between prenatal radiation dose and IQ and the factors which may modify it.

The contamination of the Baltic Sea with radioactive substances occurred due to the global fallout of atmospheric nuclear weapon tests and the Chernobyl disaster. The knowledge of 241Am in the sediments of the Baltic Sea is limited. Thus, this study aimed to determine 241Am in sediment cores collected from the southern Baltic Sea. Time-based distributions were derived from age-depth profiles using the 210Pb dating method and further corroborated by 137Cs profiles. The activities of 241Am were measured by alpha spectrometry after radiochemical purification. The results show divergences in the concentrations of 241Am at the local level, varying from 0.017 ± 0.001 Bq·kg-1 at the Gotland Basin station to 3.19 ± 0.23 Bq·kg-1 in the Gdańsk Basin. These findings enhance our understanding of the radioactive contamination levels in the Baltic Sea and serve as a crucial reference dataset for future assessments and management strategies to mitigate the environmental impact of radionuclides in the region.

From 1986 to 1991, 4831 men from Estonia were sent to clean up radioactively contaminated areas near Chernobyl (Chornobyl). Their cancer incidence during 1986 to 2019 was compared to that of the male population of Estonia. The cohort of cleanup workers was linked to national population and cancer registers based on unique personal identification numbers. Nineteen (0.4%) workers could not be traced. A total of 4812 men contributing 120 770 person-years of follow-up were eligible for the analyses. Standardized incidence ratios (SIR) and adjusted relative risks (ARR, expressed as ratios of SIRs) with 95% confidence intervals (CI) were calculated. A total of 687 incident cancer cases were registered in the cohort (SIR 1.11, 95% CI 1.03-1.19). Presumptive radiation-related cancers combined were in excess, but not when smoking- and alcohol-related cancers were excluded (SIR 0.92, 95% CI 0.71-1.18). For smoking-related cancers, the SIR was 1.24 (95% CI 1.13-1.36) and for alcohol-related cancer the SIR was 1.53 (95% CI 1.31-1.75). Less educated workers had a higher risk of all cancers (ARR = 1.21, 95% CI 1.02-1.44) and smoking-related cancers (ARR = 1.42, 95% CI 1.14-1.76). An elevated risk of alcohol-related cancers was evident 15 to 24 years (vs <15 years) after return from the Chernobyl area. This updated register-based follow-up of Chernobyl cleanup workers from Estonia revealed an excess of radiation-related cancer sites combined, but the excess was not apparent after excluding cancers associated with smoking and alcohol.

To estimate the contribution of Chernobyl 137Cs contamination, in 1993 and especially 2016, its total inventory was determined by gamma-ray high-resolution spectroscopy in 62 and respectively 747 soil samples covering the entire Romanian territory. This permitted to estimate the 137Cs inventory as varying between 0.4 and 187 as well as between 0.2 and 94.2 kBq/m2 for years 1993 and 2016, respectively. By representing the spatial distribution of 137Cs inventory in Voronoi polygons, it was possible to evidence a decrease of the total 137Cs inventory over entire Romanian territory with a factor of about 3 from about 3.6 TBq to less than 1.2 TBq, exceeding in this way the natural decay which suggests that a certain amount of 137Cs was washed out by precipitation and, at a lower extent, was incorporated into plants. At the same time, by evaluating the maximum contribution of 137Cs to the population exposure, in 1993 as well as in 2016, the supplementary annual effective dose did not exceed, in the majority of sampling points the value of 0.2 mSv/year.

At the end of 36 years after the Chernobyl disaster, about 5 million people still live in the radioactively contaminated territories of Russia, Ukraine, and Belarus, and the density of radioactive contamination by Cesium-137 and Strontium-90 will remain radiologically significant for decades. We assessed cervical and endometrial cancer primary incidence (new cases) in the female population from the Bryansk region living in conditions of chemical, radioactive, and combined environmental contamination for 2000−2020. We found a significant increase in the long-term trend in the primary incidence of cervical and endometrial cancer in all the studied groups, regardless of the environmental conditions of residence (p < 0.00001). We did not find statistically significant differences in the incidence of cervical and endometrial cancer in women, regardless of the level of chemical, radioactive, and combined environmental contamination. However, women living in environmentally unfavorable areas (in total, in the territories of chemical, radioactive, and combined contamination) are statistically significantly more likely to develop endometrial cancer in terms of relative risk compared to environmentally safe (control) areas (RR 1.17 (1.08−1.27)). No such pattern was found for cervix cancer. It should be noted, since environmentally safe (control) areas have a certain level of contamination (albeit low), RR is underestimated.

With time after the Chernobyl accident, the number of papillary thyroid carcinomas (PTCs) driven by the BRAFV600E oncoprotein is growing in patients exposed to radiation at a young age. Clinicopathological associations of BRAFV600E in PTCs from patients with internal radiation history have not been sufficiently studied so far. This work analyzes the structural characteristics, proliferative activity, invasive features, clinical information, and dosimetric data in the BRAFV600E-positive and BRAFV600E-negative PTCs from the Ukrainian patients exposed to Chernobyl radiation and treated over 30 years after the accident. The study included 428 PTCs from patients aged 4-49 years at surgery who lived in the six northern regions of Ukraine most contaminated by 131I, were ≤18 years of age at the time of exposure, and were operated on from 1990 to 2017. Immunohistochemical staining for BRAFV600E was performed with the VE1 antibody. The probability of causation (POC) of a tumor due to radiation was determined using an interactive online NIH/NCI software. BRAFV600E was detected in 136/428 (31.8%) PTCs. In comparison with the BRAFV600E-negative PTCs, the BRAFV600E-positivity was associated with older patient age at the accident and at surgery, a longer period of latency, and lower POC. The BRAFV600E-positive PTCs were characterized by smaller tumor size, higher Ki67 labeling index, more frequent oncocytic changes, multifocality, and dominant papillary growth pattern. Tumor invasive features were less frequent in the BRAFV600E-positive PTCs and did not change with POC level. Despite a less aggressive tumor phenotype, BRAFV600E was a risk factor for recurrence, namely radioiodine-refractory (RAI-R) recurrent metastases. Multivariate models of RAI-R included BRAFV600E and/or histopathological parameters closely correlating with BRAFV600E such as tumor size, multifocality, dominant papillary growth pattern, or oncocytic changes. Thus, the BRAFV600E-positive PTCs from patients from a high-risk group for radiogenic thyroid cancer diagnosed in the 30 years after the Chernobyl accident did not display higher invasiveness regardless of POC level, but in view of the prognostic impact of this genetic alteration, knowledge of the BRAF status may be beneficial for middle-aged patients with radiogenic PTC considered for RAI therapy, and suggests more careful follow-up of patients with the BRAFV600E-positive tumors.

Presented have been the results of inventory estimation of anthropogenic beta-emitting 241Pu, in different components in the southern Baltic Sea ecosystem. The total 241Pu activity present in the Gulf of Gdańsk and the Gdańsk Basin for 2021 was estimated at 1.99 TBq and 7.82 TBq, respectively, of which 1.59 TBq and 6.38 TBq in the sediments. The Vistula and the Neman River and the atmospheric fallout were distinguished as the primary sources of plutonium in these basins. In seawater of the Gulf of Gdańsk, there was about 0.40 TBq 241Pu (20.1% of total activity) and 1.44 TBq 241Pu (18.4% of total activity) in the Gdańsk Basin. The 241Pu accumulated in living organisms in 2021 was 1.13 GBq in the Gulf of Gdańsk and 3.96 GBq in the Gdańsk Basin. In the Gulf of Gdańsk biota, 55.7% was accumulated in zoobenthos, while in the Gdańsk Basin, 48.3% was in zoobenthos.

The review is devoted to the summarizing of 35 years of research of ionizing radiation exposure and radionuclidesinhalation influence on the bronchopulmonary system of clean-up workers of the Chornobyl NPP accident. Radiationand hygienic preconditions for the formation of chronic respiratory pathology are considered, taking into accountthe dosimetric data of irradiation of the bronchopulmonary system.The main clinical symptoms, features of disorders of pulmonary ventilation capacity and endoscopic forms of lesionsof the bronchopulmonary system of participants in the liquidation of the accident were determined.On the basis of pathomorphological, microbiological and immunological researches the pathomorphosis of chronicnonspecific lung diseases in the conditions of the Chernobyl catastrophe is proved.It is proved that under combined influence of external irradiation and inhalation of a fragmentary mixture ofradionuclides in the condition of the Chernobyl catastrophe, the bronchopulmonary system has become one of themain «targets»-tissues, of realization of stochastic and nonstochastic effects.
Ogliad prysviachenyĭ uzagal\'nenniu 35 rokiv doslidzhen\' vplyvu ionizuiuchogo oprominennia ta ingaliatsiĭnogo nad-khodzhennia radionuklidiv na bronkholegenevu systemu uchasnykiv likvidatsiï naslidkiv avariï na Chornobyl\'s\'kiĭAES. Rozglianuti radiatsiĭno-gigiienichni peredumovy formuvannia khronichnoï respiratornoï patologiï z urakhuvanniamdozymetrychnykh danykh oprominennia bronkholegenevoï systemy.Vyznacheni osnovna klinichna symptomatyka, osoblyvosti porushen\' ventyliatsiĭnoï spromozhnosti legen\' ta endos-kopichni formy urazhennia bronkholegenevoï systemy uchasnykiv likvidatsiï avariï.Na osnovi patomorfologichnykh, mikrobiologichnykh ta imunologichnykh doslidzhen\' dovedeno patomorfoz khronichnykhnespetsyfichnykh zakhvoriuvan\' legen\' v umovakh Chornobyl\'s\'koï katastrofy.Dovedeno, shcho pry kombinovanomu vplyvi zovnishn\'ogo oprominennia ta ingaliatsiï oskolkovoï sumishi radionuklidivv umovakh Chornobyl\'s\'koï katastrofy bronkholegeneva systema stala odniieiu z osnovnykh tkanyn-«misheneĭ» re-alizatsiï stokhastychnykh i nestokhastychnykh efektiv.