CRITICAL ISSUES PROVIDING RADIATION SAFETY AT RADIATION ACCIDENTS: RADIOBIOLOGICAL, MEDICAL RADIATION AND ORGANIZATIONAL PROVIDING COUNTERMEASURES AGAINST THE ACCIDENT AT THE CHERNOBYL NUCLEAR POWER PLANT
Rubrics: DISCUSSION
Abstract and keywords
Abstract (English):
The goal of this article is to evaluate retrospectively to what extent were realized possibilities to decrease radiation injuries for different persons involved in the Chernobyl accident. These possibilities were based on 3 blocks – radiobiological investigations (where radioprotectors’ preparation B and cystamine as drugs and iodine prophylaxis against thyroid radiation damage were developed), medical radiation experience in the acute radiation disease treatment and organization in reduction of radiation damages by means of civil defense patterns and local health authorities. High quality treatment of 28 persons with very severe injuries (total–body gamma-irradiation and skin beta-irradiation) is commended. The main failures were non-use of preparation B at 28 accident liquidators and insufficient a decrease of radioiodine incorporation in the thyroid gland. It is connected with unpreparedness of civil defense patterns and local health authorities to a global accident. The current state in fields of radiation safety in case of radiation accidents and incidents is analyzed.

Keywords:
radiation accident, acute radiation disease, combined radiation damage, acute radiation disease treatment, radioprotector, iodine prophylaxis, organization of events, regulatory guideline, accident at the Chernobyl NPP
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