The cytological state of nasal and oral mucosae in the children and adolescents living in the town of Koryazhma was evaluated at the schools located differently from the Kotlas pulp-and-paper mill (PPM). All the Kozyazhma children under examination were found to have an increased epithelocytic alteration index, which is likely to suggest cytotoxic exposure, which was shown to a greater extent with the duration of residence at the school more adjacent to the PPM. The first-form pupils from the school locates more closely to the PPM were found to showed a higher index of natural microflora colonization with buccal epitheliocytes and a trend for an increase in the epitheliocytic differentiation coefficient characterizing the high incidence of diseases.

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