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The information about the radiation risk of non-cancer respiratory diseases is inconsistent and mainly corresponds to mortality. Previously, an increased risk of chronic bronchitis incidence was demonstrated in the cohort of workers employed at the first Russian nuclear facility Mayak Production Association who had been chronically exposed to gamma rays (externally) and to alpha-active plutonium aerosols (internally). Within this retrospective study, we performed analyses of incidence of and mortality from chronic bronchitis and bronchial asthma using improved estimates of radiation doses provided by the "Mayak Worker Dosimetry System (MWDS) - 2013".

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Article Synopsis
  • Workers at the Mayak Production Association faced increased risks of liver cancers due to chronic exposure to gamma rays and inhalation of plutonium, leading to updated assessments of liver malignancies from 1948 to 2018.
  • The study analyzed 62 liver malignancies and found a significant link between internal exposure to alpha radiation and the risk of various liver cancers, particularly hepatocellular carcinoma.
  • No correlation was found between external gamma-ray exposure and liver cancer rates, and gallbladder cancer incidence showed no association with occupational radiation exposure.
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The aim of the present study was to assess the risk of primary central nervous system (CNS) tumour incidence in a cohort of 22,377 Mayak Production Association workers chronically exposed to ionising radiation. There were 96 primary CNS tumours, including 42 cases of glioma and 44 cases of meningioma, registered during the whole follow-up period (1948-2018). The study demonstrated that the risk of primary CNS tumour incidence was associated with sex, attained age, calendar period, tall body height, age at the beginning of exposure, and facility type.

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Specimens of lung adenocarcinoma (AdCa) from Russian nuclear workers ( = 54) exposed to alpha particles and gamma rays and from individuals non-exposed to radiation ( = 21) were examined using immunohistochemistry. Estimated significant associations with alpha dose were negative for Ki-67 and collagen IV in AdCa. Associations with gamma-ray dose were negative for tissue inhibitor of matrix metalloproteinase 2 and caspase 3 and positive for matrix metalloproteinase 2 and leukemia inhibiting factor in AdCa.

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For improvement of the radiation protection system it is crucial to know the factors that modify the radiation dose-response relationship. One of such key factors is the ionizing radiation dose rate. There are, however, very few studies that examine the impact of the dose rate on radiogenic risks observed in human cohorts exposed to radiation at various dose rates.

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