Socio-Demographic And Ecologic Situation,

Level And Way Of The Life Of Population

On Radiation-Contaminated Territories:

10 Years After The Chornobyl Disaster

(Zhytomyr Region, Narodychi and Ovruch Areas As An Example)

 

By Yuriy Sayenko and Oleksiy Rogozhin

 

Part 1. The Living Standard Of Population On Territories Contaminated With Radiation

 

1.1. Some major indicators of socio-economic situation in Ukraine.

 

It continues to fall the gross national product: in 1995 it has decreased by 12%, and in 1996 - by 10% in comparison to preceding year.

 

The officially registered unemployment rate at the beginning of 1997 has been equal to 1.3%. At the same time, 24% of working people are to be on unpaid leaves, and 9% of working people worked part-time daily (weekly).

 

After a slump in an average wage of workers and employees, it began to grow: it has been equal to 81 hryvnias in 1995, and to 138 hryvnias in 1996.

 

The form of the property of industrial enterprises is being changed. In 1996, the collective property has made up 70%; state-owned property has made up 29.8%; foreign organisations and physical persons - 0.2%. Capital assets have been of such a structure: private property - 2%; collective one - 36%; state-owned one - 62%. Privatized apartments out of total public housing resources made up 9.4%.

 

The population number at the beginning of 1997 has been cut in comparison to early 1989 by 800 000 persons, and for the last year it has decreased by 400 000 persons (population in cities and towns  - by 300 000 persons, in rural regions - by 100 000 persons; men - by 200 000 persons, women - by 200 000 persons).

 

The birth-rate has fallen from 12.7 per 1000 persons in 1990 to 9.1, and the mortality rate for this period has grown from 12.1 to 15.2. The number of murders for this period has increased in 1.9 times, and the number of suicides has increased in 1.4 times.

 

For the 1990-1996 period, the expected duration of life has shorten from 71  to 67 years, i.e. by 4 years (among men from 66 to 61 years, i.e. by 5 years; among women - from 75 to 73 years, i.e. by 2 years).

 

There have been studied, during this period, in high educational establishments 7134000 pupils. This number remains to be unchanged. The number of students in vocational training schools has decreased by 18%; in higher eductaional establishments of I and II accreditation level it has decreased by 21%, and in higher eductaional establishments of III-IV accreditation level it has increased by 11%.

 

1.2. Sociological sources of information

 

In Ukraine, unfortunately, an administrative statistics does not calculate the average monthly income of families suffered due to the the Chornobyl disaster. There have been analyzed here the data obtained as a result of sociological research carried out in March 1997 by the Institute of Sociology of the National Academy of Sciences of Ukraine, Kyiv,  according to the program of the Ministry of Emergency Situations of Ukraine and funded by it. There have been questioned 1200 respondents (the 2-nd zone: Zhytomyr Region, Narodychi Area - 300 persons; the 3-d zone: Zhytomyr Region, Ovruch Area - 300 persons; re-settlers: Kyiv Region, Baryshivsky Area - 300 persons, a "clean" region: Poltava Region, Grebinkivsky Area - 300 persons).

 

1.3. Official poverty "thresholds" in Ukraine

 

The lower threshold of poverty (the "threshold of biological survival"), recognized by the Verkhovna Rada of Ukraine in 1997, amounts to 70.9 hryvnias a month per a person, and 213 hryvnias per a family, composed of three persons in average at suffered people.

 

The upper threshold of poverty, according to the calculations of minimum consumer basket, makes up 224 hryvnias per a person a month, and 672 hryvnias per a family.

 

1.4. Average monthly aggregate income of suffered population families

 

The aggregate income consists of two parts (see Table 1.1.):

 

1) money income: salary, non-Chornobyl pensions and extra charges and "Chornobyl" additional charges (Table 1.1., Items 1 and 2);

 

2) calculated cost of other income.

 

All types of income have been calculated on the basis of the sociological research data and average norms.

 

The cost of aid in the form of "clean" products (Table 1.1., Item 4) is calculated, proceeding from the fact that their average monthly cost makes up 20 hryvnias, and they are received, e.g. in the Village of  of V'yazivka of Narodychi Area (calculations will be given further for this region), only by 25% of families: 20x0, 25=5 hryvnias.

 

The cost of aid in the form of preferential vouchers is given in Table 1.1, Item 5. The cost of a voucher equal to 170 hryvnias multiplied by the share of those families who obtain it: 170x0, 92=157 hryvnias.

 

The cost of "humanitarian" aid is given in Table 1.1, Item 6. The average cost of this aid equal to 20 hryvnias multiplied by the share of families who get it: 20x0, 025=0, 5 hryvnias.

The cost of products produced in household has been calculated, proceeding from the fact that an average family, that has a household (a lot of 0.4 hectares, poultry, cow, pig) receives an income from an average monthly products in the amount of 150 hryvnias. Depending on what share of families gains such an amount of products always, frequently or sometimes, we receive calculated results. It is clear that in a rural locality they are the highest: 136-140 hryvnias, in Narodychi, a settlement of urban type, they are lower - 72 hryvnias, and in the town of Ovruch they are smallest - 24 hryvnias.

The cost of " forest gift". In spite of the fact that mushrooms and berries in forests still have quite a high, harmful for a health, level of contamination with radiation, 74% of habitants of Village of V'yazivka, 64% of the settlement of urban type of Narodychi, 54% of Village of Slovechno and 26% of the town of Ovruch pick up mushrooms and berries, and complement them to their ration of meals.

Provided that their cost has been taken according to market prices, we receive the data, given in Table 1.1, Item 7.

 

 

 

Narodychi Area

Ovruch Area

 

Indicators

Village of  Vyazivka

(n=158)

Town of Narodychi (n=140)

Village of Slovechno (n=146)

Town of Ovruch (n=145)

A

B

C

D

E

F

1.

Money income

102

103

97

107

2.

"Chornobyl" additional charges

81

72

103

117

3.

All money income(1+2)

183

175

200

224

4.

The cost of aid in the form of  "clean" products

5

5

5

8

5.

The cost of aid in the form of  preferential places in sanatoriums for treatment and recovering

157

160

148

154

6.

The cost of “humanitarian” aid

0.5

0.3

0.9

0.3

7.

The cost of products produced in the household

140

72

136

24

8.

The cost of “gift of forest”

20

18

14

8

9.

The cost of other types of income

323

237

308

194

10.

Aggregate income

506

412

508

418

 

Table 1.1. The average monthly aggregate income of  an average three-person suffered family in hryvnias

                  (1 Hryvna=$US0.546) in Zhytomyr Region, Narodychi Area (n=298 respondents) and Ovruch Area (n=291 respondents), March 1977.

 

According to such a way of calculations, the total average monthly income of a suffered family makes up 506-508 hryvnias in the rural locality and 412-418 hryvnias respectively in a town: an aggregate income of a rural family exceeds by 100 hryvnias an aggregate income of an urban family. This event, first, is confirmed by a history - in a village there has been always more easily to survive in a crisis situation, second, this is confirmed by the data of administrative statistics and other national sociological researches.

 

The aggregate income, we calculated, is in a poverty range (213-672 hryvnias) on the border of biological survival. The trustworthiness of received value of a family aggregate income confirms the following question of self-appraisal by population whether the income is sufficient (Table 1.2.): 80% (76%-88%) of families make hardly both ends meet; 8% of families (1%-10%) lack money for food sometimes; at the same time, for 12% of families (7%-17%) the received income is sufficient for living.

 

Whether a received income is sufficient for your family?

 

Narodychi Area

Ovruch Area

 

Village

Town

Village

Town

 

We lack sometimes money for food

10

6

7

1

 

We make hardly both ends  meet

83

82

76

88

 

It is suficient for us

7

12

17

11

 

 

The most important types of social aid.

What an aid is necessary for you? (%)

 

 

Narodychi Area

Ovruch Area

 

 

Village

Town

Village

Town

1.

Pecuniary aid

98

98

95

98

2.

Personal treatment

95

95

79

88

3.

Treatment of children

72

74

61

57

4.

Employment

20

23

16

18

5.

To obtain a new profession or be retrained

15

13

16

21

6.

To move to a new place of residence

12

10

10

11

 

Table 1.2. Whether a received income is sufficient for your family? The most important types of social aid. What an aid is necessary for you? (%)

 

The consequences of nation-wide crisis, when payment of salaries and wages, pensions and "Chornobyl" aid is delayed, on average, for three or four months, force the people want, first of all, to receive a pecuniary aid. Because it is the money that the people lack acutely for their daily living. And the said table above testified this fact

 

The treatment problem is in the second place. Unfortunately, an aggravation of  health condition of the suffered is complicated by the lack of funds, medicines, medical equipment and skilled personnel.

 

The other problems are not so acute, nevertheless, the fifth part of the suffered people, i.e. each third person in an able-bodied age, is concerned with the problems of an employment. The problem of employment of the suffered people is not being solved. The social and psychological tension is increased. The suffered people are excluded out of the sphere of active activity, when being involved in it, a man could be diverted from everyday press of economic problems.

 

Hence, each sixth adult suffered person wants whether acquire a new profession, or be retrained, however, nobody helps him to do it. Therefore, it is necessary to improve the system of vocational training and retraining. The more so, as 80%-90% of the suffered people are ready to contintue to live in old places. And only 10% of the suffered people need an aid, in order to go out of the second or the third zone of radioactive contamination. And when the matters are such ones, it arises a pressing problem to adjust all the aspects of fool-blooded life in all the territories.

 

All the suffered people insist exceptionally on the fact that the most important types of aid for them are the following:

 

1. Free treatment and recovering.

2. Providing the children with "clean" products.

3. Free medicines for children.

4. Free food for children in pre-school establishments and schools.

 

 

Part 2. Post-Chornobyl Transformation In Ecological Conditions and Its Effect On The Life of Autochthonal Population At The Time Of Protracted Socio-Economic Crisis Of Post-Communist Transition

 

2.1. Geographical position, natural and landscape conditions and special features of using the nature

 

The research is carried out, using as an example two neighboring rural administrative ditricts - Narodychi Area and Ovruch Area of 1288 sq. km. and 3345 sq. km. respectively. They are located in a forest natural zone (Polissya) in the North of  Zhytomyr Region, bordering on Bilorus in the Southern periphery of marshy Prip'yat low ground of aquatic-glacial origin.

 

These areas are characterized by specific diversity of natural and landscape conditions. It is just here where Slovechansko-Ovruch Area Mountain-Ridge is located (its height is up to 316 m.), which is the Northern outskirts of Ukrainian crystal shield. Though a hilly relief is immanent only to the Eastern and Central part of Ovruch Area, the crystal rocks (chiefly, pink quartzites and granites) litter, practically, the whole territory of both areas.

 

The present soils and herbage have been formed here only in holocen - after the last glacial epoch (11-12 millennium B.C.). The grass and podzol, as well as sandy and sandy-loam soils, under miscellaneous pine and oak forests, are predominant. A separate tract and massif is formed by the far more fertile grey forest soils under the oak-woods, largely cut down (in the mountain-ridge), and turf and meadow as well as peat soils on flood-plain lands of the Uzh and Noryn Rivers.

 

This “isle“ of soils, suitable for agriculture, in the middle of the “sea“ of sands has attracted a man from old times. Primitive cattle-breeders and crop-growers (Indo-Europeans) have appeared here in the IV-III millennium B.C. Before the Xth century A.D., on this territory, there have been prevailed the slash-burn clearing and ploughing, arable farming and field cropping with animal husbandry on personal plots of land, as well as gathering of forest gifts. Up to the end of the XIXth century A.D. there has been dominated here a natural peasant economy with the overwhelming development of dairy and meat animal husbandry (fertile soils were in lack, instead of it there was a plenty of meadows and forest grazing pastures), a forestage was broadly used.

 

The industrial revolution of the end of the XIXth century and/or the beginning of the XXth century have resulted in building railways and main roads that have come across through the Town of Ovruch. It activated the commercial production of local significance (except for mining the quartzites and peat): dairy products, flax, rye, hop, timbers and building materials.

 

Such a specialization and such a structure of economy have been kept up to the present day. The paces of industrial development in Soviet times were moderate, the destruction of landscapes (by building open-cast mines, quarries and pits as well as erecting the firing, proving and training gounds) was local. Even taking into consideration chronic overcutting down the wood in forests, exhausting peat-beds, intensive mining quartzites, mass-scale draining works and chemicalization of agriculture with exceeding an average region (oblast) level (Table 2.2), here it is maintained a high level of woodlands (Ovruch Area - nearly 65%!) and meadow lands, a low density of population, insignificant level of urbanization (Tables 2.3 and 2.4).

 

It secures the reproduction of basic natural components at the expense of the preservation of the self-restored and self-cleared capability of natural ecological systems - they are significantly anthropogenized, but not destroyed. Therefore, the berry, mushroom, medical raw herb and flower places in Ovruch Area and Narodychi Areas have one of the highest efficient potentials in Ukraine.

 

The state of environment before the the Chornobyl disaster can be described with such parameters:

 

·      radiation background:                      10-25 mR/year;

·      content of the Cs-137+137 and Sr-90 in soil:       up to 0.05 Ci/km;

·      geochemical type of water:                   gumine-hydrocarbon-calciumn                                                  (or sulphate-calcium) with total                                                  mineralization up to 200 mg/l;

·      natural geochemical anomalies of metals,

including Be (more than the 10-clark content):        only a few of villages in the                                                    South and in the far West of                                                  the Ovruch Area;

·      moderate natural radioactive anomalies

in underground waters (Rn, 30-150 eman):        Central and South-Eastern part                                                  of the Ovruch Area, Western                                                  part of the Narodychi Area;

·      forest, meadow and bog as well as river valley landscapes;

·      natural diet:                                    chiefly, dairy and vegetable                                                         (potatoes, bread, vegetables)                                                      with increased consumption of                                              forest berries, mushrooms, and                                           honey.

 

2.2. Autochthonal population, its history, traditions, “pre-Chornobyl “ health

 

The special feature of the district under research is the fact that for several thousand years of its history, there has been never full substitution of aboriginals for newcomers. The roots of present population are traced distinctly (in cultural, linguistical, anthropological, genetic way) to the times of early slavic ethnogeny (the IInd-Vth centuries A.D.), when the late zarubynetsky substratum joined Kyiv, and later Praha and Korchak (sklavines) cultural and ethnic community. The Ovruch volost (small rural district) entered Dulebsky center (the VIth-VIIth centuries), it was the second, by its significance, center of Old Slavic Union of tribes - the rival of Kyiv (the VIIIth-Xth centuries), by armed force adjoined to Kyiv the caganat (polyan-rusi) by princess Olga, and since that time it became the part of Kyiv land to the end of the XVIIth century (in the composition of Kyiv Rus’, Kyiv Principality, Office of Voevode (Governor of Province) of Great Lithuanian Principality and Polish Rich Pospolite). It is the town of Ovruch (by annals, Vruchii) is mentioned, for the first time, about 946 year. The Ovruch land was burgled by the Tatars in 1240 and, in late XIII century, has become a castle volost (a small rural district, the Ovruch Castle of Kyiv Appanage, later, the Great Lithuanian Prince), and, since that time, descendants of the old Drevlyans tribes lived out in a low voice their days in their forests, until a outbreak of ethnogeny of contemporary Ukrainians did transform them into violent cossacks of the XVIth-XVIIth centuries. The times of cossacks changed the face of ancient land, the majority of present villages have arisen in those times, till the XVIIIth century (including Narodychi, Slovechno - in the XVIIth century). The main anthropologic and ethnocultural features of contemporary autochthonal population have been stabilized also at that time, when a typical slavic substratum absorbed a large massif (up to 30% of the whole population) of the Southern Ukrainian people from a steppe - largely, of the Turkic origin (the baptized Polovtsians, Torks).

 

In the god-forsaken forests and bogs at the right bank of the Prip'yat River, there has been formed the engaged only into its everyday life Ukrainian-speaking subethnos of the Polishchuks that, by its traditions and behaviour, retained much from a culture of the old slavic times. The Northern and Western periphery of Ovruch Area borders on the area of outspread of Polishchuks.

 

Thus, on investigated territories we observe a transitional zone from a contemporary Ukrainian type (lively, dynamic “cossack“) up to a persistent type that hides from the world into a long-standing tradition and forest and bog landscape. Such a man needs only to have the forest and meadows, raw economy, and wants to be left alone. And without taking into consideration this circumstance (a degree of outspread of the Polishchuks’ psychology), it is impossible to explain the reaction of the autochthonal population, suffered due to the Chornobyl disaster and its further outcomes.

 

The present number of population in the Narodychi Area is equal to 12 000 persons (including the urban one - 10.8%), in the Ovruch Area - 76 000 000 persons (including the urban one - 28.5%). The autochthones make up absolute majority of population, especially, of the rural one. Just in the towns of the Ovruch Area there are plenty of newcomers among industrial and transport workers. In the result of the Chornobyl disaster, the large part of autochthones has been forced to become the resettlers. There have been disappeared from the map the rural communities that existed for several centuries (in Narodychi Area there have been disappeared more than 16 villages, in Ovruch Area - more than 3 villages). Still more people have gone out voluntarily. It is the Narodychi Area that has suffered especially from irrevocable migration, having lost 14 000 persons since 1986 (more than a half of pre-Chornobyl disaster population), because, practically, the whole its territory is registered officially as the zones of the compulsory and voluntary settling out. At the same time, the Ovruch Area has lost as migrants only 7 000 persons.

 

Before the Chornobyl disaster, the population of investigated areas (except the Ovruch Area in 1985) is characterized by lower sickness rate both of children and adults, in comparison, on average, to Zhytomyr Region and Ukraine as a whole, and higher duration of life (according to the statistical data of Ukraine).

 

2.3. The transformations of the ecological conditions of life and use of nature upon the Chornobyl disaster

 

 Arising of the radioactive and ecologic factor

 

The investigated areas have turned out to be on the axis of Western trace of radioactive precipitation from the blown up Chornobyl Atomic Power Station, pulled out in meridional direction and enriched mainly with radioiodine and radiocaesium. There have been present there also in much lesser concentrations strontium, plutonium, and other transuranides. There has been observed all the spectrum of radioecologic conditions, characteristic for the Western trace of contamination - the high, moderate and low levels of contamination, the moderate, high and superhigh intensity of biogeochemical migration of radionuclides in natural bodies and nutritious chains.

 

The special feature of the irradiation of “Chornobyl“ type is its combined and multi-isotope character, both acute short-term, and prolonged (up to the permanent ones on the territories contaminated with long-living radionuclides). The damage has been brought in mostly by an acute irradiation - up to 50% of wrecking dose for the first year of Chornobyl disaster, including up to 40% “iodine blow” of its first weeks. It is a volatile and mostly biologically active radioiodine (mainly I-131) has resulted in the superthreshold (in the range of big doses, more than 50 cGy) local irradiation of particular organs and systems (thyroid gland, blood, skin) in the children of investigated areas. Especially, it concerns the Narodychi Area, where “iodine blow” practically the biggest in Ukraine (see Table. 2.1).

 

The second element, forming a dose, by its significance, next to radioiodine is radiocaesium, during the first 2-3 years upon the Chornobyl disaster - Cs-134, later - Cs-137 (during more than 60 years). Since 1989, the major part of total dose is caused by internal irradiation from radionuclides incorporated with food and water, at the same time, today Cs-137 gives 95% of the dose of internal irradiation. Practically, the mostly contaminated place in Ukraine is the Narodychi Area.

 

 

 

Narodychi Area

Ovruch Area

1.

An average level of contamination of cow milk with

I-131 on May 5, 1986 (nCi/l)

@1500

@890

2.

An average density of contamination of the souls in settlements with Cs-137 in 1987 (Ci/sq.km)

12.5

3.8

3.

Maximum density of contamination of souls in settlements with Cs-137 in 1991 (Ci/sq.km)

20.45

14.92

4.

Average calculated dose of I-131 on thyroid gland of children born in 1968-1986, April-June 1986 (cGy)

 

162

 

@50

5.

Average calculated total annual dose in 1991-1993 (mSv)

1.632*

1.799*

6.

Maximum calculated total annual dose in 1991-1993 (mSv)

6.68*

14.6-30.9*

*) Without taking into consideration the most contaminated settlements,

whence the population has been settled out.

 

Table 2.1. The level of the radiation impact of the Chornobyl disaster on population of Narodytsky and Ovruch Areas.

 

The Sr-90 contaminates significantly the Northern part of Narodychi Area and the North-Eastern part of Ovrutskн Area. The level of contamination here sometimes exceeds 3 Ci/sq.km (that was a ground for settling out several villages), and calculated annual doses reach 0.2-0.4 mSv.

 

The plutonium (Pu) and its “daughter” transuranides are fixed in the North-Eastern part of the Ovruch Area, in the Northern and Southern part of Narodychi Area. The contamination level sometimes reaches 0.05 Ci/sq.km, however, calculated annual doses today do not exceed 0.01 mSv.

 

Up to 1992-93 there has been observed the consistent decrease of dose load of the internal irradiation of population residing there. Later, there has been started a rash growth of it, because of increase in the consumption of contaminated food of local production.  The dose load today in Ovruch Area is bigger, than those in Narodychi Area, in spite of the fact of the Cs-137 lower contamination levels (due to bigger intensity of biogeochemical migration and growth of partticle of small fractions of aerosol fall-outs with advancement in the Western direction from the wrecked Chornobyl Atomic Power Station).

 

Approximately, in 40 years upon the Chornobyl disaster, when the greater part of  Cs-137 and Sr-90 will decay, on the territories, where now the Pu-241 is present, there will be aggravated the problem of mostly dangerous alpha-active (and chemically toxic!) contamination with Americium (Am-241) that is accumulated as a result of the Pu-241 decay. The Am-241 half-value period is equal to 458 years, at the same time, it is transformed into also dangerous Neptunium (Np-237) with the halflife equal to 2.14 mln years. Thus, some places of investigated areas will become unsuitable for people to reside there for ever (see the monograph: Chernobylskaya katastropha. /Ed. by V. G. Bariakhtara. K., Naukova Dumka, - 1995, pp. 343).

 

 

The impact of ecological factors of the Chornobyl disaster

 

The impact of ecological factors of the Chornobyl disaster is insignificant in comparison with the radiation influence. First, it is a contamination of environment with stable isotopes of heavy metals, especially, Pb, as well as Cr, Cu, Zn; second, it is a sharp increase of volumes of applying mineral fertilizers and pesticides in the first three years after the Chornobyl disaster.

 

Metals have been dispersed unevenly, in hardly soluble form (metalized particles), they formed several soil “spots“ of concentration more than 20 mg/kg in Narodychi Area and in the North-Eastern part of Ovruch Area. Under the influence of “acid rains”, step by step, there will be increased the concentration of salts of these heavy (and toxic) metals.

 

The goal of applying mineral fertilizers (mainly K) was to block the Radiocaesium, to prevent its accumulation in plants. The efficiency of these measures has turned out inadequate and too expensive. With deepening an economic crisis (after 1990), the volume of applying mineral fertilizers has fallen lower than the pre-Chornobyl disaster level.

 

Much more harmful action was an attempt to increase sharply the volume of applying the pesticides. It happened not incidentally, but due to rash efforts, at any cost, to retain in areas contaminated with radionuclides the pre-Chornobyl disaster forms of management, including the highly marketable production of agricultural raw materials (first of all, the hop). The efforts aimed at the fulfilment of “wise” Communist Party direction to “overcome” quickly and forget the “consequences of the Chornobyl disaster”. As a result, there has been set an experiment on people as to the synergistic reinforcement of the negative influence of radionuclides on the health of people (on oncogeny!) by the way of the wide-scale application of pesticides. It has been interrupted by the outbreak of “anti-Chornobyl“ populist actions (in 1989-1990) coincided in time with the aggravation of economic crisis.

 

 

Pesticides, total, acting substance (kg/ga, arable land)

 

1983

1984

1985

1986

1987

1988

1989

1990

1991

Narodychi Area

1.45

1.5

1.6

1.7

2.0

2.15

2.4

1.5

1.02

Ovruch Area

3.8

3.2

3.4

4.3

4.5

4.6

4.5

2.7

2.4

Zhytomyr Region

2.4

2.4

2.5

3.1

3.3

3.4

3.6

2.6

2.3

Mineral fertilizers, total, acting substance (kg/ga, arable land)

Narodychi Area

162

176

179

230

312

280

143

118

 

Ovruch Area

199

200

212

238

278

257

240

300

 

Zhytomyr Region

135

150

179

173

194

150

190

182

 

 

Table 2.2. Pesticides and mineral fertilizers loading on surrounding environment in Narodychi and Ovruch Areas

 

 

 

 

 

 

 

 

 

Antiradiation measures and transformation of nature use

 

The character and intensivity of measures has been changed depending to radiation situation, political orientation of state leadership and financial possibilities. We suggest such a periodical classification of measures (as to investigated areas):

 

·      “acute period” of the Chornobyl disaster (1986), contradictory measures, on

the one side - settling out of separate settlements, where there has been

fixed incidentally an extremely high “background“ and radiation contamination (in the North of Narodychi Area - 4 villages, in the Northern East of  Ovruch Area - 3 villages), as well as the implementation of the dosimetric control (of milk, meat, food products, timber) with a view of not allowing the exportation of “dirty“ products; on the other side - systematic neglecting recommendations to prohibit the consumption of contaminated products, water, to stop agricultural and forestry economy works in contaminated areas (on local level). Mass-scale measures as to “dust subduing “ and quasidesactivating (washing streets, roofs, fences), mainly along main roads and in cities.

 

secret restrictions and attempts to retain the old way of life (1987-89), detailed charting of the level of contamination with Cs i Sr has compelled: to introduce ban on industrial use of forests as well as gathering the forest gifts on all the territory of areas; to put out of operation the Ovruch-Pryp’yat railway; to take out of service (by the collective farms) separate, most contaminated lots of areas; to strengthen the dosimetric control of commercial products; to restrict administratively the consumption of particular local products, even in households on personal lots of land (till the full ban in some villages); to begin supplying the population with “clean“ products. The beginning of mass-scale construction, in contaminated areas, of roads, gas pipelines, hospitals, schools, kindergarten, reconstruction of agroindustrial objects, under the slogan “Let build the better life after the Chornobyl disaster”.

 

The changes of land-use system before 1990 were insignificant, within the limits of fluctuations, characteristic for pre-Chornobyl disaster time (Table 2.3.), however, in Narodychi Area there is already visible tendency toward

diminishing the area of arable land and increasing the forest area - at the expense of strongly largely contaminated areas, including settled out villages.

 

realization of 35-rem living conception by newly established (1990) Ministry in affairs of overcoming the consequences of the Chornobyl disaster (Minchornobyl). The overcoming of curtain of secrecy around the dosimetric data forced Party and State leadership of formerUkrSSR to start full (and compulsory) settling out the residents of villages contaminated with Cs-137+134 over 40 Ci/sq.km. (35 additional rems for 70 years of life). In 1990 and in the first half of 1991 there have been settled out 12 villages (2200 persons) from Narodychi Area - 3 collective farms, the lands of which (up to 100 sq.km.) have been given in late 1990 in the use of state-owned forestry economy enterprises. The people were resettled out mainly in Zhytomyr Region, Brusilivsky Area into considerably unfinished standard houses of low quality (constructed at the expense of budget); additional working places for resettlers there have not been created timely. At the same time, there has been lasted the construction of roads, streets, pipelines, social infrastructure in contaminated villages, which have been already planned to be resettled out in accordance with a new concept of living. There has been incresed the disorder in construction sphere, the use of budget funds not according to the purpose. There have been diminished the restrictions of the use of agricultural areas and forests out of the borders strongly contaminated areas (gathering of forest gifts without restrictions is permitted on the greater part of Ovruch Area).

 

·      ratification of the 7-rem residing concept by legislation of the UkrSSR on

the matters of Chornobyl disaster (1991) and attempts to implement it. There has been planned to settle out in compulsary way (in 1991-95) 41 settlements of  Narodychi Area (12800 persons from the major part of its territory, including the settlement of town type Narodychi) and 17 settlements of Ovruch Area (23000 persons in its North-Eastern part), carry out a great construction program in Brusilivsky and other Southern Areas of the Region. And released contaminated agricultural and forest areas (the greater half of Narodychi Area!) have been planned to give to state-owned forest economy enterprises. These plans and ordinances strengthened the crisis of big enterprises (collective state-owned farms), accelerated the curtailment of the production of commercial agricultural products. There has been started the open resistance of regional and local leadership to the implementation of resettlement in the planned way, putting out of industrial operation of hundreds sq. km. of areas (with a view of continuing the uncontrolled production and construction in own economic interests, including the aims of growing rich privately.

 

·      epoch of intensive expending budget funds, allocated to “Chornobyl“ needs (1992-1995). The breakdown of the USSR has unleashed completely the hands of local governing nomenclature as to the use of state-owned funds. The supervision over the funding of “Chornobyl“ programs was especially attractive (12% of all taxes on salaries and wages), because hyperinflation did not influence on its size (until a decline of production volumes did not become too big). The attempt to overcome the sabotage of “the 7-rem concept” from the side of local authorities and engaged science have turned out unsuccessful. The Minchornobyl has managed to activate construction for resettlers and on contaminated territories only for a short time (in 1993-94). The disorder and anarchy resulted in final wreck of the state program of resettlement, breakdown of economy and absence of market reforms on contaminated territories, sharp decrease in supplies of “clean products”, even to diminishing the payment of allowances to population that lives on contaminated territories. The resettlement is carried, mainly, spontaneously. The part of resettlers (small) returns in the “settled out not completely“ villages and begins to run unofficially a natural economy.

 

 

 


 

 

1985

1990

Types of Areas

Narodychi Area

Ovruch Area

Zhytomyr Region

Narodychi Area

Ovruch Area

Zhytomyr Region

 

sq.km.

%

sq.km.

%

sq.km.

%

sq.km.

%

sq.km.

%

sq.km.

%

1. Area, total

1298.3

100

3349.0

100

29693.2

100

1288.5

100

3345.1

100

29822.9

100

2. Agricultural areas, total, including:

 

575.4

44.3

794.8

23.7

 

 

575

44.6

795

23.8

 

49.3

3.  -  arable lands

373.7

28.8

449.1

13.4

12052.2

40.6

363.2

28.1

444.7

13.3

11923.6

40

4.  - hayland and grazing pastures

190.7

14.7

345.7

10.3

 

 

201.8

15.6

344.8

10.3

 

9.2

5.  -  hop areas, gardens, berry areas

11.0

0.85

3.6

0.1

 

 

10

0.8

5.5

0.16

 

 

6. Forest area

577.4

44.5

2198.1

65.6

9850.9

33.2

603.3.

46.8

2150

64.3

10955.9

36.7

7. Ponds

12.7

0.9

24.6

0.7

419.4

1.41

13.5

1.0

24.4

0.7

417.5

1.4

8. Areas of collective and state-owned farms

535

92.97*

715.2

89.98*

 

 

535

93*

715.4

90*

 

 

9. Areas of housholds on personal plots of land (private)

40.43

7.03*

79.63

10.02*

 

 

40

7*

79.6

10*

 

 

*) % from all agricultural areas

 

Table 2.3. System of land use in Narodychi and Ovruch Areas and its transformation

 

 

 

 

 

 

 


·      phasedowning antiradiation measures (since 1996 up to the present) under pretence of deficit of financial resources, fight with unpurposeful use of funds, social crisis, actuality of non-top priority etc. The Minchornobyl has been liquidated. Revision of the concept of residence (the government in its decisions is guided by the “45-rem“ concept), refusal from compulsory resettlement (“let them reside there, if they only did not ask money from the government”). Science engagement in servicing interests of pro-nuclear lobby is increased (an attack of “radiophobists“ under the slogan: “all problems on contaminated territories are merely the result of mental stress and economic crisis”). The cause is total exhausting of budget resources in the country, aggravation of socio-economic problems, inability of governing nomenclature to solve them.

 

The big public economy of Narodychi Area persistently falls into the decay. The population continues to emigrate, its density has already fallen by 60% and it is equal now to 10 persons/sq.km. In the settlement of town type Narodychi there have been liquidated nearly all economic objects. The majority of collective farms exists only on paper. There are in normal operation a few of weakly contaminated households bordering on Ovruch Area (having reduced sharply the production of hop and flax), as well as a forest economy. Therefore, the population lives anarchically and, practically, without a control - at the expense of traditional, limited by nothing (excess of “nobody’s “, i.e. free areas) of natural economy, having increased considerably the number of cattle (non-officially); non-official use of forests and gathering the forest gifts.

 

Much less it is the crisis of public economy in Ovruch Area, contaminated moderately and not suffered from mass resettlement, it has rich resourses of wood that is in deficit in Ukraine, valuable mineral resources, with good transport connections. That is why the economics of town of Ovruch did not stop, there have been set market connections, there have been emerged new economic forms and structures (frequently, shadow ones), even production of canned diary products in the town of Ovruch has not disappeared (local production of raw milk, according to unofficial data, has increased - at the expense of the population). Local, quasireformed collective farms hardly make both ends meet. That is  why, the rural population of area also lives in anarchy - at the expense of the traditional natural economy (the increase of  number of cattle) and the extension of unofficial use of the state-owned (“nobody’s“) fodder and forest areas. The insignificant density of population (22.7 persons/sq.km.) favours it.

 

Thus, despite the fact that on the lands contaminated with a radiation the creation of farmer (peasant) households is prohibited by law, establishment of small traditional (natural) peasant households there is carried out in massive, unofficial and anarchic way (without fixing the rights of ownerships), as a normal way of survival of peasants in the conditions of protracted economic crisis.

 

 

 

 

 

 

 

 

2.4. The changes of demographic situation.

 

The natural and mechanical movement of population

 

The policy of extensive hyperurbanization imposed by the Soviet Union center (from 1960 to the the middle of 1980s) has required the outflow of youth from an agrarian periphery to big cities. It has resulted finally in undermining the demoreproduced potential.

 

The transition to “narrowed “ type of reproduction of population has happened in the remote agrarian and forest economy of Narodychi Area still in the middle of 1970s. Since that time, it depopulates persistently, caracterized by significantly worse parameters of natural movement of population, than in the whole in the Region and Ukraine. The demographic losses of Ovruch Area have turned out far less, up to the middle of 1980s there has been observed “simple“ reproduction (stability) of population. It has been favoured by both the revival of development of local industry and greater spread of traditional guidelines at the “Polishchuks“ as to the great number of children in the family and life at the parents’ house.

 

The transformation of demographic behaviour into the direction of the sharp reduction of fertility level of  women, initiated by the Chornobyl disaster, that coincided in time with the beginning of the Gorbachov’s reforms of “reconstruction“ (1986-88), initiated a final transition to the narrowed reproduction and depopulation in Ukraine, Bilorus, Russia.

 

In the moderately contaminated Ovruch Area, this dominant tendency has been weakened significantly by the influence of the “Polishchuks“ psychology. Therefore, its rural population depopulates at insignificant rates, and its urban population has been stabilized, after the escape of Jewish community in the first years upon the Chornobyl disaster (despite the substantial growth of mortality rate, see Table. 2.4.2).

 

In strongly contaminated Narodychi Area, the ruinous influence of the consequences of the Chornobyl disaster on demographic processes, on the contrary, has turned out practically the greatest in Ukraine, - first of all, at the expense of the mechanical outflow of population, and, especially, because of organized resettlement from the areas inappropriate for the life (see Table 2.4.1.). It attracts on itself the attention the phenomenon of sharp growth of both mortality rate and birth-rate (!) in the Area since 1992, after the population from mostly contaminated villages has been already settled out. It cannot be explained only by the influence of further “getting older “ of the population that still remains in the Area. We have to assume that there has been happened here the “launching“ of population mechanisms of adaptation (on genetic level) to the life in the conditions of radiactive irradiation. I.e., there has been activated natural selection, aimed at accelerated dying-out of weak persons, geneticly sensitive to radioactive irradiation (especially people of elder age and the newborns) and accumulating in population the persons, geneticly rigid to it. On the other hand, in the full conformity with the laws of population ecology, the mutagenesis activization is accompanied by the birth-rate growth (compensatoric mechanism). Because, as it is known, on the level of phenotype (geneticly formed organism), it is impossible biologically to adapt to the life in the conditions of sharp aggravation of radioactive irradiation [Yarmonenko S. P. Radiobiologiya cheloveka i zhivotnych. - M.: Vysshaya shkola . - 1988. - 424 p.].


 

 

 

Demographic indexes

 

 

1984

 

1985

 

1986

 

1987

 

1988

 

1989

 

1990

 

1991

 

1992

 

1993

 

1994

 

1995

1.

The number of population (thousand persons),

28.6

27.6

26.5

25.8

26.3

24.1

19.3

16.1

15.1

13.7

13.0

12.0

2.

including the rural population

21.9

21.6

20.8

20.2

19.9

18.0

14.9

13.3

12.7

11.7

11.3

10.7

3.

The population density (persons/km),

22.0

21.3

 

19.9

 

18.6

15.0

 

11.7

 

10.1

9.31

4.

including the rural population

16.9

16.6

 

15.6

 

14.0

11.6

 

9.9

 

8.8

8.3

5.

The portion of urban population (%)

23.4

21.7

21.5

21.7

24.3

25

22.8

17.4

15.9

14.6

13.1

10.8

6.

Birth-rate (by 1000 persons),

 

11.3

11.9

8.3

11.9

12.1

10.9

11.5

14.2

15.1

16.2

15.8

7.

including the rural population

 

9.8

11.3

7.7

10.6

11.8

10.4

10.1

11.5

13.1

12.9

13.4

8.

Mortality rate (by 1000 persons),

 

19.3

16.7

17.5

18.4

17.8

19.9

19.4

25.7

28.9

29.8

28.7

9.

including the rural population

 

20.1

18.3

19.7

19.2

19.5

22.2

18.8

23.8

25.7

24.9

26.2

10.

Natural increment (by 1000 persons),

 

-8.0

-4.7

-9.2

-6.3

-5.7

-9.0

-7.9

-11.5

-13.8

-13.6

-12.9

11.

including the rural population

 

-10.3

-7.0

-12.0

-8.6

-7.7

-11.8

-8.7

-12.3

-12.6

-12.0

-12.8

12.

Mechanical increment (by 1000 persons),

 

-27.0

-35.2

-17.2

+25.7

-78.0

-190.2

-157.9

-50.6

-88.4

-37.5

-64.0

13.

including the rural population

 

-9.4

-30.0

-16.8

-6.25

-87.8

-160.4

-98.7

-32.8

-66.1

-22.2

-40.3

14.

Total increment (by 1000 persons),

 

-35.0

-39.9

-26.4

+19.4

-83.7

-199.2

-165.8

-62.1

-102.2

-51.1

-76.9

15.

including the rural population

 

-13.7

-37.0

-28.8

-14.9

-95.5

-172.2

-107.4

-45.1

-78.7

34.2

-53.1

16.

Stillbornness (by 1000 births)

 

 

9.4

9.2

9.1

6.4

19.3

16.6

14.5

13.3

9.1

14.0

15.5

17.

Mortality rate of up to one-year infants

(by 1000 births alive)

 

15.2

12.5

39.5

22.5

19.7

21.1

18.9

23.7

9.2

28.3

20.0

 

Table 2.4.1. The behaviour of indicators of natural reproduction and mechanical movement of population of Narodychi Area for 1985-1995

 

 

 

 

Demographic indexes

 

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1.

The number of population (thousand persons),

88.1

85.9

83.3

79.4

85.0

83.5

79.5

78.6

78.8

77.9

77.2

76.1

2.

including the rural population

67.2

66.4

64.3

60.9

62.8

61.5

58.2

57.1

57.0

56.0

55.4

54.4

3.

The population density (persons/km),

26.3

25.7

 

23.7

 

24.6

23.8

 

 

 

 

22.8

4.

including the rural population

20.1

19.8

 

18.2

 

18.2

17.4

 

 

 

 

16.3

5.

The share of urban population (%)

23.7

22.7

22.8

23.3

26.1

26.1

26.8

27.4

27.7

28.1

28.2

28.5

6.

Birth-rate (by 1000 persons),

 

13.4

15.5

10.4

13.5

12.3

10.9

10.5

12.2

12.6

12.2

10.9

7.

including the rural population

 

11.6

12.4

9.6

11.4

10.8

10.2

9.8

11.6

11.7

16.2

10.5

8.

Mortality rate (by 1000 persons),

 

14.3

12.3

13.0

14.5

13.6

14.6

15.8

16.0

17.9

17.9

17.6

9.

including the rural population

 

15.2

13.1

13.8

15.8

15.2

16.6

17.8

17.0

20.7

15.2

19.9

10.

Natural increment (by 1000 persons),

 

-0.7

+2.3

-2.2

-1.0

-1.3

-3.7

-5.3

-3.8

-5.3

-5.7

-6.7

11.

including the rural population

 

-3.4

-0.4

-3.8

-4.4

-4.4

-6.4

-8.0

-5.4

-9.0

+1.0

-9.4

12.

Mechanical increment (by 1000 persons),

 

-24.3

-32.6

-44.6

+71.5

-16.4

-44.2

-6.0

+6.3

-6.1

-3.3

-7.6

13.

including the rural population

 

-8.5

-31.2

-49.1

-26.8

-16.3

-47.3

-10.9

+3.7

+3.3

-11.7

-8.6

14.

Total increment (by 1000 persons),

 

-25.0

-30.3

-46.8

+70.5

-17.7

-47.9

-11.3

+2.5

-11.4

-9.0

-14.3

15.

including the rural population

 

-11.9

-31.6

-52.9

+31.2

-20.7

-53.7

-18.9

-1.8

-5.7

-10.7

-18.1

16.

Stillbornness (by 1000 births)

 

 

5.9

5.6

2.3

4.7

11.5

7.8

8.4

5.2

3.0

5.3

3.6

17.

Mortality rate of up to one-year infants

(by 1000 births alive)

 

15.9

5.7

16.0

8.4

8.6

9.5

16.9

17.0

5.1

17.0

9.4

 

Table 2.4.2. The behaviour of indicators of natural reproduction and mechanical movement of the Ovruch Area population for 1985-1995

 

 

 


The population structure by sex and age

 

Unfortunately, remaining in the context of desk-study, we have no opportunity to get the comprehensive data on structure by sex and age. The statistical services of Ukraine do not publish such data about rural areas (it is possible to get them only by the order).

 

The changes in the of rural population structure by sex and age (up to 80% of population) give a general picture of the character of structural changes of all the population in Narodychi and Ovruch Areas (Table 2.5). It is the continuing “getting older” process and diminishing of the part of the able-bodied age population (16-55 (60) years); rapproachment of structural parameters of the population of both areas, despite their differing character in late 1970s (“elderly“ structure of Narodychi Area and “young“ one of Ovruch Area); sharp decrease of the number and portion of the children's age population, especially, in the post-Chornoby disaster period (children have been brought out, and there have not not been given birth to them); considerably greater stability, by the time, of the Narodychi Area population structure.

Such a character of changes in the population structure by sex and age reflects the consequences of two different strategies of resettlement from contaminated territories: organized resettlement, by whole villages, in Narodychi Area (structural changes are lesser); and resettlement in an anarchic way, by separate families, in Ovruch Area (structural changes are greater, because of overwhelming exodus of youth with children).

 

01.01.1979

 

Narodychi Area

Ovruch Area

Age groups

Total

Men

Women

Total

Men

Women

(in years)

Persons

%

Persons

%

Persons

%

Persons

%

Persons

%

Persons

%

up to 3

1151

3.6

565

4.0

586

3.3

2903

3.8

1512

4.4

1391

3.3

3 - 6

1128

3.5

726

5.1

802

4.5

4521

5.9

2265

6.6

2256

5.3

7 - 13

3485

10.8

1824

12.8

1661

9.2

9785

12.7

4855

14.1

4930

11.6

14 - 15

1287

4.0

653

4.6

634

3.5

3789

4.9

1943

5.6

1846

4.3

16 - 19

1522

4.7

808

5.7

714

4.0

3813

5.0

1950

5.7

1863

4.4

20 - 29

3209

9.9

1665

11.7

1544

8.6

8480

11

4348

12.6

4132

12.7

30 - 54

9927

30.8

4487

31.5

5440

30.3

25551

33.2

11329

32.9

14222

12.7

55 - 59

2378

7.4

847

5.9

1531

8.5

5160

6.7

1856

5.4

3304

7.8

60 and older

7736

24

2673

18.8

5063

28.2

12957

16.8

4381

12.7

8576

20.2

Total

32223

100

14248

100

17975

100

76959

100

34439

100

42520

100

01.01.1991

up to 5

756

5.2

397

6.7

359

4.1

3232

5.5

1593

5.9

1639

5.1

5 - 15

1495

10.3

733

12.4

762

8.8

7264

12.3

3688

13.7

3576

11.1

16 - 29

1854

12.7

969

16.4

885

10.2

8953

15.1

4668

17.3

4285

13.3

30 - 54

3871

26.6

1288

21.8

2583

29.8

17341

29.3

8307

30.8

9034

28

55 - 59

1709

11.7

775

13.1

934

10.8

6148

10.4

2744

10.2

3404

10.5

60 and older

4883

33.5

1745

29.5

3138

36.2

16207

27.4

5942

22.5

10265

31.8

Total

14568

100

5907

100

8661

100

59145

100

26944

100

32303

100

 

Table 2.5. The rural population structure, by sex and age, of Narodychi and Ovruch Areas and its changes for 1979-1990

 

 

 

Causes of the population death

 

As everywhere in Ukraine, the main cause of a death is the illnesses of blood circulation system (coronary deficiency, myocardial infarction, insult), see Table 2.6.

Contrary to the Zhytomyr Region and Ukraine, in the whole, the second, by its significance, cause of a death in investigated areas is not the malignant tumours, but the illnesses of respiratory organs (especially in Narodychi Area - 26%). It can be the result, first, of the regress of health care system in rural locality (especially, in remote forest areas), and, second, the outspread of immunodeficient conditions of radiogenic etiology.

 

The mortality rate behaviour of up to one-year infants and stillborn in the post-Chornobyl disaster period is chracterized by instability (Tables 2.4.1 and 2.4.2). At the same time in Narodychi Area is observed significantly higher level of infant mortality rate and stillborn, and in Ovruch Area - substantially lower than in the whole in the Zhytomyr Region.

 

The main cause of infant death, in the whole, both in the Zhytomyr Region and Ukraine is the conditions of perinatal period. However,  in investigated areas they do not predominate. In Narodychi Area inborn anomalies make up just a portion - 50%, and in Ovruch Area among the causes of infant death predominate infectious and parasitic diseases - 39.2% (see Table 2.7).

These deviations cannot be caused only by deterioration of the work of pediatric service because of lack of finances in the country. It has influenced here also the expansion of radiogenic immunodeficient conditions in pregnant and newborn (in Ovruch Area), and in Narodychi Area  - growth of mutagenesis (because of radiation influence and its synergistic reinforcement by the simultaneous action of pesticides).

 

 

 

 

Mortality, total

Illnesses of blood circulation system

New formations

Accidents, poisoning, traumas

Illnesses of respiratory organs

Illnesses of  digestive organs

Infectious and parasitic

deseases

 

 

%o

%

%o

%

%o

%

%o

%

%o

%

%o

%

Narodychi Area

28.9

15

51.9

2.8

9.7

1.2

4.2

7.5

26.0

0.8

2.8

0

0

Ovruch Area

17.9

7.4

41.3

1.9

10.6

1.0

5.6

1.9

10.6

0.4

2.2

0.1

0.6

Zhytomyr Region

15.2

8.0

52.6

2.0

13.2

1.1

7.2

1.1

7.2

0.4

2.6

0.1

0.7

 

Table 2.6. Structure of mortality of all the population due to causes in 1993 (by 1000 persons)

 

 

 

 

Dead,

total

States of perinatal period

Inborn anomalities (defects)

Illnesses of respiratory organs

Infectious and parasitic

deseases

Accidents, poisoning, traumas

Illnesses of  digestive organs

 

 

%o

%

%o

%

%o

%

%o

%

%o

%

%o

%

Narodychi Area

9.2

4.6

50.0

4.6

50.0

0

0

0

0

0

0

0

0

Ovruch Area

5.1

1.0

19.6

1.0

19.6

1.0

19.6

2.0

39.2

0

0

0

0

Zhytomyr Region

14.4

4.5

31.3

4.0

27.8

2.8

19.4

1.0

6.9

0.7

4.9

0.3

2.1

Ukraine, total

15.1

5.1

33.8

4.2

27.8

1.7

11.3

1.1

7.3

0.8

5.3

0.1

0.8

 

Table 2.7. Structure of mortality of up to one-year infants due to causes in 1993 (by 1000 births alive)

 

In investigated areas we observe two types of negative demographic changes because of the Chornobyl disaster (that is worth of further researching). The heavily contaminated Narodychi Area suffered from direct demographic losses at the expense of mechanical outflow of majority of population and substantial growth of mortality rate of those who remained there. The moderately contaminated Ovruch Area suffered mainly from mediated losses, at the expense of children, which have not been given birth because of sharp change of demographic behaviour and “getting older” of population. In this respect, the demographic situation in Ovruch Area reminds the situation in Ukraine in general.

 

2.5. Changes of health state of autochthonal population

 

We give here their mediated assessment on the basis of the indicators of the spread of illnesses and primary sickness rate of adult and children's population. To be more clear and obvious, the level of spread and sickness rate are converted into the level of relative risk (RR as to the average Ukrainian values). Unfortunately, in this case also, the shortcomings of statistical accounting in Ukraine make impossible the all-round characteristic (statistics of sickness rate, by nosology classes of illnesses, has been introduced since 1988, and in the context of rural areas is published only up to 1993, and the results of purposeful dispensary sytem operation, i.e. the Registers of the people suffered from the after-effects of the Chornobyl disaster, have not yet been published in the context of rural areas).

The peasants, especially, the residents of forest and mountain areas, have not been accustomed habitually, as the city population as often as possible usually does, to see doctors.  That is why, reflected by medical statistics level of general sickness rate of both adults and children in investigated areas is insignificant and it ranges around the average Ukrainian values (see Table 2.9.). The level of illnesses worth of attention, especially, those that are diagnosticated objectively at the time of medical examination, on the contrary, is substantially higher.

There has been registered in adult population after the Chornobyl disaster the significant growth of level of endocrine-immune illnesses, illnesses of blood, organs of digestion; the incresed level of illnesses of blood circulation system (see Table 2.8). Besides that, it is observed the persistent growth of contingent of patients ill with malignant new formations, moreover, by quicker paces, than in the whole in Ukraine. From the beginning of 1990s, it grows the spread of tuberculosis among adults and children. The level of mental pathology, on the contrary, is stable - it ranges around the average Ukrainian level.

The children's population, especially sensitive to radiation impact after the disaster at the Chornobyl Atomic Power Station, has been transformed in the major risk group of the loss of health. In the investigated areas the children in the age of 0-14 years are chracterized by extremely quick and great growth of the level of somatic pathology: illnesses of blood (especially, Narodychi Area - RR>11!) of, endocrine-immune illnesses[1], the illnesses of blood circulation system (Ovruch Area), organs of digestion and nervous system[2] (Narodychi Area), Table 2.8.

 

 

 

Narodychi Area

Ovruch Area

 

1988

1989

1990

1991

1992

1988

1989

1990

1991

1992

Adults and teenagers

All illnesses                    (spread)

1.1

1.3

0.9

0.9

0.9

0.96

0.8

0.7

0.8

0.9

(sickness rate)

0.3

0.6

0.4

0.3

0.3

0.5

0.6

0.65

0.6

0.75

New formations            (spread)

0.6

0.88

1.16

0.89

1.04

0.8

0.8

0.9

0.7

0.8

(sickness rate)

0.5

0.7

1.3

0.5

0.66

0.8

0.7

0.7

0.7

0.5

Blood and blood-forming tissue    (spread)

0.53

0.57

0.59

1.0

1.4

0.52

0.59

0.33

0.4

1.7

(sickness rate)

0.7

0.25

1.4

1.7

2.1

0.5

0.8

0.57

0.53

3.7

Endocrine system, immunity, metabolism                     (spread)

2.0

2.6

1.5

2.5

1.7

0.8

1.2

1.0

0.6

1.7

(sickness rate)

1.4

1.4

1.6

1.3

1.76

1.1

2.3

1.24

0.65

3.5

Blood circulation systems (spread)

2.5

2.14

1.6

1.45

1.37

1.9

1.2

1.01

1.24

1.15

(sickness rate)

1.2

1.7

0.65

0.5

0.5

0.99

0.95

0.69

0.83

0.9

Digestive organs            (spread)

1.6

2.0

1.2

1.2

1.2

1.7

0.87

0.82

0.7

0.85

(sickness rate)

0.55

1.7

0.76

0.5

0.33

0.95

0.72

0.67

0.36

0.95

Children, 0-14  years

All illnesses                    (spread)

0.86

1.2

0.72

1.02

0.75

0.85

0.9

0.9

0.85

1.01

(sickness rate)

0.6

1.0

0.3

0.8

0.6

0.5

0.6

0.7

0.51

0.9

   New formations          (spread)

0

1.28

0

0.2

0.5

0.2

0.3

0.4

0.3

0.27

(sickness rate)

0

2.45

0

0.4

0

0.1

0.3

0.6

0.7

0.27

Inborn deficits               (spread)

0.7

1.0

1.2

0.3

0.33

0.9

0.9

0.75

0.73

0.5

(sickness rate)

0.5

0.9

0.8

0.1

0

0.5

0.7

0.6

0.7

0.4

Infectious and parasitic (spread)

0.35

0.6

0.3

0.4

0.5

1.54

1.5

1.5

1.32

0.6

(sickness rate)

0.4

0.7

0.1

0.2

0.6

0.8

0.8

0.8

0.5

0.5

Blood and blood-forming tissue (spread)

2.9

11.4

10.1

5.3

11.9

0.8

1.3

3.5

5.0

3.5

(sickness rate)

4.6

21.8

3.6

4.3

14.3

0.9

1.6

5.2

3.7

3.6

Endocrine system, immunity, metabolism                    (spread)

11.0

13.1

4.2

1.0

1.25

5.5

6.3

0.4

1.9

5.6

(sickness rate)

4.1

12.6

0.9

0.5

0.6

3

4.2

1.5

0.8

7.2

Blood circulation systems (spread)

0.3

0.9

0.4

0.15

0.1

5.1

4.6

5.2

4.8

5.5

(sickness rate)

0.1

1.9

0.1

0

0

2.6

2.7

5.8

4.4

9.3

Respiratory organs       (spread)

0.5

0.6

0.35

0.6

0.5

0.6

0.6

0.7

0.6

0.8

(sickness rate)

0.5

0.5

0.2

0.4

0.4

0.1

0.5

0.7

0.4

0.7

Digestive organs            (spread)

1.0

1.5

0.5

2.5

1.6

1.9

1.2

0.8

0.7

0.7

(sickness rate)

0.9

1.8

0.3

2.8

2.1

0.8

1.4

0.7

0.9

0.7

Nervous system and olfactory organs (spread)

0.6

1.5

0.7

3.7

0.2

1.3

1.0

1.3

1.6

1.1

(sickness rate)

0.4

1.46

0.1

5.78

0.1

0.4

0.4

0.8

0.4

1.0

Psychic disturbances      (spread)

 

 

 

1.0

0.8

 

 

 

1.3

1.2

(sickness rate)

 

 

 

0.2

0.9

 

 

 

1.9

1.2

Osseous and muscular system (spread)

 

 

 

1.8

1.5

 

 

 

1.7

1.5

(sickness rate)

 

 

 

1.2

0.3

 

 

 

0.7

0.2

 

Table 2.8. The level of relative risk of nosology classes of illnesses (RR as to the average Ukrainian values)

 

 

 

 

Narodychi Area

 

 

1985

1986

1987

1988

1989

1990

1991

1992

Adults and teenagers

All illnesses                         (spread)

0.97

1.34

1.13

1.1

1.3

0.9

0.9

0.9

(sickness rate)

1.0

0.9

0.6

0.3

0.6

0.4

0.3

0.3

Malignant new formations (spread)

0.9

0.9

1.1

1.1

1.2

1.16

1.35

1.34

(sickness rate)

0.68

0.62

1.2

0.9

1.3

1.0

0.8

1.2

Children, 0-14 years

All illnesses                         (spread)

0.5

0.64

0.9

0.86

1.2

0.72

1.02

0.75

(sickness rate)

0.4

0.5

0.8

0.6

1.0

0.3

0.8

0.6

Ferrous deficit anaemia    (spread)

0.6

0.5

0.75

0.7

11.0

1.5

6.3

13.8

Cholecystitis and cholangiolitis (spread)

2.2

1.4

1.8

2.1

2.9

7.4

18.9

8.1

Chronic diseases of tonsils and adenoids                              (spread)

 

1.4

 

1.6

 

2.0

 

3.9

 

4.1

 

3.2

 

11.0

 

5.7

Malignant new formations

                                             (spread)

0

0

0

0

0

0

2

3.1

Inborn anomalies of cardovascular system                                  (spread)

2.4

1.7

1.9

1.0

3.1

1.1

0.9

1.2

 

Ovruch Area

 

 

1985

1986

1987

1988

1989

1990

1991

1992

Adults and teenagers

All illnesses                         (spread)

1.06

1.3

1.07

0.96

0.8

0.1

0.8

0.9

(sickness rate)

0.7

0.7

0.5

0.5

0.6

0.65

0.6

0.75

Malignant new formations (spread)

0.8

0.9

1.1

1.0

1.13

1.05

1.13

1.13

(sickness rate)

0.9

0.7

0.9

0.9

0.9

0.9

0.9

0.8

Children, 0-14 years

All illnesses                         (spread)

1.04

0.7

0.9

0.85

0.9

0.9

0.85

1.01

(sickness rate)

1.0

0.4

0.6

0.5

0.6

0.7

0.51

0.9

Ferrous deficit anaemia    (spread)

0.47

0.4

0.4

0.5

1.1

1.2

3.2

3.9

Cholecystitis and cholangiolitis  (spread)

0.3

0.4

0.6

1.1

1.8

2.0

3.2

2.3

Chronic diseases of tonsils and adenoids                              (spread)

1.1

1.2

1.3

1.8

2.2

2.0

2.9

2.3

Malignant new formations (spread)

2.8

0

4.0

4.8

0.6

0.3

0.5

1.03

Inborn anomalies of cardovascular system                                  (spread)

1.3

1.5

1.7

1.6

1.7

1.1

1.14

1.22

 

Table 2.9. The changes of the relative risk of radiogenic illnesses after the Chornobyl disaster

 

The blood illnesses at children grow at the expense of ferrous deficit anaemia  (Tables 2.8. and 2.9) that in the conditions of “iodine blow” and prolonged irradiation with small doses is  the reflection of active outspread of radiogenic syndrome of combined dysadaptation disturbances of regulation of functional systems of organism (DRD). The clinical sign of its occurrence is the vasovegetative dystonia with permanent course (HST) and dyskinesia of gall excretory ducts. DRD initiates the development of specific pathogenetic process of “Chornobyl type” (ChTP), that at the 6th-8th year after the Chornobyl disaster results in the formation of chronic functional pathology: cardiopathies, hematogenesis dysplasia, secondary immunodeficits, stagnant cholecystitis, hypoplastic erosive gastritis, nephritis [Zminy zdorov’ya naselennya Ukrayiny vnaslidok Chornobyl’skoyi katastrophy (The changes of the health of population of Ukraine because of the Chornobyl disaster) /V. M. Bugaiov, A. I. Lagutin, O. G. Rogozhin, S. S. Kazak. - K., 1996. - 168 pp.]. Such a development of events has been fixed by imperfect medical statistics as a “outbreak“of cholicystites and cholangites and chronic illnesses of tonsils and adenoids (the sign of immunodeficient state), see Table 2.9. The ChTP is dangerous, especially, by the fact that approximately in 20 years after the Chornobyl disaster it results in the outspread of the heavy forms of organic somatic pathology (including cardiosclerosis, pneumosclerosis, nephrosclerosis), having strengthened, at the same time, oncogenesis.

 

The ChTP is developed in both areas according to the single “superthreshold iodine-caesium” variant, however, in Narodychi Area all is in process in more quick and intensive way, due to more strong “iodine blow”. It has influenced also on the acceleration of oncogenesis, outbreak of it here has begun in 1991 (Table 2.9.).

 

It follows that that residents (especially, the children and youth) of investigated areas have a weak physical health and sharply need high-skill medical (but not the psychological one) aid. The development of ChTP is worth here of special investigation, and the quality, timeliness and cost of medical care, especially, of the children, have been transformed into one of the leading factors of local social situation.

 

Taking it into consideration, the state of medical care in investigated areas should be recognized unsatisfactory, in spite of the fact that newly constructed and not bad equipped central district hospitals including the polyclinics are available. The reason of its ineffective functioning consists in unsufficient funding, bad management and deficit of skilled personnel. Still in 1992, the real endowment of Narodychi and Ovruch Areas population with doctors (not including the dentists) was equal to 75% and 55% of the average Ukrainian level (21.9 and 17 by 10000 persons, respectively). There has been filled in actually only 36% and 46% of medical positions, respectively.

 

General conclusions

 

1. In comparison with “the pre-Chornobyl” time, there has been cardinally aggravated the quality of the life of autochthonal population:

 

·      the Chornobyl radiation catastrophe has made the ecological situation dangerous for the health (especially, in Narodychi Area);

·      local economy of Ovruch Area has been destabilized, and local economy of Narodychi Area has been destroyed;

·      social infrastructure has fallen into decay, quality of medical care, cultural and communal servicing, passenger transport and communication have decreased.

 

2. To the poverty level, there has been lowered the living standard of population: there have been grown expenses (to compensate the negative influence of irradiation), incomes have been decreased (because of the outspread of unemployment, the delays of the payment of  salaries and state-owned aid, complications in the sale of local products - under the pressure of protracted socio-economic crisis in the country).

 

3. It lasts the aggravation of the health of population, especially, health of  children, initiated by the “iodine blow” and continuously maintained by the influence of small doses of radionuclides (which arrive with local food products), and growth of poverty, decrease of state aid and the decay of local medicine favours it.

 

4. There have been happened the negative changes of social-demographic situation:

 

·      fertility has been decreased (Ovruch Area) and mechanical outflow of population (Narodychi Area) has been increased sharply;

·      mortality rate has been increased substantially;

·      dependence from the state aid has been strengthened (especially, pecuniary aid);

·      consumer attitudes have been spread.

 

5. In such conditions, the century traditions of natural peasant economy prompted the local population (that is, mainly, a rural one) an original strategy of survival which is realized in an anarchy way, - the all-round “naturalization“ of local economy with orientation on the broadest unofficial private use of natural areas and resources (including those which are  contaminated with radiation), which now are in collective or state-owned property (wood, hayland, grazing pastures, mushrooms, berries etc.).

 

And all it, in spite of the fact that such a conduct is dangerous for a health!

 

6. Thus, under the conditions of protracted economic crisis and total poverty, there has been observed absolutely another, than it is stated by “radiophobists” (V. A. Buzunov, A. I. Nyagu, A. Iromanenko), reaction on the consequences of the Chornobyl disaster: not a “stress“, even not a depression, but a powerful guideline on the survival, regardeless of all. The fear of poverty, unemployment, hunger, criminals quickly forced out all other fears (including the fear of radiation, if somebody has had such one). There has been fixed a specific combination of social guidelines, an official guideline - to the state aid, and unofficial one - to natural agriculture. Economic factors have became determining as to the behaviour of local population.

 

7. Therefore, whether it is a reason, that it is observed such an insignificant outflow of people from moderately contaminated territories (Ovruch Area)? And, whether for receiving an additional state aid, there has been increased birth-rate in strongly contaminated Narodychi Area?

 

To answer well-groundedly on all these questions, that have arisen when carrying out our desk-study, it is necessary to plan and implement purposefully a special research.



[1] The leaps of the level are caused by changes of the principles of statistical accounting as to taking into account or not taking into account the hyperplasia of thyroid gland of I-II degree.

[2] The leaps of the level at the expense of taking into account or not taking into account, under a “mask” of neurocirculatory dystonia, vasovegetative dystonia that is cardiovascular disease (syndrome).