1. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Radiation Accidents in the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov International conference 02 October 2012, Chelyabinsk, Russia

2. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Radiation Accidents Register of Burnasyan FMBC Radiation accidents register of Burnasyan FMBC (former Institute of Biophysics) was created in 1985. Radiation accident data: the date of accident, the date of accident, location, location, conditions of radiation exposure, conditions of radiation exposure, the reasons of accident (if there is information), the reasons of accident (if there is information), the main radiation factors, the main radiation factors, information on health effects - including involved in an emergency situation and patients with clinically significant effects, ie acute radiation sickness (ARS) or local radiation injuries (LRI), and died in the acute phase of radiation injury. information on health effects - including involved in an emergency situation and patients with clinically significant effects, ie acute radiation sickness (ARS) or local radiation injuries (LRI), and died in the acute phase of radiation injury.

3. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Radiation Accidents in Russia and the Former USSR Territory Accident classification Number of Numberofvictims accidentsTotalIncl with ARSIncl died 1. Incidents with radioisotope facilities and its sources (total) 941715116 2. X-ray units and accelerators (total) 4352-- 3. Reactor accidents (without Chernobyl) & loss of control over the criticality of fissile material 33827313 4. LRI cases of "Mayak" Plant (1949-56) 168168-- 5. Accident at the nuclear-powered submarines & accidents at nuclear tests & accidents at nuclear tests51419312 6. Other accidents (total) 121772 7. The Chernolbyl accident, 1986 113413428 TOTAL (1949-2011) TOTAL (1949-2011)35676535871

4. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Chernobyl Accident, 1986 Total Number of victims (total) 134 Including: ARS (total, I-IV) 134 ARS (II-IV) ARS (II-IV)93 ARS (III-IV) ARS (III-IV)43 ARS(IV) ARS(IV)21 ARS(I-IV)+LRI ARS(I-IV)+LRI54 LRI only LRI only- Died Died28

5. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Reactor Accidents ( without Chernobyl 1986) TotalReactoraccidentsCriticality control loss Number of accidents 331617 Number of victims (total) 824240 Including: ARS (total, I-IV) 734231 ARS (II-IV) ARS (II-IV)39309 ARS (III-IV) ARS (III-IV)25205 ARS(IV) ARS(IV)13103 ARS(I-IV)+LRI ARS(I-IV)+LRI31265 LRI only LRI only9-9 Died Died13103

6. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Accidents with Criticality Control Loss Database sample (1953-1997): Criticality loss accidents in Chelyabinsk-40 (Ozersk): 1953. 2 victims with ARS, no died 1957. 6 victims with ARS, 1 died 1958. 4 victims with ARS, 3 died 1958. 2 victims with ARS, 1 died Criticality loss accidents in Kurchatov’s institute (Moscow): 1953. 4 victims with ARS, no died 1961. 4 victims with ARS, no died 1971. 3 victims with ARS, no died 1971. 4 victims with ARS, 2 died 1968. Tchelyabinsk (Sungul). 2 victims with ARS+LRI. 2 died 1970. Sormovo. Atomic submarine reactor accident. 5 victims with ARS+LRI. 3 died 1997. Sarov. Criticality loss accident. One person had died

7. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Accidents with Radioisotope Facilities Total Co 60 Co Cs 137 Cs Ir 192 Irothers Number of accidents 9417193919 Number of victims (total) 17128585629 Including: ARS (total, I-IV) 5115131112 ARS (II-IV) ARS (II-IV)279738 ARS (III-IV) ARS (III-IV)1161-4 ARS(IV) ARS(IV)63--3 ARS(I-IV)+LRI ARS(I-IV)+LRI3491293 LRI only LRI only12013454517 Died Died163913

8. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Accidents with Radioisotope Sources 1975. 3 people have been irradiated as a result of failure of the shipping container to transport the source 60 Co. One of them - the driver died as a result of irradiation 1982. Azerbajdzan SSR. Powerful source 137 Cs was in the pocket of the cloak and the soldiers took turns wearing this cloak. 18 victims were irradiated and 5 of them had died 1982. A powerful source of 137 Cs was in the building blocks of a dwelling house, resulting in prolonged exposure of the residents. 2 people died as a result of irradiation 1984. Loss the source 60 Co in the city of Gorkij led to irradiation with clinically relevant effects of 8 people, 4 of them had been diagnozed with mild ARS, no died. The maximum adverse effects occurred with the "lost" sources, when a significant number of people involved in a situation exposed to radiation

9. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia X-ray Units & Accelerators TotalX-rayunits e e -accelerators p + accelerators Number of accidents 4330103 Number of victims (total) 5238113 Including: ARS (total, I-IV) ---- ARS (II-IV) ARS (II-IV)---- ARS (III-IV) ARS (III-IV)---- ARS(IV) ARS(IV)---- ARS(I-IV)+LRI ARS(I-IV)+LRI---- LRI only LRI only5238113 Died Died----

10. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Atomic Submarines & Nuclear Tests Accidents Total Number of accidents 5 Number of victims (total) 141 Including: ARS (total, I-IV) 93 ARS (II-IV) ARS (II-IV)37 ARS (III-IV) ARS (III-IV)19 ARS(IV) ARS(IV)12 ARS(I-IV)+LRI ARS(I-IV)+LRI74 LRI only LRI only48 Died Died12 1961. Atomic submarine K-19: total - 54 ARS+LRI - 30 died - 8 1968. Atomic submarine K-140: total - 68 ARS+LRI - 44 died - 4 1985. Atomic submarine K-314 (Chazhma): ARS+LRI – 7 10 died after explosion 1956. Nuclear tests: Film operators and military persons were exposed from the radioactive fallouts. ARS – 8 no died

11. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Other Accidents Total Number of accidents 12 Number of victims (total) 17 Including: ARS (total, I-IV) 7 ARS (II-IV) ARS (II-IV)3 ARS (III-IV) ARS (III-IV)2 ARS(IV) ARS(IV)2 ARS(I-IV)+LRI ARS(I-IV)+LRI3 LRI only LRI only10 Died Died2 Classification difficulties, suicides, etc In addition: 168 accidents at the enterprises of "Mayak" Plant 1949-1956 (each case with LRI is seen as an isolated accident)

12. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Accidents in the Nuclear Industry Years Number of Numberofvictims accidentsTotal Include with ARS Include died 1950-1955188216404 1956-1960210104 1961-196571210- 1966-19701020146 1971-19754972 1976-1980684- 1981-198533-- 1986-1990613913428 1991-199522-- 1996-20001111 2001-200511-- Total Total23042122045

13. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Professional Membership of the Victims Economy sector Number of Numberofvictims Accidents (total / population involved) TotalIncludeARS+LRI Include died Powerful industrial gamma-settings 56 6 / - / -* 2 / - / - Gamma-radiography5262 62 / - / - - Medical use of ionizing radiation 10 / 4 23 5 / 6 / 12 - / 1 / - Science & education 3035 33 / 2 / - - “Lost” sources (include crime situations) 15 / 15 42 - / 2 / 40 - / - / 2 *Industrial workers / workers non-ionizing radiation / population

14. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Medical Case Reports of Radiation Accidents Victims For each irradiated patient in the radiation accidents who was observed and treated in specialized clinics there is the detailed medical case reports. All information is digitized and represented in the computer database.

15. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Human Acute Radiation Injuries (Burnasyan FMBC Database)

16. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Human Acute Radiation Injuries (Burnasyan FMBC Database) Friendly user interface

17. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Skin & undelying tissue burns Postradiation dynamics of the formed elements of peripheral blood and the maximum temperature Human Acute Radiation Injuries (Burnasyan FMBC Database)

18. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia The Value of Information Resource Radiation accidents register and Human Acute Radiation Injuries Database constitute a unique information resource for the study of clinical radiation pathology of man and of the methods of treatment, which can be used to support decision making by specialists in the diagnosis and treatment of acute radiation injury patients.

19. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia The Main References: 1.Soloviev V.Yu., Ilyin L.A., Baranov A.E., e.a. Radiation Accidents in the Former U.S.S.R. In: Medical Management of Radiation Accidents. Second Edition. Edited by I.A.Gusev, A.K.Guskova, F.A.Mettler. CRC Press Boca Raton London, N.-Y., Washington, D.C. 2001, p.p. 157-172. 2. Ilyin L.A., Soloviev V.Yu. Med. radiology and radiacionnaya bezopasnost, 2004, 49, 6, p. 37-48 (Russ.). 3. Soloviev V.Yu., Baranov A.E., Barabanova A.V. et al. Med. radiology and radiacionnaya bezopasnost, 2011, 56, 3, p. 5-13 (Russ.). 4. Soloviev V.Yu., Barabanova A.V., Bushmanov A.Yu. Med. radiology and radiacionnaya bezopasnost, 2012, 57, 5 (Russ.).

20. Burnasyan Federal Medical Biophysical Center of FMBA of Russia, Moscow, Russia Radiation Accidents in Russia and the Former USSR (Burnasyan FMBC of FMBA of Russia Register Data) K.V.Kotenko, V.Yu.Soloviev, A.Yu.Bushmanov. 02 October, Chelyabinsk, Russia Thanks for your attention!