Epidemiology of Somatic Diseases and Risk Factors in the Population Living in the Zone of Influence of Uranium Mining Enterprises of Kazakhstan: A Pilot Study.

The increase in uranium mining in Kazakhstan has brought with it a number of problems. Reducing the negative impact of radiation-toxic factors on the health of workers and the population in uranium mining regions is one of them. This article presents a pilot population health study in which we developed approaches to support residents living near an operating uranium mining enterprise. The purpose of the current study was to assess the impact of technogenic factors on the health of those living near the Syrdarya uranium ore province. Data collected from 5605 residents from the village of Bidaykol (the main group)-which is located 4 km from the uranium mining enterprise-and the village of Sunakata (the control group), which is located in the Kyzylorda region, were analyzed. A bidirectional cohort study was conducted. The prevalence of acute and chronic diseases among the residents of Bidaykol was 1.3 times higher than that in the control group. The structure of morbidity was dominated by pathologies of the genitourinary system (27%), the circulatory system (14.4%), and the respiratory system (11.9%). Relative risks (RR > 1) were identified for most classes of diseases, the highest being for diseases of the blood (RR = 2.6), skin (RR = 2.3), and genitourinary system (RR = 1.9). In the main group, renal pathologies were the most frequent class in the age group of 30-40 years, occurring mainly in women. In addition, they had a direct dependence on the duration of residence in the territory of the uranium ore province. Further studies into the interaction between the technogenic factors associated with uranium mining enterprises and the development of diseases of the urinary system are needed. This will make it possible to determine ways to prevent these pathologies in the population.

STUDIES ON GAMMA DOSE RATES IN OUTDOOR ENVIRONMENT AND ASSESSMENT OF EXTERNAL EXPOSURE TO PUBLIC IN STEPNOGORSK AREA, NORTHERN KAZAKHSTAN.

The present study is based on a pilot study, which showed that the Stepnogorsk area of Northern Kazakhstan represents sources of potential contamination of the living environment. The aim of the study was measurement of outdoor gamma radiation levels, activity concentration in soil samples and assessment of external exposure to the public. According to our analysis, the highest ${\boldsymbol{H}}^{\ast}$(10) values ∼2870 nGy h-1 were detected in the Aqsu school territory, which were slightly higher than the control readings for this region. The average 226Ra, 232Th and 40K activities were 617.8 ± 3.2 Bq kg-1, 188.3 ± 2.9 Bq kg-1 and 731.5 ± 6.2 Bq kg-1, respectively. The annual effective dose received by the Aqsu population ranged from 0.08 to 3.5 mSv y-1, which was found higher by an order of magnitude than the upper annual dose limit. Changes in radiation background are an unfavourable factor for the population and may possibly become potential radiation risks for long-term effects.

Site-specific concentration of uranium in urine of workers of the hydrometallurgical plant of Stepnogorsk mining and chemical combine.

Radiation monitoring is an important radiation safety measure implemented at the hydrometallurgical plant of the Stepnogorsk mining and chemical combine (HMP SMCC, Republic of Kazakhstan). Follow-up of the workers and their regular medical examinations has laid the basis to create a cohort with the potential to be used in radiation epidemiology. The aim of current pilot study was to analyze the dose forming factors for workers of HMP SMCC. For this, bioassays samples collected from 54 workers employed at eight HMP workshops were measured using the "Agilent 7800 ICP-MS" mass spectrometer. Three years later, measurements were repeated for four workers with the highest concentrations of uranium in urine. The results of site-specific measurements of dose rates, long-lived alpha-particle activity concentrations and equivalent equilibrium volume activity of radon were derived from the archive of the HMP SMCC Service of Radiation and Toxic Safety and analyzed to fully evaluate the radiation situation at those workplaces. Maximum urine uranium concentrations were measured for workers at the extraction workshop and mechanical repair shop (up to 26.7 µg/L and 14.6 µg/L, respectively). Urinary uranium from workers employed at other sites was mainly (for about 72% of the samples) in the range of values that may occur in natural conditions (< 0.4 µg/L). A wide individual variability in uranium concentration in urine samples (from 60% to 200% of CV) was found. A linear dependence of cumulative effective dose on work experience was found with a slope of 7.5 mSv per year. This slope did not depend on working place. For the investigated workers, cumulative effective doses of workers were found in the range of low (< 100 mSv) and medium doses (100-500 mSv). It is concluded that the newly created cohort of HMP SMCC workers has the potential to improve the knowledge on health effects from low- and medium doses of ionizing radiation.

RADIATION SITUATION IN THE TERRITORIES AFFECTED BY MINING ACTIVITIES IN STEPNOGORSK AREAS, REPUBLIC OF KAZAKHSTAN: PILOT STUDY.

The Republic of Kazakhstan has a long history of mining activities, viz., gold and uranium. Mining activities represent sources of potential naturally occurring radionuclides contamination of the environment and human health of population. The aim of this study was to investigate the radiation situation of industrially modified environment in Stepnogorsk areas of Kazakhstan to understand the sources of contamination. Quite high values of ambient equivalent dose rates in air ~2.87 µSv h-1 were found in the Aqsu gold-mining site. The radon equivalent equilibrium volume activity (indoor) were in the range of 313-858 Bq m-3 in the study area buildings. The high values of activity concentration of natural radionuclides found in Aqsu soil samples were 226Ra-4060, 232Th-1170 and 40K-4080 Bq kg-1, respectively. However, our comprehensive surveys implied that the increased natural radiation background caused by the radionuclide transport from the tailing area did not have an impact, while evaluation of its potential radiation risks and remediation of the territories of the former gold mining should be needed.