Medical Radiology and Radiation Safety. 2013. Vol. 58. No. 2. P. 22-29


A.K. Guskova

Creating Databases and Registers for Organization of Medical Monitoring and the Population Health Evaluation

Burnasyan Federal Medical Biophysical Center of the FMBA of Russia, Moscow, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.


This paper is an attempt to justify the scientific program of health care for people currently being exposed to ionizing radiation. The basic positions of such decisions being made twenty-five years ago are analyzed; they were established on the base of own experience and the literature data at that time. In the period passed there have been significant changes in the conditions of irradiation and understanding of some radiobiological positions. The basic postulate of radiobiology is still there: a quantitative dependence of the probability and implementation of radiobiological effects of spatial and temporal distribution of dose. Modification of the latter parameters occurred during the period mentioned above determined the need to change the medical decisions related to the huge number of groups of population and professionals. It is pointed out that the information accumulated in the radiological, dosimetrical, and clinical entities registers is informative and useful to assess the health of the population as a whole. Accordingly, the measures aimed to minimize the real risks and optimize the health outcomes are quite common. The great importance of socio-economic factors for the formation of the demographic characteristics of a region is underlined. There are some limitations in the selection of appropriate adequate groups of people living in the large areas for necessary comparison. For example, such an adequate control for the most affected by Chernobyl accident region (Bryansk) is the Ryazan region. A combination of adverse and favorable factors led to the absence of distortion of the demographic structure of the most affected regions of Russia.

Key words: radiation, control and the basic regions, irradiate of population, occupational irradiation, medical monitoring