Medical Radiology and Radiation Safety. 2020. Vol. 65. No. 3. P. 79–84

A.Yu. Bushmanov, I.A. Galstyan, V.Yu. Soloviev, M.V. Konchalovsky

Lessons for Health Service: the Chernobyl Accident and the COVID-19 Pandemic

A.I. Burnasyan Medical Biophysical Center, Moscow, Russia, Этот адрес электронной почты защищен от спам-ботов. У вас должен быть включен JavaScript для просмотра.

Abstract

Purpose: The article is devoted to the analysis of organizational measures to overcome the medical consequences of two large-scale events: the Chernobyl accident on 26.04.1986 and the COVID-19 pandemic.
Results: A comparison of the causes, key factors, numbers affected and involved in these events persons, and the availability of the source of knowledge about the clinical picture, diagnosis, prevention and treatment of diseases, developing as a result of radiation exposure and the virus SARS-Cov-2. The article considers the availability of special medical institutions, the infectability of medical workers, the presence of long-term consequences for the health of victims and for the economy.
Conclusions: In the development of such catastrophic events, an important role should be played by 1) Timely and adequate information to the population. 2) It is necessary to have a sufficient number of beds that can be repurposed in accordance with the needs and provided with appropriate equipment to support the vital functions of the body. 3) Planned training of qualified medical personnel should be carried out. 4) It is necessary to have stocks of emergency drugs close to the institutions where it is possible to receive victims.

Key words: disasters, Chernobyl accident, a new coronavirus infection, COVID-19

For citation: Bushmanov AYu, Galstyan IA, Soloviev VYu, Konchalovsky MV. Lessons for Health Service: the Chernobyl Accident and the COVID-19 Pandemic. Medical Radiology and Radiation Safety. 2020;65(3):79-84. (In Russ.).

DOI: 10.12737/1024-6177-2020-65-3-79-84

Список литературы / References

1. Радиационные аварии. Под ред. Л.А. Ильина. Москва: ИздАТ. 2001. 752 с. [Radiation Accidents. Ed. L.A. Ilyin. Moscow. 2001. 752 p. (In Russ.)].
2. Барабанова А.В., Баранов А.Е., Бушманов А.Ю. и др. Острая лучевая болезнь человека. Атлас. Часть I. Пострадавшие при радиационной аварии на ЧАЭС 1986 г. Под ред. А.С. Самойлова и В.Ю. Соловьева. М.: Изд-во ФМБЦ им. А.И. Бурназяна ФМБА России. 2016. 140 с. [Barabanova AV, Baranov AE, Bushmanov AYu, et al. Acute radiation syndrome. Atlas. Part I. Victims of the Chernobyl radiation accident in 1986. Eds. Samoylov AS,  Solovev VYu. Мoscow. 2016. 140 p. (In Russ.)].
3. Гуськова А.К., Галстян И.А., Гусев И.А. Авария на Черно­быль­ской атомной станции (1986–2011): последствия для здоровья, размышления врача. Москва. 2011. 253 с. [Guskova AK, Galstyan IA, Gusev IА. The accident of the Chernobyl nuclear power station (1986-2011): Effects on health, the doctor thoughts. Moscow. 2011. 253 p. (In Russ.)].
4. Соловьев В.Ю., Барабанова А.В., Бушманов А.Ю. и др. Анализ медицинских последствий радиационных инцидентов на территории бывшего СССР (по материалам регистра ГНЦ ФМБЦ им. А.И.Бурназяна ФМБА России). Медицинская радиология и радиационная безопасность. 2013;58(1):36-42. [Solovev VYu, Barabanova AV, Bushmanov AYu, et al. Analysis of medical consequences of radiation incidents in the former USSR (on the materials of the register of the Burnasyan Federal Medical Biophysical Center). Medical Radiology and Radiation Safety. 2013;58(1):36-42. (In Russ.)].
5. Гуськова А.К., Байсоголов Г.Д. Лучевая болезнь человека. М.: Медицина. 1971. 384 с. [Guskova AK, Baysogolov GD. Radiation syndrome. Мoscow. 1971. 384 p. (In Russ.)].
6. Москалев Ю.И. Отдаленные последствия ионизирующих излучений. М.: Медицина. 1991. 463 с. [Moscalev YuI. Late effects of radiation. Мoscow. 1991. 463 p. (In Russ.)].
7. Протоколы работы медицинского персонала на этапах оказания медицинской помощи при радиационных авариях. В сб.: «Медико-санитарное обеспечение в случае радиационных аварий». Москва. 2018. С. 106-53. [Protocols of the work of medical personnel at the stages of medical care in radiation accidents. In: “Health care in case of radiation accidents”. Moscow. 2018:106-53. (In Russ.)].
8. Ильин Л.А., Кенигсберг Я.Э., Линге И.И. и др. Радиационная защита населения при реагировании на Чернобыльскую аварию. Медицинская радиология и радиационная безопасность. 2016;61(3):6-16. [Ilyin LA, Kenigsberg JaE, Linge II, et al. Radiation protection of the population in response to the Chernobyl accident. Medical Radiology and Radiation Safety. 2016;61(3):6-16. (In Russ.)].
9. Надежина Н.М., Барабанова А.В., Баранов А.Е. и др. Острые эффекты облучения при аварии на Чернобыльской АЭС: непосредственные исходы заболевания и результаты лечения. В сб.: «Медицинские аспекты аварии на Чернобыльской атомной станции». Киев.  1988. С. 143-55. [Nadejina NM, et al. Acute radiation effects in the Chernobyl accident: immediate outcomes and treatment outcomes. In: Medical aspects of the Chernobyl accident. Kiev. 1988: 143-55. (In Russ.)].
10. Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19). Временные методические рекомендации. Версия от 28.04.2020   [Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). The provisional guidelines. Version 28.04.2020. https://docviewer.yandex.ru/ view/131721953/?page=1&*=4joaL9fuN8%2FqB0hfh 6.05.2020.
11. COVID-19: Daily dashboard. Johns Hopkins University CSSE https://coronavirus.jhu.edu/map.html 2.06.2020.
12. Wang W, Xu Y, Gao R, et al. Detection of SARS-CoV-2 in Different Types of Clinical Specimens. JAMA. 2020. DOI: 10.1001/jama.2020.3786 1.06.2020.
13. Баклаушев В.П., Кулемзин С.В., Горчаков А.А. и др. COVID-19. Этиология, патогенез, диагностика и лечение. Клиническая практика. 2020;11(1):7-20. [Baklaushev VP, Kulemzin SV, Gorchakov AA, et al. COVID-19. Etiology, pathogenesis, diagnosis and treatment. Clinical Practice. 2020;11(1):7-20. (In Russ.)].
14. Богданова Е.М., Иванова В.Ю. Правила поведения при карантине (на примере коронавируса). В сб.: Международная научно-практическая конференция «Проблемы научно-практической деятельности. Поиск и выбор инновационных решений». Уфа. 2020: 272-5. [Bogdanova EM, Ivanova VYu. Quarantine rules of conduct (for example, coronavirus). In: Internat. Sci. Pract Conf “Problems of Scientific and Practical Activities. Search and selection of innovative solutions». Ufa. 2020: 272-5. (In Russ.)].
15. Sasmita Poudel Adhikari, Sha Meng, Yu-Ju Wu, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infectious Diseases of Poverty. 2020. P. 9-29. DOI: 10.1186/s40249-020-00646-x 1.06.2020
16. Singhal T. A Review of Coronavirus Disease-2019 (COVID-19) The Indian Journal of Pediatrics. April 2020;87(4):281-6. DOI: 10.1007/s12098-020-03263-6 1.06.2020.
17. Jiaojiao Chu, Nan Yang, Yanqiu Wei, et al. Clinical characteristics of 54 medical staff with COVID‐19: A retrospective study in a single center in Wuhan, China. J Med Virology. Willey. DOI: 10.1002/jmv.25793. 1.06.2020.
18. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmunity. 2020. 109. journal homepage: www.elsevier.com/locate/jautimm. 1.06.2020.

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Conflict of interest. The authors declare no conflict of interest.

Financing. The study had no sponsorship.

Contribution. Article was prepared with equal participation of the authors.

Article received: 03.06.2020.

Accepted for publication: 24.06.2020.