Internal exposure from the ingestion of foods contaminated by 137Cs after the Chernobyl accident--report 2. Ingestion doses of the rural population of Ukraine up to 12 y after the accident (1986-1997).

Doses from the ingestion of 134Cs and 137Cs during 12 y following the Chernobyl accident have been estimated for approximately 3 million persons living in rural areas of the Zhitomir, Rivne, and Kyiv Oblasts of northern Ukraine. This assessment is based upon an extensive monitoring campaign that provided measurements of 137Cs in more than 120,000 samples of milk and in more than 100,000 persons; such measurements were made in approximately 4,500 locations. Two approaches were used for the dose assessment. In the first approach a so-called reference dose is estimated for each settlement on the basis of measured 137Cs concentration in milk, determination of the milk equivalent of diet, and consumption rates; a further assumption is that a high fraction of the food consumed is produced locally. The reference dose is used as the official dose estimate, which is the basis for any decision on possible financial compensation and economic privileges. In a second step, the so-called real age-dependent dose is estimated from the results of whole body counter measurements and the kinetics of radiocesium in the human body. Real doses above 0.5, 5, and 50 mSv were received by about 40%, 10%, and 0.2%, respectively, of the considered population. With the exception of 1986, for which the monitoring results were limited, the real individual doses derived from whole-body counting are consistently lower than the reference doses. However, this difference declined from a factor of 3-4 in 1987-1989 to a factor of approximately 1.5 in the mid 1990's. The difference between reference and real doses is attributed to the effectiveness of countermeasures implemented after the accident. The effectiveness of these countermeasures decreased with time due to increasing economic problems in Ukraine. The collective reference and real doses of the rural population due to the intake of 134Cs and 137Cs are estimated to be 13,300 and 5,300 person-Sv, respectively. Thus, about 8,000 person-Sv is estimated to have been averted by countermeasures.