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POTENTIAL DELAYED HEALTH EFFECTS In view of the limited resources available, the concept of the WHO Scientific Advisory Group on the Health Effects of Chernobyl, namely to concentrate on prospective cohort studies of selected high risk populations, should be endorsed. It is impractical, owing to the extreme difficulty and cost, to conduct long term studies or to evaluate all persons who live in the affected Republics. GENERAL PUBLIC HEALTH ISSUES IN THE AFFECTED REPUBLICS Action should be taken on adult hypertension and dental hygiene as major health issues.
EARLY COUNTERMEASURES Relocation Measures Sheltering, thyroid blocking by the administration of stable iodine and evacuation were introduced in varying degrees in the first days following the accident. The reported radiation levels which triggered these countermeasures were well below the threshold doses at which acute early effects of radiation occur. Intervention levels for evacuation, in terms of dose levels projected over the first week after the accident, were established for both whole body and individual organ exposures.
38 Chapter Five: Protective Measures Lifetime Dose Limit In late 1988 the USSR National Commission for Radiological Protection recommended a lifetime dose limit of 350 mSv (35 rem) as the intervention level for relocation. It was to be implemented beginning on 1 January 1990. This limit was defined as the total internal and external individual dose that would be accumulated by a child born in 1986 during a 70 year lifetime, and was to include the doses since 26 April 1986. The lifetime dose limit of 350 mSv (35 rem) was said to give a high degree of safety as it included doses received from the date of the accident.