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Chernobyl Nuclear Accident Congressional Hearings Transcript

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bombardment of low-level radiation into human tissue, just by con-<br />

and potatoes, and cabbage, and<br />

suming the standard foods—^beets,<br />

so form—that in the near future could result in an explosion of<br />

gastrointestinal cancers similar to what we've seen with thyroid<br />

disorders and cancers. I would echo what Ambassador Martynov<br />

said, regarding the importance of diagnostic equipment. It's<br />

really<br />

got to come in.<br />

This is a unique disaster, where we can anticipate the worst that<br />

is yet to come, unlike the disasters of famine in Somalia, or wherever,<br />

where the international community really was caught<br />

offguard. Here, we know it's coming, and so it's very important for<br />

us to provide gastroscopes, ultrasounds, basic diagnostic equipment.<br />

We've put a lot of energy into that, in terms of blood<br />

diagnostics.<br />

So that, if there is an explosion in leukemia, or Hodgkins disease—and<br />

we have seen it, in several areas, we need to be ready.<br />

But, again, we're not an epidemiological team. We can't make those<br />

assessments, as Dr. Feshbach can.<br />

We think, regardless of whether or not these are radiationcaused<br />

problems, the United States can provide an extremely valuable<br />

service in just upgrading the quality of the medical infrastructure<br />

in that country. God willing, maybe we'll be proven wrong. Maybe,<br />

down the road, the impact of Chornobyl won't be as great as we<br />

suspect it is or will be. Yet, we will still have delivered a precious<br />

resource to these people, by helping them rebuild their medical infrastructure.<br />

That is worth everything, from our perspective.<br />

Mr. Smith. To the best of your knowledge, is the circle around<br />

Chornobyl drawn too tightly, or should it be expanded?<br />

Mr. KuzMA. Well, it should be expanded, and, in the best of<br />

worlds, I'm sure that the Ukrainian Government and the<br />

Belarusian Government would make those efforts. But, again, in<br />

these brutal economic times, in these two republics, I don't know<br />

that it's<br />

So that the best fall-back option is<br />

itoring,<br />

possible for them to expand that.<br />

really to provide better mon-<br />

and better food monitoring and then diagnostic work, and<br />

very intensive screening.<br />

I think, frankly, Mr. Chairman, that it's going to be very important<br />

for the public research community to begin to take a very hard<br />

look at the highest risk populations.<br />

Our suspicion has been—and I think it was borne out somewhat<br />

by the aftermath, with thyroid cancer—that the research communities<br />

were not looking hard enough, and not looking in the right<br />

places. I think the thyroid cancer explosion could have been identified<br />

by IAEA quickly, because a lot of those cases were being funneled<br />

into the key endocrinological institutes in Kyiv and Minsk.<br />

Had they wanted to find the problems, I think they would have<br />

found them.<br />

As a matter of correlation, I think if there's an intensive effort<br />

launched in some of the regional hospitals in the Chornobyl region<br />

over the next 3 to 5 years, to look at cancer rates in those areas<br />

I hope we're wrong. But I think we will find those cases. That can<br />

help us to shape the quality of the medical relief that we bring into<br />

the affected region.

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