title: Chronic diseases and mortality among immigrants to Israel from areas contaminated by the Chernobyl disaster: a follow-up study.
abstract: OBJECTIVE
  To examine six chronic diseases and all-cause mortality among immigrants to Israel from areas contaminated by the Chernobyl accident.
  
  
  METHODS
  The medical data were obtained from the two largest HMOs in Israel. In the assessment of chronic diseases, individuals were divided into three groups: less exposed (n = 480), more exposed (n = 359), and liquidators (n = 45) and in the mortality analysis, into two groups: less exposed (n = 792) and more exposed (n = 590).
  
  
  RESULTS
  Compared to the less exposed, adults from the more exposed group had increased odds of respiratory disorders (OR = 2.34, 95% CI 1.21, 4.54) and elevated odds, with borderline significance, of ischemic heart disease (OR = 2.01, 95% CI 0.97, 4.20). In addition, the liquidators had increased odds of hypertension compared to the less exposed (OR = 2.64, 95% CI 1.24, 5.64). The Cox proportional-hazards model indicated no difference in the ratio of all-cause mortality between the exposed groups during the follow up period.
  
  
  CONCLUSIONS
  Our study, conducted approximately two decades after the accident, suggests that exposure to radionuclides may be associated with increased odds of respiratory disorders and hypertension.
authors.affiliation: Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel. danna@slusky.com.
authors.forename: Danna A
authors.initials: DA
authors.lastname: Slusky
authors.affiliation: The Center for Women's Health Studies and Promotion, Ben Gurion University of the Negev, Beer Sheva, Israel.
authors.forename: Julie
authors.initials: J
authors.lastname: Cwikel
authors.affiliation: Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Quastel
mesh_terms: D000328:Adult; D047852:Chernobyl Nuclear Accident; D002908:Chronic Disease / Q000208:ethnology*; D054242:Emigrants and Immigrants; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007557:Israel; D008297:Male; D009026:Mortality; D012128:Respiratory Distress Syndrome / Q000209:etiology
keywords: Cesium-137; Chernobyl; Iodine-131; Radiation