SOME ASPECTS OF ETIOLOGICAL DIAGNOSIS OF OCCUPATIONAL ILLNESS RELATED TO THE EFFECT OF MICROWAVE RADIATION
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ILLEGIB
SOME ASPE:CT.~ OF F.TIOLOc3ICAL DIAGNOSIS OF OCCUPATIONAL ILLNESS RELATED TO
THE EFFECT OF MICROWAVI~: RADIATION
Moscow GIGIYF.IVA Tut1I)A I PROFESSIONAL'NYYE ZAAOhEVANIYA in Russian N? 3,
76 FP 1k-18
lArticle ;y A.K. Cus'kova and Ye. M. Kochanovn, Institute of Labor Hy-
giere and Occupatian~il Tllnesr of the Academy of Medical Sciences USSR,
Moscow
LTextj One of the production factors whi~~h, according to several inves-
tigations in recent years, is reflected in the freq~xency of cardiovascular
illness is microwave radiation (B. V. I1'inskiy and co-authors; V. P.
Medvedev). Bacause work with sources of UI-~' radiation, whether it is
tuning radio equipment or the work of rad~.r station operators, requires
su'bst:anti.al nervous-emotional stress rind involver other unfavorable as-
pects, the etiolo~,ical diagnosis of illness of the blood circulatory
apparatus in ,,i,ch i,roups presents ~,rcat dii'ficultie:;.
According to the .findin~~s of various authors, changes in the activity oP
the cardiovascular system which occur in persons working with sources of
microwave radiation ms.ke up the syndrome of neurocircul.atory dystonia of
the hypo- or hypertonir types (Ye. V. Gembitskiy; N. V. Tyagin; K. V.
Glotova and M. N. aa~'chikova) and may lead to the development of hyper-
toria and ischenia of the heart (B. V. Il'inskiy and co-authors; V. P.
Medvedev).
When comparici data for a number of years on the frequency oP arterial
hyl;ertoxiia and hypat.ar.ia in persons working in contact with UHF radiation
it may be noted that ttir frequency of arterial h5~otonia has dropped
markedly {n recent years, from 38 percent in data for 1948 (A. A.
KAvorky~sn) to sevF~n rcr~~~~nt. for 1~?';1. (M. N. ;;rsdchikova and K. V. Nikonova).
Thc~ greater freru,,n~~;.~ of rrterial hypatania found in surveys of persons
warktn~ under mast; un.f'a?~~orable ccnditions in 1rcer~t. fc,r 1.~'~l-1;~(2. Althou;r}: many invcfitibators do not
indicate tho' crit~rici which i,hey adopt,t?~t for ~~val.ua.tin~ increased art;eri.al
pr?ssure, overall the frequency of hvpez-tonia with chz?or.ic effect of U}~'
fields coincides, sccnrding to rf search findin;,;s for ].x'70-197?, with the
freouency found. in surveys of tY,e tlnorrranized population of idoscow and
usint;T Wi:O criteria (V. I. Metelitsa) : ~8 ~:rcent for the male population
in ';he 35-64 at*e bracket .
The t;road di.trib~.iti~n of funci,ior,al c:ard:ot>athies points to the need
fora careful. analysis oi' each conerf~te case }n identifying the occui~n-
tiunal etio]o~.y of cr>.rdiovascular illness.
The .~o-call~~~d rick factors for the develeir significance in
t: };e developmer:t; r~i' c~>,rcliac ischemia arc }~7'~':>cnted in `ir??~'ing radio wave sir_kness.
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Tlie patients were r'~t.u:rned. to t.r~~ uos} :itnl_ in 1~?73-1974. All the subjects
hF-d formerly work~:~i and?r unfavorable conditions of excessive radiation.
A', the times they returned to the hospital, all, t.~;e sub,~ects had been
away from work .n r,nnt,act with radi~ti on for ~'- ~ years . All subjects were
men between: the rs; ~s oi' 5 and 5ta ; i ~oct of t.}tnri (ly) were between 40 ane?
5~i rind hsd had contact; with radiation fr,r i~.or?~~ ;.`tan ]_0 years.
Or. the basis of +,e.ner?al.. clinical diaEmostie :rii, were identified: re~.zroci:?culat;ory dystonis of the hyper-
tonic type -- seven c,~,ses, hvperton:i,~: ?--? 10, carrtian ischemia - two, and
h; pot}:alamic defici~?n,~y -two. Ancor~iin~; t.o cur abservatinns, the 40-49
awe bracket was most suh,ject to th?~sf~ disease:;.
Th~~: ~'-3yE~ar per`od af!,er contact with r-a~]tai.ior; ceased did not cause a
noticeable change in t,i,r. course of crsrdi.avascular illness i.n the sub~ect,s.
For thr hypertc~r.ic l~~.ti~~rits high arterial pressure (more th&n 160~i40
ram mercury column) could be normalized in the clinic only by comprehensive
h~rpotencive thp?:^sl;y. ~~_n three patier.;;s hypert.onic crises with temporary
r"~.nifestations of irrtcairment of ce.r~~brsx f. circu].atio>> de~v~~loped at the
c].'_nic despite ';he t,hera~~y.
7n the two ischc;~in Y'~:~t,i.ent: Paine w~~rc~ nctt~?tY ~1~rin~r exatnination in the
area of the heart, and behind the stci?rnIm wt to irradiation below the left
scapula and into the left arm; thesF~ kern ar. rested with Validal and nitro-
g7_yceri.ne. Flectrrcr~rdiogram exatr,inat?_r?rt of t,}'tosF ps,tient.s showed
c}~anPes of types 4-i, 4-?_, 5-1, and. =>-2 of thF Minnesota code, which are
t~~~icnl for c~ir?diac ischemia.
Table 2 shows the~t rervaus-emoticnr:l stress and dangerous habits ~~ere the
r:~?:in extexnal rt_sk factors in the:: ~'1. vintims~ of d.ia~osed radiowave sick-
ness. The most Gammon endooenic factors were hyl.ercholesterolemia,
arterial hypertaria, excess weight, and ac;gr?r_vatod heritability.
Table 2. ~,uantitativc Distributian of L'prt~in Factors Tnfavorable for the
Develoiment of Car~iiov~~;~cular Illne;se~ i~~ ~l Patients with a Dia~osis
of Radio Wave Sic'r:7ess
i'aotor N.rr'c~r of Cases wi#,~L Factor
Nervous-Fmot,ional Overload 14
Combin nsr Work and Stuc? ~~ 4
I~?i!*ht Shifts 1 j
Red^alar Smoking 7
Mudernt,r, Consu.mptiou o~ Al.co?u~l 7
;1~r;ravat~~d Heritabi.l_it~l
j
C_.rriniai 'Pr~iiz;~ta in Ni;?~'.ary
Excess Weight
3
5
H;~>ercY;olerterolemia
i
Arteri~31 .',,yrertonia
10
Table 3 (next pa.cl shoes the eombinat;ion of t.t.~~ difff~xent r sk factors in
t,}'.~~ 10 victims of F.r!.~?rial by}~E~rtr.~;, J.~r ~:it i, t l~~' d.i~,~;ror:L; of x?adio wave
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sickness. In fives o" the 10 At; 1.e}i.n~~ ^r^ rebY:m~!iated nar.~_eso'f 10 patient.^,~ ;
~? ~~1.
(~~ Ar"E' ~irnlll ~ :.tlr' }'UGSaq?1 wOr(J?.. llr?~iP_ !' :I`. ~ S t'L?aC1nL? II'iE:an years J ~
(,dl Com}rinin~- ~.'s, in cur view it can probat?ly occupy z certain place among;
t,t;N other unfavorabl~? f'~ictors. But there i:~ a:: ti?et no basis for linking
t,r~~E, cic~velopn:ent of th~:~ illnes:~ with i.t, alor.e~. 'I'h~ question can be finally
resolved only on tyre ba:;i.s of results from ,:~ wel ] -or};anized epic;emiological
r?x~tr.i.nation of scpproF:rl,ite r?rou}~:; cc>ml~i.nc; wi.t.h a steid,y of the proven risk
f~rctorr found ninon,; t,},~m.
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^.'he result of this ~ r:v~~sti~Tation, compar~~~3 ~oit ;; r'at'a on t:~!e di~.tribution
of these illt:f~ssr? ; a:r~on~ the unorl;~rri~,?,~; },a}~ul~~tion, will. hHlp isolate
t:~~e role of r~icrowr:,ve r~:diation as ai morF~ or lf~:;s significant etiological
factor in the c9eveloi~r.:~~n?, of cardiov+~sculnr ?>c~t.holo~;,y.
]~I}~hIC~FU~PiiY
1. (rlotovr~, F:. V., anri Sa;.ichi.kova, tt. N. C ii' . 'I'~l3DA 19'j0, No 7, PP 2~+-27
''. G~_mbitskiy, YF . V. 'P}~iJDY VOYF:td.-MEll. A}{AD. I?~1. S. bI. KIROVA 196E,
Vol 166, pp 1?1-.t ~~.
D'ynchenk.o, N. A. V~YEN.-MED. ZII. 1970, Ido ,', pp 35-37?
4. Is':mznovs, T. S., "Furxktsional'nyye Rasstroystva Vnu~rennikh Organov
pri Idevrastenii" (F'unctienal Disorc:e.r~; oi' Internal Organs in Neuras-
thenia), Moscow, 19~i~}.
;. Ionesku, V., ";err~ieciino-Sosudistyye Fiasstroystva na Gra.ni Methdu
Nonnoy i atholo;;i~~^~~" (CardiovasculZr his~.~,jers on the Eorder fietween
'~Tox-rn and Patholo . ;Y) , Pucharest, ].~)7 j .
f.) .
T1' l.n:>kiy, T,. V ., e'. .i, , `:F'7.,ISY D~~K?.AIX;V '~'-()i,C- VSESc)1"U7,Pd. S"YF.ZIaA
}?y'.RJ:COLG~'rOV Vol t, M,`~scow, -i_`a73, };p =~~+-30 .
};evc,rk'y~i,~~, A. A. GIG. Tfi'JDA l~?'~~~~, No 4, pp 2t;-30.
c?. Medve