At the end of July 1998, three 137Cs sources (between 0.17 and 150 GBq) were found
in the vicinity of the village of Matkhoji, located at 300 km to the west of Tbilissi.
This site was a former Russian military base, abandoned since 1992 and used now as pasture
and a playground for the children. The Georgian Environment Ministry requested assistance
from IAEA which sent a mission to the site. This established that a predominantly
chronic exposure of part of the population of the village has occurred. The IAEA
requested technical assistance from IPSN. A mission, made up of 4 people from IPSN and
a representative of the IAEA went to the site from 12 to 17 October 1998. This mission
collected information on the circumstances of the exposure and selected a potentially
explored cohort of 112 people, in three groups: children of more than five years and
adults of less than 50 years attending the site and members of a family who had a source
in their cattle shed. An analysis of hematologic parameters was performed on these
people and 85 blood samples were taken for biological dosimetry. The hematologic analysis
carried out on the spot did not show any particular anomaly. The biological dosimetry by
scoring of unstable chromosome aberrations (dicentric, rings centric, fragments)
in blood peripheral lymphocytes was performed on blood samples after air transportation
to the specialised laboratory (LDBM) of the IPSN Two successive procedures were
initiated. The first was a quick phase of triage not very precise but intended to
check if some of these people presented obvious signs of irradiation. Only 50 cells
per subject were scored. Seven days were needed to complete this phase. Dicentrics were
found in three people only indicating a whole-body dose not exceeding 0.5 Gy on average.
This triage was followed of a more complete but longer examination, where chromosome
aberrations were scored in 250 cells. Six weeks were necessary to score 22 000 cells
from the 85 people. In total, 30 dicentrics were scored among only 17 Georgian patients.
The highest dose to the whole body estimated from a reference calibration curve was
0.3 Gy The majority of these dicentrics was found in the children having played on
several occasions in the former military camp. Unfortunately, the information provided
by the population was too fragmentary to permit an effective reconstruction of the
individual doses.