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The Radiological Incident at Lilo, Georgia

By Paul Heatley

Background
Lilo is a small town 25km from Tbilisi, Georgia Prior to 1992 the former USSR had a training facility for the soviet army at Lilo, Georgia. The Soviet facility was handed over to the Georgian Army in 1992. The training centre covers 150 000 m2 The SSSHS was Regulatory Authority and had 12 employees. SSSHS did not monitor employees or retain dose records made by others.

Lilo, Georgi

Accident Chronology
1992 Military base transferred to Georgia. Big gap..........in history July 1996 Young Georgian recruit exhibits fever, lesions to both hands, left thigh and abdomen. Incorrectly diagnosed as serum disease. December 1996 Five soldiers exhibit nausea, vomiting, multiple skin lesions some necrotic. Patients treated for polyform exudative erythema May to June 1997 Five more soldiers have skin ulcerations. August 1997 Radiation injuries suspected by Georgian physicians working with Russian specialists from Moscow.

Lilo Investigation
Site survey in 26 August 1997 located a 45mGy/h hotspot near underground shelter. (Georgian Army) 13th September 137Cs located in soldiers jacket Increased background level found in football field, the source was buried 30cm below the soil. A third source was located by a smoking area, 10cm underground. Full site surveyed at 1m above ground, 250 000m2. Sources identified at Lilo are: 12 off 137Cs; 1 off 60Co and 200 off 226Ra.

Sources Located at Lilo

The Casualties
22nd October 1997 - 4 soldiers hospitalised in Paris 29th October 1997 - 7 soldiers hospitalised in Ulm, Germany.

The Casualties
First symptoms included
nausea, vomiting, loss of appetite, headache, weakness. First Local symptom was erythema.

Diagnosis was cutaneous syndrome, all patients had radiation induced skin lesions and ulcers. 1997 - Treatments included
Skin grafts, tissue removal, anti-biotics, tranquilisers

1998 to 99 Further lesion removals, skin grafts, amputations (fingers), depression June 2010 after 11 years 7 of the 11 had to be rehospitalised due to reoccurrence of lesions. One had a further amputation, some suffer depression

Typical Lesion

Recommendations
Legislation required for the control of Ionising Radiations. Regulatory control of all Ionising Radiations. Labelling, identification, registration and safe storage of sources of Ionising Radiations. Emergency plans (local, national and international) for Ionising Radiations. Specialist services, correct equipment and training. Doctors require specialist training for identifying the symptoms of radiation syndrome.

References
IAEA & WHO [2000] The radiological accident in Lilo,. Available from: http://www-pub.iaea.org/MTCD/publications/PDF/pub1097_web.pdf David Jikia [2010] Long term follow up of the patients injured in the Lilo radiolgical accident. Health Phys. 98(6):872-875; 2010. CNS [2005] Radioactive Waste Developments in Georgia Available from: http://www.nti.org/e_research/profiles/georgia/radioactive_waste.html www.google.com (maps of Georgia)

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