And in any case it's
really hard to estimate attributable risks for excess mortality due to the radiation exposure- for a variety of reasons that both the WHO and the Chernobyl Forum Reports talk about. Even the 9,000 figure's sketchy.
In terms of DALY's (disability-adjusted life years) the usual measures for time lived with a disability and the time lost due to premature mortality, I'd bet the social and mental health consequences of the accident will have a much greater public health impact than radiation exposure.
Laypersons often underestimate those effects, but in fact they're powerful predictors of future health.
A couple of quick examples:
From the WHO report:
Evacuation and relocation proved a deeply traumatic experience to many people because of the disruption to social networks and having no possibility to return to their homes. For many there was a social stigma associated with being an "exposed person".
http://www.who.int/mediacentre/factsheets/fs303/en/index.htmlFrom the Chernobyl Forum:
"As noted in the Chernobyl Forum report on Health, “the mental health impact of Chernobyl is the largest public health problem unleashed by the accident to date.” Psychological distress arising from the accident and its aftermath has had a profound impact on individual and community behaviour.
Populations in the affected areas exhibit strongly negative attitudes in self-assessments of health and wellbeing and a strong sense of lack of control over their own lives. Associated with these perceptions is an exaggerated sense of the dangers to health of exposure to radiation.
The affected populations exhibit a widespread belief that exposed people are in some way condemned to a shorter life expectancy. Such fatalism is also linked to a loss of initiative to solve the problems of sustaining an income and to dependency on assistance from the state.
Anxiety over the effects of radiation on health shows no sign of diminishing. Indeed, it may even be spreading beyond the affected areas into a wide section of the population. Parents may be transferring their anxiety to their children through example and excessively protective care."
http://www.iaea.org/Publications/Booklets/Chernobyl/chernobyl.pdfThese are mostly unique to nuclear power- people have a fear reaction that's been cultivated over years and years of associations. It's going to take a lot of educational campaigning for the nuclear industry to overcome it here in this country- and considering the lack of trust in the former Soviet Union, I don't know what if anything can realistically be done to help the people who were in or near the the areas that got dosed.