The paper presents an analysis of the current radiation situation in the settlements of the Russian Federation located on the most radioactively contaminated territory after the Chernobyl accident. The assessment of 137Cs content in local agricultural (milk, beef, pork, potatoes), natural (mushrooms) foodstuffs, doses of external, and internal irradiation of residents was carried out. 37 years after the Chernobyl NPP accident, 72 settlements with a total number of residents of 63869 remain in the zone of radioactive contamination whose average effective radiation doses exceed 1 mSv/year. All these settlements are located in five southwestern districts of the Bryansk region and are rural except for Novozybkov. In the private sector of settlements, potatoes and pork fully comply with radiological standards for the content of 137Cs. In milk, the content of the radionuclide can exceed the standards up to 3, in beef up to 5, in mushrooms up to 8–17 times. Over the past 30 years, the number of settlements exceeding the legally established standard for the total exposure dose to the population (1 mSv/year) has decreased by 7.5 times. Due to the decrease in the levels of 137Cs contamination of local foodstuffs and the volume of their consumption, the role of internal exposure dose has been decreasing in recent years. It was noted that in addition to a comprehensive assessment of the radiation situation in settlements, agricultural and natural ecosystems, when planning the rehabilitation of settlements with average annual radiation doses of residents above 1 mSv, it is important to take into account the current diets of residents and the real demographic situation in the territories affected by the Chernobyl accident.
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