Starting in 1990, an increasing number of children in regions adjacent
to the site of the Chernobyl nuclear accident have been diagnosed as
suffering from thyroid cancer. Using available data up to 1994, the ge
ographical distribution, time and cohort trends, age distribution and
other characteristics of this epidemic are reviewed. The results show
that the geographical distribution is similar to that of iodine-131 af
ter the nuclear accident. When looking at cohorts of children born in
the same years, one can see that the incidence has been increasing ste
adily since 1990; deviations from this pattern might be explained by a
ctive case finding. A causal relationship with the Chernobyl accident
appears the most likely interpretation of these results. Possible modi
fying factors should, however, be examined closely.