point so far, of about 11 cases per 100,000 in the decade of the 2000s, approximately 14 years after the accident. From 1989 to 2005, an excess of 4,000 children and adolescent cases of thyroid cancer were observed. Nine of these had died as of 2005, a 99% survival rate. Effects on evacuees In the former Soviet Union, many patients with negligible radioactive exposure after the Chernobyl disaster displayed extreme anxiety about radiation exposure. They developed many psychosomatic problems, including radiophobia along with an increase in fatalistic alcoholism. As Japanese health and radiation specialist Shunichi Yamashita noted: A survey by the Iitate local government obtained responses from approximately 1,743 evacuees within the evacuation zone. The survey showed that many residents are experiencing growing frustration, instability, and an inability to return to their earlier lives. Sixty percent of respondents stated that their health and the health of their families had deteriorated after evacuating, while 39.9% reported feeling more irritated compared to before the disaster. Summarizing all responses to questions related to evacuees' current family status, one-third of all surveyed families live apart from their children, while 50.1% live away from other family members (including elderly parents) with whom they lived before the disaster. The survey also showed that 34.7% of the evacuees have suffered salary cuts of 50% or more since the outbreak of the nuclear disaster. A total of 36.8% reported a lack of sleep, while 17.9% reported smoking or drinking more than before they evacuated. Stress often manifests in physical ailments, including behavioral changes such as poor dietary choices, lack of exercise, and sleep deprivation. Survivors, including some who lost homes, villages, and family members, were found likely to face mental health and physical challenges. Much of the stress came from lack of information and from relocation. A 2014 metareview of 48 articles indexed by PubMed, PsycINFO, and EMBASE, highlighted several psychophysical consequences among the residents in Miyagi, Iwate, Ibaraki, Tochigi and Tokyo. The resulting outcomes included depressive symptoms, anxiety, sleep disturbance, social functioning, social isolation, admission rates, suicide rates and cerebral structure changes, radiation impacting food safety, maternal anxiety and lowered maternal confidence. In a 2017 risk analysis, relying on the metric of potential months of life lost, it determined that unlike Chernobyl, "relocation was unjustified for the 160,000 people relocated after Fukushima", when the potential future deaths from exposure to radiation around Fukushima, would have been much