The text of my presentation at the WHO meeting in St Petersburg Russia held at the former KGB Sanatorium to address the problems of those involved in the cleanup after the accident at Chernobyl. My wife Karen came with me on this trip. From here we went on to Moscow, Bryansk and Kiev (with a stop in Germany) where we were joined by Drs Tom Wheeler and Rhida Arem who gave a series of lectures on fine needle biopsy techniques of the thyroid with our collaborators in each location.