Ionizing radiation has deterministic and stochastic effects on human health. Deterministic (acute tissue effect) events happen with certainty, with the resulting health conditions occurring in every individual who received the same high dose. Stochastic (cancer induction and genetic) events are inherently random, with most individuals in a group failing to ever exhibit any causal negative health effects after exposure, while an indeterministic random minority do, often with the resulting subtle negative health effects being observable only after large detailed epidemiology studies.
The use of the sievert implies that only stochastic effects are being considered, and to avoid confusion deterministic effects are conventionally compared to values of absorbed dose expressed by the SI unit gray (Gy).