The medical effects of the atomic bomb upon humans can be put into the four categories below, with the effects of larger thermonuclear weapons producing blast and thermal effects so large that there would be a negligible number of survivors close enough to the center of the blast who would experience prompt/acute radiation effects, which were observed after the 16 kiloton yield Hiroshima bomb, due to its relatively low yield:[1][2]
Initial stage—the first 1–9 weeks, in which are the greatest number of deaths, with 90% due to thermal injury and/or blast effects and 10% due to super-lethal radiation exposure.
Intermediate stage—from 10 to 12 weeks. The deaths in this period are from ionizing radiation in the median lethal range - LD50
Late period—lasting from 13 to 20 weeks. This period has some improvement in survivors' condition.
Delayed period—from 20+ weeks. Characterized by numerous complications, mostly related to healing of thermal and mechanical injuries, and if the individual was exposed to a few hundred to a thousand millisieverts of radiation, it is coupled with infertility, sub-fertility and blood disorders. Furthermore, ionizing radiation above a dose of around 50-100 millisievert exposure has been shown to statistically begin increasing a person's chance of dying of cancer sometime in their lifetime over the normal unexposed rate of c. 25%, in the long term, a heightened rate of cancer, proportional to the dose received, would begin to be observed after c. 5+ years, with lesser problems, such as eye cataracts, and other more minor effects in other organs and tissue also being observed over the long term.
Depending on whether individuals further afield shelter in place or evacuate perpendicular to the direction of the wind, and therefore avoid contact with the fallout plume, and stay there for the days and weeks after the nuclear explosion, their exposure to fallout, and therefore their total dose, will vary. With those who do shelter in place, and or evacuate, experiencing a total dose that would be negligible in comparison to someone who just went about their life as normal.[3][4]
Staying indoors until after the most hazardous fallout isotope, I-131 decays away to 0.1% of its initial quantity after ten half-lives – which is represented by 80 days in the care of I-131 cases, would make the difference between likely contracting thyroid cancer or escaping completely from this substance depending on the actions of the individual.[citation needed]
Some scientists estimate that if there were a nuclear war resulting in 100 Hiroshima-size nuclear explosions on cities, it could cause significant loss of life in the tens of millions from long term climatic effects alone. The climatology hypothesis is that if each city firestorms, a great deal of soot could be thrown up into the atmosphere which could blanket the earth, cutting out sunlight for years on end, causing the disruption of food chains, in what is termed a nuclear winter scenario.[5][6]
Blast effects — the initial stage
Immediate post-attack period
Melted and fused pieces of metal (including coins that were in people's pockets) from the Atomic bombings of Japan. The melting of metal like this occurred during the ensuing fires and firestorms, long after the bombs had exploded.
The main causes of death and disablement in this state are thermal burns and the failure of structures resulting from the blast effect. Injury from the pressure wave is minimal in contrast because the human body can survive up to 2 bar (30 psi) while most buildings can withstand only a 0.8 bar (12 psi) blast. Therefore, the fate of humans is closely related to the survival of the buildings around them.[7]
Types of radioactive exposure after a nuclear attack
Japanese woman (one of the Hiroshima Maidens) with burns from thermal radiation after the United States dropped nuclear bombs on Japan.
In a nuclear explosion, the human body can experience varying types of radiation. This radiation can be classified into two groups: initial radiation and residual radiation. Initial radiation is emitted during the initial explosion, which releases short-term radionuclides. The residual radiation is emitted after the initial attack from materials that were impacted by the detonation. These materials let off nuclear radiation in the form of residual radiation.[8] In the event of a nuclear attack, a human body can be irradiated by at least three processes. The first, and most significant, cause of burns is thermal radiation and not caused by ionizing radiation.
Thermal burns from infrared heat radiation, these would be the most common burn type experienced by people.
If people come in direct contact with fallout, beta burns from shallow ionizing beta radiation will be experienced, the largest particles (visible to the naked eye) in local fallout would be likely to have very high radioactivity because they would be deposited so soon after detonation; this fraction of the total fallout is called the prompt or local fallout fraction. It is likely that one such particle upon the skin would be able to cause a localized beta burn. This local fallout, termed Bikini snow after the Pacific island weapon tests,[9] was experienced by the crew on the deck of the Lucky Dragon fishing ship following the explosion of the 15 megatonShrimp device in the Castle Bravo event. However, these particular decay particles (beta particles) are very weakly penetrating and have a short range, requiring almost direct contact between fallout and personnel to be harmful.
Rarer still would be personnel who experience radiation burns from highly penetrating gamma radiation. This would likely cause deep gamma penetration within the body, which would result in uniform whole body irradiation rather than only a surface burn. In cases of whole body gamma irradiation (c. 10 Gy) due to accidents involving medical product irradiators, some of the human subjects have developed injuries to their skin between the time of irradiation and death.
In the picture above, the normal clothing (a kimono) that the woman was wearing attenuated the far reaching thermal radiation; the kimono, however, would naturally have been unable to attenuate any gamma radiation, if she were close enough to the weapon to have experienced any, and it would be likely that any such penetrating radiation effect would be evenly applied to her entire body. Beta burns would likely be all over the body if there was contact with fallout after the explosion, unlike thermal burns, which are only ever on one side of the body, as heat radiation infrared naturally does not penetrate the human body. In addition, the pattern on her clothing has been burnt into the skin by the thermal radiation. This is because white fabric reflects more visible and infrared light than dark fabric. As a result, the skin underneath dark fabric is burned more than the skin covered by white clothing.
There is also the risk of internal radiation poisoning by ingestion of fallout particles, if one is in a fallout zone.
Radiation poisoning, also called "radiation sickness" or a "creeping dose", is a form of damage to organ tissue due to excessive exposure to ionizing radiation. The term is generally used to refer to acute problems caused by a large dosage of radiation in a short period, though this also has occurred with long-term exposure to low-level radiation. Many of the symptoms of radiation poisoning occur as ionizing radiation interferes with cell division. There are numerous lethal radiation syndromes, including prodromal syndrome, bone marrow death, central nervous system death and gastrointestinal death.[10]
Prodromal syndrome
The "prodromal syndrome" is not a diagnosis, but the technical term used by health professionals to describe a specific group of symptoms that may precede the onset of an illness. For example, a fever is "prodromal" to measles, which means that a fever may be a risk factor for developing this illness. The prodromal symptoms for radiation poisoning can include symptoms such as feelings of nausea, increased thirst, loss of appetite, discomfort, fever, and diarrhea.[11]
Bone marrow death
Bone marrow death is caused by a dose of radiation between 2 and 10 Gray and is characterized by the part of the bone marrow that makes the blood being broken down. Therefore, production of red and white blood cells and platelets is stopped due to loss of the blood-making stem cells (4.5 Gray kills 95% of stem cells). The loss of platelets greatly increases the chance of fatal hemorrhage, while the lack of white blood cells causes infections; the fall in red blood cells is minimal, and only causes mild anemia.[10]
The exposure to 4.5 Gray of penetrating gamma rays has many effects that occur at different times:
The peak incidence of acute BM death corresponds to the 30-day nadir in blood cell numbers. The number of deaths then falls progressively until it reaches 0 at 60 days after irradiation. The amount of radiation greatly affects the probability of death. For example, over the range of 2 to 6 Gray the probability of death in untreated adults goes from about 1% to 99%, but these figures are for healthy adults. Therefore, results may differ, because of the thermal and mechanical injuries and infectious conditions.[10]
Gastrointestinal death
Gastrointestinal death is caused by a dose of radiation between 10 and 50 Gray. Whole body doses cause damage to epithelial cells lining the gastrointestinal tract and this combined with the bone marrow damage is fatal. All symptoms become increasingly severe, causing exhaustion and emaciation in a few days and death within 7–14 days from loss of water and electrolytes.[10]
The skin is susceptible to beta-emitting radioactive fallout. The principal site of damage is the germinal layer, and often the initial response is erythema (reddening) due to blood vessels congestion and edema. Erythema lasting more than 10 days occurs in 50% of people exposed to 5-6 Gray.[10]
A single dose of 1–2 Gray will cause temporary damage and suppress menstruation for periods up to 3 years; a dose of 4 Gray will cause permanent sterility.[10]
Testicles
A dose of 0.1 Gray will cause low sperm counts for up to a year; 2.5 Gray will cause sterility for 2 to 3 years or more. 4 Gray will cause permanent sterility.[10]
Long-term effects
Cataract induction
The timespan for developing this symptom ranges from 6 months to 30 years to develop but the median time for developing them is 2–3 years.[10]
2 Gray of gamma rays cause opacities in a few percent
6-7 Gray can seriously impair vision and cause cataracts
Cancer induction
Cancer induction is the most significant long-term risk of exposure to a nuclear bomb. Approximately 1 out of every 80 people exposed to 1 Gray will die from cancer, in addition to the normal rate of 20 out of 80. About 1 in 40 people will get cancer, in addition to the typical rates of 16-20 out of 40. Different types of cancer take different times for them to appear:[10]
A 1Gy dose of radiation will cause between 0 and 20 extra cases of perinatal mortality, per 1,000 births and 0-20 cases per 1000 births of severe mental sub-normality. A 0.05Gy dose will increase death due to cancer 10 fold, from the normal 0.5 per 1000 birth rate to a rate of 5 per 1,000.[citation needed] An antenatal dose of 1Gy in the first trimester causes the lifetime risk of fatal cancer sometime in the child's life to increase from c. 25% in non-exposed humans to 100% in the first trimester after exposure.[10]
Transgenerational genetic damage
Exposure to even relatively low doses of radiation generates genetic damage in the progeny of irradiated rodents. This damage can accumulate over several generations.[12] No statistically demonstrable increase of congenital malformations was found among the later conceived children born to survivors of the Nuclear weapons at Hiroshima and Nagasaki.[13][14][15] The surviving women of Hiroshima and Nagasaki, that could conceive, who were exposed to substantial amounts of radiation, went on and had children with no higher incidence of abnormalities than the Japanese average.[16][17]
Infectious diseases resulting from nuclear attack
It was assumed in the 1983 book Medical Consequences of Radiation Following a Global Nuclear War that, although not caused by radiation, one of the long-term effects of a nuclear war would be a massive increase in infectious diseases caused by fecal matter contaminated water from untreated sewage, crowded living conditions, poor standard of living, and lack of vaccines in the aftermath of a nuclear war, with the following list of diseases being cited:[7]
There would be billions of disease carrying vectors, in the form of city residents,[18] lying deceased in cities caused by the direct nuclear weapons effects alone, with the surviving few billion people spread out in rural communities living agrarian lifestyles, with the survivors therefore posing a way of living far less prone to creating the crowded slum living conditions required for infectious diseases to spread. Moreover, as reported in a paper published in the journal Public Health Reports, it is also one of a number of prevalent myths that infectious diseases always occur after a disaster in cities.[19][20]
Epidemics seldom occur after a disaster, and dead bodies do not lead to catastrophic outbreaks of infectious diseases. Intuitively, epidemic diseases, illnesses, and injuries might be expected following major disasters. However, as noted by de Goyet, epidemics seldom occur after disasters, and unless deaths are caused by one of a small number of infectious diseases such as smallpox, typhus, or plague, exposure to dead bodies does not cause disease ... Cholera and typhoid seldom pose a major health threat after disasters unless they are already endemic.
↑ 7 hour rule: At 7 hours after detonation the fission product activity will have decreased to about 1/10 (10%) of its amount at 1 hour. At about 2 days (49 hours-7X7) the activity will have decreased to 1% of the 1-hour value! http://www.falloutradiation.com/johnwayne7
↑ Royle, Stephen A. (1999). "Conservation and Heritage in the Face of Insular Urbanization: The Marshall Islands and Kiribati". Built Environment. 25 (3): 211–221. JSTOR23287814.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Coggle, J.E., Lindop, Patricia J. "Medical Consequences of Radiation Following a Global Nuclear War." The Aftermath (1983): 60-71.
↑ Ryabokon NI, Smolich II, Kudryashov VP, Goncharova RI (25 March 2013). "Long-term development of the radionuclide exposure of murine rodent populations in Belarus after the Chernobyl accident". Radiat Environ Biophys. 44 (3): 169–81. doi:10.1007/s00411-005-0015-2. PMID16215755. S2CID19852128.
In physics, radiation is the emission or transmission of energy in the form of waves or particles through space or a material medium. This includes:
Nuclear fallout is the residual radioactive material propelled into the upper atmosphere following a nuclear blast, so called because it "falls out" of the sky after the explosion and the shock wave has passed. It commonly refers to the radioactive dust and ash created when a nuclear weapon explodes. The amount and spread of fallout is a product of the size of the weapon and the altitude at which it is detonated. Fallout may get entrained with the products of a pyrocumulus cloud and fall as black rain. This radioactive dust, usually consisting of fission products mixed with bystanding atoms that are neutron-activated by exposure, is a form of radioactive contamination.
Acute radiation syndrome (ARS), also known as radiation sickness or radiation poisoning, is a collection of health effects that are caused by being exposed to high amounts of ionizing radiation in a short period of time. Symptoms can start within an hour of exposure, and can last for several months. Early symptoms are usually nausea, vomiting and loss of appetite. In the following hours or weeks, initial symptoms may appear to improve, before the development of additional symptoms, after which either recovery or death follow.
The sievert is a unit in the International System of Units (SI) intended to represent the stochastic health risk of ionizing radiation, which is defined as the probability of causing radiation-induced cancer and genetic damage. The sievert is important in dosimetry and radiation protection. It is named after Rolf Maximilian Sievert, a Swedish medical physicist renowned for work on radiation dose measurement and research into the biological effects of radiation.
Ionizing radiation (US) (or ionising radiation [UK]), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel up to 99% of the speed of light, and the electromagnetic waves are on the high-energy portion of the electromagnetic spectrum.
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination.
Absorbed dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass. Absorbed dose is used in the calculation of dose uptake in living tissue in both radiation protection, and radiology. It is also used to directly compare the effect of radiation on inanimate matter such as in radiation hardening.
Radioactive contamination, also called radiological pollution, is the deposition of, or presence of radioactive substances on surfaces or within solids, liquids, or gases, where their presence is unintended or undesirable.
Radiation hormesis is the hypothesis that low doses of ionizing radiation are beneficial, stimulating the activation of repair mechanisms that protect against disease, that are not activated in absence of ionizing radiation. The reserve repair mechanisms are hypothesized to be sufficiently effective when stimulated as to not only cancel the detrimental effects of ionizing radiation but also inhibit disease not related to radiation exposure. It has been a mainstream concept since at least 2009.
Irradiation is the process by which an object is exposed to radiation. An irradiator is a device used to expose an object to radiation, notably gamma radiation, for a variety of purposes. Irradiators may be used for sterilizing medical and pharmaceutical supplies, preserving foodstuffs, alteration of gemstone colors, studying radiation effects, eradicating insects through sterile male release programs, or calibrating thermoluminescent dosimeters (TLDs).
Iodine-131 is an important radioisotope of iodine discovered by Glenn Seaborg and John Livingood in 1938 at the University of California, Berkeley. It has a radioactive decay half-life of about eight days. It is associated with nuclear energy, medical diagnostic and treatment procedures, and natural gas production. It also plays a major role as a radioactive isotope present in nuclear fission products, and was a significant contributor to the health hazards from open-air atomic bomb testing in the 1950s, and from the Chernobyl disaster, as well as being a large fraction of the contamination hazard in the first weeks in the Fukushima nuclear crisis. This is because 131I is a major fission product of uranium and plutonium, comprising nearly 3% of the total products of fission. See fission product yield for a comparison with other radioactive fission products. 131I is also a major fission product of uranium-233, produced from thorium.
A radiation burn is a damage to the skin or other biological tissue and organs as an effect of radiation. The radiation types of greatest concern are thermal radiation, radio frequency energy, ultraviolet light and ionizing radiation.
A nuclear explosion is an explosion that occurs as a result of the rapid release of energy from a high-speed nuclear reaction. The driving reaction may be nuclear fission or nuclear fusion or a multi-stage cascading combination of the two, though to date all fusion-based weapons have used a fission device to initiate fusion, and a pure fusion weapon remains a hypothetical device. Nuclear explosions are used in nuclear weapons and nuclear testing.
Radiation damage is the effect of ionizing radiation on physical objects including non-living structural materials. It can be either detrimental or beneficial for materials.
Radiobiology is a field of clinical and basic medical sciences that involves the study of the effects of ionizing radiation on living things, in particular health effects of radiation. Ionizing radiation is generally harmful and potentially lethal to living things but can have health benefits in radiation therapy for the treatment of cancer and thyrotoxicosis. Its most common impact is the induction of cancer with a latent period of years or decades after exposure. High doses can cause visually dramatic radiation burns, and/or rapid fatality through acute radiation syndrome. Controlled doses are used for medical imaging and radiotherapy.
Radiation-induced cognitive decline describes the possible correlation between radiation therapy and cognitive impairment. Radiation therapy is used mainly in the treatment of cancer. Radiation therapy can be used to cure, care or shrink tumors that are interfering with quality of life. Sometimes radiation therapy is used alone; other times it is used in conjunction with chemotherapy and surgery. For people with brain tumors, radiation can be an effective treatment because chemotherapy is often less effective due to the blood–brain barrier. Unfortunately for some patients, as time passes, people who received radiation therapy may begin experiencing deficits in their learning, memory, and spatial information processing abilities. The learning, memory, and spatial information processing abilities are dependent on proper hippocampus functionality. Therefore, any hippocampus dysfunction will result in deficits in learning, memory, and spatial information processing ability.
The committed dose in radiological protection is a measure of the stochastic health risk due to an intake of radioactive material into the human body. Stochastic in this context is defined as the probability of cancer induction and genetic damage, due to low levels of radiation. The SI unit of measure is the sievert.
Exposure to ionizing radiation is known to increase the future incidence of cancer, particularly leukemia. The mechanism by which this occurs is well understood, but quantitative models predicting the level of risk remain controversial. The most widely accepted model posits that the incidence of cancers due to ionizing radiation increases linearly with effective radiation dose at a rate of 5.5% per sievert; if correct, natural background radiation is the most hazardous source of radiation to general public health, followed by medical imaging as a close second. Additionally, the vast majority of non-invasive cancers are non-melanoma skin cancers caused by ultraviolet radiation. Non-ionizing radio frequency radiation from mobile phones, electric power transmission, and other similar sources have been investigated as a possible carcinogen by the WHO's International Agency for Research on Cancer, but to date, no evidence of this has been observed.
Travel outside the Earth's protective atmosphere, magnetosphere, and in free fall can harm human health, and understanding such harm is essential for successful crewed spaceflight. Potential effects on the central nervous system (CNS) are particularly important. A vigorous ground-based cellular and animal model research program will help quantify the risk to the CNS from space radiation exposure on future long distance space missions and promote the development of optimized countermeasures.
Radiation exposure is a measure of the ionization of air due to ionizing radiation from photons. It is defined as the electric charge freed by such radiation in a specified volume of air divided by the mass of that air. As of 2007, "medical radiation exposure" was defined by the International Commission on Radiological Protection as exposure incurred by people as part of their own medical or dental diagnosis or treatment; by persons, other than those occupationally exposed, knowingly, while voluntarily helping in the support and comfort of patients; and by volunteers in a programme of biomedical research involving their exposure. Common medical tests and treatments involving radiation include X-rays, CT scans, mammography, lung ventilation and perfusion scans, bone scans, cardiac perfusion scan, angiography, radiation therapy, and more. Each type of test carries its own amount of radiation exposure. There are two general categories of adverse health effects caused by radiation exposure: deterministic effects and stochastic effects. Deterministic effects are due to the killing/malfunction of cells following high doses; and stochastic effects involve either cancer development in exposed individuals caused by mutation of somatic cells, or heritable disease in their offspring from mutation of reproductive (germ) cells.
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