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PubMed1985

[Consequences for military medicine of new nuclear weapons developments].

The development and production of qualitatively new nuclear weapons (e.g. neutron weapons) has consequences also for the medical protection under conditions of war. In the present paper the peculiarities of these new systems of arms as well as the profile of injured persons which is to be expected after use of neutron weapons are analysed and general conclusions for the medical service are drawn.

Dose-Response Relationship, Radiation↗
PubMed2003

Follow up of mortality and incidence of cancer 1952-98 in men from the UK who participated in the UK's atmospheric nuclear weapon tests and experimental programmes.

AIMS: To extend and analyse follow up of mortality and cancer incidence among men who took part in the UK's atmospheric nuclear weapon tests and experimental programmes 40-50 years ago, with particular reference to multiple myeloma and leukaemia. METHODS: A total of 21,357 servicemen and male civilians from the UK who participated in the tests and a control group of 22,333 male controls were followed over the period 1952-98. Analyses were conducted of mortality from various causes, and of mortality and incidence for 27 types of cancer. RESULTS: Rates of mortality from all causes continued to be similar among test participants and controls with the longer follow up, with standardised mortality ratios (SMRs) of 89 and 88 respectively over the full follow up period. For all cancers, the corresponding SMRs were 93 for participants and 92 for controls. Mortality from multiple myeloma was consistent with national rates both for participants and controls, and the relative risk (RR) of myeloma incidence among participants relative to controls was 1.14 (90% CI 0.74 to 1.74) over the full follow up period and 0.79 (90% CI 0.45 to 1.38) during the extended period of follow up (1991-98). Over the full follow up period, leukaemia mortality among participants was consistent with national rates, while rates among controls were significantly lower, and there was a suggestion of a raised risk among test participants relative to controls (RR 1.45, 90% CI 0.96 to 2.17); the corresponding RR for leukaemia incidence was 1.33 (90% CI 0.97 to 1.84). After excluding chronic lymphatic leukaemia (CLL), which is not thought to be radiation inducible, the RR of leukaemia mortality increased to 1.83 (90% CI 1.15 to 2.93), while that for incidence was little changed. Analysis of subgroups of participants with greater potential for exposure provided little evidence of increased risks, although the numbers of men involved were smaller and the statistical power was therefore less. Among other types of cancer, only for liver cancer incidence was there evidence of differences in rates between participants and controls in both the earlier and in the additional period of follow up. Mortality rates among test participants from causes other than cancer were generally similar to those among the controls. CONCLUSIONS: Overall levels of mortality and cancer incidence in UK nuclear weapons test participants have continued to be similar to those in a matched control group, and overall mortality has remained lower than expected from national rates. There was no evidence of an increased raised risk of multiple myeloma among test participants in recent years, and the suggestion in the first analysis of this study of a raised myeloma risk is likely to have been a chance finding. There was some evidence of a raised risk of leukaemia other than CLL among test participants relative to controls, particularly in the early years after the tests, although a small risk may have persisted more recently. This could be a chance finding, in view of low rates among the controls and the generally small radiation doses recorded for test participants. However, the possibility that test participation caused a small absolute risk of leukaemia other than CLL cannot be ruled out.

Adult↗
PubMed1990

Atmospheric nuclear weapon test history as characterized by the deposition of 14C in human teeth.

The 14C concentration in the collagen of human teeth was retrospectively investigated to determine whether its incorporation was related to atmospheric testing of nuclear weapons. Teeth were extracted for dental therapy from July 1987 to February 1988 from patients who were residents in Japan. Tooth collagen was extracted with HCl and converted to amorphous C by heating in a vacuum line. Specimens for 14C analysis were prepared by mixing the amorphous C with silver powder. The 14C concentration was measured by mass spectrometer. The 14C concentration in tooth collagen rapidly increased in 1961 after the bomb tests, peaked around 1967-1968, and then gradually decreased. The collagen of human teeth maintains the 14C concentration at the age of root completion for life. The results of this study indicate that the history of environmental contamination from atmospheric nuclear weapon's tests has been characterized by deposition of 14C in the tooth collagen 14C of human beings.

Adolescent↗
PubMed1985

Defense against nuclear weapons: a decision analysis.

Response to the public health threat posed by nuclear weapons is a medical imperative. The United States, in contrast to other nations, has chosen a course that assures maximal casualties in the event of a nuclear attack, on the theory that prevention of the attack is incompatible with preventive measures against its consequences, such as blast injuries and radiation sickness. A decision analysis approach clarifies the risks and benefits of a change to a strategy of preparedness.

Civil Defense↗
PubMed1983

Nuclear weapons and medicine: some ethical dilemmas.

The enormous destructive power of present stocks of nuclear weapons poses the greatest threat to public health in human history. Technical changes in weapons design are leading to an increased emphasis on the ability to fight a nuclear war, eroding the concept of deterrence based on mutually assured destruction and increasing the risk of nuclear war. Medical planning and civil defence preparations for nuclear war have recently been increased in several countries although there is little evidence that they will be of significant value in the aftermath of a nuclear conflict. These developments have raised new ethical dilemmas for those in health professions. If there is any risk of use of weapons of mass destruction, then support for deterrence with these weapons as a policy for national or global security appears to be incompatible with basic principles of medical ethics and international law. The primary medical responsibility under such circumstances is to participate in attempts to prevent nuclear war.

Civil Defense↗
PubMed2006

Transfer of 137Cs from Chernobyl debris and nuclear weapons fallout to different Swedish population groups.

Data from measurements on the body burden of (134)Cs, (137)Cs and (40)K in various Swedish populations between 1959 and 2001 has been compiled into a national database. The compilation is a co-operation between the Departments of Radiation Physics in Malmö and Göteborg, the National Radiation Protection Authority (SSI) and the Swedish Defense Research Agency (FOI). In a previous study the effective ecological half time and the associated effective dose to various Swedish populations due to internal contamination of (134)Cs and (137)Cs have been assessed using the database. In this study values of human body burden have been combined with data on the local and regional ground deposition of fallout from nuclear weapons tests (only (137)Cs) and Chernobyl debris (both (134)Cs and (137)Cs), which have enabled estimates of the radioecological transfer in the studied populations. The assessment of the database shows that the transfer of radiocesium from Chernobyl fallout to humans varies considerably between various populations in Sweden. In terms of committed effective dose over a 70 y period from internal contamination per unit activity deposition, the general (predominantly urban) Swedish population obtains 20-30 microSv/kBq m(-2). Four categories of populations exhibit higher radioecological transfer than the general population; i.) reindeer herders ( approximately 700 microSv/kBq m(-2)), ii.) hunters in the counties dominated by forest vegetation ( approximately 100 microSv/kBq m(-2)), iii.) rural non-farming populations living in sub-arctic areas (40-150 microSv/kBq m(-2)), and iv.) farmers ( approximately 50 microSv/kBq m(-2)). Two important factors determine the aggregate transfer from ground deposition to man; i.) dietary habits (intakes of foodstuff originating from natural and semi-natural ecosystems), and ii.) inclination to follow the recommended food restriction by the authorities. The transfer to the general population is considerably lower ( approximately a factor of 3) for the Chernobyl fallout than during the 1960s and 70s, which is partly explained by a higher awareness of the pathways of radiocaesium to man both by the public and by the regulating authorities, and by the time-pattern of the nuclear weapons fallout during the growth season in Sweden.

Body Burden↗
PubMed1962

Bovine thyroid iodine-131 concentrations subsequent to Soviet nuclear weapon tests.

The iodine-131 concentration in thyroids of cattle slaughtered in Reno, Nevada, was measured during and following recent atmospheric nuclear weapon tests by the U.S.S.R. The iodine-131 concentration rose rapidly to a maximum and then declined with an apparent half-life of 7 days after conclusion of the test series. The average dose to bovine thyroids from this test series was estimated to be 17 rads.

Animals↗
PubMed2001

Classification of hot particles from the Chernobyl accident and nuclear weapons detonations by non-destructive methods.

Both after the Chernobyl accident and nuclear weapon detonations, agglomerates of radioactive material, so-called hot particles, were released or formed which show a behaviour in the environment quite different from the activity released in gaseous or aerosol form. The differences in their characteristic properties, in the radionuclide composition and the uranium and actinide contents are described in detail for these particles. While nuclear bomb hot particles (both from fission and fusion bombs) incorporate well detectable trace amounts of 60Co and 152Eu, these radionuclides are absent in Chernobyl hot particles. In contrast, Chernobyl hot particles contain 125Sb and 144Ce which are absent in atomic bomb HPs. Obvious differences are also observable between fusion and fission bombs' hot particles (significant differences in 152Eu/l55Eu, 154Eu/155Eu and 238Pu/239Pu ratios) which facilitate the identification of HPs of unknown provensence. The ratio of 239Pu/240Pu in Chernobyl hot particles could be determined by a non-destructive method at 1:1.5. A non-destructive method to determine the content of non-radioactive elements by Kalpha-emission measurements was developed by which inactive Zr, Nb, Fe and Ni could be verified in the particles.

Environmental Monitoring↗
PubMed2004

Magnitude of fission product depositions from atmospheric nuclear weapon test fallout in France.

The external dose attributable to fallout from worldwide atmospheric nuclear testing, which represents about 40% of the total effective dose received before 2000, is dominated by specific fission products such as 95Zr, 104Ba, 106Ru, 103Ru, and 144Ce, which are far less well-documented than 90Sr and 137Cs. The depositions of these nuclides over France were calculated on the basis of activity measurements in air and rainwater samples collected from 1961 to 1977. These depositions were then compared to the same radionuclides activities measured in grass during that period. This study shows that the transfer and deposition processes occur in a very similar manner for all the studied radionuclides. Depositions calculated in this study, consistent in most cases with UNSCEAR estimates, constitute a good basis for the external dose assessment of nuclear weapon test fallout over Western Europe.

Air Pollutants, Radioactive↗
PubMed1994

Determination of the ratios of 239Pu and 240Pu to 241Am for nuclear weapons test sites in Australia.

Recent measurements of the plutonium contamination at former nuclear weapons test sites in Australia have used the 59.5 keV gamma ray from the 241Am impurity to estimate levels of 239Pu and 240Pu. Measurements of the activity ratio of 239Pu to 241Am are presented for sites where suitable samples could be collected. Measurements of 240Pu were also made when interferences from fission products were absent. All measurements were made using a planar Ge detector of sufficient resolution to separate the 51.6 keV 239Pu gamma ray from the Ge K x-ray escape peaks and Compton scattering continuum from the much stronger 59.5 keV 241Am gamma ray. Results are given for most of the plutonium-contaminated sites in Australia.

Americium↗
PubMed1986

Historical perspectives on selected health and safety aspects of nuclear weapons testing.

This paper presents a general review of public safety standards as adapted by the nuclear weapons testing program in the United States, and the impact of these changing standards on the nuclear testing program itself. The review notes the importance of improvements in diagnostic instrumentation and methodologies from a relatively simple degree of sophistication to their current high level. Use of the improved methodologies uncovered a serious oversight affecting human exposure, namely, that of not recognizing the relative importance of all potential transport/dosimetric pathways for risk assessment. The testing program, from its inception in the Pacific in 1946 to the present time in Nevada, is viewed from the perspective of providing improved radiation protection to the general public.

Health Physics↗
PubMed1992

Inhalation doses for aboriginal people reoccupying former nuclear weapons testing ranges in South Australia.

The Australian Government plans to rehabilitate the former nuclear weapons testing ranges at Maralinga and Emu in South Australia and to allow access to the areas for the Pitjantjatjara (Aboriginal) people who are the traditional owners of the land. The major radiological hazard posed by reoccupation of the ranges arises from inhalation of residual plutonium. The committed effective dose that these people might receive from inhalation on reoccupation of the lands is computed for a range of sites. The estimated doses for permanent occupancy range up to 300 mSv y-1 indicating the need for substantial rehabilitation before these areas are suitable for unrestricted access.

Environmental Pollution↗
PubMed2006

Vertical migration studies of 137Cs from nuclear weapons fallout and the Chernobyl accident.

The vertical migration of (137)Cs originating from nuclear weapons fallout (NWF) and the Chernobyl accident has been studied at 33 sampling sites in western Sweden. An attempt to describe the present depth distribution with a solution to the convection-diffusion equation (CDE) with a pulse-like fallout event as the initial condition was made. A sum of two CDEs describing the NWF and Chernobyl debris was fitted to the actual depth profiles measured by soil sampling. The fitted depth profiles were used to correct in situ measurements for the actual depth distribution, showing good agreement with the accumulated activities in soil samples. As expected, the vertical migration was very slow and most caesium was still present in the upper soil layers. The ranges of the apparent convection velocity, v, and apparent diffusion coefficient, D, were between 0 and 0.35 cm/year and 0.06 and 2.63 cm(2)/year, respectively.

Cesium Radioisotopes↗
PubMed1978

United States population dose estimates for iodine-131 in the thyroid after the Chinese atmospheric nuclear weapons tests.

Analysis of samples collected within the United States after the Chinese atmospheric nuclear weapons tests of 26 September and 17 November 1976 indicates that the radiation dose to the thyroid from iodine-131 in milk was predominant. A U.S. population dose to the thyroid of 68,000 man-rads was calculated for the iodine-131 fallout. The four excess thyroid cancers that are estimated to occur as a result of the September test during the next 45 years will be masked by the 380,000 cases of thyroid cancer which are expected to occur in the United States from all causes during the same interval.

Adult↗
PubMedDate not supplied

Establishing the possible radiogenicity of morbidity and mortality from participation in UK nuclear weapons development.

To succeed in compensation claims for radiogenic injuries induced by their participation in the United Kingdom's atomic and nuclear weapons tests of the 1950s and 1960s, the 22,000 nuclear test veterans will have to satisfy Hill's Principles of Causation. Although they are blocked by legal restraints from suing the Crown, the evidential case for the veterans has been strengthening in recent years to a point where it would probably succeed in a UK court of law. The delay in mounting such a case has worked in favour of the veterans; if the legal constraints are removed, their chances of success are greater than if they had gone into court a decade ago. The article examines the evidence in support of their claims in relation to each of Hill's Principles.

Humans↗
PubMed1995

Cancer mortality risk among military participants of a 1958 atmospheric nuclear weapons test.

OBJECTIVES: This study was undertaken to determine if Navy veterans who participated in an atmospheric nuclear test in 1958 were at increased risk of death from certain cancers. METHODS: Cancer mortality risk of 8554 Navy veterans who participated in an atmospheric nuclear test in the Pacific was compared with that of 14,625 Navy veterans who did not participate in any test. Radiation dosage information was obtained from film badges for 88% of the test participants. RESULTS: The median radiation dose for the test participants was 388 mrem (3.88 millisieverts [mSv]). Among participants who received the highest radiation dose (> 1000 mrem, or 10 mSv), an increased mortality risk for all causes (relative risk [RR] = 1.23; 95% confidence interval [CI] = 1.04, 1.45), all cancers (RR = 1.42; 95% CI = 1.03, 1.96), and liver cancer (RR = 6.42; 95% CI = 1.17, 35.3) was observed. The risk for cancer of the digestive organs was elevated among test participants (rate ratio = 1.47; 95% CI = 1.06, 2.04) but with no significant dose-response trend. Many of the cancers of a priori interest were not significantly elevated in the overall test participant group or in the group that received the highest radiation dose. CONCLUSIONS: Most of the cancers suspected of being radiogenic were not significantly elevated among the test participants. Nevertheless, increased risks for certain cancers cannot be ruled out at this time. Veterans who participated in the nuclear weapons tests should continue to be monitored.

Cohort Studies↗
PubMed2001

Cleanup worker exposures to hazardous chemicals at a former nuclear weapons plant: piloting of an exposure surveillance system.

Cleanup of former U.S. Department of Energy (DOE) nuclear weapons production facilities involves potential exposures to various hazardous chemicals. We have collaboratively developed and piloted an exposure database and surveillance system for cleanup worker hazardous chemical exposure data with a cleanup contractor at the Rocky Flats Environmental Technology Site (RFETS). A unique system feature is the incorporation of a 34-category work task-coding scheme. This report presents an overview of the data captured by this system during development and piloting from March 1995 through August 1998. All air samples collected were entered into the system. Of the 859 breathing zone samples collected, 103 unique employees and 39 unique compounds were represented. Breathing zone exposure levels were usually low (86% of breathing zone samples were below analytical limits of detection). The use of respirators and other exposure controls was high (87 and 88%, respectively). Occasional high-level excursions did occur. Detailed quantitative summaries are provided for the six most monitored compounds: asbestos, beryllium, carbon tetrachloride, chromium, lead, and methylene chloride. Task and job title data were successfully collected for most samples, and showed specific cleanup activities by pipe fitters to be the most commonly represented in the database. Importantly, these results demonstrate the feasibility of the implementation of integrated exposure database and surveillance systems by practicing industrial hygienists employed in industry as well as the preventive potential and research uses of such systems. This exposure database and surveillance system--the central features of which are applicable in any industrial work setting--has enabled one of the first systematic quantitative characterizations of DOE cleanup worker exposures to hazardous chemicals.

Colorado↗
PubMed2001

Reinvestigation of airborne 210Pb, 137Cs and 207Bi in Vienna (Austria) after atmospheric nuclear weapons tests.

Reconstruction of atmospheric 210Pb and 137Cs activity concentrations occurring in Vienna immediately after the atmospheric nuclear weapons tests shall answer the question, whether artificial 210Pb has been produced by fusion devices using lead materials. If so, 207Bi also can be expected. In 1962, weekly average values for 210Pb were between 0.08 +/- 0.02 and 1.31 +/- 0.30 mBq/m2, 137Cs amounts up to 5.1 +/- 0.6 mBq/m3. 207Bi remains below the detection limit, viz. < 0.5 mBq/m3. Bimonthly averages for the periods 1962-1964 and 1974-1975 show 137Cs activity concentrations with typical springtime maxima occurring together with low 210Pb values and 207Bi < 0.02 mBq/m3. Annual averages of 210Pb are varying between 0.27 and 0.53 mBq/m3, independent of whether atmospheric tests have been performed or not. Comparison of the activity ratios 207Bi/210Pb, 207Bi/137Cs and 210Pb/137Cs with published data, leads to the conclusion that no evidence exists for a significant production of 210Pb by nuclear explosions, neither after the Soviet tests in 1961-1962 nor after the Chinese tests in 1973-1976.

Air Pollutants, Radioactive↗