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Health Risks of Ionizing Radiation: - Clark University

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44 Atomic Bomb Survivors<br />

Figure 4-2. A view <strong>of</strong> the destruction <strong>of</strong> the city <strong>of</strong> Hiroshima.<br />

The building in the top right corner still stands as a<br />

monument to the event (www.ww2guide.com/atombomb.<br />

shtml).<br />

sub-samples <strong>of</strong> the Master Sample include a sample<br />

<strong>of</strong> those survivors who were exposed in utero and<br />

a cohort <strong>of</strong> the first generation children born to<br />

survivors. The RERF has released the results <strong>of</strong> its<br />

LSS studies in a series <strong>of</strong> papers that describe cancer<br />

and noncancer mortality, solid cancer incidence, and<br />

leukemia incidence. These documents have provided<br />

important insights into the effects <strong>of</strong> radiation<br />

exposure and have been updated and expanded over<br />

time 1 .<br />

Over the years RERF researchers have<br />

consistently demonstrated associations between<br />

radiation exposure and many diseases, cancer<br />

and non-cancer. Thompson et al. (1994) found<br />

significant excesses <strong>of</strong> total solid tumors and<br />

tumors <strong>of</strong> the digestive system, stomach, colon,<br />

liver, respiratory system, trachea, bronchus, lung,<br />

skin (nonmelanoma), breast, ovary, kidney, urinary<br />

bladder, and thyroid. Preston et al. (1994) found<br />

positive correlations between radiation exposure and<br />

the incidence <strong>of</strong> non-solid cancers including acute<br />

lymphocytic leukemia (ALL), acute myelogenous<br />

leukemia (AML), chronic myelocytic leukemia<br />

(CML) and lymphoma in males. Shimizu et al. (1999)<br />

demonstrated excess mortality from noncancer<br />

diseases <strong>of</strong> the circulatory, respiratory, and digestive<br />

systems. Other studies have demonstrated increased<br />

risk in people who were in utero at the time <strong>of</strong> the<br />

bombings and have examined, with inconclusive<br />

results, risks in the F 1 generation (children born to<br />

survivors).<br />

Much more information is available at the<br />

RERF website 2 including periodic updates on the<br />

latest developments in the research project.<br />

Doses. Reliable estimates <strong>of</strong> exposure are<br />

critical in accurately assessing the risks associated<br />

with the atomic bombs. When the bombs were first<br />

dropped in 1945 the immediate effects <strong>of</strong> the bombs<br />

were expected but the lasting effects were unknown;<br />

at the time <strong>of</strong> the bombing there was no system <strong>of</strong><br />

measuring doses in place. It wasn’t until excess<br />

leukemia became apparent a few years later that<br />

particular attention was paid to estimating doses.<br />

During the 1950s and 1960s Japanese scientists<br />

created the T57D and then T65D dosimetry<br />

systems. Gamma and neutron doses were inferred<br />

for these dosimetry systems from calculations and<br />

experiments performed at the Nevada Test Site.<br />

Neutron doses were not considered to be <strong>of</strong> great<br />

importance in these initial systems. In 1986 the<br />

DS86 dosimetry system was developed as part <strong>of</strong> an<br />

international effort to refine dose estimates. In the<br />

new system there was a considerable reduction in<br />

the estimated neutron doses; it was concluded that<br />

neutrons were much less significant than gamma<br />

radiation in contributing to health effects. The<br />

DS86 system also takes into account the survivor<br />

distance from the epicenter, shielding (both by<br />

housing and by the posture <strong>of</strong> the person at the time<br />

Figure 4-3. A view from the air <strong>of</strong> the bombing <strong>of</strong> Nagasaki<br />

(http://www.astrosurf.com/lombry/quantique-bombesatomiques-pic.htm).<br />

1 As <strong>of</strong> January 1998, 48% <strong>of</strong> the exposed cohort was still alive; follow-up will be incomplete and ongoing into the<br />

near future.<br />

2 www.rerf.or.jp/eigo/experhp/rerfhome.htm

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