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Pediatric Terrorism and Disaster Preparedness: A ... - PHE Home

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from ground zero. For weapons larger than 10 KT, thermal radiation is the primary cause<br />

of injury, as this extends over a greater distance than blast or radiation effects. Flashblindness<br />

<strong>and</strong> retinal burns may occur out to 20 km during daytime <strong>and</strong> 50 km at night.<br />

Fallout. Fallout is defined as radioactive material from a nuclear detonation that returns<br />

to the ground after the explosion. A detonation close to ground level (i.e., surface burst)<br />

will result in large quantities of earth <strong>and</strong>/or water being thermally vaporized <strong>and</strong> drawn<br />

up into a radioactive cloud. Much of this material may be blasted into the atmosphere <strong>and</strong><br />

subsequently return to earth as fallout. This material becomes radioactive from either<br />

neutron activation or from condensing together with various radioactive isotopes. In<br />

highly contaminated areas, fallout can cause potentially lethal external radiation<br />

exposure, as well as provide a serious internal hazard from the inhalation or ingestion of<br />

radioactive materials, such as milk (see Figure 6.2).<br />

A surface burst over the ground produces particles that range in size from submicron to<br />

several millimeters in diameter. The finer particles rise into the stratosphere <strong>and</strong> may be<br />

dispersed as worldwide fallout. The larger particles settle to earth within 24 hours as local<br />

radioactive fallout. The heaviest fallout usually occurs in the first 4 hours. In contrast,<br />

bursts over water are characterized by lighter <strong>and</strong> smaller particles, producing a smaller<br />

volume of fallout that extends over a larger area. These particles consist mostly of sea<br />

salts <strong>and</strong> water, which may produce a “cloud seeding” effect that results in areas of high<br />

local fallout as radioactive materials are washed out of the air.<br />

The primary method of fallout protection is initial sheltering, with rapid evacuation from<br />

the contaminated area until the risk has been eliminated through decay <strong>and</strong>/or<br />

remediation. In general, it is very difficult to accurately predict the rate of radioactive<br />

decay for fallout. Thus, relevant decisions should be based on actual radiological survey<br />

data. The 7:10 rule can be used to estimate residual radiation decay after all fallout is on<br />

the ground <strong>and</strong> the dose rate is beginning to measurably decrease.<br />

Radiological Dispersal Devices (Dirty Bombs)<br />

A radiological dispersal device (RDD) is designed to spread radioactive material through<br />

detonation of conventional explosives or other (non-nuclear) means. These “dirty bombs”<br />

blast radioactive material into the area around the explosion, exposing people <strong>and</strong><br />

buildings. The purpose of a dirty bomb is to frighten people <strong>and</strong> make buildings or l<strong>and</strong><br />

unusable for a long period of time.<br />

An RDD is a weapon of “mass disruption” more than a weapon of mass destruction.<br />

However, an RDD can produce external contamination, an exposure hazard, <strong>and</strong> a risk of<br />

internal contamination (via inhalation, ingestion, or wounds) if basic safety <strong>and</strong> hygiene<br />

precautions are not followed. An RDD also may pose a radiation injury risk in the event<br />

that a strong source (e.g., Cs-137 or Co-60) is kept relatively concentrated. In this<br />

situation, the RDD acts as a high-intensity sealed gamma source.<br />

The principal use of an RDD is to cause fear <strong>and</strong> to disrupt infrastructure. Use of an RDD<br />

also tends to generate panic <strong>and</strong> social <strong>and</strong> economic disruption from the physical <strong>and</strong><br />

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