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U.S. Nuclear Testing and Radioactive Fallout in the Marshall Islands. Elaine Cox MS-4 Tinsley Harrison Society November 17, 2005. Outline. Effects of ionizing radiation on humans 1954 Castle BRAVO and fallout effects U.S. presence in the Marshall Islands since 1958
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U.S. Nuclear Testing and Radioactive Fallout in the Marshall Islands Elaine Cox MS-4 Tinsley Harrison Society November 17, 2005
Outline • Effects of ionizing radiation on humans • 1954 Castle BRAVO and fallout effects • U.S. presence in the Marshall Islands since 1958 • Displacement of Marshall Islanders
Examples Radiation Exposures • Rad - “radiation absorbed dose” • 100 rad = 1 Gray (Gy) • Chest x-ray - 0.06 - 0.11 mGy • Barium enema - 7.0 mGy • Lowest dose with observable effect • 0.1-0.5 Gy • Lethal dose • LD50 1.4 – 4.5 Gy • Certain death >10Gy
Factors Determining Lethality • Dose Rate • Distance from source • Shielding • Available medical therapy
Delayed Radiation Injury • Cancers - thyroid, skin, breast, lung, GI • Leukemias • Growth retardation in children • Infertility • Birth defects • Cataracts
Delayed Radiation Injury • Blood vessels • Fibrosis of vessel walls, end organ damage • Skin • Radiation dermatitis: desquamation, impaired wound healing, infection, ulceration, fibrosis • Heart • Pericardial fibrosis, myocardial ischemia
Delayed Radiation Injury • Lungs • Acute lung injury, radiation pneumonitis, interstitial fibrosis • GI tract • Esophagitis, gastritis, enteritis, colitis, mucosal ulceration, atrophy, and fibrosis • Kidneys • Fibrosis, hyalinization of glomeruli, urinary bladder fibrosis and ulceration
Outline • Effects of ionizing radiation on humans • 1954 Castle BRAVO and fallout effects • U.S. presence in the Marshall Islands since 1958 • Displacement of Marshall Islanders
Marshall Islands • 29 atolls, 5 islands • 750,000 square miles of ocean • 70 square miles land area
Marshall Islands • 500 – 2000 BC: Micronesian settlers • 1600’s: Spanish, Dutch, English, Germans • Early 1900’s – WWII: Japanese control • After WWII – UN Strategic Trust Territory, state administered by US
Marshall Islands • 1946 – 1958 • 67 Nuclear detonations in the Marshall Islands • 1950’s – Mutual Assured Destruction (MAD) • 1958 • US, Great Britain, USSR agreed to suspend nuclear weapons testing
1954: Operation Castle Bravo • 0645h, March 1st, 1954 • 15,000 kilotons • Three times more powerful than planned • Natives not evacuated beforehand • Previous fallout clouds had traveled away from inhabited islands • Reduction in military budget • Inadequate numbers of ships and aircrafts
BRAVO on Rongelap • “Like the sun rising in the west” followed by blast wave • “Snow-like” material fell for several hours- CaO • Water in cisterns turned yellow
US Nuclear Tests • H+6hrs • Visible fallout on Rongelap atoll • H+24hrs • 2/3rd’s inhabitants experience nausea, vomiting, diarrhea, anorexia, itching and burning skin • H+2wks • Many with cutaneous lesions, hair loss
Initial Medical Care • Evacuations 48-78 hours later • Medical team arrives 8 days after detonation • Extensive exams and lab studies performed daily • Project 4.1 authorized • Exposed vs. Control groups, long term study • Classified as Secret Restricted Data
Thyroid Abnormalities • Neoplasms with >2.5 Gy exposure, on ave 10yr after exposure • Hypothyroidism with >54 Gy exposure • Cretinism – 2 infants • Growth retardation • Diverse abnormalities • One-third of exposed Rongelap • Largest incidence in children <10yo • 1966- all exposed place on thyroxine
Other Delayed Effects • Hematologic manifestations • Neutropenia, lymphopenia, thrombocytopenia • Chromosomal aberrations • Acute myeloblastic leukemia • One case, 19 yo boy, exposed at 1 yo • Growth retardation • Most cases found to be related to hypothyroidism
Outline • Effects of ionizing radiation on humans • 1954 Castle BRAVO and fallout effects • U.S. presence in the Marshall Islands since 1958 • Displacement of Marshall Islanders
Problems with US Health Care Assistance • Multiple military and government institutions involved • Failure to assign responsibility, financial support, and authority • Poor communication • Language and cultural barriers • Political tension, mistrust, fear of further illness
D.O.E. Marshall Islands Medical Program • Began in 1954 • 253 exposed and 91 non-exposed individuals • Annual health evaluation and cancer screening • Year round care since 1998 • Finances referrals to Hawaii
D.O.E. Environmental Monitoring • Began in 1972 • Samples plants, foods, marine animals, soil, and water on 10 atolls • Whole body radiation counter and research center • Prevention of radioactive uptake by plants
Outline • Effects of ionizing radiation on humans • 1954 Castle BRAVO and fallout effects • U.S. presence in the Marshall Islands since 1958 • Displacement of Marshall Islanders
“Nuclear Nomads” • Bikini Islanders agreed to temporarily leave atoll in 1946 • Still have not returned • Kili Island • Displacement resulted in major change in lifestyle and diet • Diabetes • Psychological trauma • Dependence on US
“Nuclear Nomads” • Rongelap people returned in 1957 • Evacuated Rongelap again in 1985 • Because of fears of continued health effects from radiation • Facilitated by Greenpeace
Summary • Marshallese experienced many short and long term health effects from nuclear fallout. • Geographic displacement has contributed to public health problems. • Cultural barriers, poor communication, and excessive bureaucracy has complicated U.S. attempts to repair damage.
Resources • Robbins Pathologic Basis of Disease