The prompt and delayed effects of nuclear war

A review of triage and management of burns victims following a nuclear disaster

The field of combined injury is relatively unfamiliar to burn surgeons. The mortality and morbidity of combined injury victims is higher than that of the injuries separately. The secondary consequences of radiation exposure, e.g. immunosuppression, infection, bleeding and fluid and electrolyte loss, significantly affects the management plan for burn victims. Increased work loads on medical personnel and the hospital further affects the management plan and outcome adversely. Based on previous experiences and experimental studies by various authors, a plan for management of burn victims in nuclear casualties is presented for effective utilization of available resources for overloaded burn centres in emergency situations. The proper recording of the experience of such situations is stressed.

Anti-lipopolysaccharide toxin therapy for whole body X-irradiation overdose

Death in humans from ionising radiation overexposure in the 3-8 Gy (300-800 rad) range is in part due to the toxaemia caused by the entry of gram-negative bacteria and/or their lipopolysaccharide toxin (LPS) into the blood circulation through the walls of partially denuded gut. Anti-LPS hyperimmune equine plasma was evaluated for its ability to lower irradiation-induced lethality. Mice were irradiated with 6.3 Gy (630 rad) and six days later received equine Anti-LPS hyperimmune plasma, control plasma or saline. Mortalities in the three groups were 58%, 92% and 79% (p less than 0.01) respectively. Thus Anti-LPS may prove useful as an adjunct to conventional therapy in treating radiation sickness.

Emergency Response to Nuclear Accident and Attack

Disaster plans in response to a nuclear crisis involve extended forays into uncertainty. Controversy arises over whether or not a nuclear disaster or war might ever occur. Estimates of destructive parameters vary widely. Planning must take into account a wide range of issues, from the nature of radiation injury to the survival capacity of social systems. From the standpoint of analyzing possibilities for emergency response, we will discuss: l) medical effects of radiation; 2) severe core meltdown at a nuclear power plant; and 3) a scenario for a nuclear bomb explosion over one city in the USA, in the setting of a strategic nuclear exchange.

Nuclear Winter: Global Consequences of Multiple Nuclear Explosions

The potential global atmospheric and climatic consequences of nuclear war are investigated using models previously developed to study the effects of volcanic eruptions. Although the results are necessarily imprecise due to wide range of possible scenaros and uncertainty in physical parameters, the most probable first-order effects are serious. Significant hemispherical attenuation of the solar radiation flux and subfreezing land temperatures may be caused by fine dust raised in high-yield nuclear surface bursts and by smoke from city and forest fires ignited by airbursts of all yields. For many simulated exchanges of several thousand megatons, in which dust and smoke are generated and encircle the earth within 1 to 2 weeks, average light levels can be reduced to a few percent of ambient and land temperatures can reach -15 degrees to -25 degrees C. The yield threshold for major optical and climatic consequences may be very low: only about 100 megatons detonated over major urban centers can create average hemispheric smoke optical depths greater than 2 for weeks and, even in summer, subfreezing land temperatures for months. In a 5000-megaton war, at northern mid-latitude sites remote from targets, radioactive fallout on time scales of days to weeks can lead to chronic mean doses of up to 50 rads from external whole-body gamma-ray exposure, with a likely equal or greater internal dose from biologically active radionuclides. Large horizontal and vertical temperature gradients caused by absorption of sunlight in smoke and dust clouds may greatly accelerate transport of particles and radioactivity from the Northern Hemisphere to the Southern Hemisphere. When combined with the prompt destruction from nuclear blast, fires, and fallout and the later enhancement of solar ultraviolet radiation due to ozone depletion, long-term exposure to cold, dark, and radioactivity could pose a serious threat to human survivors and to other species.

Long-term biological consequences of nuclear war

Subfreezing temperatures, low light levels, and high doses of ionizing and ultraviolet radiation extending for many months after a large-scale nuclear war could destroy the biological support systems of civilization, at least in the Northern Hemisphere. Productivity in natural and agricultural ecosystems could be severely restricted for a year or more. Postwar survivors would face starvation as well as freezing conditions in the dark and be exposed to near-lethal doses of radiation. If, as now seems possible, the Southern Hemisphere were affected also, global disruption of the biosphere could ensue. In any event, there would be severe consequences, even in the areas not affected directly, because of the interdependence of the world economy. In either case the extinction of a large fraction of the Earth's animals, plants, and microorganisms seems possible. The population size of Homo sapiens conceivably could be reduced to prehistoric levels or below, and extinction of the human species itself cannot be excluded.