-3- * purpa, end hypexia due to anemia, any one of which may be fatal, Many detailed - descriptions of the pathogenesis of these phenomena have been published (1-4,12-16). The above picture of radistion syndromes is based on animal experimentation; however, human experience particularly as observed at Hiroshima and Nagasaki and in the Marshallese natives has indicated that man probably corresponds quite closely to the general mammalian response outlined above with the exception of some differences in time cf occurrence, The CNS spparently was not observed by the Japanese at Hiroshima and Nagesaki, One would not expect it to have been observed since doses to produce this syndrome were well within the area of almost total destruction, The GIS with deaths in the first week are well docimented clinically and pathologically as are deaths from the HS. However in the case of man, deaths from infection were most prevalent in the second to fourth weeks (maximum incidence during the third week) and from hemorrhazic phenomena in the third to the sixth weeks (maximum incidence in the fourth week). In the Japanese, after the bombing of Hiroshima and Nagecaki, deaths from radiation injuries were occurring as lete as the seventh week. This is in contrast to other animals where deaths from the acute phase are uncommon after the 20th day. PROBABILITY OF SURVIVAL AS RELATED TO SYMPTOMS Predictions of the effects of various doses of gamma radietion are essential to military and civil defense rlanning. If the absolute sensitivity of man to rediation were known, and if it were practical to determine the dose to groups under catastrophe conditions, a realistic statistical prognosis could be made. However, these predictions cannot be made accurately at the present time. Problens involved with estimation of dose received by the injividual, present real practical difficulties, It is probable that dose estimates will be available from dosimetry devices or-from dose contour lines and the position of individuals during exposure, The difficulties of relying heavily on the dose estinates for a single iniividual are apparent. -The exact position of the individual and the degree o@ shielding DOE ARCHIVES 3.

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