into the body where the nuclide concentrates
in the thyroid gland.°* 1°77 13° About 5 to 10
per cent of the I’%! ingested by cows goes

into their milk. It is noted that, for the same

milk consumption. the thyroid gland of children concentrates much more iodine than
that of adults.

Fetal thyroids contain more iodine-131
than inaternal thyroid glands on a per gram
weight basis.°7 14 The most critical age in

postnatal life in regard to dosage has been

estimated to be between 6 months and 2
years of age.*” 3! Thyroid doses from fallout iodine-!31 in infants calculated on the
basis of 0.7 liter of fresh animal milk consumed daily were (for the United States)

250, 440, and 21 millirads for 1961, 1962,
and 1963, respectively.** Evaluations of the
relationship of radiation dose to thyroid carcinogenesis have been made onclinical and
epidemiological data from populations with
known external irradiation by doses in the
therapeutic range (50 r to 5,000 r),13?135

Crude risk estimates for thyroid carcinogenesis, based on average follow-up time of
16 years and thought to be valid for acute
irradiation of children only in the exposure
range of 100 to 300 roentgens,*” have been
calculated to be 0.3 to 1.6 cases per 10° exposed population per year per roentgen.*?
A risk estimate of high magnitude (35 per

10° per rad) also has been derived.13+ Reports concerning association of iodine-131
and malignant tumors of the thyroid are

scarce.***137 [The risk of thyroid cancer from

internal exposure to radioiodine has been

estimated to be one-tenth that from external

x-irradiation.1°*7 The substitution of radio-

iodine-free milk (canned or shipped milk)

and the feeding of stored feed to cattle have
been recommended when critically high
levels of iodine-131 are detected.** 15° The
use of organic and inorganic thyroid-blocking agents (such as iodides, perchlorides, and
thiouracil) has been studied as a counter-

measure for sudden high radioiodine contamination events.?°9

Carbon-14. The long-term risk is primarily

that from carbon-14, the doses from which
are delivered at extremely low rates over a
very long period of time.1!° Carbon-14 is
present almost exclusively as CO,.*" Testing
in 1961 and 1962 has caused a threefold increase in carbon-14 in the different carbon
reservoirs (stratosphere, troposphere, sur-

face oceans, deep oceans).°? A peak excess

of carbon-14 activity at about 70 per cent
has been predicted in 1964 or 1965, “The
level will then fall to some 60 per cent in
seven or eight years’ time. Between 1970
and 2040, the level will gradually fall to
some 3 per cent and will remain below this
level while the excess C'* will decay radioactively.���5? Carbon-14 contributes verylittle
to the total body dose to any single individual during his lifetime. The cumulative

genetic effect over a numberof generations,

however, may be significant.1°°
Relative risks. The long-range risk from
fallout has been expressed in terms of dose
commitment, which is defined as “the total

dose that will be delivered as an average for
the world population, to the relevant tissues

during the complete decay of radio-active
material introduced into the environment.”**
The estimates of the dose commitments from
all tests before January, 1963, are shown in
Table I.
The relative risks from fallout radiation
from tests carried out before 1963 have been
expressed in terms of the period of time dur-

Rel”EIAE:

tamination.'**"'°9 Food, chiefly milk and its
fresh products in children, provides entry

¢
October 1965 °*

ing which natural radiation would have to

be doubled to give a dose equal to the dose

commitment.” Calculated in this way, the
periods equal approximately 9 months for
the gonads, 32 months for cells lining the
bone surfaces, and 20 months for the bone

marrow.°*"
The likelihood of developing cancer as the
result of chronic fallout radiation from the
tests of weapons through 1961 has been estimated by the Federal Radiation Council.‘
196 During the next 70 years it is expected
that 840,000 persons will develop leukemia

and 140,000 bone cancer. Of these, the esti-

mated number of cases caused by natural

radiation are 0 to 84,000 for leukemia and
0 to 14,000 for bone cancer. The estimated

ehreea

Sutow and Conard

* deRE mean oegeie

666

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