44 RADIATION STANDARDS, INCLUDING FALLOUT ‘The effects on our people, however, would have been dramatically different. Unprepared as we were on that date, it was estimated that there would have been 50 million fatalities, about 12 million of which would have resulted from fallout. There were estimated 20 million seriously injured ; 50 percent of dwellings were estimated to have been destroyed or rendered unusable for a period of several months. It is altogether conceivable that an all-out nuclear war could involve several times the megaton yield of this example; in which case the effects would be even greater. For comparison, the present concern over the possible effects of fallout from weaponstests to date, has to do with a zero to one onehundred-thousandth chance of development of leukemia, zero to one three-hundred-thousandth chance of developing bone cancer, and a one one-millionth chance an infant being born with a gross physical or mental defect among the first generation offspring. This should makeit clear that in a nuclear war situation in which survival of a whole peopleis at stake, a totally different set of standards of radiological protection must be invoked. Report No. 29 of the National Committee on Radiation Protection offers criteria that are applicable to this situation. It is significant to note that this report fuggests that exposures to as much as 500 roentgens may be accumulated during the emergency and produce at the time no medically significant symptoms. Thisis twice as much as any radiation worker is permitted to accumulate during a lifespan of 70 years under the radiation protection guides established by the Federal Radiation Council in Staff Report No. 1. There wouldstill need to be the basic approach of keeping overall radiation exposures as low as possible. This approach is compatible with achieving the best possible total survival and recovery. Radiation exposures that would be incurred would range from fatal in a few hours, days, or weeks to exposures comparable to what the surviving Japanese within two to three thousand meters of the hypocenters received at Hiroshima and Nagasaki. Even our annual 40,000 deaths from automobiles pale by comparison with the nuclear war. Persons in the open in some of the very heavy fallout areas would have been exposed to three to ten thousand roentgens per hour or more. A very few minutes of that would, of course, have resulted in fatal exposure. A large percentage of the survivors, perhaps 20 million people, would have received an average whole body external radiation exposure of 200 rad, at varying dose rates, far higher than the 0.15 rad average for the lifetime exposure which has been estimated would result from weapontests through 1961. As to Sr®° and Cs’, the less heavily contaminated part of the country (75 to 80 percent of the land mass) would within a few years have had values of Sr®° and Cs"? in the soil in the range of 20 to 50 times the levels likely to result from tests prior to 1961. In the more heavily SHEENRiNEERAIR ERIN re through 1961 (280 megaton explosive—117 megaton fission). tre on the biological and environmental effects of nuclear war, it was assumed that over a relatively brief period of time, probably not more than a day or two, a total of 3,946 megatons were detonated. All of the 263 nuclear weapons which were delivered on the United States were detonated on the ground at 224 locations within the continental United States. The yield was 1,446 megaton TNT equivalent and 723 megatons of fission, roughly six times the total yield of weaponstests

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