5.1 Inatroductica Fouuoewixe A Necuzar detonation in the spring of 1934, a large group of people were contam'nated with fission products. In addition to a sublethal external gamma radiation exposure and beta irradiation of the skin, delectable amounts of radionuclides’ were deposited in ternally. It has been assumed that in all situations resulting from a contaminating event, the ratio of external to internal dose would be exceedingly high. However, 1. cetailed ‘study of the internal contamination in’ the exposed human population and in animals was made to determine the kind and degree of internal deposition. Three general problems were in- vestigated: (1) The determination of the contribution of the internal contamination to the acute radiation syndrome observed: (2) The possibility of Jong term effecta, and (3) The qualitative and quantitative nature of the internal contamination produced by exposure of individuals to mixed fission products, There Was no previous situation in which human be- Ings were exposed to an environment contami- nated with mixed fission products. Concurrent studiex were undertaken by the Japanese, however, on radioactive materials to which a small groupof Japanese tishermen, near Rongelap at the trme of the detonation, were exposed. The report of the extensive investigations undertaken on the ashes by the Japanese have been published (4). Evaluation of the internal contamination of the human berngs was made by a study of the radioelements excreted. As very little information is presently available concerning the ratio of excreted radioelements to the amount deposited in the body, it was necessary to base the evaluation on data obtained from animals which had been contamimated ino the same event. Detailed studies of animal tissues and animal excreta then provided data on which estimates of the human body barden were bused, §.2 General Nature of Interna! Radiation Toxicity Tu. Natuae Ov the radiation hazard from internally deposited fimion products can best be understood in terms of the biophysical behavior of the radionuclides. Fission product» entering the body throngh inhalation of ingestion concentrate in various tissues and act as sources of internal radiation. The ability of 2 radionuclide to enter the blood streamis determined byits solubility, chenneal properties and physical state. The radioele- ments formed in fision are predominantly ox- ides which have a limited solubility in) body fluids, On this basis, only a few of the radio elements can become available to the body. However, the amount which can produce injurions effects when depowted within the budty is minute because of the close proximity of the isotope to the tienes it irradiates, and because the imtope continues to irradiate these tixeues until it is removed by biological turnover or ts rendered harmless by radioactive decay. The effects of radiation from internally depasted emitters are the same as those from external radiation. The distinguishing feature of in- ternal radiation, however, i its long continuing nature. Radioactive isotopes follow the <ame metabolic processes in the body as the naturally OCCUCTIAY Inactive isotopes of the same element and oof chemically simolar elements. Thus strontium and barium. which are analogoas chemically to calenum, are deposited in the calcifyving tissue of the bone. Sithoagh nearly two hundred radioisotopes are produced in the tission process, only a few are potential chronic internal radiation hazards. These fission prod. ucts. which are listed in Table 3.1, constitute a high percentaye of the fission sceld, and localize chiefly in bene. The chone weker” have, im “7

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