aT mainly from suteriealdepessted divertty on 1) The medica) probleme in the inmmediete vicinity of a kileton atomic weapon or 8 magaton boa will be essentially similar. With the larger weapon, of course, the areas of damage are much larger and, thus, the mumbers of casesities with mechanical, ww thermal, or radiation injury are greatly increased, ) In addition, with large weapons, an area of fallout can extend for thousands of square miles beyond the range of thermal and blast injury, resulting in gamma irradiation, beta irradiation of the skin and a potential internal hazard in the absence of blast or thermal injury. Serious fallout can occur several hours after detonation and at considerable distances. At this late time, the early, very steep fall in dose rate has already occurred and the dose rate falls off at a much slower rate. There may be adequate time for countermessures and early evacuation the shin, although beta rediation from the ground, building, er even clothes may contribute to 2 smell degree. Than, shelter within a building, covermg exposed skm areas with clothing aad early skin and hair decontamination would go far toward preventing this hasard. 5) Some degree of internal contamination will occur in persons exposed to fallout. The amounts deposited in the body, however,will be relatively small. no contribution to the acute medical picture seen will resuit from this cause. It appears also, although data are incomplete, that litthe or no long-term hazard is likely to result from this cause, particularily if reasonable precautions are taken to avotd excessive inhalation or ingestion of the ma- terial. The acute medical problems in the fallout area will be concerned principelly with total-body gamma exposure ; some with beta irradiation of the skin. or other effective evasive action will reduce by a large amount the total doae received. The gamma radiation is by far the most serious hazard in the fallout area. It is penetrating, and exposure can result in the same acute radiation injury observed in the Japanese at Hiroshima and Nagasaki. The quantitative dose-eifect relationships may be altered Lecause of dose rate and other differences bet ween the two types of exposure. 4) Reta radiation of the skin from fallout definitely can be a problem in the absence of lethal doses of associated gamma radiation. Although late in appearing, the skin lesions may be sufficiently serious to result in a “casualty”. Of equal importance, however, ix the consideration of the effectiveness of rather simple countermeasures in preventing the lesions. The lesions apparently result It appeers certain that References . Straum L. 1. A Statement by Chairman and a Report by the U. %. Atomic Brergy Commiasion on “The Effects of Hizh Yietd Nurtear Explosions”, February 15, 1955. Libby, W. FP. Address on radioactive fallont to 4th Annual Coaference of U. 8. Civil Defense Coancil, Toston, Mam. i. Linby, Wo PF of Mayors. 4. Libby. WP. J) Seq. 190M. Addrem to Washington Conference Der. 11*>4. Addrew in Chicago, Jume 3, 1965, The effecta of atumic weapons, Mapertintendent of Docuweata, U. 8. Government Priatiag Offlee, 190. Oughtersue, A. W.. and Warren, 4.: Medica! effects of the atogale bomb in Japan. Inc., New York. 1956. McGraw-Hill Book, . Handbowk of Atomic Weapona for Mesiteas (ficers, Prepared by the Arnel Poree< Medical Policy Conpetl for the Arms, Navy and Air Foree. Jane, 1841. . Tasior, FT Radiac instrumentation. 4. Bri faetre, 29, 115-3, 16d.

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