09-21-1954 12:12 5162825311 3NL-MED, DEPT. P.005 -+- purpa, and kypoxia due to anemia, any cone of which may be fatal. Many descriptions of the pathogenesis of these phenomena have been publishdd The above picture detailed (1-4,12-16). of radiation syndromes is based on animal expdrimentation; however, human experiences particularly as observed at Hiroshima and Nagasaki and in the Marshallese natives has indicated that man probably correspoms quite closely to thea general mammalian response outlined sbowe with the exckption of some differences in time of occurrencsa, The CNS apparently was not observed by the Japanese at Hiroshima and Nagasaki. Cne would not expect it to hhve been observai since Joses to produce this symirome vere well within the arpa of alnost total destruction. The GIS with deaths in the first week are well dobumented clinically and patholovically os are deaths from the HS. Nowever infthe case of man, denths fron infection were most prevalent in the second to fourth vedks (maxdmum ineldence durins the third week) ami from hemorrhasic vhenomena in tYe third to the sixth weeks (maximum incidence in the fourth veek). In the Japanese] after the bombing of Hiroshima and Nagesaki, deaths from radiation injuries wege occurring as late as the seventh week. This is in contrast to other animals wher$ deaths from the acute phase are uncommon after the 30th day. PRORASILITY OF SURVIVAL AS RELATED TO SYMPTOMS Predictions of the effects of various doses of gamma radiation to military and civil defense flanning. If the absolute sensitivity, bre essential of man to rediation were known, and if it were practical to determine the dos@to groups under catastrophe comditions, a roalisti¢c statistical prognosis co be made. However, these predictions cannot be made accurately at the present fiime. involved with estimation of dose received by the individual, present] real practical difficulties. [fron dosimetry It is probable that dose estimates will be available devices or from dose contour lines and the position of individuals Problens ing exposure. The difficulties of relying heavily on the dose estimates for a single individual are apparent, The exact position of the individual and the degree shielding

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