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  by Helen Caldicott
 
			Volume 4, Issue 2 2014, Australian 
			Medical Student Journal1 May 2014
 from 
			HelenCaldicott Website
 
			  
			  
			  
				
					
						
							
								
								Due to my 
								personal concerns regarding the ignorance of the 
								world's media and politicians about radiation 
								biology after the dreadful accident at Fukushima 
								in Japan, I organized a 2 day symposium at the 
								NY Academy of Medicine on March 11 and 12, 2013, 
								titled 'The 
								Medical and Ecological Consequences of Fukushima,' 
								which was addressed by some of the world's 
								leading scientists, epidemiologists, physicists 
								and physicians who presented their latest data 
								and findings on Fukushima. [1]
 
 
			  
			
			 Helen 
			Caldicott
 
			  
			  
			  
			  
			Background
 The 
			Great Eastern earthquake, measuring 
			9.0 on the Richter scale, and the ensuing massive tsunami on the 
			east coast of Japan induced the meltdown of three nuclear reactors 
			within several days.
 
			  
			During the quake the external power 
			supply was lost to the reactor complex and the pumps, which 
			circulate up to one million gallons of water per minute to cool each 
			reactor core, ceased to function. Emergency diesel generators 
			situated below the plants kicked in but these were soon swamped by 
			the tsunami.  
			  
			Without cooling, the radioactive cores 
			in units 1, 2 and 3 began to melt within hours.  
			  
			Over the next few days, all three cores 
			(each weighing more than 100 tonnes) melted their way through six 
			inches of steel at the bottom of their reactor vessels and oozed 
			their way onto the concrete floor of the containment buildings.
			 
			  
			At the same time the zirconium cladding 
			covering thousands of uranium fuel rods reacted with water, creating 
			hydrogen, which initiated hydrogen explosions in units 1, 2, 3 and 
			4.
 Massive quantities of radiation escaped into the air and water - 
			three times more noble gases (argon, xenon and krypton) than were 
			released at Chernobyl, together with huge amounts of other volatile 
			and non-volatile radioactive elements, including cesium, tritium, 
			iodine, strontium, silver, plutonium, americium and rubinium. 
			Eventually sea water was - and is still - utilized to cool the 
			molten reactors.
 
 Fukushima is now described as the greatest industrial accident in 
			history.
 
 The Japanese government was so concerned that they were considering 
			plans to evacuate 35 million people from Tokyo, as other reactors 
			including Fukushima Daiini on the east coast were also at risk. 
			Thousands of people fleeing from the smoldering reactors were not 
			notified where the radioactive plumes were travelling, despite the 
			fact that there was a system in place to track the plumes.
 
			  
			As a result, people fled directly into 
			regions with the highest radiation concentrations, where they were 
			exposed to high levels of whole-body external gamma radiation being 
			emitted by the radioactive elements, inhaling radioactive air and 
			swallowing radioactive elements. [2]  
			  
			Unfortunately, inert potassium iodide 
			was not supplied, which would have blocked the uptake of radioactive 
			iodine by their thyroid glands, except in the town of Miharu. 
			Prophylactic iodine was eventually distributed to the staff of 
			Fukushima Medical University in the days after the accident, after 
			extremely high levels of radioactive iodine - 1.9 million becquerels/kg 
			were found in leafy vegetables near the University. [3]
			 
			  
			Iodine contamination was widespread in 
			leafy vegetables and milk, whilst other isotopic contamination from 
			substances such as caesium is widespread in vegetables, fruit, meat, 
			milk, rice and tea in many areas of Japan. [4]
 The 
			Fukushima meltdown disaster is not 
			over and will never end. The radioactive fallout which remains toxic 
			for hundreds to thousands of years covers large swathes of Japan and 
			will never be "cleaned up."
 
			  
			It will contaminate food, humans and 
			animals virtually forever. I predict that the three reactors which 
			experienced total meltdowns will never be dissembled or 
			decommissioned.  
			  
			
			
			TEPCO (Tokyo Electric Power 
			Company) - says it will take at least 30 to 40 years and the 
			International Atomic Energy Agency predicts at least 40 years before 
			they can make any progress because of the extremely high levels of 
			radiation at these damaged reactors.
 This accident is enormous in its medical implications. It will 
			induce an epidemic of cancer as people inhale the radioactive 
			elements, eat radioactive food and drink radioactive beverages.
 
			  
			In 1986, a single meltdown and explosion 
			at Chernobyl covered 40% of the European land mass with radioactive 
			elements. Already, according to a 2009 report published by the New 
			York Academy of Sciences, over one million people have already 
			perished as a direct result of this catastrophe.  
			  
			This is just the tip of the iceberg, 
			because large parts of Europe and the food grown there will remain 
			radioactive for hundreds of years. [5]
 
			  
			  
			Medical 
			Implications of Radiation
 
 
				
				Fact number one
 No dose of radiation is safe. Each dose received by the body is 
				cumulative and adds to the risk of developing malignancy or 
				genetic disease.
 
   
				Fact number two
 
 Children are ten to twenty times more vulnerable to the 
				carcinogenic effects of radiation than adults. Females tend to 
				be more sensitive compared to males, whilst fetuses and immuno-compromised 
				patients are also extremely sensitive.
 
   
				Fact number three
 
 High doses of radiation received from a nuclear meltdown or from 
				a nuclear weapon explosion can cause acute radiation sickness, 
				with alopecia, severe nausea, diarrhea and thrombocytopenia.
   
				Reports of such illnesses, 
				particularly in children, appeared within the first few months 
				after the Fukushima accident.
   
				Fact number four
 
 Ionizing radiation from radioactive elements and radiation 
				emitted from X-ray machines and CT scanners can be carcinogenic.
   
				The latent period of carcinogenesis 
				for leukemia is 5-10 years and solid cancers 15-80 years. It has 
				been shown that all modes of cancer can be induced by radiation, 
				as well as over 6000 genetic diseases now described in the 
				medical literature.
 But, as we increase the level of background radiation in our 
				environment from medical procedures, X-ray scanning machines at 
				airports, or radioactive materials continually escaping from 
				nuclear reactors and nuclear waste dumps, we will inevitably 
				increase the incidence of cancer as well as the incidence of 
				genetic disease in future generations.
 
   
				Types of ionizing radiation
 
					
						
						
						X-rays are electromagnetic, 
						and cause mutations the instant they pass through the 
						body.  
						
						Similarly, gamma radiation 
						is also electromagnetic, being emitted by radioactive 
						materials generated in nuclear reactors and from some 
						naturally occurring radioactive elements in the soil.  
						
						Alpha radiation is 
						particulate and is composed of two protons and two 
						neutrons emitted from uranium atoms and other dangerous 
						elements generated in reactors (such as plutonium, 
						americium, curium, einsteinium, etc - all which are 
						known as alpha emitters and have an atomic weight 
						greater than uranium).    
						Alpha particles travel a 
						very short distance in the human body. They cannot 
						penetrate the layers of dead skin in the epidermis to 
						damage living skin cells.    
						But when these radioactive 
						elements enter the lung, liver, bone or other organs, 
						they transfer a large dose of radiation over a long 
						period of time to a very small volume of cells. Most of 
						these cells are killed; however, some on the edge of the 
						radiation field remain viable to be mutated, and cancer 
						may later develop. Alpha emitters are among the most 
						carcinogenic materials known.  
						
						Beta radiation, like alpha 
						radiation, is also particulate. It is a charged electron 
						emitted from radioactive elements such as strontium 90, 
						cesium 137 and iodine 131. The beta particle is light in 
						mass, travels further than an alpha particle and is also 
						mutagenic.  
						
						Neutron radiation is 
						released during the fission process in a reactor or a 
						bomb. Reactor 1 at Fukushima has been periodically 
						emitting neutron radiation as sections of the molten 
						core become intermittently critical. Neutrons are large 
						radioactive particles that travel many kilometers, and 
						they pass through everything including concrete and 
						steel. There is no way to hide from them and they are 
						extremely mutagenic. 
				So, let's describe just five of the 
				radioactive elements that are continually being released into 
				the air and water at Fukushima.    
				Remember, though, there are over 200 
				such elements each with its own half-life, biological 
				characteristic and pathway in the food chain and the human body. 
				Most have never had their biological pathways examined. They are 
				invisible, tasteless and odorless.    
				When the cancer manifests it is 
				impossible to determine its etiology, but there is a large body 
				of literature proving that radiation causes cancer, including 
				the data from Hiroshima and Nagasaki. 
					
						
						
						Tritium is radioactive 
						hydrogen H3 and there is no way to 
						separate tritium from contaminated water as it combines 
						with oxygen to form H3O.    
						There is no material that 
						can prevent the escape of tritium except gold, so all 
						reactors continuously emit tritium into the air and 
						cooling water as they operate. It concentrates in 
						aquatic organisms, including algae, seaweed, crustaceans 
						and fish, and also in terrestrial food.    
						Like all radioactive 
						elements, it is tasteless, odorless and invisible, and 
						will therefore inevitably be ingested in food, including 
						seafood, for many decades. It passes unhindered through 
						the skin if a person is immersed in fog containing 
						tritiated water near a reactor, and also enters the body 
						via inhalation and ingestion. It causes brain tumors, 
						birth deformities and cancers of many organs.  
						
						Cesium 137 is a beta and 
						gamma emitter with a half-life of 30 years. That means 
						in 30 years only half of its radioactive energy has 
						decayed, so it is detectable as a radioactive hazard for 
						over 300 years.    
						Cesium, like all radioactive 
						elements, bio-concentrates at each level of the food 
						chain. The human body stands atop the food chain. As an 
						analogue of potassium, cesium becomes ubiquitous in all 
						cells. It concentrates in the myocardium where it 
						induces cardiac irregularities, and in the endocrine 
						organs where it can cause diabetes, hypothyroidism and 
						thyroid cancer.    
						It can also induce brain 
						cancer, rhabdomyosarcomas, ovarian or testicular cancer 
						and genetic disease.  
						
						Strontium 90 is a 
						high-energy beta emitter with a half-life of 28 years. 
						As a calcium analogue, it is a bone-seeker. It 
						concentrates in the food chain, specifically milk 
						(including breast milk), and is laid down in bones and 
						teeth in the human body. It can lead to carcinomas of 
						the bone and leukemia.  
						
						Radioactive iodine 131 is a 
						beta and gamma emitter. It has a half-life of eight days 
						and is hazardous for ten weeks. It bio-concentrates in 
						the food chain, in vegetables and milk, then in the the 
						human thyroid gland where it is a potent carcinogen, 
						inducing thyroid disease and/or thyroid cancer. 
						   
						It is important to note that 
						of 174,376 children under the age of 18 that have been 
						examined by thyroid ultrasound in the Fukushima 
						Prefecture, 12 have been definitively diagnosed with 
						thyroid cancer and 15 more are suspected to have the 
						disease. Almost 200,000 more children are yet to be 
						examined. Of these 174,367 children, 43.2% have either 
						thyroid cysts and/or nodules.
 In Chernobyl, thyroid cancers were not diagnosed until 
						four years post-accident. This early presentation 
						indicates that these Japanese children almost certainly 
						received a high dose of radioactive iodine.
   
						High doses of other 
						radioactive elements released during the meltdowns were 
						received by the exposed population so the rate of cancer 
						is almost certain to rise.  
						
						Plutonium, one of the most 
						deadly radioactive substances, is an alpha emitter. It 
						is highly toxic, and one millionth of a gram will induce 
						cancer if inhaled into the lung. As an iron analogue, it 
						combines with transferrin.    
						It causes liver cancer, bone 
						cancer, leukemia, or multiple myeloma. It concentrates 
						in the testicles and ovaries where it can induce 
						testicular or ovarian cancer, or genetic diseases in 
						future generations.   
						It also crosses the placenta 
						where it is teratogenic, like thalidomide. There are 
						medical homes near Chernobyl full of grossly deformed 
						children, the deformities of which have never before 
						been seen in the history of medicine.
 The half-life of plutonium is 24,400 years, and thus it 
						is radioactive for 250,000 years. It will induce 
						cancers, congenital deformities, and genetic diseases 
						for virtually the rest of time.
 
						  
						  
						 
						
						
						Iniencephaly 
						as a result of radiation 
						exposure 
						(Photograph 
						with permission from Dr Wladimir Wertelecki) 
						
						
						Source 
						
 Plutonium is also fuel for atomic bombs. Five kilos is 
						fuel for a weapon which would vaporize a city. Each 
						reactor makes 250 kg of plutonium a year.
   
						It is postulated that less 
						than one kilo of plutonium, if adequately distributed, 
						could induce lung cancer in every person on earth. 
			
 
			  
			Conclusion
 In summary, the radioactive contamination and fallout from nuclear 
			power plant accidents will have medical ramifications that will 
			never cease, because the food will continue to concentrate the 
			radioactive elements for hundreds to thousands of years.
 
			  
			This will induce epidemics of cancer, 
			leukemia and genetic disease. Already we are seeing such pathology 
			and abnormalities in birds and insects, and because they reproduce 
			very fast it is possible to observe disease caused by radiation over 
			many generations within a relatively short space of time.
 Pioneering research conducted by Dr Tim Mousseau, an 
			evolutionary biologist, has demonstrated high rates of tumors, 
			cataracts, genetic mutations, sterility and reduced brain size 
			amongst birds in the exclusion zones of both Chernobyl and 
			Fukushima. What happens to animals will happen to human beings. 
			[7]
 
 The Japanese government is desperately trying to "clean up" 
			radioactive contamination. But in reality all that can be done is 
			collect it, place it in containers and transfer it to another 
			location. It cannot be made neutral and it cannot be prevented from 
			spreading in the future.
 
			  
			Some contractors have allowed their 
			workers to empty radioactive debris, soil and leaves into streams 
			and other illegal places.  
			  
			The main question becomes:  
				
				Where can they place the 
				contaminated material to be stored safely away from the 
				environment for thousands of years?  
			There is no safe place in Japan for this 
			to happen, let alone to store thousands of tons of high level 
			radioactive waste which rests precariously at the 54 Japanese 
			nuclear reactors.
 Last but not least, Australian uranium fuelled the Fukushima 
			reactors.
 
			  
			Australia exports uranium for use in 
			nuclear power plants to 12 countries, including, 
				
				the US, Japan, France, Britain, 
				Finland, Sweden, South Korea, China, Belgium, Spain, Canada and 
				Taiwan.  
			270,000 metric tons of deadly 
			radioactive waste exists in the world today, with 12,000 metric tons 
			being added yearly (each reactor manufactures 30 tons per year and 
			there are over 400 reactors globally.)
 This high-level waste must be isolated from the environment for one 
			million years - but no container lasts longer than 100 years. The 
			isotopes will inevitably leak, contaminating the food chain, 
			inducing epidemics of cancer, leukemia, congenital deformities and 
			genetic diseases for the rest of time.
 
 This, then, is the legacy we leave to future generations so that we 
			can turn on our lights and computers or make nuclear weapons.
 
			  
			It was Einstein who said, 
				
				"the splitting of the atom changed 
				everything save mans' mode of thinking, thus we drift towards 
				unparalleled catastrophe." 
			The question now is:  
				
				Have we, the human species, the 
				ability to mature psychologically in time to avert these 
				catastrophes, or, is it in fact, too late? 
			  
			  
			References
 
				
				[1] Caldicott H. Helen Caldicott 
				Foundation's Fukushima Symposium. 2013; available from:
				
				
				http://www.helencaldicott.com/2012/12/helen-caldicott-foundations-fukushima-symposium/
 [2] Japan sat on U.S. radiation maps showing immediate fallout 
				from nuke crisis. The Japan Times. 2012.
 
 [3] Bagge E, Bjelle A, Eden S, Svanborg A. Osteoarthritis in the 
				elderly: clinical and radiological findings in 79 and 85 year 
				olds. Ann Rheum Dis. 1991;50(8):535-9. Epub 1991/08/01.
 
 [4] Tests find cesium 172 times the limit in Miyagi Yacon tea. 
				The Asahi Shimbun. 2012.
 
 [5] Yablokov AV, Nesterenko VB, Nesterenko AV, Sherman-Nevinger 
				JD. Chernobyl: Consequences of the Catastrophe for People and 
				the Environment: Wiley. com; 2010.
 
 [6] Fukushima Health Management. Proceedings of the 11th 
				Prefectural Oversight Committee Meeting for Fukushima Health 
				Management Survey. Fukushima, Japan2013.
 
 [7] Møller AP, Mousseau TA. The effects of low-dose radiation: 
				Soviet science, the nuclear industry - and independence? 
				Significance. 2013;10(1):14-9.
 
			  
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