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Downwinders were individuals and communities in the intermountain area between the
Cascade Cascade, Cascades or Cascading may refer to: Science and technology Science * Cascade waterfalls, or series of waterfalls * Cascade, the CRISPR-associated complex for antiviral defense (a protein complex) * Cascade (grape), a type of fruit * Bioc ...
and
Rocky Mountain The Rocky Mountains, also known as the Rockies, are a major mountain range and the largest mountain system in North America. The Rocky Mountains stretch in straight-line distance from the northernmost part of western Canada, to New Mexico in ...
ranges primarily in
Arizona Arizona ( ; nv, Hoozdo Hahoodzo ; ood, Alĭ ṣonak ) is a state in the Southwestern United States. It is the 6th largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona is part of the Fou ...
,
Nevada Nevada ( ; ) is a U.S. state, state in the Western United States, Western region of the United States. It is bordered by Oregon to the northwest, Idaho to the northeast, California to the west, Arizona to the southeast, and Utah to the east. N ...
,
New Mexico ) , population_demonym = New Mexican ( es, Neomexicano, Neomejicano, Nuevo Mexicano) , seat = Santa Fe, New Mexico, Santa Fe , LargestCity = Albuquerque, New Mexico, Albuquerque , LargestMetro = Albuquerque metropolitan area, Tiguex , Offi ...
and
Utah Utah ( , ) is a state in the Mountain West subregion of the Western United States. Utah is a landlocked U.S. state bordered to its east by Colorado, to its northeast by Wyoming, to its north by Idaho, to its south by Arizona, and to its ...
but also in
Oregon Oregon () is a U.S. state, state in the Pacific Northwest region of the Western United States. The Columbia River delineates much of Oregon's northern boundary with Washington (state), Washington, while the Snake River delineates much of it ...
,
Washington Washington commonly refers to: * Washington (state), United States * Washington, D.C., the capital of the United States ** A metonym for the federal government of the United States ** Washington metropolitan area, the metropolitan area centered o ...
, and
Idaho Idaho ( ) is a U.S. state, state in the Pacific Northwest region of the Western United States. To the north, it shares a small portion of the Canada–United States border with the province of British Columbia. It borders the states of Monta ...
who were exposed to
radioactive contamination Radioactive contamination, also called radiological pollution, is the deposition of, or presence of radioactive substances on surfaces or within solids, liquids, or gases (including the human body), where their presence is unintended or undesirab ...
or
nuclear fallout Nuclear fallout is the residual radioactive material propelled into the upper atmosphere following a nuclear blast, so called because it "falls out" of the sky after the explosion and the shock wave has passed. It commonly refers to the radioac ...
from atmospheric or underground
nuclear weapons testing Nuclear weapons tests are experiments carried out to determine nuclear weapons' effectiveness, yield, and explosive capability. Testing nuclear weapons offers practical information about how the weapons function, how detonations are affected by ...
, and
nuclear accidents A nuclear and radiation accident is defined by the International Atomic Energy Agency (IAEA) as "an event that has led to significant consequences to people, the environment or the facility. Examples include lethal effects to individuals, lar ...
. More generally, the term can also include those communities and individuals who are exposed to
ionizing radiation Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
and other emissions due to the regular production and maintenance of
coal ash Coal is a combustible black or brownish-black sedimentary rock, formed as rock strata called coal seams. Coal is mostly carbon with variable amounts of other elements, chiefly hydrogen, sulfur, oxygen, and nitrogen. Coal is formed wh ...
,
nuclear weapons A nuclear weapon is an explosive device that derives its destructive force from nuclear reactions, either fission (fission bomb) or a combination of fission and fusion reactions ( thermonuclear bomb), producing a nuclear explosion. Both bom ...
,
nuclear power Nuclear power is the use of nuclear reactions to produce electricity. Nuclear power can be obtained from nuclear fission, nuclear decay and nuclear fusion reactions. Presently, the vast majority of electricity from nuclear power is produced b ...
,
nuclear waste Radioactive waste is a type of hazardous waste that contains radioactive material. Radioactive waste is a result of many activities, including nuclear medicine, nuclear research, nuclear power generation, rare-earth mining, and nuclear weapons ...
and
geothermal energy Geothermal energy is the thermal energy in the Earth's crust which originates from the formation of the planet and from radioactive decay of materials in currently uncertain but possibly roughly equal proportions. The high temperature and pr ...
. In regions near U.S. nuclear sites, downwinders may be exposed to releases of radioactive materials into the environment that contaminate their groundwater systems,
food chains A food chain is a linear network of links in a food web starting from producer organisms (such as grass or algae which produce their own food via photosynthesis) and ending at an apex predator species (like grizzly bears or killer whales), de ...
, and the air they breathe. Some downwinders may have suffered acute exposure due to their involvement in
uranium mining Uranium mining is the process of extraction of uranium ore from the ground. Over 50 thousand tons of uranium were produced in 2019. Kazakhstan, Canada, and Australia were the top three uranium producers, respectively, and together account f ...
and nuclear experimentation. Several severe adverse health effects, such as an increased incidence of
cancers Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal bl ...
, thyroid diseases, CNS neoplasms, and possibly female reproductive cancers that could lead to
congenital malformations A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can r ...
have been observed in Hanford "downwind" communities exposed to nuclear fallout and radioactive contamination. The impact of nuclear contamination on an individual is generally estimated as the result of the dose of radiation received and the duration of exposure, using the
linear no-threshold model The linear no-threshold model (LNT) is a dose-response model used in radiation protection to estimate stochastic health effects such as radiation-induced cancer, genetic mutations and teratogenic effects on the human body due to exposure to io ...
(LNT). Sex, age, race, culture, occupation, class, location, and simultaneous exposure to additional environmental toxins are also significant, but often overlooked, factors that contribute to the health effects on a particular "downwind" community.Dr. Arjun Mahkijani, "Science for the Vulnerable: Setting Radiation and Multiple Exposure Environmental Health Standards to Protect Those Most at Risk," October 19, 2006: http://www.ieer.org/campaign/report.pdf


Nuclear testing

Between 1945 and 1980, the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country Continental United States, primarily located in North America. It consists of 50 U.S. state, states, a Washington, D.C., ...
, the U.S.S.R., the
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and ...
,
France France (), officially the French Republic ( ), is a country primarily located in Western Europe. It also comprises of Overseas France, overseas regions and territories in the Americas and the Atlantic Ocean, Atlantic, Pacific Ocean, Pac ...
and
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's List of countries and dependencies by population, most populous country, with a Population of China, population exceeding 1.4 billion, slig ...
exploded 504 nuclear devices in atmospheric tests at thirteen primary sites yielding the explosive equivalent of 440 megatons of
TNT Trinitrotoluene (), more commonly known as TNT, more specifically 2,4,6-trinitrotoluene, and by its preferred IUPAC name 2-methyl-1,3,5-trinitrobenzene, is a chemical compound with the formula C6H2(NO2)3CH3. TNT is occasionally used as a reagen ...
. Of these atmospheric tests, 330 were conducted by the United States. Accounting for all types of nuclear tests, official counts show that the United States has conducted 1,054 nuclear weapons tests to date, involving at least 1,151 nuclear devices, most of which occurred at
Nevada Test Site The Nevada National Security Site (N2S2 or NNSS), known as the Nevada Test Site (NTS) until 2010, is a United States Department of Energy (DOE) reservation located in southeastern Nye County, Nevada, about 65 miles (105 km) northwest of the ...
and the Pacific Proving Grounds in the
Marshall Islands The Marshall Islands ( mh, Ṃajeḷ), officially the Republic of the Marshall Islands ( mh, Aolepān Aorōkin Ṃajeḷ),'' () is an independent island country and microstate near the Equator in the Pacific Ocean, slightly west of the Inte ...
, with ten other tests taking place at various locations in the United States, including Alaska, Colorado, Mississippi, and New Mexico. There have been an estimated 2,000 nuclear tests conducted worldwide; the number of nuclear tests conducted by the United States alone is currently more than the sum of nuclear testing done by all other known nuclear states (the USSR, Great Britain, France, China, India, Pakistan, and North Korea) combined. These nuclear tests infused vast quantities of radioactive material into the world's atmosphere, which was widely dispersed and then deposited as global fallout.


How downwinders are exposed to fallout

Aboveground nuclear explosions produce a characteristic
mushroom cloud A mushroom cloud is a distinctive mushroom-shaped flammagenitus cloud of debris, smoke and usually condensed water vapor resulting from a large explosion. The effect is most commonly associated with a nuclear explosion, but any sufficiently ener ...
, which moves downwind as it reaches its stabilization height. Dispersion of the radioactive elements causes vertical and lateral cloud movement, spreading radioactive materials over adjacent regions. While the large particles settle nearby the site of the detonation, smaller particles and gases may be dispersed around the world. Additionally, some explosions injected radioactive material into the
stratosphere The stratosphere () is the second layer of the atmosphere of the Earth, located above the troposphere and below the mesosphere. The stratosphere is an atmospheric layer composed of stratified temperature layers, with the warm layers of air h ...
, more than 10 kilometers above ground level, meaning it may float there for years before being subsequently deposited uniformly around the earth. Global fallout is the result, which exposes everything to an elevated level of man-made background radiation. While "downwinders" refers to those who live and work closest to the explosion site and are thus most acutely affected, there is a global effect of increased health risks due to ionizing radiation in the atmosphere.


Health effects of nuclear testing

The earliest concerns raised about the health effects of exposure to nuclear fallout had to do with fears of genetic alterations that may occur among the offspring of those most exposed. However, the observed inheritable effects of radiation exposure by groups with histories of acute risk are considered minimal compared with the significant increase in thyroid cancer, leukemia and certain solid tumors that have developed within a decade or more after exposure. As studies of biological samples (including bone, thyroid glands and other tissues) have been undertaken, it has become increasingly clear that specific radionuclides in fallout are implicated in fallout-related cancers and other late effects.
Ionizing radiation Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
contained in fallout from nuclear testing is especially damaging to dividing cells. For this reason, fetuses and infants are especially vulnerable to injury. Such cellular damage may later manifest as
leukemia Leukemia ( also spelled leukaemia and pronounced ) is a group of blood cancers that usually begin in the bone marrow and result in high numbers of abnormal blood cells. These blood cells are not fully developed and are called ''blasts'' or ...
and other cancers in children. In 1958, the
United Nations Scientific Committee on the Effects of Atomic Radiation The United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was set up by resolution of the United Nations General Assembly in 1955. 21 states are designated to provide scientists to serve as members of the committee which ...
reported on fetal and infant deaths caused by radiation.Bulletin of the Atomic Scientists, 15 July 201
‘Trinity: ‘The Most Significant Hazard of the Entire Manhattan Project’”
/ref> In 1980, American popular weekly magazine ''
People A person ( : people) is a being that has certain capacities or attributes such as reason, morality, consciousness or self-consciousness, and being a part of a culturally established form of social relations such as kinship, ownership of prope ...
'' reported that from about 220 cast and crew who filmed in a 1956 movie, '' The Conqueror'', on location near
St. George, Utah St. George is a city in and the county seat of Washington County, Utah, United States. Located in southwestern Utah on the Arizona border, it is the principal city of the St. George Metropolitan Statistical Area (MSA). The city lies in the northe ...
, ninety-one had come down with cancer, and 50 had died of cancer. Of these, forty-six had died of cancer by 1980. Among the cancer deaths were John Wayne,
Pedro Armendáriz Pedro Gregorio Armendáriz Hastings (May 9, 1912 – June 18, 1963) was a Mexican film actor who made films in both Mexico and the United States. With Dolores del Río and María Félix, he was one of the best-known Latin American movie stars ...
and Susan Hayward, the stars of the film.Gerald H. Clarfield and William M. Wiecek (1984). ''Nuclear America: Military and Civilian Nuclear Power in the United States 1940–1980'', Harper & Row, New York, p. 208. However, the lifetime odds of developing cancer for men in the U.S. population are 43 percent and the odds of dying of cancer are 23 percent (38 percent and 19 percent, respectively, for women). This places the cancer mortality rate for the 220 primary cast and crew quite near the expected average, but it needs to be noted that this statistic does not include the Native American
Paiute Paiute (; also Piute) refers to three non-contiguous groups of indigenous peoples of the Great Basin. Although their languages are related within the Numic group of Uto-Aztecan languages, these three groups do not form a single set. The term "Paiu ...
extras in the film.


Current status of nuclear testing

After adopting the
Comprehensive Nuclear Test Ban Treaty The Comprehensive Nuclear-Test-Ban Treaty (CTBT) is a multilateral treaty to ban nuclear weapons test explosions and any other nuclear explosions, for both civilian and military purposes, in all environments. It was adopted by the United Nation ...
in 1996, the U.S. and several other nuclear states pledged to stop nuclear testing. The
United States Senate The United States Senate is the upper chamber of the United States Congress, with the House of Representatives being the lower chamber. Together they compose the national bicameral legislature of the United States. The composition and pow ...
has not yet ratified the treaty, although it stopped testing in 1992. The final US test series was Operation Julin, in September 1992. Three countries have tested nuclear weapons since the CTBT opened for signature in 1996. India and Pakistan both carried out two sets of tests in 1998. North Korea carried out six announced tests, one each in 2006, 2009, 2013, two in 2016 and one in 2017.


Specific test sites


New Mexico

On July 16, 1945, the United States military conducted the word’s first test of an atom bomb in Alamogordo, New Mexico. Code-named
Trinity The Christian doctrine of the Trinity (, from 'threefold') is the central dogma concerning the nature of God in most Christian churches, which defines one God existing in three coequal, coeternal, consubstantial divine persons: God th ...
, this explosion also created the world’s first victims of an atom bomb: residents of New Mexico. Years before the test, scientists warned of the risks for civilians of atomic testing. In their memorandum of March 1940,
Manhattan Project The Manhattan Project was a research and development undertaking during World War II that produced the first nuclear weapons. It was led by the United States with the support of the United Kingdom and Canada. From 1942 to 1946, the project w ...
physicists Otto Frisch and
Rudolf Peierls Sir Rudolf Ernst Peierls, (; ; 5 June 1907 – 19 September 1995) was a German-born British physicist who played a major role in Tube Alloys, Britain's nuclear weapon programme, as well as the subsequent Manhattan Project, the combined Allie ...
warned: “Owing to the spread of radioactive substances with the wind, the bomb could probably not be used without killing large numbers of civilians, and this may make it unsuitable as a weapon for use by this country.” At the very least, they suggested that “ would be very important to have an organization which determines the exact extent of the danger area, by means of ionization measurements, so that people can be warned from entering it.” Federal officials for the most part ignored these warnings but a last minute small team to monitor some of the radiation was assembled. “New Mexico residents were neither warned before the 1945 Trinity blast, informed of health hazards afterward, nor evacuated before, during, or after the test.


Nevada

From 1951 – 1962, the
Nevada Test Site The Nevada National Security Site (N2S2 or NNSS), known as the Nevada Test Site (NTS) until 2010, is a United States Department of Energy (DOE) reservation located in southeastern Nye County, Nevada, about 65 miles (105 km) northwest of the ...
(NTS) was a primary site used for both surface and above-ground nuclear testing, with 100 tests at or above ground level, all of which involved releases of significant amounts of radioactive material into the atmosphere. Atmospheric testing was halted in 1958 after a testing moratorium was agreed upon with the Soviet Union. The Soviets broke the agreement in 1961, and both sides resumed testing. Two American test series followed:
Operation Nougat Operation Nougat was a series of 44 nuclear tests conducted (with one exception) at the Nevada Test Site in 1961 and 1962, immediately after the Soviet Union abrogated a testing moratorium, with the US' ''Mink'' test shot taking place the day ...
, and then
Operation Storax Operation Storax was a series of 47 nuclear tests conducted by the United States in 1962–1963 at the Nevada Test Site. These tests followed the ''Operation Fishbowl'' series and preceded the ''Operation Roller Coaster'' series. British test ...
. The
Partial Nuclear Test Ban Treaty The Partial Test Ban Treaty (PTBT) is the abbreviated name of the 1963 Treaty Banning Nuclear Weapon Tests in the Atmosphere, in Outer Space and Under Water, which prohibited all test detonations of nuclear weapons except for those conducted ...
went into effect in 1963, banning all above ground testing. Further tests were underground, which with the exception of a few test failures, did not release fallout.U.S. Department of Energy / Nevada Operations Office, ''United States Nuclear Tests - July 1945 through September 1992'', December 2000
DOE/NV-209 Rev 15
In the 1950s, people who lived in the vicinity of the NTS were encouraged to sit outside and watch the mushroom clouds that were created by nuclear bomb explosions. Many were given radiation badges to wear on their clothes, which were later collected by the Atomic Energy Commission to gather data about radiation levels. In a report by the
National Cancer Institute The National Cancer Institute (NCI) coordinates the United States National Cancer Program and is part of the National Institutes of Health (NIH), which is one of eleven agencies that are part of the U.S. Department of Health and Human Services. ...
, released in 1997, it was determined that the nearly ninety atmospheric tests at the Nevada Test Site (NTS) left high levels of radioactive iodine-131 (5.5 exabecquerels, Ebq) across a large area of the continental United States, especially in the years 1952, 1953, 1955, and 1957. The National Cancer Institute report estimates that doses received in these years are estimated to be large enough to produce 10,000 to 75,000 additional cases of thyroid cancer in the U.S. A 1999 review of the 1997 report considered that their estimates of collective doses were in "good agreement" and "should provide confidence that the NCI estimate is not grossly under or over the actual value." A 2006 report, published by the
Scientific Research Society Sigma Xi, The Scientific Research Honor Society () is a highly prestigious, non-profit honor society for scientists and engineers. Sigma Xi was founded at Cornell University by a junior faculty member and a small group of graduate students in 188 ...
, estimates that about 22,000 additional radiation-related cancers and 2,000 additional deaths from radiation-related leukemia are expected to occur in the United States because of external and internal radiation from both NTS and global fallout. A 2010 report evaluating data on thyroid cancer incidence from 1973 to 2004 also supports a relationship between exposure from fallout and increased thyroid cancer incidence. The threat of downwind exposure to radioactivity remaining at the Nevada Test Site from nuclear weapons tests was still an issue as late as 2007.
The Pentagon The Pentagon is the headquarters building of the United States Department of Defense. It was constructed on an accelerated schedule during World War II. As a symbol of the U.S. military, the phrase ''The Pentagon'' is often used as a meton ...
planned to test a 700-ton ammonium nitrate-and-fuel oil "
bunker buster A bunker buster is a type of munition that is designed to penetrate hardened targets or targets buried deep underground, such as military bunkers. Armor piercing shells Germany Röchling shells were bunker-busting artillery shells, developed ...
" weapon. The planned " Divine Strake" test would have raised a large mushroom cloud of contaminated dust that could have blown toward population centers such as
Las Vegas Las Vegas (; Spanish for "The Meadows"), often known simply as Vegas, is the 25th-most populous city in the United States, the most populous city in the state of Nevada, and the county seat of Clark County. The city anchors the Las Vegas ...
,
Boise Boise (, , ) is the capital and most populous city of the U.S. state of Idaho and is the county seat of Ada County. On the Boise River in southwestern Idaho, it is east of the Oregon border and north of the Nevada border. The downtown area' ...
,
Salt Lake City Salt Lake City (often shortened to Salt Lake and abbreviated as SLC) is the capital and most populous city of Utah, United States. It is the seat of Salt Lake County, the most populous county in Utah. With a population of 200,133 in 2020, th ...
, and
St. George, Utah St. George is a city in and the county seat of Washington County, Utah, United States. Located in southwestern Utah on the Arizona border, it is the principal city of the St. George Metropolitan Statistical Area (MSA). The city lies in the northe ...
. This project was cancelled in February 2007, in large part due to political pressure inspired by the threat of downwind exposure to radioactivity.


Hanford

While many downwinders were exposed to weapons testing, millions more have been affected by radioactive fallout due to U.S. sites engaged in the production of nuclear weapons and/or nuclear power. For example, Hanford is a former nuclear weapons production site located in south central Washington state, where the Washington state Department of Health collaborated with the citizen-le
Hanford Health Information Network
(HHIN) to publicize significant data about the health effects of Hanford's operations. Established in 1943, Hanford released radioactive materials into the air, water and soil, releases which largely resulted from the site's routine operation, though some were also due to accidents and intentional releases. By February 1986, mounting citizen pressure forced the U.S. Department of Energy to release to the public 19,000 pages of previously unavailable historical documents about Hanford's operations. These reports revealed there had been radioactive materials released into the air and Columbia River. The reactors used large amounts of water from the river for cooling, which caused materials in the river water to become radioactive as they passed through the reactor. The water and the radioactive materials it contained were released into the river after passing through the reactors, thus contaminating both groundwater systems and aquatic animals downstream as far west as the Washington and Oregon coasts.Overview of Hanford and Radiation Health Effects - Hanford Health Information Network - WA State Dept. of Health
The Hanford Thyroid Disease Study, an epidemiologic study of the relationship between estimated exposure doses to radioiodine and incidence of thyroid disease amongst Hanford's downwinders, led by the Fred Hutchinson Cancer Center, was inconclusive. A consolidated lawsuit brought by two thousand Hanford downwinders for personal injury against the contractors that ran Hanford has been in the court system for many years. The defense in the litigation is fully funded by taxpayer dollars due to Price Anderson indemnification agreements. The first six bellwether plaintiffs went to trial in 2005, to test the legal issues applying to the remaining plaintiffs in the suit. In October 2015, the Department of Energy resolved the final cases. The DOE paid more than $60 million in legal fees and $7 million in damages.


Marshall Islands

While the term "downwinders" generally connotes nuclear fallout victims based in the continental U.S. near sites such as Hanford and NTS, the population of the Marshall Islands bore a large brunt of nuclear testing under the United States' Pacific Proving Ground program. Now known officially as the
Republic of the Marshall Islands The Marshall Islands ( mh, Ṃajeḷ), officially the Republic of the Marshall Islands ( mh, Aolepān Aorōkin Ṃajeḷ),'' () is an independent island country and microstate near the Equator in the Pacific Ocean, slightly west of the Intern ...
, it was a
United Nations Trust Territory United Nations trust territories were the successors of the remaining League of Nations mandates and came into being when the League of Nations ceased to exist in 1946. All of the trust territories were administered through the United Nati ...
administered by the United States from 1944 to 1979, years during which the United States tested 66 nuclear weapons in the Marshall Islands. One of these many tests, the March 1, 1954, explosion of
Castle Bravo Castle Bravo was the first in a series of high-yield thermonuclear weapon design tests conducted by the United States at Bikini Atoll, Marshall Islands, as part of '' Operation Castle''. Detonated on March 1, 1954, the device was the most powerful ...
, a U.S. thermonuclear device, was responsible for most of the radiation the Marshall Islanders were exposed to. The fallout-related doses of this single test are believed to be the highest recorded in the history of worldwide nuclear testing. Many of the Marshall Islands which were part of the Pacific Proving Grounds remain contaminated by nuclear fallout, and many of those downwinders who were living on the islands at the time of testing have suffered from a highly increased incidence of several types of cancers and birth defects.


Effects of radiation on female downwinders

The primary long-term health hazard associated with exposure to ionizing radiation as a result of nuclear fallout is an increased risk for cancers of the
thyroid The thyroid, or thyroid gland, is an endocrine gland in vertebrates. In humans it is in the neck and consists of two connected lobes. The lower two thirds of the lobes are connected by a thin band of tissue called the thyroid isthmus. The thy ...
, other solid tumor cancers, and
leukemia Leukemia ( also spelled leukaemia and pronounced ) is a group of blood cancers that usually begin in the bone marrow and result in high numbers of abnormal blood cells. These blood cells are not fully developed and are called ''blasts'' or ...
. The relationship between radiation exposure and subsequent cancer risk is considered "the best understood, and certainly the most highly quantified, dose-response relationship for any common environmental human carcinogen", according to report by the National Cancer Institute. Overall, men in the United States develop cancer at a rate 22% higher than that of women. However, women develop cancer from radiation at a rate from 37.5% to 52% higher than that of men. In recent years, studies conducted by both the National Research Council and the EPA have confirmed that compared to men, women are at a significantly higher risk of radiation-induced cancers, such and that women's sensitivity to radiation-induced cancers is much higher than was previously estimated. The increased radiosensitivity of certain organs in women, such as the breast, ovaries, and thyroid is likely the cause of this difference.Arjun Makhijani, Brice Smith and Michael C. Thorne, "Healthy from the Start: Building a Better Basis for Environmental Health Standards— Starting with Radiation," Science for Democratic Action, vol. 44.4, February 2007: http://www.ieer.org/sdafiles/14-4.pdf In the EPA's 1999 Federal Guidance Report #13(FGR 13), ''Cancer Risk Coefficients for Environmental Exposure to Radionuclides'', the authors conclude that women have a 48 percent higher radionuclide-related cancer mortality risk than men. Further evidence of sex-based disparities in radiation-induced cancers was published in the 2006 report by the National Research Council's Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation (known as the BEIR VII report), which found that women's risk due to radiation exposure exceeded men's by 37.5 percent. When one considers rates of cancer incidence separately from rates of cancer fatality, the sex disparities are even greater. The BEIR VII Committee concluded that, given the same level of radiation exposure, women are 52 percent more likely than men to develop cancer, while the EPA report puts the estimate of difference as high as 58 percent. The differences in risk are even greater when considering organ-specific cancers, especially given that both reports identify breast, ovarian, lung, colon, and thyroid tissues as the most radiosensitive among women. For example, the FGR 13 has estimated that the ratio of thyroid cancer incidence for women as compared to men is 2.14, while the findings of BEIR VII suggest that women are even more vulnerable to radiation-induced thyroid cancer at a ratio of 4.76. As increasing concerns are raised regarding the environmental risks related to breast, the BEIR VII report cited evidence that suggests that "radiation may interact synergistically with other risk factors for
breast cancer Breast cancer is cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or a r ...
", raising the possibility that endocrine disrupting chemicals like
PCBs Polychlorinated biphenyls (PCBs) are highly carcinogenic chemical compounds, formerly used in industrial and consumer products, whose production was banned in the United States by the Toxic Substances Control Act in 1979 and internationally by t ...
and dioxins might combine to increase the risks associated with radiation beyond that which would be caused by either separately. A related concern is that radionuclides that may be passed through the breast milk, causing some women who are downwinders to be reluctant to breastfeed their children. While reducing the radioactive intake of their infants is an important preventative measure, it denies women the opportunity to engage a preventative measure for their own health; i.e. breastfeeding has been widely documented as a practice that can reduce women's risk of developing breast cancer. By refraining from
breastfeeding Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be expressed by hand or pumped and fed to the infant. The World Health Organization (WHO) recommends that br ...
, women downwinders' risks of breast cancer incidence becomes even more elevated.


Pregnancy and birth outcomes

Evidence about radiation-related pregnancy and birth outcomes comes from studies of nuclear bomb and test site survivors and studies of those exposed to diagnostic and therapeutic radiation. Mounting research indicates that above certain levels of radiation a miscarriage will result. It is also clear that fetal malformations are a greater risk if a woman is exposed to high doses of nuclear-related radiation in early pregnancy, when organs are being formed. If acute radiation exposure occurs in the first ten days following conception, when few cells have formed, it is likely that the embryo will fail to develop and spontaneous abortion will occur. Fetal malformations are most likely to occur if a pregnant woman receives a radiation dose >500 mSv between the 10th and 40th day of pregnancy, the period of
organogenesis Organogenesis is the phase of embryonic development that starts at the end of gastrulation and continues until birth. During organogenesis, the three germ layers formed from gastrulation (the ectoderm, endoderm, and mesoderm) form the internal org ...
during which the organs are formed. After the 40th day, the effects of radiation exposure are likely to include low birth weight, delayed growth, and possible mental deficits rather than fetal malformations. Radiation doses above 4,000 mSv are likely to kill both the mother and the fetus. It has been shown that radiation damage including
genome instability Genome instability (also genetic instability or genomic instability) refers to a high frequency of mutations within the genome of a cellular lineage. These mutations can include changes in nucleic acid sequences, chromosomal rearrangements or aneu ...
and
carcinogenesis Carcinogenesis, also called oncogenesis or tumorigenesis, is the formation of a cancer, whereby normal cells are transformed into cancer cells. The process is characterized by changes at the cellular, genetic, and epigenetic levels and abno ...
may occur transgenerationally in both males and females. The effects of radiation on fetal formation are also particularly relevant as a women's health issue to the extent that female fetuses' ova are formed while the fetus is still in utero. Adverse effects on a mother carrying a female fetus may therefore be multigenerational and increase both the daughter's and grandchildren's risks for ovarian cancer, infertility, and other reproductive developmental problems.


Compensation for downwinders

The
Radiation Exposure Compensation Act The United States Radiation Exposure Compensation Act (RECA) is a federal statute providing for the monetary compensation of people, including atomic veterans, who contracted cancer and a number of other specified diseases as a direct result of t ...
of 1990 established a $100 million compensation package which would pay $50,000 per person to fallout victims, and up to $100,000 to uranium miners who were exposed to unsafe levels of radiation. Downwinders eligible for compensation include those living in specified counties of Nevada, Utah, and Arizona for at least two years between January 1951 and October 1958, or during July 1962-periods when the United States conducted above ground nuclear tests without warning, and who are able to show correlations between certain diseases and their personal exposure to nuclear radiation. Miners' compensation covers workers employed in uranium mines in five states-Colorado, New Mexico, Arizona, Wyoming, and Utah-between January 1947 and December 1971. Uranium miners are eligible for $100,000, and onsite participants are eligible for $75,000.


Navajo-related obstacles

There are particular obstacles to receiving needed health care and compensation faced by many widows and widowers of Navajo
uranium Uranium is a chemical element with the symbol U and atomic number 92. It is a silvery-grey metal in the actinide series of the periodic table. A uranium atom has 92 protons and 92 electrons, of which 6 are valence electrons. Uranium is weak ...
miners, who were affected by disproportionately high incidences of fatal lung cancer caused by
radon Radon is a chemical element with the symbol Rn and atomic number 86. It is a radioactive, colourless, odourless, tasteless noble gas. It occurs naturally in minute quantities as an intermediate step in the normal radioactive decay chains through ...
exposure. In fact, the
health effects of radon Radon, a radioactive, colorless, odorless, tasteless noble gas, has been studied by a number of scientific and medical bodies for its effects on health. A naturally-occurring gas formed as a decay product of radium, radon is one of the densest sub ...
were first widely acknowledged as Mormon and Native American miners who hardly smoke (the main reason for lung cancer) had high incidences of lung cancer. Modern mining practices greatly reduce the danger from radon - also present in many coal mines - by proper ventilation. One problem for Navajo widows and widowers seeking the federal benefits for which they are qualified is the requirement that they document their marriages, although many were married in the 1930s and 1940s in undocumented tribal ceremonies. Language and cultural barriers pose further obstacles to Navajo downwinders; since many elderly Navajos do not speak English, their children bear the responsibility to do the research and procure from a tribal law judge a validation certificate of their tribal marriage. Similarly, it is difficult to access the outdated medical and occupational documentation that the government required even though the government's and uranium companies' own records for Navajo miners are sparse and difficult to access.Schinder, Keith, "A Valley of Death for the Navajo Uranium Miners," ''New York Times'', May 3, 1993.


See also

* Chernobyl disaster * Nevada-Semipalatinsk * New Zealand's nuclear-free zone * Project 4.1 *
Windscale fire The Windscale fire of 10 October 1957 was the worst nuclear accident in the United Kingdom's history, and one of the worst in the world, ranked in severity at level 5 out of a possible 7 on the International Nuclear Event Scale. The fire was in ...
* Atomic veteran *
The Plutonium Files ''The Plutonium Files: America's Secret Medical Experiments in the Cold War'' is a 1999 book by Eileen Welsome. It is a history of United States government-engineered radiation experiments on unwitting Americans, based on the Pulitzer Prize– ...


References


External links


Nuclear Testing and the Downwinders
from the website of the Utah State Historical Society
View documentary short "Downwinders: The People of Parowan"

Article "A people's truth"

Excerpt from Plutopia
{{Webarchive, url=https://web.archive.org/web/20131020230224/http://www.aeonmagazine.com/world-views/kate-brown-nuclear-downwinders/ , date=2013-10-20
Academic Journal Article “Downwind of the Atomic State: U.S. Continental Atmospheric Testing, Radioactive Fallout, and Organizational Deviance, 1951–1962”
Anti–nuclear weapons movement Environmental issues in the United States Nuclear weapons testing Radiation health effects History of the Southwestern United States History of Nevada History of Utah History of Washington (state) History of the Marshall Islands Environment of Nevada Environment of Utah Environment of Washington (state) Environment of the Marshall Islands