The medical effects of the

atomic bomb A nuclear weapon is an explosive device that derives its destructive force from nuclear reactions, either fission (fission or atomic bomb) or a combination of fission and fusion reactions (thermonuclear weapon), producing a nuclear expl ...

upon humans can be put into the four categories below, with the effects of larger

thermonuclear weapon A thermonuclear weapon, fusion weapon or hydrogen bomb (H-bomb) is a second-generation nuclear weapon design. Its greater sophistication affords it vastly greater destructive power than first-generation nuclear bombs, a more compact size, a lowe ...

s producing blast and thermal effects so large that there would be a negligible number of survivors close enough to the center of the blast who would experience prompt/acute radiation effects, which were observed after the 16

kiloton TNT equivalent is a convention for expressing energy, typically used to describe the energy released in an explosion. A ton of TNT equivalent is a unit of energy defined by convention to be (). It is the approximate energy released in the det ...

yield Hiroshima bomb, due to its relatively low yield: *Initial stage—the first 1–9 weeks, in which are the greatest number of deaths, with 90% due to

thermal A thermal column (or thermal) is a rising mass of buoyant air, a convective current in the atmosphere, that transfers heat energy vertically. Thermals are created by the uneven heating of Earth's surface from solar radiation, and are an example ...

injury and/or blast effects and 10% due to super-lethal

radiation In physics, radiation is the emission or transmission of energy in the form of waves or particles through space or a material medium. This includes: * ''electromagnetic radiation'' consisting of photons, such as radio waves, microwaves, infr ...

exposure. *Intermediate stage—from 10 to 12 weeks. The deaths in this period are from

ionizing radiation Ionizing (ionising) radiation, including Radioactive decay, nuclear radiation, consists of subatomic particles or electromagnetic waves that have enough energy per individual photon or particle to ionization, ionize atoms or molecules by detaching ...

in the median lethal range -

LD50 In toxicology, the median lethal dose, LD50 (abbreviation for "lethal dose, 50%"), LC50 (lethal concentration, 50%) or LCt50 is a toxic unit that measures the lethal dose of a given substance. The value of LD50 for a substance is the dose requ ...

*Late period—lasting from 13 to 20 weeks. This period has some improvement in survivors' condition. *Delayed period—from 20+ weeks. Characterized by numerous complications, mostly related to healing of thermal and mechanical injuries, and if the individual was exposed to a few hundred to a thousand millisieverts of radiation, it is coupled with infertility, sub-fertility and blood disorders. Furthermore, ionizing radiation above a dose of around 50-100 millisievert exposure has been shown to statistically begin increasing a person's chance of dying of cancer sometime in their lifetime over the normal unexposed rate of c. 25%, in the long term, a heightened rate of cancer, proportional to the dose received, would begin to be observed after c. 5+ years, with lesser problems, such as eye

cataract A cataract is a cloudy area in the lens (anatomy), lens of the eye that leads to a visual impairment, decrease in vision of the eye. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colours, blurry or ...

s, and other more minor effects in other organs and tissue also being observed over the long term. Depending on whether individuals further afield

shelter in place Shelter-in-place (SIP; also known as a shelter-in-place warning, Specific Area Message Encoding, SAME code SPW) is the act of seeking safety within the building one already occupies, rather than emergency evacuation, evacuating the area or seeking ...

or evacuate perpendicular to the direction of the wind, and therefore avoid contact with the fallout plume, and stay there for the days and weeks after the nuclear explosion, their exposure to fallout, and therefore their total dose, will vary. With those who do shelter in place, and or evacuate, experiencing a total dose that would be negligible in comparison to someone who just went about their life as normal. Staying indoors until after the most hazardous fallout

isotope Isotopes are distinct nuclear species (or ''nuclides'') of the same chemical element. They have the same atomic number (number of protons in their Atomic nucleus, nuclei) and position in the periodic table (and hence belong to the same chemica ...

, I-131 decays away to 0.1% of its initial quantity after ten

half-lives Half-life is a mathematical and scientific description of exponential or gradual decay. Half-life, half life or halflife may also refer to: Film * ''Half-Life'' (film), a 2008 independent film by Jennifer Phang * '' Half Life: A Parable for t ...

– which is represented by 80 days in the care of I-131 cases, would make the difference between likely contracting

thyroid cancer Thyroid cancer is cancer that develops from the tissues of the thyroid gland. It is a disease in which cells grow abnormally and have the potential to spread to other parts of the body. Symptoms can include swelling or a lump in the neck, ...

or escaping completely from this substance depending on the actions of the individual. Some scientists estimate that if there were a

nuclear war Nuclear warfare, also known as atomic warfare, is a War, military conflict or prepared Policy, political strategy that deploys nuclear weaponry. Nuclear weapons are Weapon of mass destruction, weapons of mass destruction; in contrast to conven ...

resulting in 100 Hiroshima-size nuclear explosions on cities, it could cause significant loss of life in the tens of millions from long term climatic effects alone. The climatology hypothesis is that ''if'' each city

firestorm A firestorm is a conflagration which attains such intensity that it creates and sustains its own wind system. It is most commonly a natural phenomenon, created during some of the largest bushfires and wildfires. Although the term has been used ...

s, a great deal of soot could be thrown up into the atmosphere which could blanket the earth, cutting out sunlight for years on end, causing the disruption of food chains, in what is termed a

nuclear winter Nuclear winter is a severe and prolonged anti-greenhouse effect, global climatic cooling effect that is hypothesized to occur after widespread firestorms following a large-scale Nuclear warfare, nuclear war. The hypothesis is based on the fact ...

scenario.

Blast effects — the initial stage

Immediate post-attack period

The main causes of death and disablement in this state are thermal burns and the failure of structures resulting from the blast effect. Injury from the pressure wave is minimal in contrast because the human body can survive up to 2 bar (30 psi) while most buildings can withstand only a 0.8 bar (12 psi) blast. Therefore, the fate of humans is closely related to the survival of the buildings around them.Middleton, Hugh. "Medical Consequences of Radiation Following a Global Nuclear War." The Aftermath (1983): 50-56.

Fate within certain peak overpressure

* over 0.8 bar (12 psi) - 98% dead, 2% injured * 0.3 - 0.8 bar (5-12 psi) - 50% dead, 40% injured, 10% safe * 0.14 - 0.3 bar (2-5 psi) - 5% dead, 45% injured, 50% safe

Types of radioactive exposure after a nuclear attack

In a nuclear explosion, the human body can experience varying types of radiation. This radiation can be classified into two groups: initial radiation and residual radiation. Initial radiation is emitted during the initial explosion, which releases short-term

radionuclides A radionuclide (radioactive nuclide, radioisotope or radioactive isotope) is a nuclide that has excess numbers of either neutrons or protons, giving it excess nuclear energy, and making it unstable. This excess energy can be used in one of three ...

. The residual radiation is emitted after the initial attack from materials that were impacted by the detonation. These materials let off nuclear radiation in the form of residual radiation. In the event of a nuclear attack, a human body can be irradiated by at least three processes. The first, and most significant, cause of burns is

radiation and not caused by ionizing radiation. * Thermal

burn A burn is an injury to skin, or other tissues, caused by heat, electricity, chemicals, friction, or ionizing radiation (such as sunburn, caused by ultraviolet radiation). Most burns are due to heat from hot fluids (called scalding), soli ...

s from

infrared Infrared (IR; sometimes called infrared light) is electromagnetic radiation (EMR) with wavelengths longer than that of visible light but shorter than microwaves. The infrared spectral band begins with the waves that are just longer than those ...

heat radiation, these would be the most common burn type experienced by people. * If people come in direct contact with fallout, beta burns from shallow ionizing beta radiation will be experienced, the largest particles (visible to the naked eye) in local fallout would be likely to have very high radioactivity because they would be deposited so soon after detonation; this fraction of the total fallout is called the prompt or local fallout fraction. It is likely that one such particle upon the skin would be able to cause a localized beta burn. This local fallout, termed ''Bikini snow'' after the Pacific island weapon tests, was experienced by the crew on the deck of the '' Lucky Dragon'' fishing ship following the explosion of the 15 megaton ''Shrimp'' device in the

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 1 March 1954, the device remains the most powe ...

event. However, these particular decay particles (

beta particle A beta particle, also called beta ray or beta radiation (symbol β), is a high-energy, high-speed electron or positron emitted by the radioactive decay of an atomic nucleus, known as beta decay. There are two forms of beta decay, β− decay and � ...

s) are very weakly penetrating and have a short range, requiring almost direct contact between fallout and personnel to be harmful. * Rarer still would be personnel who experience

radiation burn A radiation burn is a damage to the skin or other biological tissue and organs as an effect of radiation. The radiation types of greatest concern are thermal radiation, radio frequency energy, ultraviolet light and ionizing radiation. The most ...

s from highly penetrating

gamma radiation A gamma ray, also known as gamma radiation (symbol ), is a penetrating form of electromagnetic radiation arising from high energy interactions like the radioactive decay of atomic nuclei or astronomical events like solar flares. It consists o ...

. This would likely cause deep gamma penetration within the body, which would result in uniform whole body irradiation rather than only a surface burn. In cases of whole body gamma irradiation (c. 10 Gy) due to accidents involving medical product irradiators, some of the human subjects have developed injuries to their skin between the time of irradiation and death. In the picture above, the normal clothing (a

kimono The is a traditional Japanese garment and the national dress of Japan. The kimono is a wrapped-front garment with square sleeves and a rectangular body, and is worn Garment collars in hanfu#Youren (right lapel), left side wrapped over ri ...

) that the woman was wearing attenuated the far reaching

thermal radiation Thermal radiation is electromagnetic radiation emitted by the thermal motion of particles in matter. All matter with a temperature greater than absolute zero emits thermal radiation. The emission of energy arises from a combination of electro ...

; the kimono, however, would naturally have been unable to attenuate any

, if she were close enough to the weapon to have experienced any, and it would be likely that any such penetrating radiation effect would be evenly applied to her entire body. Beta burns would likely be all over the body if there was contact with fallout after the explosion, unlike thermal burns, which are only ever on one side of the body, as heat radiation

naturally does not penetrate the human body. In addition, the pattern on her clothing has been burnt into the skin by the thermal radiation. This is because white fabric reflects more visible and

light than dark fabric. As a result, the skin underneath dark fabric is burned more than the skin covered by white clothing. There is also the risk of internal radiation poisoning by ingestion of fallout particles, if one is in a fallout zone.

Radiation poisoning

Radiation poisoning, also called "radiation sickness" or a "creeping dose", is a form of damage to organ tissue due to excessive exposure to

. The term is generally used to refer to acute problems caused by a large dosage of

in a short period, though this also has occurred with long-term exposure to low-level radiation. Many of the symptoms of radiation poisoning occur as ionizing radiation interferes with cell division. There are numerous lethal radiation syndromes, including

prodromal In medicine, a prodrome is an early Medical sign, sign or symptom (or set of signs and symptoms, referred to as prodromal symptoms) that often indicates the onset of a disease before more diagnostically specific signs and symptoms develop. More spe ...

syndrome,

bone marrow Bone marrow is a semi-solid biological tissue, tissue found within the Spongy bone, spongy (also known as cancellous) portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). It i ...

death,

central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain, spinal cord and retina. The CNS is so named because the brain integrates the received information and coordinates and influences the activity o ...

death and

gastrointestinal The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The tract is the largest of the body's systems, after the cardiovascular system. ...

death.Coggle, J.E., Lindop, Patricia J. "Medical Consequences of Radiation Following a Global Nuclear War." The Aftermath (1983): 60-71.

Prodromal syndrome

The "prodromal syndrome" is not a diagnosis, but the technical term used by health professionals to describe a specific group of symptoms that may precede the onset of an illness. For example, a fever is "prodromal" to measles, which means that a fever may be a risk factor for developing this illness. The prodromal symptoms for radiation poisoning can include symptoms such as feelings of nausea, increased thirst, loss of appetite, discomfort, fever, and diarrhea.

Bone marrow death

Bone marrow Bone marrow is a semi-solid biological tissue, tissue found within the Spongy bone, spongy (also known as cancellous) portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). It i ...

death is caused by a dose of radiation between 2 and 10 Gray and is characterized by the part of the bone marrow that makes the blood being broken down. Therefore, production of red and

white blood cells White blood cells (scientific name leukocytes), also called immune cells or immunocytes, are cells of the immune system that are involved in protecting the body against both infectious disease and foreign entities. White blood cells are genera ...

and platelets is stopped due to loss of the blood-making

stem cells In multicellular organisms, stem cells are undifferentiated or partially differentiated cells that can change into various types of cells and proliferate indefinitely to produce more of the same stem cell. They are the earliest type of cell ...

(4.5 Gray kills 95% of stem cells). The loss of

platelet Platelets or thrombocytes () are a part of blood whose function (along with the coagulation#Coagulation factors, coagulation factors) is to react to bleeding from blood vessel injury by clumping to form a thrombus, blood clot. Platelets have no ...

s greatly increases the chance of fatal

hemorrhage Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, ...

, while the lack of white blood cells causes infections; the fall in red blood cells is minimal, and only causes mild

anemia Anemia (also spelt anaemia in British English) is a blood disorder in which the blood has a reduced ability to carry oxygen. This can be due to a lower than normal number of red blood cells, a reduction in the amount of hemoglobin availabl ...

. The exposure to 4.5 Gray of penetrating gamma rays has many effects that occur at different times: In 24 hours: *

vomiting Vomiting (also known as emesis, puking and throwing up) is the forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose. Vomiting can be the result of ailments like food poisoning, gastroenteritis, pre ...

diarrhea Diarrhea (American English), also spelled diarrhoea or diarrhœa (British English), is the condition of having at least three loose, liquid, or watery bowel movements in a day. It often lasts for a few days and can result in dehydration d ...

These will usually abate after 6–7 days. Within 3–4 weeks there is a period of extreme illness. *severe bloody diarrhea, indicating intestinal disorders causing fluid imbalance *extensive

internal bleeding Internal bleeding (also called internal haemorrhage) is a loss of blood from a blood vessel that collects inside the body, and is not usually visible from the outside. It can be a serious medical emergency but the extent of severity depends on b ...

sepsis Sepsis is a potentially life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage of sepsis is followed by suppression of the immune system. Common signs and s ...

infections The peak incidence of acute BM death corresponds to the 30-day nadir in blood cell numbers. The number of deaths then falls progressively until it reaches 0 at 60 days after irradiation. The amount of radiation greatly affects the probability of death. For example, over the range of 2 to 6 Gray the probability of death in untreated adults goes from about 1% to 99%, but these figures are for healthy adults. Therefore, results may differ, because of the thermal and mechanical injuries and infectious conditions.

Gastrointestinal death

Gastrointestinal death is caused by a dose of radiation between 10 and 50 Gray. Whole body doses cause damage to

epithelial cells Epithelium or epithelial tissue is a thin, continuous, protective layer of cells with little extracellular matrix. An example is the epidermis, the outermost layer of the skin. Epithelial ( mesothelial) tissues line the outer surfaces of man ...

lining the

gastrointestinal tract The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the Digestion, digestive system that leads from the mouth to the anus. The tract is the largest of the body's systems, after the cardiovascula ...

and this combined with the bone marrow damage is fatal. All symptoms become increasingly severe, causing exhaustion and

emaciation Emaciation is defined as the state of extreme thinness from absence of body fat and muscle wasting usually resulting from malnutrition. It is often seen as the opposite of obesity. Characteristics Emaciation manifests physically as thin limbs, pr ...

in a few days and death within 7–14 days from loss of water and electrolytes. The symptoms of gastrointestinal death are: *gastrointestinal pain *anorexia *nausea *vomiting *diarrhea

Central nervous system death

Central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain, spinal cord and retina. The CNS is so named because the brain integrates the received information and coordinates and influences the activity o ...

death is the main cause of death in 24–48 hours among those exposed to 50 Gray. The symptoms are: *vomiting *nausea *diarrhea *

drowsiness Somnolence (alternatively sleepiness or drowsiness) is a state of strong desire for sleep, or sleeping for unusually long periods (compare hypersomnia). It has distinct meanings and causes. It can refer to the usual state preceding falling asleep ...

lethargy Lethargy is a state of tiredness, sleepiness, weariness, fatigue, sluggishness, or lack of energy. It can be accompanied by depression, decreased motivation, or apathy. Lethargy can be a normal response to inadequate sleep, overexertion, overw ...

*tremors *

delirium Delirium (formerly acute confusional state, an ambiguous term that is now discouraged) is a specific state of acute confusion attributable to the direct physiological consequence of a medical condition, effects of a psychoactive substance, or ...

*frequent

seizure A seizure is a sudden, brief disruption of brain activity caused by abnormal, excessive, or synchronous neuronal firing. Depending on the regions of the brain involved, seizures can lead to changes in movement, sensation, behavior, awareness, o ...

s *

convulsions A convulsion is a medical condition where the body muscles contract and relax rapidly and repeatedly, resulting in uncontrolled shaking. Because epileptic seizures typically include convulsions, the term ''convulsion'' is often used as a synony ...

* heat prostration *

coma A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to Nociception, respond normally to Pain, painful stimuli, light, or sound, lacks a normal Circadian rhythm, sleep-wake cycle and does not initiate ...

respiratory failure Respiratory failure results from inadequate gas exchange by the respiratory system, meaning that the arterial oxygen, carbon dioxide, or both cannot be kept at normal levels. A drop in the oxygen carried in the blood is known as hypoxemia; a r ...

death Death is the end of life; the irreversible cessation of all biological functions that sustain a living organism. Death eventually and inevitably occurs in all organisms. The remains of a former organism normally begin to decompose sh ...

Short-term effects (6–8 weeks)

Skin

The

skin Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different ...

is susceptible to beta-emitting radioactive fallout. The principal site of damage is the germinal layer, and often the initial response is

erythema Erythema (, ) is redness of the skin or mucous membranes, caused by hyperemia (increased blood flow) in superficial capillaries. It occurs with any skin injury, infection, or inflammation. Examples of erythema not associated with pathology inc ...

(reddening) due to

blood vessel Blood vessels are the tubular structures of a circulatory system that transport blood throughout many Animal, animals’ bodies. Blood vessels transport blood cells, nutrients, and oxygen to most of the Tissue (biology), tissues of a Body (bi ...

s congestion and

edema Edema (American English), also spelled oedema (British English), and also known as fluid retention, swelling, dropsy and hydropsy, is the build-up of fluid in the body's tissue (biology), tissue. Most commonly, the legs or arms are affected. S ...

. Erythema lasting more than 10 days occurs in 50% of people exposed to 5-6 Gray. Other effects with exposure include: *2–3 Gray—temporary

hair loss Hair loss, also known as alopecia or baldness, refers to a loss of hair from part of the head or body. Typically at least the head is involved. The severity of hair loss can vary from a small area to the entire body. Inflammation or scarring ...

*7 Gray—permanent

epilation Hair removal is the deliberate removal of body hair or head hair. This process is also known as epilation or depilation. Hair is a common feature of the human body, exhibiting considerable variation in thickness and length across different pop ...

occurs *10 Gray—itching and flaking occurs *10–20 Gray—weeping

blister A blister is a small pocket of body fluid (lymph, serum, plasma, blood, or pus) within the upper layers of the skin, usually caused by forceful rubbing (friction), burning, freezing, chemical exposure or infection. Most blisters are filled ...

ing and

ulcer An ulcer is a discontinuity or break in a bodily membrane that impedes normal function of the affected organ. According to Robbins's pathology, "ulcer is the breach of the continuity of skin, epithelium or mucous membrane caused by sloughin ...

ation will occur

Lungs

The

lung The lungs are the primary Organ (biology), organs of the respiratory system in many animals, including humans. In mammals and most other tetrapods, two lungs are located near the Vertebral column, backbone on either side of the heart. Their ...

s are the most radiosensitive organ, and radiation pneumonitis can occur leading to pulmonary insufficiency and death (100% after exposure to 50 Gray of radiation), in a few months. Radiation

pneumonitis Pneumonitis describes general inflammation of lung tissue. Possible causative agents include radiation therapy of the chest, exposure to medications used during chemo-therapy, the inhalation of debris (e.g., animal dander), aspiration, herbicide ...

is characterized by: *Loss of epithelial cells *

Edema Edema (American English), also spelled oedema (British English), and also known as fluid retention, swelling, dropsy and hydropsy, is the build-up of fluid in the body's tissue (biology), tissue. Most commonly, the legs or arms are affected. S ...

Inflammation Inflammation (from ) is part of the biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The five cardinal signs are heat, pain, redness, swelling, and loss of function (Latin ''calor'', '' ...

*Occlusions of airways, air sacs and blood vessels *

Fibrosis Fibrosis, also known as fibrotic scarring, is the development of fibrous connective tissue in response to an injury. Fibrosis can be a normal connective tissue deposition or excessive tissue deposition caused by a disease. Repeated injuries, ch ...

Ovaries

A single dose of 1–2 Gray will cause temporary damage and suppress

menstruation Menstruation (also known as a period, among other colloquial terms) is the regular discharge of blood and Mucous membrane, mucosal tissue from the endometrium, inner lining of the uterus through the vagina. The menstrual cycle is characterized ...

for periods up to 3 years; a dose of 4 Gray will cause permanent sterility.

Testicles

A dose of 0.1 Gray will cause low sperm counts for up to a year; 2.5 Gray will cause sterility for 2 to 3 years or more. 4 Gray will cause permanent sterility.

Long-term effects

Cataract induction

The timespan for developing this symptom ranges from 6 months to 30 years to develop but the median time for developing them is 2–3 years. *2 Gray of gamma rays cause opacities in a few percent *6-7 Gray can seriously impair vision and cause

cataracts A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision of the eye. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colours, blurry or double vision, halos around ligh ...

Cancer induction

Cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...

induction is the most significant long-term risk of exposure to a nuclear bomb. Approximately 1 out of every 80 people exposed to 1 Gray will die from cancer, in addition to the normal rate of 20 out of 80. About 1 in 40 people will get cancer, in addition to the typical rates of 16-20 out of 40. Different types of cancer take different times for them to appear: *2 years for

leukemia Leukemia ( also spelled leukaemia; pronounced ) is a group of blood cancers that usually begin in the bone marrow and produce high numbers of abnormal blood cells. These blood cells are not fully developed and are called ''blasts'' or '' ...

to appear *20 or more years for

skin cancer Skin cancers are cancers that arise from the Human skin, skin. They are due to the development of abnormal cells (biology), cells that have the ability to invade or metastasis, spread to other parts of the body. It occurs when skin cells grow ...

lung cancer Lung cancer, also known as lung carcinoma, is a malignant tumor that begins in the lung. Lung cancer is caused by genetic damage to the DNA of cells in the airways, often caused by cigarette smoking or inhaling damaging chemicals. Damaged ...

''In utero'' effects on human development

A 1 Gy dose of radiation will cause between 0 and 20 extra cases of

perinatal mortality Perinatal mortality (PNM) is the death of a fetus or neonate and is the basis to calculate the perinatal mortality rate. ''Perinatal'' means "relating to the period starting a few weeks before birth and including the birth and a few weeks after bi ...

, per 1,000 births and 0-20 cases per 1000 births of severe mental sub-normality. A 0.05 Gy dose will increase death due to cancer 10 fold, from the normal 0.5 per 1000 birth rate to a rate of 5 per 1,000. An antenatal dose of 1 Gy in the first trimester causes the lifetime risk of fatal cancer sometime in the child's life to increase from c. 25% in non-exposed humans to 100% in the first trimester after exposure.

Transgenerational genetic damage

Exposure to even relatively low doses of radiation generates genetic damage in the progeny of irradiated rodents. This damage can accumulate over several generations. No statistically demonstrable increase of congenital malformations was found among the ''later conceived children born'' to survivors of the Nuclear weapons at Hiroshima and Nagasaki. The surviving women of Hiroshima and Nagasaki, that could conceive, who were exposed to substantial amounts of radiation, went on and had children with no higher incidence of abnormalities than the Japanese average.

Infectious diseases resulting from nuclear attack

It was assumed in the 1983 book ''Medical Consequences of Radiation Following a Global Nuclear War'' that, although not caused by radiation, one of the long-term effects of a nuclear war would be a massive increase in

infectious disease An infection is the invasion of tissue (biology), tissues by pathogens, their multiplication, and the reaction of host (biology), host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmis ...

s caused by fecal matter contaminated water from untreated

sewage Sewage (or domestic sewage, domestic wastewater, municipal wastewater) is a type of wastewater that is produced by a community of people. It is typically transported through a sewerage, sewer system. Sewage consists of wastewater discharged fro ...

, crowded living conditions, poor standard of living, and lack of

vaccine A vaccine is a biological Dosage form, preparation that provides active acquired immunity to a particular infectious disease, infectious or cancer, malignant disease. The safety and effectiveness of vaccines has been widely studied and verifi ...

s in the aftermath of a

, with the following list of diseases being cited: *

Dysentery Dysentery ( , ), historically known as the bloody flux, is a type of gastroenteritis that results in bloody diarrhea. Other symptoms may include fever, abdominal pain, and a feeling of incomplete defecation. Complications may include dehyd ...

Typhoid Typhoid fever, also known simply as typhoid, is a disease caused by ''Salmonella enterica'' serotype Typhi bacteria, also called ''Salmonella'' Typhi. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often ther ...

* Infectious hepatitis *

Salmonellosis Salmonellosis is a symptomatic infection caused by bacteria of the ''Salmonella'' type. It is the most common disease to be known as food poisoning (though the name refers to food-borne illness in general). These are defined as diseases, usuall ...

Cholera Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...

* Meningococcal meningitis *

Tuberculosis Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by ''Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can al ...

Diphtheria Diphtheria is an infection caused by the bacteria, bacterium ''Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild Course (medicine), clinical course, but in some outbreaks, the mortality rate approaches 10%. Signs a ...

Whooping cough Whooping cough ( or ), also known as pertussis or the 100-day cough, is a highly contagious, Vaccine-preventable diseases, vaccine-preventable Pathogenic bacteria, bacterial disease. Initial symptoms are usually similar to those of the common c ...

Polio Poliomyelitis ( ), commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe ...

Pneumonia Pneumonia is an Inflammation, inflammatory condition of the lung primarily affecting the small air sacs known as Pulmonary alveolus, alveoli. Symptoms typically include some combination of Cough#Classification, productive or dry cough, ches ...

There would be billions of disease carrying vectors, in the form of city residents, lying deceased in cities caused by the direct nuclear weapons effects alone, with the surviving few billion people spread out in rural communities living agrarian lifestyles, with the survivors therefore posing a way of living far less prone to creating the crowded

slum A slum is a highly populated Urban area, urban residential area consisting of densely packed housing units of weak build quality and often associated with poverty. The infrastructure in slums is often deteriorated or incomplete, and they are p ...

living conditions required for infectious diseases to spread. Moreover, as reported in a paper published in the journal Public Health Reports, it is also one of a number of prevalent myths that infectious diseases always occur after a disaster in cities.

Notes

{{DEFAULTSORT:Effects Of Nuclear Explosions On Human Health Nuclear weapons Radiobiology Radiation health effects Health effects by subject