Sutou Shizuyo
School of Pharmacy, Shujitsu University, 1-6-1 Nishigawara, Naka Ward, Okayama City 703-8234, Japan.
J Radiat Res. 2017 Sep 1;58(5):745-754. doi: 10.1093/jrr/rrx029.
The A-bomb blast released a huge amount of energy: thermal radiation (35%), blast energy (50%), and nuclear radiation (15%). Of the 15%, 5% was initial radiation released within 30 s and 10% was residual radiation, the majority of which was fallout. Exposure doses of hibakusha (A-bomb survivors) were estimated solely on the basis of the initial radiation. The effects of the residual radiation on hibakusha have been considered controversial; some groups assert that the residual radiation was negligible, but others refute that assertion. I recently discovered a six-decade-old article written in Japanese by a medical doctor, Gensaku Obo, from Hiroshima City. This article clearly indicates that the area around the epicenter in Hiroshima was heavily contaminated with residual radiation. It reports that non-hibakusha who entered Hiroshima soon after the blast suffered from severe acute radiation sickness, including burns, external injuries, fever, diarrhea, skin bleeding, sore throat and loss of hair-as if they were real hibakusha. This means that (i) some of those who entered Hiroshima in the early days after the blast could be regarded as indirect hibakusha; (ii) 'in-the-city-control' people in the Life Span Study (LSS) must have been irradiated more or less from residual radiation and could not function properly as the negative control; (iii) exposure doses of hibakusha were largely underestimated; and (iv) cancer risk in the LSS was largely overestimated. Obo's article is very important to understand the health effects of A-bombs so that the essence of it is translated from Japanese to English with the permission of the publisher.
热辐射(35%)、爆炸能量(50%)和核辐射(15%)。在这15%中,5%是在30秒内释放的初始辐射,10%是残余辐射,其中大部分是沉降物。原子弹爆炸幸存者(受爆者)的暴露剂量仅根据初始辐射来估算。残余辐射对受爆者的影响一直存在争议;一些团体声称残余辐射可忽略不计,但另一些团体则反驳这一说法。我最近发现了一篇由广岛市的医学博士大保源作六十年前用日语撰写的文章。这篇文章清楚地表明,广岛震中周围地区受到了严重的残余辐射污染。它报道说,爆炸后不久进入广岛的非受爆者患上了严重的急性放射病,包括烧伤、外伤、发烧、腹泻、皮肤出血、喉咙痛和脱发——就好像他们是真正的受爆者一样。这意味着:(i)爆炸后早期进入广岛的一些人可被视为间接受爆者;(ii)寿命研究(LSS)中的“市内对照”人群肯定或多或少受到了残余辐射的照射,不能作为有效的阴性对照;(iii)受爆者的暴露剂量被大大低估了;(iv)LSS中的癌症风险被大大高估了。大保的文章对于理解原子弹对健康的影响非常重要,因此在获得出版商许可后,将其原文从日语翻译成了英语。