National Cancer Institute, National Institutes of Health, Bethesda, MD (retired).
Health Phys. 2020 Apr;118(4):360-381. doi: 10.1097/HP.0000000000001237.
The process of nuclear fission, which was discovered in 1938, opened the door to the production of nuclear weapons, which were used in 1945 by the United States against Japan in World War II, and to the detonation of >500 nuclear weapons tests in the atmosphere by the United States, the former Soviet Union, the United Kingdom, China, and France from 1946-1980. Hundreds of radionuclides, most of them short-lived, were produced in the atmospheric tests. The radioactive clouds produced by the explosions were usually partitioned between the troposphere and the stratosphere: the activity that remained in the troposphere resulted in local and regional fallout, consisting mainly of short-lived radionuclides and in relatively high doses for the populations residing in the vicinity of the test site, whereas the activity that reached the stratosphere returned to the ground with a half-life of ~1 y and was composed of long-lived radionuclides that contaminated all uncovered materials on Earth to a small extent and led to low-level irradiation of the world population for decades or more. The health effects resulting from exposure to radioactive fallout constitute, in most cases, small excesses over baseline rates for thyroid cancer and leukemia. An extra 49,000 cases of thyroid cancer would be expected to occur among the US population from exposure to radioactive fallout from the atmospheric nuclear weapons tests that were conducted at the Nevada Test Site in the 1950s. In addition, there could be as many as 11,000 deaths from non-thyroid cancers related to fallout from all atmospheric tests that were conducted at all sites in the world, with leukemia making up 10% of the total. Public concern arose in part from the secrecy that surrounded the nuclear testing programs and, for a long time, the poor communication regarding the consequences of the tests, both in terms of radiation doses and of health effects. Sociological and political pressures contributed to the establishment of programs of compensation for radiation exposures and evidence of radiation-induced diseases in countries that incurred significant fallout from nuclear weapons testing.
核裂变过程于 1938 年被发现,为核武器的生产开辟了道路。1945 年,美国在第二次世界大战中对日本使用了核武器,并在 1946 年至 1980 年间,由美国、前苏联、英国、中国和法国在大气层中进行了超过 500 次核武器试验。这些试验产生了数百种放射性核素,其中大多数半衰期较短。爆炸产生的放射性云通常在对流层和平流层之间分配:残留在对流层中的放射性物质导致局部和区域沉降,主要由短寿命放射性核素组成,对居住在试验场附近的人群造成相对较高的剂量;而到达平流层的放射性物质半衰期约为 1 年,返回地面,由长寿命放射性核素组成,这些核素略微污染了地球上所有未覆盖的物质,并导致世界人口在几十年或更长时间内受到低水平辐射。暴露于放射性沉降物导致的健康影响在大多数情况下,甲状腺癌和白血病的发病率略高于基线率。预计美国人口因暴露于 20 世纪 50 年代在内华达州试验场进行的大气层核武器试验的放射性沉降物而导致的甲状腺癌病例将增加 49,000 例。此外,与所有在世界各地进行的大气层试验的沉降物有关的非甲状腺癌死亡人数可能多达 11,000 人,其中白血病占总数的 10%。公众的担忧部分源于核武器试验计划的保密性,以及很长一段时间以来,对试验后果的沟通不佳,包括辐射剂量和健康影响。社会学和政治压力促成了对遭受核武器试验显著沉降物的国家的辐射暴露和辐射诱发疾病的赔偿计划的建立。