Health Phys. 2020 Oct;119(4):494-503. doi: 10.1097/HP.0000000000001170.
The potential health consequences of the Trinity nuclear weapon test of 16 July 1945 at Alamogordo, New Mexico, are challenging to assess. Population data are available for mortality but not for cancer incidence for New Mexico residents for the first 25 y after the test, and the estimates of radiation dose to the nearby population are lower than the cumulative dose received from ubiquitous natural background radiation. Despite the estimates of low population exposures, it is believed by some that cancer rates in counties near the Trinity test site (located in Socorro County) are elevated compared with other locations across the state. Further, there is a concern about adverse pregnancy outcomes and genetic diseases (transgenerational or heritable effects) related to population exposure to fallout radiation. The possibility of an intergenerational effect has long been a concern of exposed populations, e.g., Japanese atomic bomb survivors, survivors of childhood and adolescent cancer, radiation workers, and environmentally exposed groups. In this paper, the likelihood of discernible transgenerational effects is discounted because (1) in all large-scale comprehensive studies of exposed populations, no heritable genetic effects have been demonstrated in children of exposed parents; (2) the distribution of estimated doses from Trinity is much lower than in other studied populations where no transgenerational effects have been observed; and (3) there is no evidence of increased cancer rates among the scientific, military, and professional participants at the Trinity test and at other nuclear weapons tests who received much higher doses than New Mexico residents living downwind of the Trinity site.
1945 年 7 月 16 日在新墨西哥州阿拉莫戈多进行的三位一体核试验的潜在健康后果难以评估。在试验后 25 年内,新墨西哥州居民的死亡率数据是可用的,但癌症发病率数据不可用,而且对附近人口的辐射剂量估计低于无处不在的天然本底辐射所接受的累积剂量。尽管对人口暴露的估计很低,但一些人认为,位于三位一体试验场(位于索科罗县)附近的县的癌症发病率与该州其他地区相比有所升高。此外,人们还担心与人口接触沉降辐射有关的不良妊娠结局和遗传疾病(跨代或遗传性影响)。代际效应的可能性一直是受影响人群关注的焦点,例如日本原子弹幸存者、儿童和青少年癌症幸存者、辐射工作者以及暴露于环境中的人群。在本文中,可识别的跨代效应的可能性被否定,因为:(1)在所有对受影响人群进行的大规模综合研究中,暴露于父母的儿童中没有表现出可遗传的遗传效应;(2)三位一体所估计的剂量分布远低于其他研究人群,在这些人群中没有观察到跨代效应;(3)在三位一体试验和其他核武器试验的科学、军事和专业参与者中,没有证据表明癌症发病率升高,这些参与者接受的剂量比住在三位一体试验场下风处的新墨西哥州居民高得多。