1. What we should have learned from past experience What can we learn from Fukushima about accident management Richard Wilson Department of Physics Harvard University Seminar on Planetary emergencies Erice, Sicily August 20th 2011

2. Medical X rays Hiroshima-Nagasaki Windscale Three Mile Island Chernobyl also Multistage theories of Cancer (Sir Richard Doll)

3. Medical advantage of X rays was so great It outweighed disadvantages
Medical advantage of X rays was so great
It outweighed disadvantages
BUT
advantage could be the same but
disadvantage (dose) was reduced a factor of 150
(International Commission on Radiation protection (ICRP) and Physicists

4. Atomic Bomb Casualty Commission (ABCC) now
Hiroshima-Nagasaki
Atomic Bomb Casualty Commission (ABCC)
now
Radiation Effects Research Foundation (RERF)
UNSCEAR 100,000 or so papers
Most people died of blast
5000 died or will die of excess radiation
Prompt radiation
What is the effect of lower dose rate?
(only real study is that at Techa River)

5. Acute Radiation Sickness An acute dose from dose within a few days
LD Rem (2.5 Sv)
LD50 after blood transfusion -350 Rems (3.5 Sv)
(Canadian Louis Slotin July 1945)
Evacuate to avoid acute dose
Chronic effect
If just below acute dose 10% -20% increase of cancer probability
(increasing if exposure continues)

6. Windscale Well known iodine cycle: Iodine drops on grass: cows eat grass concentrate in milk: babies drink milk concentrate in thyroid Graphite reactor caught fire. Iodine released milk impounded for 100 miles downwind no casualties

7. Studies on Stress are not definitive 5% increase of cancer probability is plausible
Human studies
Handbook of psychophysiology
By John T. Cacioppo, Louis G. Tassinary, Gary G. Berntson.
“Health effects of relocation following disaster: a systematic review of the literature by Lori Uscher-Pine
Disasters, 33(1):1-22 (2009)
Animal studies NTP control groups
“Megamouse” study

8. Core melted but inside containment
Three Mile Island
Core melted but inside containment
Hydrogen explosion inside containment
Probably iodine came out in water as HI
(no harm)
Unauthorized NRC man panicked and called for evacuation
Kemeny commission noted stress due to evacuation

9. Cesium 134 and 137 were and are the main culprits.
CHERNOBYL
Secrecy was involved: those advising not to drink milk were reprimanded
Cesium 134 and 137 were and are the main culprits.
Integrated dose was mostly after a few days
Evacuation from Pripyat was a day late but in time and well arranged.
Chistalogovka 3 days late
Distinction between compulsion and voluntary evacuation not clear.
‘What is not forbidden is compulsory”
Panic in Europe (Stockholm) set rules for reentry
(reindeer meat: British objected: welsh lamb, etc)

11. Integrate by taking peak and half width
Integrated Dose at main gate through March 16th
2-3 Rems ( Sv)
Nowhere near enough for Acute Radiation Sickness

15. Highest Integrated Dose about
15 Rems (0.15 Sv)
(in open – 4 times less indoors)
Increase in cancer probability: 1 to 2 %
(more for younger, less for older)
Compare to 5% x e^(+/- 1) from stress

16. Chairman Gregory Jaczko testimony in US Congress March 17th 2011
Recently, the NRC made a recommendation that based on the available information that we have, that for a comparable situation in the United States, we would recommend an evacuation to a much larger radius than has currently been provided in Japan. As a result of this recommendation, the ambassador in Japan has issued a statement to American citizens that we believe it is appropriate to evacuate to a larger distance up to approximately 50 miles.

17. should you compulsory evacuate?
should you assist a voluntary evacuation?
should you encourage sensible efforts to keep the dose down?
How do you stop irresponsible comments?
(Gregory Jacsko on March 17th
Physicians for Social (Ir)Resposibility

18. What other doses are there? Calculate your own.
(mine was 2.4 Rem last year -2 cat scans)
Many actions can give anyone a dose of 1 Rem:
A single chest x ray in a major hospital as late as 1960.
A CAT scan today.
3 months average public dose
1/25 of what a Chernobyl clean up worker got
1/100 of an astronaut's allowed dose.
About the dose I got in 1991 from a day at Chernobyl mostly inside the sarcophagus

19. Earthquake in Haiti 200,000
Earthquake and Tsunami in Japan 30,000
Fatal cancers from Chernobyl in next 60 years (calculated )
4,000 -  8000
in Belarus, Russia and Ukraine
20,000 world wide
Fatal cancers calculated from Natural Background (including medical) exposures in US
6,000 per year
Cancer fatalities from Three Mile Island
0.7 calculated for the Kemeny Commission
0 - 5,000 adverse health effects of evacuation from Fukushima.