Textbook of Military Medicine, Pt. I, Warfare, Weaponry, and the Casualty. Specialty editors: Richard I. Walker and T. Jan Cerveny. Contributing Authors: Leonard A. Alt, et al. Addresses the increasingly important medical challenges of the consequences and management of radiation injuries.

Underground facilities are used extensively by many nations to conceal and protect strategic military functions and weapons' stockpiles. Because of their depth and hardened status, however, many of these strategic hard and deeply buried targets could only be put at risk by conventional or nuclear earth penetrating weapons (EPW). Recently, an engineering feasibility study, the robust nuclear earth penetrator program, was started by DOE and DOD to determine if a more effective EPW could be designed using major components of existing nuclear weapons. This activity has created some controversy about, among other things, the level of collateral damage that would ensue if such a weapon were used. To help clarify this issue, the Congress, in P.L. 107-314, directed the Secretary of Defense to request from the NRC a study of the anticipated health and environmental effects of nuclear earth-penetrators and other weapons and the effect of both conventional and nuclear weapons against the storage of biological and chemical weapons. This report provides the results of those analyses. Based on detailed numerical calculations, the report presents a series of findings comparing the effectiveness and expected collateral damage of nuclear EPW and surface nuclear weapons under a variety of conditions.

Nuclear Weapons under International Law is a comprehensive treatment of nuclear weapons under key international law regimes. It critically reviews international law governing nuclear weapons with regard to the inter-state use of force, international humanitarian law, human rights law, disarmament law, and environmental law, and discusses where relevant the International Court of Justice's 1996 Advisory Opinion. Unique in its approach, it draws upon contributions from expert legal scholars and international law practitioners who have worked with conventional and non-conventional arms control and disarmament issues. As a result, this book embraces academic consideration of legal questions within the context of broader political debates about the status of nuclear weapons under international law.

Preventing Nuclear War: The Medical and Humanitarian Case for the Prohibition of Nuclear Weapons provides a window into the work of the International Physicians for the Prevention of Nuclear War (IPPNW) health professionals, advocates and activists as they persuaded diplomats, parliamentarians, the media, and the public to ban nuclear weapons. Why are doctors speaking out about nuclear weapons and nuclear war, an issue that seems to be the exclusive province of diplomats, politicians, and security experts? This volume offers an answer in the unique perspective of health professionals on the nature of nuclear weapons, their medical and humanitarian consequences, and the responsibility to prevent what cannot be treated. On 7 July 2017, the UN successfully concluded negotiations on the Treaty on the Prohibition of Nuclear Weapons. The "ban treaty," emerged from a "humanitarian initiative" that shifted the focus away from deterrence-based rationales used by the nuclear-armed states and toward an evidence-based understanding of the existential threat nuclear weapons pose to humanity. Since 1980, IPPNW has been the leading medical organization primarily dedicated to the abolition of nuclear weapons. With its civil society partners in ICAN--the International Campaign to Abolish Nuclear Weapons--IPPNW brought the scientific evidence about nuclear weapons and nuclear war into the treaty negotiations and into the language of the TPNW itself. The contributors to this volume show the dedication and diverse strategies that have together made up a unified and very significant contribution to ridding the world of nuclear weapons. Reflecting honestly on what has been learnt and have the potential to contribute to wider learning outside the anti-nuclear community, Preventing Nuclear War: The Medical and Humanitarian Case for the Prohibition of Nuclear Weapons will be of great use to medical and health professionals, humanitarian professionals, and anyone wanting to work towards a more peaceful and equitable world. The chapters originally published as a special issue of Medicine, Conflict and Survival.

Since 1945, the United States has manufactured and deployed more than 70,000 nuclear weapons to deter and if necessary fight a nuclear war. Some observers believe the absence of a third world war confirms that these weapons were a prudent and cost-effective response to the uncertainty and fear surrounding the Soviet Union's military and political ambitions during the cold war. As early as 1950, nuclear weapons were considered relatively inexpensive— providing "a bigger bang for a buck"—and were thoroughly integrated into U.S. forces on that basis. Yet this assumption was never validated. Indeed, for more than fifty years scant attention has been paid to the enormous costs of this effort—more than $5 trillion thus far—and its short and long-term consequences for the nation. Based on four years of extensive research, Atomic Audit is the first book to document the comprehensive costs of U.S. nuclear weapons, assembling for the first time anywhere the actual and estimated expenditures for the program since its creation in 1940. The authors provide a unique perspective on U.S. nuclear policy and nuclear weapons, tracking their development from the Manhattan Project of World War II to the present day and assessing each aspect of the program, including research, development, testing, and production; deployment; command, control, communications, and intelligence; and defensive measures. They also examine the costs of dismantling nuclear weapons, the management and disposal of large quantities of toxic and radioactive wastes left over from their production, compensation for persons harmed by nuclear weapons activities, nuclear secrecy, and the economic implications of nuclear deterrence. Utilizing archival and newly declassified government documents and data, this richly documented book demonstrates how a variety of factors—the open-ended nature of nuclear deterrence, faulty assumptions about the cost-effectiveness of nuclear weapons, regular misrepresentati

Most of the earth's population would survive the immediate horrors of a nuclear holocaust, but what long-term climatological changes would affect their ability to secure food and shelter? This sobering book considers the effects of fine dust from ground-level detonations, of smoke from widespread fires, and of chemicals released into the atmosphere. The authors use mathematical models of atmospheric processes and data from natural situationsâ€"e.g., volcanic eruptions and arctic hazeâ€"to draw their conclusions. This is the most detailed and comprehensive probe of the scientific evidence published to date.

An unflinching examination of the moral and professional dilemmas faced by physicians who took part in the Manhattan Project. After his father died, James L. Nolan, Jr., took possession of a box of private family materials. To his surprise, the small secret archive contained a treasure trove of information about his grandfather’s role as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented ob-gyn radiologist, he cared for the scientists on the project, organized safety and evacuation plans for the Trinity test at Alamogordo, escorted the “Little Boy” bomb from Los Alamos to the Pacific Islands, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki. Participation on the project challenged Dr. Nolan’s instincts as a healer. He and his medical colleagues were often conflicted, torn between their duty and desire to win the war and their oaths to protect life. Atomic Doctors follows these physicians as they sought to maximize the health and safety of those exposed to nuclear radiation, all the while serving leaders determined to minimize delays and maintain secrecy. Called upon both to guard against the harmful effects of radiation and to downplay its hazards, doctors struggled with the ethics of ending the deadliest of all wars using the most lethal of all weapons. Their work became a very human drama of ideals, co-optation, and complicity. A vital and vivid account of a largely unknown chapter in atomic history, Atomic Doctors is a profound meditation on the moral dilemmas that ordinary people face in extraordinary times.

Radioactive iodines are produced during the operation of nuclear power plants and during the detonation of nuclear weapons. In the event of a radiation incident, radioiodine is one of the contaminants that could be released into the environment. Exposure to radioiodine can lead to radiation injury to the thyroid, including thyroid cancer. Radiation to the thyroid from radioiodine can be limited by taking a nonradioactive iodine (stable iodine) such as potassium iodide. This book assesses strategies for the distribution and administration of potassium iodide (KI) in the event of a nuclear incident. The report says that potassium iodide pills should be available to everyone age 40 or youngerâ€"especially children and pregnant and lactating womenâ€"living near a nuclear power plant. States and municipalities should decide how to stockpile, distribute, and administer potassium iodide tablets, and federal agencies should keep a backup supply of tablets and be prepared to distribute them to affected areas.

Do persons exposed to radiation suffer genetic effects that threaten their yet-to-be-born children? Researchers are concluding that the genetic risks of radiation are less than previously thought. This finding is explored in this volume about the children of atomic bomb survivors in Hiroshima and Nagasakiâ€"the population that can provide the greatest insight into this critical issue. Assembled here for the first time are papers representing more than 40 years of research. These documents reveal key results related to radiation's effects on pregnancy termination, sex ratio, congenital defects, and early mortality of children. Edited by two of the principal architects of the studies, J. V. Neel and W. J. Schull, the volume also offers an important comparison with studies of the genetic effects of radiation on mice. The wealth of technical details will be immediately useful to geneticists and other specialists. Policymakers will be interested in the overall conclusions and discussion of future studies.