Page 581 - Environment: The Science Behind the Stories
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THE SCIENCE   BEHIND THE STORY



                     Health Impacts                                                          3000    Girls
                     of Chernobyl                                                            2500    Boys
                     and Fukushima                                                           2000

                     In the wake of the meltdowns at                                         1500
                     Japan’s Fukushima Daiichi nuclear                                      Number of cases of thyroid cancer  Chernobyl: 1986
                     power plant in 2011, Japanese authori-                                  1000
                     ties tried to keep residents safe while
                     medical scientists from around the                                       500
                     world rushed to study how the release
                     of radiation might affect human health.                                    0
                     Both looked back to lessons learned
                     from Chernobyl 25 years earlier.   Chernobyl-area boy and his mother after   1982–1985 1986–1990 1991–1995 1996–2000 2001–2005
                        Determining long-term health    his surgery for thyroid cancer.
                     impacts of radiation exposure is                                                      Year
                       enormously difficult, and initial attempts   membrane damage, and weakening of   FIGURE 1 The incidence of thyroid cancer
                     to predict Fukushima’s health impacts   the immune system. In total, 28 people   in girls and boys below age 18 began
                     have stirred vigorous debate. Most   died from ARS soon after the accident.   rising in regions of Ukraine, Belarus, and
                     scientists expect that the reactor   Those who died had the greatest esti-  Russia that experienced the heaviest fall-
                     failures at Fukushima will have less   mated exposure to radiation.  out of radioactive iodine from Chernobyl.
                     severe health consequences than those   The major health consequence   Data from U.N. Scientific Committee on the Effects
                     at Chernobyl, because less radiation   of Chernobyl’s radiation, however, has   of Atomic Radiation, 2008. Sources and effects of
                     was emitted at Fukushima and because   been thyroid cancer in children. The   ionizing radiation, Vol. 2. New York, 2011.
                     most of it drifted over the ocean away   thyroid gland is where our bodies con-
                     from populated areas (see Figure 20.10b   centrate iodine, and one of the most   has a high success rate, so as of that
                     and pp. 44–45). However, judging   common radioactive isotopes released   time, only 15 children had died from it.
                     Fukushima’s impacts will be challenging   early in the disaster was iodine-131   Studies addressing other health
                     and will require long-term study.  ( I). Children have large and active   aspects of the accident have found
                                                        131
                        Let’s turn first to Chernobyl. The   thyroid glands, so they are especially   limited impact. Some research has
                     hundreds of researchers who have   vulnerable to thyroid cancer induced by   shown an increase in cataracts due to
                     tried to pin down Chernobyl’s health   radioisotopes.                radiation, especially among emergency
                     impacts have sometimes differed in    Predicting that thyroid cancer   workers. But neither the WHO nor U.N.
                     their conclusions. In an effort to reach   might be a problem, medical workers   assessments found evidence that rates
                     consensus, the World Health Organiza-  measured iodine activity in the thyroid   of leukemia or any other cancer (aside
                     tion (WHO) engaged 100 experts to   glands of several hundred thousand   from thyroid cancer) had risen among
                     review all studies through 2006 and   people in Russia, Ukraine, and Belarus   people exposed to Chernobyl’s radia-
                     issue a report summarizing what scien-  following the accident. They also meas-  tion. Still, some cancers may appear
                     tists had learned in the 20 years since   ured food contamination and surveyed   decades after exposure, so it is possible
                     the accident. In 2008, a United Nations   people on their food consumption.   that many illnesses have yet to arise.
                     committee issued a comprehensive   These data showed that drinking milk   Moreover, conducting epidemiological
                     report as well.                   from cows that had grazed on con-  studies (pp. 393–394) with enough sta-
                        The most severe effects were   taminated grass was the main route of   tistical power to detect minor increases
                     documented in emergency workers   exposure to  I, although fresh vegeta-  in rare events requires observing huge
                                                                 131
                     who battled to contain the incident in   bles also contributed.      numbers of people over many years.
                     its initial days. Medical staff treated and   As doctors had feared, rates of   When the Fukushima crisis struck,
                     recorded the progress of 134 work-  thyroid cancer rose among children in   Japanese authorities applied lessons
                     ers hospitalized with acute radiation   regions of highest exposure (FIGURE 1).   from Chernobyl. They provided iodine
                     sickness (ARS). Radiation destroys   Multiple studies found linear dose-  tablets to young people evacuated from
                     cells in the body, and if the destruction   response relationships (p. 394) in data   the region and they restricted agriculture
                     outpaces the body’s abilities to repair   from Ukraine and Belarus. By 2006,   near the plant, stopping contaminated
                     the damage, the person will soon die.   medical professionals estimated the   food and milk from entering the market.
                     Symptoms of ARS include vomiting,   number of cases at 6000 and rising.   These measures to prevent people’s
                     fever, diarrhea, thermal burns, mucous   Fortunately, treatment of thyroid cancer   uptake of iodine-131 apparently were

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           M20_WITH7428_05_SE_C20.indd   580                                                                                    13/12/14   1:56 PM
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