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191 tary levels in the Chicago area. Proceedings

of the Second Conference on Radioactive

Fallout from nuclear weapons test. U.S.

Atomic Energy Commission, 1965.

19. Lowder, W. L., Beck, H. L., and Condon,

W. J.: Radioactive fallout from nuclear

weapons test. U.S. Atomic Energy

Commis-sion, Symposium Series 5. Washington, D.C.:

USAEC, p. 233, November 1965.

20. Vrenn, M. E., and Cohen, N.: Iron-55 from

fallout in the blood of adults. Health Phys.,

13:1075, 1967.

21. Joint Committee on Atomic Energy Hearings

on Development, Growth and Start of the

Atomic Energy Industry, 1965.

22. Eisenbud, M., and Petrow, H. C.:

Radioac-tivity in the atmospheric effluents of power

plants that use fossil fuels. Science 144:

3613, 1964.

23. Eisenbud, M. Industrial uses of ionizing

radi-ation. Amer. J. Public Health, 55:5, 1965.

24. Dunster, H. J.: The disposal of radioactive

liquid wastes into coastal waters.

Proceed-ings of the Second International

Confer-ence. Peaceful Uses Atomic Energy. Geneva:

United Nations, 1958.

DISCUSSION

DR. Lis: Opening the discussion for

Doc-tor Eisenbud’s paper is Dr. John N. Wolfe

of tile U.S. Atomic Energy Commission in

Washington. D.C.

DR. WOLFE: We have known for a long

time about the underlying unity of living

things, that is, the great fundamental

simi-larities among them; the concept reached a

degree of finality with Darwin’s enuncia-tion of organic evolution-still the greatest generalization in biology. Then it was

fur-ther emphasized with the development of

physiology, genetics, and ecology.

These also resulted in a union again into a biological discipline as over against the

familiar botany and zoology. The new

biol-ogy is based on integration, whereas the old

biology was based on ignorance-we didn’t

know enough botany and we didn’t know

enough zoology, but we put what we knew

or thought we knew all together. Today,

there is a considerable integration. Even

the buildings under construction over the

campuses emphasize the synthesis of the

life sciences.

Ecology and genetics are sort of

biologi-cal twins. The enormous advances that are

going on in genetics are based largely on

the enormous volumes of data to which

sta-tistical procedures can be applied. The ad-vance of ecology has not been as rapid, but one notion has developed in the past centu-ry which in a long view, I think, is probably

of equal importance to the advances made

in space and other technologies and the

ad-vances made in the knowledge of the atom

-in fact, these things may have contributrd to this biological phenomenon. This in sim-ple terms is that all things are related. Not only in matters of descent, not only in mat-ters of physiology and genetics, but also in terms of ecologic systems from pole to pole and around the world. And, these

relation-ships are preserved in varying degrees by

wind, water, ice, biotic migrations, and

food webs of incredible complexity.

Some-one has remarked that the growth of the

grass calls into play all the functions of the universe. One may challenge this for preci-sion, but it is an excellent guideline in these times when man is seriously contemplating his relations with his own environment.

Dr. Eisenbud has mentioned a

construc-tion project using nuclear explosives, such as another Panama Canal. If all that is done

is to cut a channel through an isthmus or

cut a channel anywhere, all that is

accom-plished is the digging of a ditch. That is

still ditch digging. The ecologic problems associated with such massive engineering

undertakings are exquisitely complex. Let

me say without being one of the doom

prophets (we have had them through the

whole length of history), we now have

some new considerations. We now have a

capacity to do engineering things of

enor-mous scope such as moving billions of tons

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192

mountains, and the like. We now have the

capacity to do this in almost a twinkling;

and the debris from such undertakings can

be found around the planet, in the air, on

the land, in and under the water, and in

every living thing. If you don’t believe

these things happen, let me just raise one

question. \Ve have found pesticides and

fallout all over the earth. I have heard for 10 years, where do we put the waste? There

is only one answer to that. We are going to

have to find some way to utilize the waste

and research will answer that question. We

will never be able to dispose of it under a

dynamic ecosystem.

Dr. Eisenbud has told us of the sources

of radioactive materials and where they

are. I am reminded of the time when some

lady talked of the top soil of the Mississippi

Valley with the late Charles Kettering for

half an hour. She told him how many

mil-lions and millions of tons of Mississippi top soil was in the Gulf of Mexico and Charles

Kettering answered, “Well, we know where

it is, don’t we?” I really don’t think she got

his point. I think what he was thinking

about was that we have to find out how to

make the secondary soil work like the top

soil and quit worrying about what is at the

bottom of the sea. The situation is quite

different now in the terms of pesticides and

radioactive contaminants. A man might

spray an orchard in the Mohawk Valley and

after a while that material may be found in

a tuna fish in the South Pacific.

We have the fact that an organism can’t

live alone, nor does a species live alone, nor

does an unassorted population live alone;

its components must live together. and are

essential to each other. This integration, this synthesis, this amalgamation concept is

the biggest advance in ecology (the

ecolo-gists have known this for a long time). We

are talking about a world ecologic system

and this multiplies our problem and

de-mands a new approach.

So, the majesty of technology is not

sufficient unto itself. It is encumbered with

the responsibility of asking before its

ac-complishments what else these monumental

achievements do to the societies of man-in terms of well-being, safety, and basic bio-logical requirements of space, food, fiber, and shelter-all over the world.

DR. Lis: Also discussing Dr. Eisenbud’s paper is Dr. Wayne Black.

DR. BLACK: I shall discuss Dr. Eisenbud’s

paper from two viewpoints. I think it is im-portant first to reiterate certain facts that

have been presented, and, second, to

dis-cuss the relationship of these facts to public health and our society.

It was pointed out that radioactivity in

the environment arises from two sources:

natural radiation and man-made radiation.

What is not generally understood is that

natural radiation has been with us for bil-lions of years. The radioactivity from natu-ral sources which are biologically important

by virtue of the fact that they enter the

food and water chain, and ultimately man,

are potassium4#{176} and radiums”6 and “s. The radioactivity from artificial sources which

are important for the same reason are

cesium137, iodinel3l, strontium90, hydrogen’, carbon14, and zirconium95.

The dose received from radioactivity

arising out of weapons testing to date is far less than that normally received from

natu-ral radiation. However, this does not

pre-clude the importance of determining the

levels of specific radionuclides from all

sources as in the case of J131, which affects a primary target gland-the thyroid.

More recent studies on the levels of

in-digenous radium content of soils and water

in Brazil, India, and the United States

hopefully will provide an insight into the

effects of low level doses of radiation on

man. It might then be possible to determine if this low level exposure from natural radi-ation is responsible for an increased inci-dence of many diseases.

Data were presented which showed a

definite relationship between the amounts of iodine13’ and strontium9#{176} that resulted from

nuclear weapons tests and the levels of

these radionuclides which ended up in

var-ious tissues. For example, peak levels of

(3)

DR. FAmI: Will Dr. Eisenbud say

some-York City were found to correlate quite

well with predicted thyroid burdens. Milk,

which comprises approximately one third of

the average daily diet, was found to be the primary vehicle for the entrance of iodine into man and the iodine ultimately

concen-trated in the thyroid gland. From the data

presented, it was observed that the iodine burden per gram of gland in fetal thyroid

glands was several times that found in

young children. Certainly, at this time of

“life” the concentration of iodine by the

fetal thyroid gland appears to be due to

growth and development. Further studies to

determine what biologic effects occur in the

development and function of the thyroid

gland and other metabolic processes are

necessary.

As was the case with iodinel3l, strontium#{176}#{176}

is also passed to humans through the food

chain, particularly milk, though there is

bo-vine discrimination against strontium as it

passes along the pasture-cow-milk-men

pathway. Dr. Eisenbud pointed out that

strontium#{176}#{176}probably was overemphasized

at the expense of knowledge about the

be-havior of other radionuclides, namely

io-dine.’’ However, it should be noted that

the ridioactive half-life of iodinel3l is only

8 days, while the radioactive half-life of

strontium’#{176} is 28 years. Thus, looking into the future, strontium9#{176} will be present in

the environment for a long period of time

because of its long radioactive half-life. Io-dine131, fortunately, has decayed to unde-tectable levels at tile present time. Yet, the full physiobiologic effects of strontium#{176}#{176}still remain to be determined. Doctor Eisenbud’s data show the strontium9#{176} levels for the 2,000-year period were the highest of all. I think it appropriate to point out that further studies by several groups, particularly Doc-tor Rosenthal of St. Louis, have developed

some guidelines on information resulting

from strontium#{176}#{176}deposition in teeth, and on this basis they can relate back to the early 1950’s.

Other radionuclides have resulted from

weapons testing, which could serve as

sources of radiation exposure. These are

iron55, carbon’, and hydrogen3. Studies on the biologic effects of low level exposure

from these radionuclides might also be

ex-tremely important because a large part of

the iron in our bodies is associated with the red blood cells and because of the

ubiqui-tous nature of carbon and hydrogen in

hu-mans.

Two other sources of radioactivity that

might be considered as possible contribu-tors to the environmental contamination are

radiochemical processing plants and

nu-clear power reactors. At the present time

there is only one such radiochemical

pro-cessing plant in the United States.

How-ever, this may be a problem to be reckoned with in the future. Nuclear power reactors

are a special case. They can be designed

and constructed to have within their

opera-tion certain safeguards to make them only a

trivial source of environmental radioactivity. There are several natural and artificial

ways to reduce environmental radiation

ex-posure. The St. Louis County Health

De-partment has conducted studies which have

demonstrated that levels in milk of

iodine33’ and strontium9#{176} from fallout can

be reduced by 50% on dairy farms which

carry out optimal fertilization and land

management programs. This is an example

of natural reduction of radiation.

Artificial removal of radionuclides has

been accomplished by passing milk through

ion exchange resins. It was found that

iodine” could be removed by 35% and

strontium#{176}#{176}by 90%.

These and other techniques are both

fea-sible and practical for reducing or moving other radionuclides from the environment which might be dangerous to public health.

The use of nuclear energy in our society provides unlimited potential and possibili-ties. It becomes necessary now and impera-tive for the future to weigh the benefits to our society against the risks to public health

if nuclear energy is going to be a part of

our everyday lives.

(4)

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in relative biological significance of various radionuclides following detonation.

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Sr,-thing about carbon’ and tritium? These are

important constituents of the environment that need attention.

DR. STERNBERC. I would add zinc65 to the

list.

DR. BRILL: I was pleased to see Dr. Eisenbud’s data on the thyroid gland of tile fetus. It is important to recall that in lower animals such as the amphioxus, iodine is in-corporated and concentrated into iodotyro-sine molecules in the foregut region which

in higher organisms give rise to the

thy-roid gland. Thus, as the embryo recapitu-lates its earlier phylogenetic history, when the numbers of cells at risk of biological

damage are small even though levels of 1131

have not been detected in the few studies

of aborted fetuses conducted to date, the

hazard may be real at these stages. I

men-tion this not so much because of concern of

fallout exposure but to remind us that

diag-nostic and therapeutic uses of may be

most contraindicated in the first 12 weeks of fetal life prior to the appearance of rec-ognizable thyroid tissue. This reservation is

expressed since it has been suggested that

I” therapy is safe in pregnant women if

administered prior to the twelfth week of

pregnancy.

DR. BUSTAD: First, I am concerned about

Dr. Eisenbud’s single, high value of 700 pCi

per gram of thyroid in a 3-month fetus. I

harbor serious doubts about this value as

fallout derived at a time when the fetal thy-roid gland is just beginning to concentrate I13’

Second, relative to significance of the

various fission products at varying times

after fission. Dr. McClelland and I have

found useful a graphic summary of many

points presented by Dr. Eisenbud and Dr.

Black (Fig. 14). Would you comment for

others on the biological significance of

Ce’44 which seems so imposing in this type

of presentation?

DR. EISENBUD: These are all good points.

With respect to cerium144, the only place

we have found it is in the human lung. The

dose to the lung is certainly significant in relation to doses received by other organs. I agree with Dr. Bustad that cerium144 is im-portant and is often overlooked.

As for zinc65, I wish to point out that in the field of mensuration of radioactivity one deals with a range of units that probably is

equalled only in astronomy. From

megacu-ries to picocuries is a range of 1018. We

have a very powerful battery of tools with

which to measure radioactivity with

(5)

SUPPLEMENT

many radioactive elements present in the

environment that can be measured in

cer-tain parts of the world. It is found occasion-ally on the East Coast. Primarily, it seems

to be a minor constituent of reactor

effluents. However, the dose to people is

much smaller than that of other

radionu-clides discussed today.

I welcome the question regarding

carbon4 and tritium exposure. When the

dose from carbon’4 and tritium is

calcu-lated in the usual way, that is the number of rads produced, the dose is small. But, be-cause of the long life of C’4, the exposure to

C’4 is prolonged so the total dose to the

population is large. Moreover, both C’4 and tritium, because they are isotopes of carbon

and hydrogen, can be incorporated into

DNA. There remains the very important

question raised by Leipunsky in Russia and

Linus Pauling in this country as to how to

take into consideration the radioactive

atoms incorporated into chromosomal

structures. This results in a capacity to mu-tate the chromosome to a degree far greater

than expected if one simply calculated the

transmutation probability on the basis of

the ionization produced. This is a problem

that had not adequately been dealt with. It

is a problem that must be faced because

tn-tium in particular is being produced in

enormous quantities in the peaceful appli-cations of nuclear energy. It is a material that we are just beginning to be conscious of and it is very difficult to measure. Cu-riously, it was not known until the last few years that it is a fission product. It is

pro-duced by spallation in one of every ten

thousand fissions and is present in relatively

large amounts in waters discharged from

reactors and waste processes.

In answer to Dr. Bustad’s question of the

age of the fetus, it may not have been a

12-week fetus. Dr. Mochizuki estimated its

age by the crown to rump measurement.

The measurement was good. We were very

conscious of the fact we were doing work

on a very valuable piece of material. First,

the total radioactivity was measured. The

half-life determination confirmed that it

was iodine. The thyroid gland, weighing

about 20 mg, was dissected very carefully

from accompanying adnexal tissue; the

ra-dioactivity of the adnexa and of the gland

was measured separately and all of the

original activity was found in the gland. I

appreciate the fact that this single datum is startling. Since this is all the data we have,

I thought you should know of it.

The question of waste disposal is primar-ily an economic problem. There are a great

many ways to store waste so that it

pre-cludes contamination of the environment. They are expensive. In the future more eco-nomical ways will have to be found without sacrificing safety.

I am reluctant to discuss these things out of context of the general problems of

envi-ronmental contamination. I think that as

one looks at environmental contamination

in respect to nuclear power one ought to

remember that what one is trading is a few

millirads a year of radiation exposure for

exposure that comes from the discharge of

some 70,000 tons of sulfurdioxide. An

ex-traordinary concoction of chemical

ele-ments, which we know nothing about

rela-tive to biologic effects, are contained in fly ash being poured over our cities (for exam-ple, gallium, gadolinium, arsenic, cobalt,

chrominum). The ash of a coal fired plant

contains up to 20% thallium. From the

point of view of one who has been

inter-ested over the years both in environmental toxicology and environmental radioactivity, I personally would prefer to see a nuclear

plant in my community with a resulting

(6)

1968;41;191

Pediatrics

DISCUSSION

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(7)

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Pediatrics

DISCUSSION

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