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ntamination from long-lived radioactive isotopes like strontium-90 or cesium-137, which can be concentrated through the food chain and incorporated into the body. The damage caused would be internal, with the injurious effects appearing over many years. For the survivors of a nuclear war, this lingering radiation hazard could represent a grave threat for as long as 1 to 5 years after the attack. B. Worldwide Effects of Fallout Much of our knowledge of the production and distribution of radionuclides has been derived from the period of intensive nuclear testing in the atmosphere during the 1950's and early 1960's. It is estimated that more than 500 megatons of nuclear yield were detonated in the atmosphere between 1945 and 1971, about half of this yield being produced by a fission reaction. The peak occurred in 1961-62, when a total of 340 megatons were detonated in the atmosphere by the United States and Soviet Union. The limited nuclear test ban treaty of 1963 ended atmospheric testing for the United States, Britain, and the Soviet Union, but two major non-signatories, France and China, continued nuclear testing at the rate of about 5 megatons annually. (France now conducts its nuclear tests underground.) A U.N. scientific committee has estimated that the cumulative per capita dose to the world's population up to the year 2000 as a result of atmospheric testing through 1970 (cutoff date of the study) will be the equivalent of 2 years' exposure to natural background radiation on the earth's surface. For the bulk of the world's population, internal and external radiation doses of natural origin amount to less than one-tenth rad annually. Thus nuclear testing to date does not appear to pose a severe radiation threat in global terms. But a nuclear war releasing 10 or 100 times the total yield of all previous weapons tests could pose a far greater worldwide threat. The biological effects of all forms of ionizing radiation have been calculated within broad ranges by the National Academy of Sciences. Based on these calculations, fallout from the 500-plus megatons of nuclear testing through 1970 will produce between 2 and 25 cases of genetic disease per million live births in the next generation. This means that between 3 and 50 persons per billion births in the post-testing generation will have genetic damage for each megaton of nuclear yield exploded. With similar uncertainty, it is possible to estimate t
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