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6. Pallor. tion.
   28. 7. Petechiae, diarrhea
   29. and nose bleeds (Recovery unless com-
   30. plicated by previous
   31. 8. Rapid emaciation poor health or
                                      Death super-imposed in-
                                   (Mortality probably 50%) juries or infec-
                                                             tion).

It was concluded that persons exposed to the bombs at the time of detonation did show effects from ionizing radiation and that some of these patients, otherwise uninjured, died. Deaths from radiation began about a week after exposure and reached a peak in 3 to 4 weeks. They practically ceased to occur after 7 to 8 weeks.

Treatment of the burns and other physical injuries was carried out by the Japanese by orthodox methods. Treatment of radiation effects by them included general supportative measures such as rest and high vitamin and caloric diets. Liver and calcium preparations were administered by injection and blood transfusions were used to combat hemorrhage. Special vitamin preparations and other special drugs used in the treatment of similar medical conditions were used by American Army Medical Corps officers after their arrival. Although the general measures instituted were of some benefit no definite effect of any of the specific measures on the course of the disease could be demonstrated. The use of sulfonamide drugs by the Japanese and particularly of penicillin by the American physicians after their arrival undoubtedly helped control the infections and they appear to be the single important type of treatment which may have effectively altered the earlier course of these patients.

One of the most important tasks assigned to the mission which investigated the effects of the bombing was that of determining if the radiation effects were all due to the instantaneous discharges at the time of the explosion, or if people were being harmed in addition from persistent radioactivity. This question was investigated from two points of view. Direct measurements of persistent radioactivity were made at the time of the investigation. From these measurements, calculations were made of the graded radiation dosages, i.e., the total amount of radiation which could have been absorbed by any person. These calculations showed that the highest dosage which would have been received from persistent radioactivity at Hiroshima was between 6 and 25 roentgens of gamma radiation; the highest in the Nagasaki Area was between 30 and 110 roentgens of gamma radiation. The latter figure does not refer to the city itself, but to a localized area in the Nishiyama District. In interpreting these findings it must be understood that to get these dosages, one would have had to remain at the point of highest radioactivity for 6 weeks continuously, from the first hour after the bombing. It is apparent therefore that insofar as could be determined at Hiroshima and Nagasaki, the residual radiation alone could not have been detrimental to the health of persons entering and living in the bombed areas after the explosion.

The second approach to this question was to determine if any persons not in the city at the time of the explosion, but coming in immediately afterwards exhibited any symptoms or findings which might have been due to persistence induced radioactivity. By the time of the arrival of the Manhattan Engineer District group, several Japanese studies had been done on such persons. None of the persons examined in any of these studies showed any symptoms which could be attributed to radiation, and their actual blood cell counts were consistently within the normal range. Throughout the period of the Manhattan Engineer District investigation, Japanese doctors and patients were repeatedly requested to bring to them any patients who they thought might be examples of persons harmed from persistent radioactivity. No such subjects were found.

It was concluded therefore as a result of these findings and lack of findings, that although a measurable quantity of induced radioactivity was found, it had not been sufficient to cause any harm to persons living in the two cities after the bombings.

SHIELDING FROM RADIATION

Exact figures on the thicknesses of various substances to provide complete or partial protection from the effects of radiation in relation to the distance from the center of explosion, cannot be released at this time. Studies of collected data are still under way. It can be stated, however, that at a reasonable distance, say about 1/2 mile from the center of explosion, protection to persons from radiation injury can be afforded by a layer of concrete or other material whose thickness does not preclude reasonable construction.

Radiation ultimately caused the death of the few persons not killed by other effects and who were fully exposed to the bombs up to a distance of about 1/2 mile from X. The British Mission has estimated that people in the open had a 50% chance of surviving the effects of radiation at 3/4 of a mile from X.

EFFECTS OF THE ATOMIC BOMBINGS ON THE INHABITANTS OF THE BOMBED CITIES

In both Hiroshima and Nagasaki the tremendous scale of the disaster largely destroyed the cities as entities. Even the worst of all other previous bombing attacks on Germany and Japan, such as the incendiary raids on Hamburg in 1943 and on Tokyo in 1945, were not comparable to the paralyzing effect of the atomic bombs. In addition to the huge number of persons who were killed or injuried so that their services in rehabilitation were not available, a panic flight of the population took place from both cities immediately following the atomic explosions. No significant reconstruction or repair work was accomplished because of the slow return of the population; at the end of November 1945 each of the cities had only about 140,000 people. Although the ending of the war almost immediately after the atomic bombings removed much of the incentive of the Japanese people toward immediate reconstruction of their losses, their paralysis was still remarkable. Even the clearance of wreckage and the burning of the many bodies trapped in it were not well organized some weeks after the bombings. As the British Mission has stated, "the impression which both cities make is of having sunk, in an instant and without a struggle, to the most primitive level."

Aside from physical injury and damage, the most significant effect of the atomic bombs was the sheer terror which it struck into the peoples of the bombed cities. This terror, resulting in immediate hysterical activity and flight from the cities, had one especially pronounced effect: persons who had become accustomed to mass air raids had grown to pay little heed to single planes or small groups of planes, but after the atomic bombings the appearance of a single plane caused more terror and disruption of normal life than the appearance of many hundreds of planes had ever been able to cause before. The effect of this terrible fear of the potential danger from even a single enemy plane on the lives of the peoples of the world in the event of any future war can easily be conjectured.

The atomic bomb did not alone win the war against Japan, but it most certainly ended it, saving the thousands of Allied lives that would have been lost in any combat invasion of Japan.

EYEWITNESS ACCOUNT
  Hiroshima—August 6th, 1945

by Father John A. Siemes, professor of modern philosphy at Tokyo's Catholic University

Up to August 6th, occasional bombs, which did no great damage, had fallen on Hiroshima. Many cities roundabout, one after the other, were destroyed, but Hiroshima itself remained protected. There were almost daily observation planes over the city but none of them dropped a bomb. The citizens wondered why they alone had remained undisturbed for so long a time. There were fantastic rumors that the enemy had something special in mind for this city, but no one dreamed that the end would come in such a fashion as on the morning of August 6th.

August 6th began in a bright, clear, summer morning. About seven o'clock, there was an air raid alarm which we had heard almost every day and a few planes appeared over the city. No one paid any attention and at about eight o'clock, the all-clear was sounded. I am sitting in my room at the Novitiate of the Society of Jesus in Nagatsuke; during the past half year, the philosophical and theological section of our Mission had been evacuated to this place from Tokyo. The Novitiate is situated approximately two kilometers from Hiroshima, half-way up the sides of a broad valley which stretches from the town at sea level into this mountainous hinterland, and through which courses a river. From my window, I have a wonderful view down the valley to the edge of the city.

Suddenly—the time is approximately 8:14—the whole valley is filled by a garish light which resembles the magnesium light used in photography, and I am conscious of a wave of heat. I jump to the window to find out the cause of this remarkable phenomenon, but I see nothing more than that brilliant yellow light. As I make for the door, it doesn't occur to me that the light might have something to do with enemy planes. On the way from the window, I hear a moderately loud explosion which seems to come from a distance and, at the same time, the windows are broken in with a loud crash. There has been an interval of perhaps ten seconds since the flash of light. I am sprayed by fragments of glass. The entire window frame has been forced into the room. I realize now that a bomb has burst and I am under the impression that it exploded directly over our house or in the immediate vicinity.

I am bleeding from cuts about the hands and head. I attempt to get out of the door. It has been forced outwards by the air pressure and has become jammed. I force an opening in the door by means of repeated blows with my hands and feet and come to a broad hallway from which open the various rooms. Everything is in a state of confusion. All windows are broken and all the doors are forced inwards. The bookshelves in the hallway have tumbled down. I do not note a second explosion and the fliers seem to have gone on. Most of my colleagues have been injured by fragments of glass. A few are bleeding but none has been seriously injured. All of us have been fortunate since it is now apparent that the wall of my room opposite the window has been lacerated by long fragments of glass.

We proceed to the front of the house to see where the bomb has landed. There is no evidence, however, of a bomb crater; but the southeast section of the house is very severely damaged. Not a door nor a window remains. The blast of air had penetrated the entire house from the southeast, but the house still stands. It is constructed in a Japanese style with a wooden framework, but has been greatly strengthened by the labor of our Brother Gropper as is frequently done in Japanese homes. Only along the front of the chapel which adjoins the house, three supports have given way (it has been made in the manner of Japanese temple, entirely out of wood.)

Down in the valley, perhaps one kilometer toward the city from us, several peasant homes are on fire and the woods on the opposite side

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