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Uranium Medical Research
          Centre




Imamia Medics International Conference
            Najaf, Iraq
              April 2012
Global and Medical Consequences
        of Nuclear Disasters


              Asaf Durakovic
            MD, PhD, DSc, FACP
Professor of Medicine, Radiology, and Nuclear
                  Medicine
Possible Scenarios of Disaster

Radiation Accidents
Nuclear power plant                                 »Nuclear Power Plant
incidents                                           Accident
“Dirty bomb” / terrorist
attack
Improvised nuclear device /
terrorist attack
                            »Hypothetical Suitcase Bomb
Nuclear weapon(s)
   (regional /
    international wars)

           »Nuclear Weapon
                                                     »Nuclear War
Probability of Scenarios
Medical Examples for
Acute Radiation Syndromes
»
Acute Radiation Syndrome
Radiated Heart
Brain Edema
Intestinal Samples: Normal
Intestinal Samples: Radiated
Blood Lymphocyte Response to
         Radiation
What are the Risks to Future Children?
          Hereditary Effects

 • Magnitude of hereditary risk per rem is 10%
   that of fatal cancer risk
 • Risk to caregivers who would likely receive
   low doses is very small - 5 rem increases
   the risk of severe hereditary effects by ~
   0.02%
 • Risk of severe hereditary effects to a patient
   population receiving high doses is estimated
   as ~ 0.4% per 100 rem
Medical Effects
           of
Radiation Contamination
Radium is being sold
commercially by the
Radium Chemical
Company
Women Painting Watch Faces
Treatment Decisions

Review of the Exposure Incident
Identification of the Radioisotopes
Risk / Benefit Considerations
Solubility of the Compounds
Multiple Isotope Effects
Global and Medical
               Consequences of
                  Nuclear and
                  Radioactive
                   Disasters



Two decades of research: 1991 – 2011
Mission of UMRC

Independent research of the medical and
     environmental consequences of
   contamination of the biosphere with
          radioactive isotopes.
Disclaimer Statement


  The Uranium Medical Research Centre
has no beneficial interest by any material,
  financial, or political gains that could be
       interpreted as a conflict of interest.
Theaters of Operation

• Gulf War I: Operation Desert Storm
• Gulf War II: Operation Iraqi Freedom
• Afghanistan: Operation Enduring
  Freedom
• Gaza Conflicts
Uranium in the Battlefield
1. Aerosol formation as a consequence of pyrophoric
   properties of uranium anti-armor penetrators.

2. Deposited aerosols and oxide particles.

3. Release of uranium-rich dust to the environment.

4. Dust storms. Long-distance movement of
   contaminated particles.

5. Estimated quantities range from hundreds to
   thousands of tonnes
120mm DU Anti-tank Long Rod Penetrator




Penetrator travels at     Impact equivalent to
   1.5+ km/sec               1.5 kg of TNT
Troops in the Midst of a Dust Storm
Dust Storms over the Arabian Peninsula
Ratio of Uranium Isotopes: “Signatures”
                    238
                          U    235
                                     U   238
                                               U/235U   235
                                                              U/238U

Natural Uranium    99.2739    0.7200      137.88         0.00725
Composition

Depleted Uranium   99.7945     0.2026     492.60         0.00203
(DU) /                        depleted
                              re. 235U
DU Shrapnel
Gulf War I:
Operation Desert Storm

      Iraq 1991
Groundbreaking Studies:
                   Gulf War I

DU contamination still found ten years after exposure

   • “Chemical Forensic Detective Work: the Search for Depleted Uranium in
     Biological and Environmental Samples”
   • Geological Association of Canada, No. 266, p 65, May 31, 2001


Evidence of depleted uranium incorporation into organs

   • Radioisotopic analysis of bone, kidney, liver, and lung from deceased
     Gulf War Canadian veteran
   • Official cause of death – Gulf War Illness
T.R. Autopsy Specimens:
         Yarmouth Regional Hospital, Nova Scotia


                 U 238             U 235           U238 / U 235

 Lung            99.2348           0.6932            143.20

 Liver           99.2792           0.7082            140.20

 Bone            99.3220           0.6718            147.80




Mass Spectrometry studies conducted at
the Atlantic Universities Radiogenic
Isotope Facility (AURIF).
Chronology of Studies
1991:    Clinical, Laboratory, and Whole Body Counting Evaluation of Gulf War
    Veterans
1997:    Neutron Activation Analysis of the Urine of Contaminated Gulf War I Veterans
1999:    Medical Effects of Internal Contamination with Uranium
2001:    On Depleted Uranium Gulf war and Balkan Syndrome
2002:    The Quantitative Analysis of Depleted Uranium Isotopes in British, Canadian,
         and United States Gulf War Veterans
2003:    Estimate of the Time-zero Lung Burden of Depleted Uranium in Gulf War
         Veterans by the 24 Hour Urinary Excretion and Exponential Decay Analysis
2003:    Undiagnosed Illnesses and Radioactive Warfare
2004:    The Quantitative Analysis of Uranium Isotopes in the Urine of the Civilian
         Population of Eastern Afghanistan after Operation Enduring Freedom
2004:    Spectrometry Analysis of Uranium Concentration and Ratio, Chromosomal
         Studies, and Clinical Assessment of Contaminated Victims
2007:    The Quantitative Analysis of Uranium Isotopes in the Population of Port
         Hope, Ontario
2010:    Uranium Isotopes Analysis in the Human and Environmental Samples of
         Gaza by Alpha Spectroscopy
Gulf War II:
Operation Iraqi Freedom

   Iraq 2003 – 2010
DU Sites Investigated
Baghdad combat battlefields:
   •   Haiyy al Mavalemeen – teacher’s district
   •   Auweirj coalition/SRG headquarters
   •   Tank-graveyard
   •   Baghdad gate


Central Iraq:
   •   Suweirah
   •   An Najaf
   •   Karbala
   •   Al Hillah
   •   An Nasiriyah
   •   Al Basra
   •   Umm Qasr
Inside the engine compartment of a destroyed Iraqi tank
G-M Counter Overloads from Sudden
     Increase in Radioactivity
Mass Spectrometry Laboratory
         Institute of Mineralogy
     JW Goethe University, Frankfurt
Iraq: Results
            UMRC Field Team

Two of the three members of the UMRC field team
tested positive for depleted uranium after returning
from Iraq.
US GWII Soldiers in Samawah


• Depleted uranium detected in 4 of 9
urine samples
•   236
          U detected in 3 of 9 samples
• Gravimetric data range: 1.6 – 6.2 ng/L
Gulf War II Conclusions


•   Significant presence of depleted uranium
    in four of nine US soldiers.

•   Three urine samples had definitive presence
    of uranium-236.
Afghanistan:
Operation Enduring Freedom

        2001 – present
1st Field Team Mission: Jalalabad




 2nd Field Team Mission: Kabul
Afghanistan Specimens

May-June, 2002:
  •   Jalalabad, Lal Mah, Makam Khan Farm, Farm Arda

September, 2002:
  •   Jalalabad, Spin Gar (Tora Bora), Poli Cherki, Kabul,
      and Khandahar

June and September, 2003:
  •   Jalalabad, Kabul, and Bibi Mahro
Bomb Crater, Jalalabad, Afghanistan
NERC Isotope Geosciences Laboratory
        Keyworth, Notts, United Kingdom
Field Team Mission: Jalalabad

Isotopic Ratios:

Natural 238U/235U and 234U/238U ratios (N=8)
236
   U not detected

Uranium Concentration:

88-477 ng/L compared to 1-20 ng/L in a normal
population
Field Team Mission in Jalalabad:
Uranium Concentration in Urine Samples
   ng/L


   500.00                                       477.88
                                       453.26
   450.00

   400.00

   350.00

                                                         298.64
   300.00   281.21
                     247.06
   250.00
                                                                          224.81
   200.00

   150.00                     128.97
   100.00                                                         88.52

    50.00

     0.00
              1          2        3        4        5        6       7        8
Field Team Mission: Kabul

Isotopic Ratios:

Natural 238U/235U and 234U/238U ratios
236
   U detected in 7 of 14 samples

Uranium Concentration:

13 samples ranged from 1-100 ng/L with one child
having a concentration of 2031 ng/L
Comparison of Uranium Abundance in Urine
  300.00
                                                        275.04


  250.00



  200.00                                                          190.90



  150.00



  100.00



   50.00                                    32.06
            7.00              11.90
                      1.30
    0.00
           USA NCEH   GWV    UK Control   Afghanistan    Trip 1    Trip 2
                                            Controls    Average   Average
Dust deposits contain uranium levels 11 times normal
Health Impact: Somatic

Immediate Symptoms Encountered after Bombing:

   •   Epistaxis and nasal discharge
   •   Chest pain and hemorrhagic expectoration
   •   Burning sensation in throat, nose, lips, or mouth
   •   Eye irritation
   •   Feeling of skin hyperthermia, rash, or irritation
   •   Dry cough
   •   Gastric and intestinal alterations
   •   Diarrhea
Health Impact: Somatic

Delayed Symptoms Encountered after Bombing:
   •   Fatigue
   •   Intermittent fevers, nocturnal perspiration
   •   Headaches
   •   Recurring or continuous joint, nerve, chest, and/or muscle pain
   •   Short-term and sporadic memory loss
   •   Mental confusion and disorientation
   •   Depression and loss of initiative
   •   Chronic cold, influenza, recurrent viral illnesses
   •   Asthma, chronic bronchitis
   •   Dry or productive cough
   •   Lower-back pain
   •   Dysuria
   •   Gastrointestinal problems
   •   Anorexia
Health Impact: Somatic

Chronic Symptoms Encountered after Bombing:

   •   Progressive kidney pain, lower back discomfort
   •   Sexual dysfunction
   •   Miscarriages and/or birth defects
   •   Infant and new-borne unexplainably ill, weak, lethargic, rashes
   •   Failure to thrive in children
   •   Increasing numbers of family and community health problems
   •   Changes in immune system
Health Impact: Genetic

• 5 Gulf War veterans previously assessed for urinary
  uranium concentrations
• Genomic assessments were made using spectral
  karyotype (SKY) imaging.
Genetic Results

• Elevated uranium concentrations and 238U / 235U ratios
  beyond natural range were found to be significant in two
  of the five participants. However, ratios of 238U / 235U
  were suggestive of a DU signature in all five cases. SKY
  testing supported increased levels of genomic variation
  in all five participates at a rate suggestive of ten times a
  normal range.

• These studies are to be continued . . .
Chromosomal Changes in DU Positive Veterans by SKY Analysis
Percent of Cells with Chromosomal Change
                                              35%

                                                    35
                                              30%
Percentage of cells with chromosomal change




                                              25%




                                              20%   20

                                              15%




                                              10%




                                              5%    5

                                              0%
                                                         Normal   Cancer   Gulf War Syndrome
Average % of Cells with
 0.2
       20
                  Aberration
0.18



0.16



0.14



0.12
                                      Normal

 0.1   10                             Cancer


                                      Gulf War Syndrome
0.08



0.06



0.04



0.02
       2
  0
                     1
Gaza Conflicts


  2005 – present
The Analysis of Uranium Isotopes in
     Gaza by Alpha Spectrometry

• Presence of the isotopes with enriched uranium
  signature from the recent military conflicts in Lebanon
  (2006) and Gaza (2009) has been reported (ECRR 2010
  No2 Brussels 2010).

• Our study meant to analyze possible contamination in
  the civilian population of Gaza Strip in 2009.

• Urine samples collected from population exposed to the
  dust following Operation Cast Lead (December 27, 2008
  – January 18, 2009).
Participants

• A total of 12 subjects from Jabaliya, Beit Lahia, Rafah,
  and Gaza City were selected on the basis of their history
  of exposure and symptoms.

• Samples were analyzed for the uranium isotopes at the
  Harwell Science and Innovation Centre, England.
Conclusions

Our results demonstrate that neither depleted uranium
nor man-man uranium isotopes are detectable in Gaza
civilians by the radio-chemical separation and alpha
spectrometry analysis. This method does not provide an
alternative to sensitivity and specificity of inductively
coupled plasma mass spectrometry (ICP-MS).
Future Research

• Two decades of research suggest a potential of somatic
  and genetic adverse alterations of the human health and
  the biosphere.

• The current conflicts in the Middle East , Libya , and
  other potential war theatres warrant further
  interdisciplinary studies of the environmental and health
  impact of uranium isotopes.
Global and medical consequences of nuclear disasters, iraq 2012

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Global and medical consequences of nuclear disasters, iraq 2012

  • 1. Uranium Medical Research Centre Imamia Medics International Conference Najaf, Iraq April 2012
  • 2. Global and Medical Consequences of Nuclear Disasters Asaf Durakovic MD, PhD, DSc, FACP Professor of Medicine, Radiology, and Nuclear Medicine
  • 3. Possible Scenarios of Disaster Radiation Accidents Nuclear power plant »Nuclear Power Plant incidents Accident “Dirty bomb” / terrorist attack Improvised nuclear device / terrorist attack »Hypothetical Suitcase Bomb Nuclear weapon(s) (regional / international wars) »Nuclear Weapon »Nuclear War
  • 5. Medical Examples for Acute Radiation Syndromes
  • 12. What are the Risks to Future Children? Hereditary Effects • Magnitude of hereditary risk per rem is 10% that of fatal cancer risk • Risk to caregivers who would likely receive low doses is very small - 5 rem increases the risk of severe hereditary effects by ~ 0.02% • Risk of severe hereditary effects to a patient population receiving high doses is estimated as ~ 0.4% per 100 rem
  • 13. Medical Effects of Radiation Contamination
  • 14. Radium is being sold commercially by the Radium Chemical Company
  • 16. Treatment Decisions Review of the Exposure Incident Identification of the Radioisotopes Risk / Benefit Considerations Solubility of the Compounds Multiple Isotope Effects
  • 17. Global and Medical Consequences of Nuclear and Radioactive Disasters Two decades of research: 1991 – 2011
  • 18. Mission of UMRC Independent research of the medical and environmental consequences of contamination of the biosphere with radioactive isotopes.
  • 19. Disclaimer Statement The Uranium Medical Research Centre has no beneficial interest by any material, financial, or political gains that could be interpreted as a conflict of interest.
  • 20. Theaters of Operation • Gulf War I: Operation Desert Storm • Gulf War II: Operation Iraqi Freedom • Afghanistan: Operation Enduring Freedom • Gaza Conflicts
  • 21. Uranium in the Battlefield 1. Aerosol formation as a consequence of pyrophoric properties of uranium anti-armor penetrators. 2. Deposited aerosols and oxide particles. 3. Release of uranium-rich dust to the environment. 4. Dust storms. Long-distance movement of contaminated particles. 5. Estimated quantities range from hundreds to thousands of tonnes
  • 22. 120mm DU Anti-tank Long Rod Penetrator Penetrator travels at Impact equivalent to 1.5+ km/sec 1.5 kg of TNT
  • 23. Troops in the Midst of a Dust Storm
  • 24. Dust Storms over the Arabian Peninsula
  • 25. Ratio of Uranium Isotopes: “Signatures” 238 U 235 U 238 U/235U 235 U/238U Natural Uranium 99.2739 0.7200 137.88 0.00725 Composition Depleted Uranium 99.7945 0.2026 492.60 0.00203 (DU) / depleted re. 235U DU Shrapnel
  • 26. Gulf War I: Operation Desert Storm Iraq 1991
  • 27. Groundbreaking Studies: Gulf War I DU contamination still found ten years after exposure • “Chemical Forensic Detective Work: the Search for Depleted Uranium in Biological and Environmental Samples” • Geological Association of Canada, No. 266, p 65, May 31, 2001 Evidence of depleted uranium incorporation into organs • Radioisotopic analysis of bone, kidney, liver, and lung from deceased Gulf War Canadian veteran • Official cause of death – Gulf War Illness
  • 28. T.R. Autopsy Specimens: Yarmouth Regional Hospital, Nova Scotia U 238 U 235 U238 / U 235 Lung 99.2348 0.6932 143.20 Liver 99.2792 0.7082 140.20 Bone 99.3220 0.6718 147.80 Mass Spectrometry studies conducted at the Atlantic Universities Radiogenic Isotope Facility (AURIF).
  • 29. Chronology of Studies 1991: Clinical, Laboratory, and Whole Body Counting Evaluation of Gulf War Veterans 1997: Neutron Activation Analysis of the Urine of Contaminated Gulf War I Veterans 1999: Medical Effects of Internal Contamination with Uranium 2001: On Depleted Uranium Gulf war and Balkan Syndrome 2002: The Quantitative Analysis of Depleted Uranium Isotopes in British, Canadian, and United States Gulf War Veterans 2003: Estimate of the Time-zero Lung Burden of Depleted Uranium in Gulf War Veterans by the 24 Hour Urinary Excretion and Exponential Decay Analysis 2003: Undiagnosed Illnesses and Radioactive Warfare 2004: The Quantitative Analysis of Uranium Isotopes in the Urine of the Civilian Population of Eastern Afghanistan after Operation Enduring Freedom 2004: Spectrometry Analysis of Uranium Concentration and Ratio, Chromosomal Studies, and Clinical Assessment of Contaminated Victims 2007: The Quantitative Analysis of Uranium Isotopes in the Population of Port Hope, Ontario 2010: Uranium Isotopes Analysis in the Human and Environmental Samples of Gaza by Alpha Spectroscopy
  • 30. Gulf War II: Operation Iraqi Freedom Iraq 2003 – 2010
  • 31. DU Sites Investigated Baghdad combat battlefields: • Haiyy al Mavalemeen – teacher’s district • Auweirj coalition/SRG headquarters • Tank-graveyard • Baghdad gate Central Iraq: • Suweirah • An Najaf • Karbala • Al Hillah • An Nasiriyah • Al Basra • Umm Qasr
  • 32. Inside the engine compartment of a destroyed Iraqi tank
  • 33. G-M Counter Overloads from Sudden Increase in Radioactivity
  • 34. Mass Spectrometry Laboratory Institute of Mineralogy JW Goethe University, Frankfurt
  • 35. Iraq: Results UMRC Field Team Two of the three members of the UMRC field team tested positive for depleted uranium after returning from Iraq.
  • 36. US GWII Soldiers in Samawah • Depleted uranium detected in 4 of 9 urine samples • 236 U detected in 3 of 9 samples • Gravimetric data range: 1.6 – 6.2 ng/L
  • 37. Gulf War II Conclusions • Significant presence of depleted uranium in four of nine US soldiers. • Three urine samples had definitive presence of uranium-236.
  • 39. 1st Field Team Mission: Jalalabad 2nd Field Team Mission: Kabul
  • 40. Afghanistan Specimens May-June, 2002: • Jalalabad, Lal Mah, Makam Khan Farm, Farm Arda September, 2002: • Jalalabad, Spin Gar (Tora Bora), Poli Cherki, Kabul, and Khandahar June and September, 2003: • Jalalabad, Kabul, and Bibi Mahro
  • 41. Bomb Crater, Jalalabad, Afghanistan
  • 42. NERC Isotope Geosciences Laboratory Keyworth, Notts, United Kingdom
  • 43. Field Team Mission: Jalalabad Isotopic Ratios: Natural 238U/235U and 234U/238U ratios (N=8) 236 U not detected Uranium Concentration: 88-477 ng/L compared to 1-20 ng/L in a normal population
  • 44. Field Team Mission in Jalalabad: Uranium Concentration in Urine Samples ng/L 500.00 477.88 453.26 450.00 400.00 350.00 298.64 300.00 281.21 247.06 250.00 224.81 200.00 150.00 128.97 100.00 88.52 50.00 0.00 1 2 3 4 5 6 7 8
  • 45. Field Team Mission: Kabul Isotopic Ratios: Natural 238U/235U and 234U/238U ratios 236 U detected in 7 of 14 samples Uranium Concentration: 13 samples ranged from 1-100 ng/L with one child having a concentration of 2031 ng/L
  • 46. Comparison of Uranium Abundance in Urine 300.00 275.04 250.00 200.00 190.90 150.00 100.00 50.00 32.06 7.00 11.90 1.30 0.00 USA NCEH GWV UK Control Afghanistan Trip 1 Trip 2 Controls Average Average
  • 47. Dust deposits contain uranium levels 11 times normal
  • 48. Health Impact: Somatic Immediate Symptoms Encountered after Bombing: • Epistaxis and nasal discharge • Chest pain and hemorrhagic expectoration • Burning sensation in throat, nose, lips, or mouth • Eye irritation • Feeling of skin hyperthermia, rash, or irritation • Dry cough • Gastric and intestinal alterations • Diarrhea
  • 49. Health Impact: Somatic Delayed Symptoms Encountered after Bombing: • Fatigue • Intermittent fevers, nocturnal perspiration • Headaches • Recurring or continuous joint, nerve, chest, and/or muscle pain • Short-term and sporadic memory loss • Mental confusion and disorientation • Depression and loss of initiative • Chronic cold, influenza, recurrent viral illnesses • Asthma, chronic bronchitis • Dry or productive cough • Lower-back pain • Dysuria • Gastrointestinal problems • Anorexia
  • 50. Health Impact: Somatic Chronic Symptoms Encountered after Bombing: • Progressive kidney pain, lower back discomfort • Sexual dysfunction • Miscarriages and/or birth defects • Infant and new-borne unexplainably ill, weak, lethargic, rashes • Failure to thrive in children • Increasing numbers of family and community health problems • Changes in immune system
  • 51. Health Impact: Genetic • 5 Gulf War veterans previously assessed for urinary uranium concentrations • Genomic assessments were made using spectral karyotype (SKY) imaging.
  • 52. Genetic Results • Elevated uranium concentrations and 238U / 235U ratios beyond natural range were found to be significant in two of the five participants. However, ratios of 238U / 235U were suggestive of a DU signature in all five cases. SKY testing supported increased levels of genomic variation in all five participates at a rate suggestive of ten times a normal range. • These studies are to be continued . . .
  • 53.
  • 54. Chromosomal Changes in DU Positive Veterans by SKY Analysis
  • 55. Percent of Cells with Chromosomal Change 35% 35 30% Percentage of cells with chromosomal change 25% 20% 20 15% 10% 5% 5 0% Normal Cancer Gulf War Syndrome
  • 56. Average % of Cells with 0.2 20 Aberration 0.18 0.16 0.14 0.12 Normal 0.1 10 Cancer Gulf War Syndrome 0.08 0.06 0.04 0.02 2 0 1
  • 57. Gaza Conflicts 2005 – present
  • 58.
  • 59. The Analysis of Uranium Isotopes in Gaza by Alpha Spectrometry • Presence of the isotopes with enriched uranium signature from the recent military conflicts in Lebanon (2006) and Gaza (2009) has been reported (ECRR 2010 No2 Brussels 2010). • Our study meant to analyze possible contamination in the civilian population of Gaza Strip in 2009. • Urine samples collected from population exposed to the dust following Operation Cast Lead (December 27, 2008 – January 18, 2009).
  • 60. Participants • A total of 12 subjects from Jabaliya, Beit Lahia, Rafah, and Gaza City were selected on the basis of their history of exposure and symptoms. • Samples were analyzed for the uranium isotopes at the Harwell Science and Innovation Centre, England.
  • 61. Conclusions Our results demonstrate that neither depleted uranium nor man-man uranium isotopes are detectable in Gaza civilians by the radio-chemical separation and alpha spectrometry analysis. This method does not provide an alternative to sensitivity and specificity of inductively coupled plasma mass spectrometry (ICP-MS).
  • 62. Future Research • Two decades of research suggest a potential of somatic and genetic adverse alterations of the human health and the biosphere. • The current conflicts in the Middle East , Libya , and other potential war theatres warrant further interdisciplinary studies of the environmental and health impact of uranium isotopes.

Hinweis der Redaktion

  1. 38. What are the Risks to Future Children? Hereditary Effects Concern over radiation-induced hereditary (genetic) effects is quite common due to a century of misrepresentation, by the media and the entertainment industry, of radiation’s ability to produce hereditary effects. The natural incidence of malformations and genetic disease at 1-2 years of age is 6-10%. (Mossman KL, Hill LT: Radiation Risks in Pregnancy , Obsts Gynecol 60:237-242, 1982) No direct evidence of hereditary effects exceeding normal incidence have been observed in any of the studies of humans exposed to radiation, even with high doses. Risk of severe hereditary effects from UNSCEAR Hereditary Effects of Radiation , 2001.