Global & Disaster Medicine

Archive for the ‘Nuclear-Radiation-Contamination’ Category

Chernobyl: 4/26/1986


March 28, 1979, the worst accident in the history of the U.S. nuclear power industry begins when a pressure valve in the Unit-2 reactor at Three Mile Island fails to close and the core began to dangerously overheat.

HxC


3/9/1981: A nuclear accident at a Japan Atomic Power Company plant in Tsuruga, Japan, exposes 59 workers to radiation.

HxC

“…..On March 9, a worker forgot to shut a critical valve, causing a radioactive sludge tank to overflow. Fifty-six workers were sent in to mop up the radioactive sludge before the leak could escape the disposal building, but the plan was not successful and 16 tons of waste spilled into Wakasa Bay……”


Social Media Reactions to an Errant Warning of a Ballistic Missile Threat

Murthy BP, Krishna N, Jones T, Wolkin A, Avchen RN, Vagi SJ. Public Health Emergency Risk Communication and Social Media Reactions to an Errant Warning of a Ballistic Missile Threat — Hawaii, January 2018. MMWR Morb Mortal Wkly Rep 2019;68:174–176. DOI: http://dx.doi.org/10.15585/mmwr.mm6807a2.

“……A total of 127,125 tweets were identified; after excluding 69,151 (54%) retweets and 43,444 (34%) quote tweets, 14,530 (11%) initial tweets remained for analysis. Among these, 5,880 (40%) were sent during the early period, and 8,650 (60%) were sent during the late period……”

Selected Twitter posts, by theme from the early* and late periods in response to an errant warning of a ballistic missile threat — Hawaii, January 13, 2018Return to your place in the text
Period/Theme Description Examples
Early period
Information processing Indication of mental processing of the alert “Sirens going off in Hawaii, ballistic missile threat issued. What’s happening?”
“Idk what’s going on.. but there’s a warning for a ballistic missile coming to Hawaii? [expletive deleted]”
Information sharing Disseminating alert to others “Just got an iPhone alert of inbound balistic [sic] missile in Hawaii. Said Not a Drill. @PacificCommand @DefenseIntel @WHNSC”
“@ananavarro @TheRickWilson @AC360 Hawaii we all got emergency sirens on our phones ballistic missile inbound to Hawaii”
Authentication Validating the alert “Is this missile threat real?”
“Where is news about the ballistic missile inbound to Hawaii?”
Emotional reaction Expressing shock, fear, panic, or terror “there’s a missile threat here right now guys. I love you all and I’m scared as [expletive deleted]”
“Woke up and started crying after seeing the Hawaii missile alert. Called my parents and balled [sic] my eyes out because I was so worried.”
Late period
Denunciation Blaming the emergency warning and response “How do you “accidentally” send out a whole [expletive deleted] emergency alert that says there’s a missile coming to Hawaii and to take cover. AND TAKE THIRTY MINUTES TO CORRECT?!?”
“To the person in #Hawaii who sent out that false alarm alert message about missile attack TO EVERY [expletive deleted] CELL PHONE…MOVE TO ANTARCTICA NOW! [emojis deleted] #that[expletive deleted]scaredeveryone @Hawaii_EMA”
Insufficient knowledge to act Expressing lack of a response plan “my friend & i were running around the hotel room freaking out because HOW DO WE TAKE SHELTER FROM A [expletive deleted] MISSILE?!”
“Can you imagine waking up to an alert that says. “Take shelter there is a missile on the way” like Bruh. What shelter is there for a missile? That [expletive deleted] might as well say. “Aye Bruh. Missile on the way. Good luck”
Mistrust of authority Doubting the emergency alert system and/or governmental response “And now, should there be another ballistic missile threat, how can we trust it knowing the last one was a grave mistake???”
“@Hawaii_EMA We all need to know who is behind this!!! . This is not a joke. . How can we trust the emergency alarm now? #hawaii #missile”

* 8:07–8:45 a.m. Hawaii Standard Time.
8:46–9:24 a.m. Hawaii Standard Time (additional themes identified in addition to those in the early period).

What is already known about this topic?

Social media platforms are widely used to share information and disseminate alerts and warnings.

What is added by this report?

After an errant ballistic missile alert, social media reactions revealed how the public interprets, shares, and responds to information during an evolving threat. This knowledge can guide emergency risk communicators to develop timely and effective social media messages than can protect lives.

What are the implications for public health practice?

Social media can be an effective tool to send urgent messages during a public health emergency. Public health practitioners need to improve messaging during emergency risk communications to address the public’s needs during each phase of an unfolding crisis to protect and save lives


Pediatric considerations in radiological emergencies: new recommendations

AAP

The reports, Pediatric Considerations Before, During, and After Radiological/Nuclear Emergencies, are available at

http://pediatrics.aappublications.org/content/early/2018/11/21/peds.2018-3000 and

http://pediatrics.aappublications.org/content/early/2018/11/21/peds.2018-3001

and will be published in the December issue of Pediatrics.


9/30/1999: One person was killed, 49 were injured and thousands of others were forcibly confined to their homes for several days when radiation leaked from Japan’s Tokaimura nuclear plant

History Channel

“…..On September 30, workers were mixing liquid uranium when they made a serious, and inexplicable, mistake. Instead of pouring five pounds of powdered uranium into nitric acid, the workers poured 35 pounds, seven times too much. The resulting chain reaction caused gamma rays and stray neutrons to flood the purification chamber, where the radioactive water was treated…..”


9/18/1987: Cesium-137 is removed from an abandoned cancer-therapy machine in Goiana, Brazil and hundreds of people were eventually poisoned by radiation from the substance

History Channel

 


US is considering scenarios where a nuclear bomb, a cyberattack, a coordinated electromagnetic pulse, and biological weapons all hit the US at the same time.

National Academies

BuzzFeed News

“…..“We are looking at 100 kiloton to 1,000 kiloton detonations” ………”

Exploring Medical and Public Health Preparedness for a Nuclear Incident: A Workshop


When: August 22, 2018 – August 23, 2018 (8:00 AM Eastern)
Where: National Academy of Sciences Building (Fred Kavli Auditorium) • 2101 Constitution Avenue, NW, Washington, DC 20418

Topics Biomedical and Health Research, Public Health, Health Security
Activity: Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Board: Board on Health Sciences Policy

The National Academies of Sciences, Engineering, and Medicine will host a two-day public workshop on August 22-23, 2018 at the National Academies Building (Fred Kavli Auditorium) called Exploring Medical and Public Health Preparedness for a Nuclear Incident. Through this workshop, participants from government, NGO and private sector organizations will explore current assumptions behind and the status of medical and public health preparedness for a nuclear incident, examine potential changes in assumptions and approach, and discuss challenges and opportunities for capacity building in the current threat environment.

Specific topics that may be discussed in this workshop include:

  • The current state of medical and public health preparedness for a nuclear incident and how these relate to the prior assumptions about the threat environment;
  • Possible changes to planning assumptions for nuclear incidents, with particular attention to the (re-)emergence of state-actor threats, and the implications of those changes for nuclear incident prevention, planning and response;
  • Implications for capacity building of potential communication, education and information challenges posed by a nuclear incident, and opportunities and approaches for addressing them;
  • Challenges, opportunities, and implications for building capabilities to respond to and recover from a nuclear incident, including building capability for assessment, early treatment, monitoring and long-term health surveillance among survivors.

Hidden Sealed Radioactive Source (Radiological Exposure Device) in Train Car – Illustration

Hidden sealed radioactive source in metro car: 150 Ci iridium source under seat

150 Ci Iridium-192 Source Under Seat

Ci = Curie; R = Roentgen; Γ constant = 4.69 R-cm2/mCi-hr.

Note: This graphic describes radiation exposure rate (in air) in units of R/Hr. For gamma radiation, this is roughly equivalent to a radiation absorbed dose rate in units of cGy/hour, which must also take into account any shielding present, e.g., material in the seats in this example.


REMM: External Contamination: Wound Contamination with Radioactive Shrapnel – Animation

Contamination - Full Body

 

External Contamination: Wound Contamination with Radioactive Shrapnel – Animation

Contamination


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