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A nuclear and radiation accident is defined by the International Atomic Energy Agency (IAEA) as "an event that has led to significant consequences to people, the environment or the facility." Examples include lethal effects to individuals, radioactive isotope to the environment, or reactor core melt."[6] The prime example of a "major nuclear accident" is one in which a reactor core is damaged and significant amounts of radioactive isotopes are released, such as in the Chernobyl disaster in 1986.[7]
The impact of nuclear accidents has been a topic of debate since the first nuclear reactors were constructed in 1954, and has been a key factor in public concern about nuclear facilities.[8] Technical measures to reduce the risk of accidents or to minimize the amount of radioactivity released to the environment have been adopted, however human error remains, and "there have been many accidents with varying impacts as well near misses and incidents".[8][9] As of 2014, there have been more than 100 serious nuclear accidents and incidents from the use of nuclear power. Fifty-seven accidents have occurred since the Chernobyl disaster, and about 60% of all nuclear-related accidents have occurred in the USA.[10] Serious nuclear power plant accidents include the Fukushima Daiichi nuclear disaster (2011), Chernobyl disaster (1986), Three Mile Island accident (1979), and the SL-1 accident (1961).[11] Nuclear power accidents can involve loss of life and large monetary costs for remediation work.[12]
Nuclear-powered submarine accidents include the K-19 (1961), K-11 (1965), K-27 (1968), K-140 (1968), K-429 (1970), K-222 (1980), and K-431 (1985).[11][13][14] Serious radiation incidents/accidents include the Kyshtym disaster, Windscale fire, radiotherapy accident in Costa Rica,[15] radiotherapy accident in Zaragoza,[16] radiation accident in Morocco,[17] Goiania accident,[18] radiation accident in Mexico City, radiotherapy unit accident in Thailand,[19] and the Mayapuri radiological accident in India.[19]
The IAEA maintains a website reporting recent accidents.[20]
One of the worst nuclear accidents to date was the Chernobyl disaster which occurred in 1986 in Ukraine. The accident killed 31 people directly and damaged approximately $7 billion of property. A study published in 2005 estimates that there will eventually be up to 4,000 additional cancer deaths related to the accident among those exposed to significant radiation levels.[21] Radioactive fallout from the accident was concentrated in areas of Belarus, Ukraine and Russia. Other studies have estimated as many as over a million eventual cancer deaths from Chernobyl.[22][23] Estimates of eventual deaths from cancer are highly contested. Industry, UN and DOE agencies claim low numbers of legally provable cancer deaths will be traceable to the disaster. The UN, DOE and industry agencies all use the limits of the epidemiological resolvable deaths as the cutoff below which they cannot be legally proven to come from the disaster. Independent studies statistically calculate fatal cancers from dose and population, even though the number of additional cancers will be below the epidemiological threshold of measurement of around 1%. These are two very different concepts and lead to the huge variations in estimates. Both are reasonable projections with different meanings. Approximately 350,000 people were forcibly resettled away from these areas soon after the accident.[21]
Social scientist and energy policy expert, Benjamin K. Sovacool has reported that worldwide there have been 99 accidents at nuclear power plants from 1952 to 2009 (defined as incidents that either resulted in the loss of human life or more than US$50,000 of property damage, the amount the US federal government uses to define major energy accidents that must be reported), totaling US$20.5 billion in property damages.[10] Fifty-seven accidents have occurred since the Chernobyl disaster, and almost two-thirds (56 out of 99) of all nuclear-related accidents have occurred in the US. There have been comparatively few fatalities associated with nuclear power plant accidents.[10]
Date | Location of accident | Description of accident or incident | Dead | Cost ($US millions 2006) |
INES level[25] |
---|---|---|---|---|---|
September 29, 1957 | Mayak, Kyshtym, Russia | The Kyshtym disaster was a radiation contamination incident that occurred at Mayak, a Nuclear fuel reprocessing plant in the Soviet Union. | 6 | ||
July 26, 1957 | Simi Valley, California, United States | Partial core meltdown at Santa Susana Field Laboratory’s Sodium Reactor Experiment. | 0 | 32 | |
October 10, 1957 | Sellafield aka Windscale fire, Cumberland, United Kingdom | A fire at the British atomic bomb project destroyed the core and released an estimated 740 terabecquerels of iodine-131 into the environment. A rudimentary smoke filter constructed over the main outlet chimney successfully prevented a far worse radiation leak and ensured minimal damage. | 0 | 5 | |
January 3, 1961 | Idaho Falls, Idaho, United States | Explosion at SL-1 prototype at the National Reactor Testing Station. All 3 operators were killed when a control rod was removed too far. | 3 | 22 | 4 |
October 5, 1966 | Frenchtown Charter Township, Michigan, United States | Partial core meltdown of the Fermi 1 Reactor at the Enrico Fermi Nuclear Generating Station. No radiation leakage into the environment. | 0 | 132[26] | |
January 21, 1969 | Lucens reactor, Vaud, Switzerland | On January 21, 1969, it suffered a loss-of-coolant accident, leading to a partial core meltdown and massive radioactive contamination of the cavern, which was then sealed. | 0 | 5 | |
1975 | Sosnovyi Bor, Leningrad Oblast, Russia | There was reportedly a partial nuclear meltdown in Leningrad nuclear power plant reactor unit 1. | |||
December 7, 1975 | Greifswald, East Germany | Electrical error causes fire in the main trough that destroys control lines and five main coolant pumps | 0 | 443 | 3 |
January 5, 1976 | Jaslovské Bohunice, Czechoslovakia | Malfunction during fuel replacement. Fuel rod ejected from reactor into the reactor hall by coolant (CO2).[27] | 2 | 4 | |
February 22, 1977 | Jaslovské Bohunice, Czechoslovakia | Severe corrosion of reactor and release of radioactivity into the plant area, necessitating total decommission | 0 | 1,700 | 4 |
March 28, 1979 | Three Mile Island, Pennsylvania, United States | Loss of coolant and partial core meltdown due to operator errors. There is a small release of radioactive gases. See also Three Mile Island accident health effects. | 0 | 2,400 | 5 |
September 15, 1984 | Athens, Alabama, United States | Safety violations, operator error, and design problems force a six-year outage at Browns Ferry Unit 2. | 0 | 110 | |
March 9, 1985 | Athens, Alabama, United States | Instrumentation systems malfunction during startup, which led to suspension of operations at all three Browns Ferry Units | 0 | 1,830 | |
April 11, 1986 | Plymouth, Massachusetts, United States | Recurring equipment problems force emergency shutdown of Boston Edison’s Pilgrim Nuclear Power Plant | 0 | 1,001 | |
April 26, 1986 | Chernobyl, Chernobyl Raion (Now Ivankiv Raion), Kiev Oblast, Ukraininan SSR, Soviet Union | A flawed reactor design and inadequately trained personnel led to a failed backup generator test. This test led to a power surge which overheated the fuel rods of reactor no. 4 of the Chernobyl power plant, causing an explosion and meltdown, necessitating the evacuation of 300,000 people from Chernobyl and dispersing radioactive material across Europe (see Effects of the Chernobyl disaster).
Around 5% (5200 PBq) of the core was released into the atmosphere and downwind. |
30 direct, 19 not entirely related and 15 minors due to thyroid cancer, as of 2008.[28][29] | 6,700 | 7 |
May 4, 1986 | Hamm-Uentrop, West Germany | Experimental THTR-300 reactor releases small amounts of fission products (0.1 GBq Co-60, Cs-137, Pa-233) to surrounding area | 0 | 267 | |
March 31, 1987 | Delta, Pennsylvania, United States | Peach Bottom units 2 and 3 shutdown due to cooling malfunctions and unexplained equipment problems | 0 | 400 | |
December 19, 1987 | Lycoming, New York, United States | Malfunctions force Niagara Mohawk Power Corporation to shut down Nine Mile Point Unit 1 | 0 | 150 | |
March 17, 1989 | Lusby, Maryland, United States | Inspections at Calvert Cliff Units 1 and 2 reveal cracks at pressurized heater sleeves, forcing extended shutdowns | 0 | 120 | |
March 1992 | Sosnovyi Bor, Leningrad Oblast, Russia | An accident at the Sosnovy Bor nuclear plant leaked radioactive gases and iodine into the air through a ruptured fuel channel. | |||
February 20, 1996 | Waterford, Connecticut, United States | Leaking valve forces shutdown Millstone Nuclear Power Plant Units 1 and 2, multiple equipment failures found | 0 | 254 | |
September 2, 1996 | Crystal River, Florida, United States | Balance-of-plant equipment malfunction forces shutdown and extensive repairs at Crystal River Unit 3 | 0 | 384 | |
September 30, 1999 | Ibaraki Prefecture, Japan | Tokaimura nuclear accident killed two workers, and exposed one more to radiation levels above permissible limits. | 2 | 54 | 4 |
February 16, 2002 | Oak Harbor, Ohio, United States | Severe corrosion of control rod forces 24-month outage of Davis-Besse reactor | 0 | 143 | 3 |
April 10, 2003 | Paks, Hungary | Collapse of fuel rods at Paks Nuclear Power Plant unit 2 during its corrosion cleaning led to leakage of radioactive gases. It remained inactive for 18 months. | 0 | 3 | |
August 9, 2004 | Fukui Prefecture, Japan | Steam explosion at Mihama Nuclear Power Plant kills 4 workers and injures 7 more | 4 | 9 | 1 |
July 25, 2006 | Forsmark, Sweden | An electrical fault at Forsmark Nuclear Power Plant caused one reactor to be shut down | 0 | 100 | 2 |
March 11, 2011 | Fukushima, Japan | A tsunami flooded and damaged the plant's 5 active reactors, drowning two workers. Loss of backup electrical power led to overheating, meltdowns, and evacuations.[30] One man died suddenly while carrying equipment during the clean-up.[31] The plant's 6th reactor was inactive at the time. | 2+ (over 1,600 excess deaths due to evacuation)[32][33] | 1,255–2,078 (2018 est.)[34] | 7 |
September 12, 2011 | Marcoule, France | One person was killed and four injured, one seriously, in a blast at the Marcoule Nuclear Site. The explosion took place in a furnace used to melt metallic waste. | 1 |
The vulnerability of nuclear plants to deliberate attack is of concern in the area of nuclear safety and security.[35] Nuclear power plants, civilian research reactors, certain naval fuel facilities, uranium enrichment plants, fuel fabrication plants, and even potentially uranium mines are vulnerable to attacks which could lead to widespread radioactive contamination. The attack threat is of several general types: commando-like ground-based attacks on equipment which if disabled could lead to a reactor core meltdown or widespread dispersal of radioactivity; and external attacks such as an aircraft crash into a reactor complex, or cyber attacks.[36]
The United States 9/11 Commission found that nuclear power plants were potential targets originally considered for the September 11, 2001 attacks. If terrorist groups could sufficiently damage safety systems to cause a core meltdown at a nuclear power plant, and/or sufficiently damage spent fuel pools, such an attack could lead to widespread radioactive contamination. The Federation of American Scientists have said that if nuclear power use is to expand significantly, nuclear facilities will have to be made extremely safe from attacks that could release massive quantities of radioactivity into the community. New reactor designs have features of passive nuclear safety, which may help. In the United States, the NRC carries out "Force on Force" (FOF) exercises at all Nuclear Power Plant (NPP) sites at least once every three years.[36]
Nuclear reactors become preferred targets during military conflict and, over the past three decades, have been repeatedly attacked during military air strikes, occupations, invasions and campaigns.[37] Various acts of civil disobedience since 1980 by the peace group Plowshares have shown how nuclear weapons facilities can be penetrated, and the group's actions represent extraordinary breaches of security at nuclear weapons plants in the United States. The National Nuclear Security Administration has acknowledged the seriousness of the 2012 Plowshares action. Non-proliferation policy experts have questioned "the use of private contractors to provide security at facilities that manufacture and store the government's most dangerous military material".[38] Nuclear weapons materials on the black market are a global concern,[39][40] and there is concern about the possible detonation of a small, crude nuclear weapon or dirty bomb by a militant group in a major city, causing significant loss of life and property.[41][42]
The number and sophistication of cyber attacks is on the rise. Stuxnet is a computer worm discovered in June 2010 that is believed to have been created by the United States and Israel to attack Iran's nuclear facilities. It switched off safety devices, causing centrifuges to spin out of control.[43] The computers of South Korea's nuclear plant operator (KHNP) were hacked in December 2014. The cyber attacks involved thousands of phishing emails containing malicious codes, and information was stolen.[44]
Serious radiation and other accidents and incidents include:
Between 16 July 1945 and 23 September 1992, the United States maintained a program of vigorous nuclear testing, with the exception of a moratorium between November 1958 and September 1961. By official count, a total of 1,054 nuclear tests and two nuclear attacks were conducted, with over 100 of them taking place at sites in the Pacific Ocean, over 900 of them at the Nevada Test Site, and ten on miscellaneous sites in the United States (Alaska, Colorado, Mississippi, and New Mexico).[94] Until November 1962, the vast majority of the U.S. tests were atmospheric (that is, above-ground); after the acceptance of the Partial Test Ban Treaty all testing was regulated underground, in order to prevent the dispersion of nuclear fallout.
The U.S. program of atmospheric nuclear testing exposed a number of the population to the hazards of fallout. Estimating exact numbers, and the exact consequences, of people exposed has been medically very difficult, with the exception of the high exposures of Marshall Islanders and Japanese fishers in the case of the Castle Bravo incident in 1954. A number of groups of U.S. citizens — especially farmers and inhabitants of cities downwind of the Nevada Test Site and U.S. military workers at various tests — have sued for compensation and recognition of their exposure, many successfully. The passage of the Radiation Exposure Compensation Act of 1990 allowed for a systematic filing of compensation claims in relation to testing as well as those employed at nuclear weapons facilities. As of June 2009 over $1.4 billion total has been given in compensation, with over $660 million going to "downwinders".[95]
The International Atomic Energy Agency says there is "a persistent problem with the illicit trafficking in nuclear and other radioactive materials, thefts, losses and other unauthorized activities".[96] The IAEA Illicit Nuclear Trafficking Database notes 1,266 incidents reported by 99 countries over the last 12 years, including 18 incidents involving HEU or plutonium trafficking:[97][77][98]
A nuclear meltdown is a severe nuclear reactor accident that results in reactor core damage from overheating. It has been defined as the accidental melting of the core of a nuclear reactor, and refers to the core's either complete or partial collapse.[105][106] A core melt accident occurs when the heat generated by a nuclear reactor exceeds the heat removed by the cooling systems to the point where at least one nuclear fuel element exceeds its melting point. This differs from a fuel element failure, which is not caused by high temperatures. A meltdown may be caused by a loss of coolant, loss of coolant pressure, or low coolant flow rate or be the result of a criticality excursion in which the reactor is operated at a power level that exceeds its design limits. Alternately, in a reactor plant such as the RBMK-1000, an external fire may endanger the core, leading to a meltdown.
Large-scale nuclear meltdowns at civilian nuclear power plants include:[13][51]
Other core meltdowns have occurred at:[51]
Eight Soviet Navy nuclear submarines have had nuclear core meltdowns or radiation incidents: K-19 (1961), K-11(1965), K-27 (1968), K-140 (1968), K-429 (1970), K-222 (1980), K-314 (1985), and K-431 (1985).[13]
A criticality accident (also sometimes referred to as an "excursion" or "power excursion") occurs when a nuclear chain reaction is accidentally allowed to occur in fissile material, such as enriched uranium or plutonium. The Chernobyl accident is not universally regarded an example of a criticality accident, because it occurred in an operating reactor at a power plant. The reactor was supposed to be in a controlled critical state, but control of the chain reaction was lost. The accident destroyed the reactor and left a large geographic area uninhabitable. In a smaller scale accident at Sarov a technician working with highly enriched uranium was irradiated while preparing an experiment involving a sphere of fissile material. The Sarov accident is interesting because the system remained critical for many days before it could be stopped, though safely located in a shielded experimental hall.[107] This is an example of a limited scope accident where only a few people can be harmed, while no release of radioactivity into the environment occurred. A criticality accident with limited off site release of both radiation (gamma and neutron) and a very small release of radioactivity occurred at Tokaimura in 1999 during the production of enriched uranium fuel.[108] Two workers died, a third was permanently injured, and 350 citizens were exposed to radiation. In 2016, a criticality accident was reported at the Afrikantov OKBM Critical Test Facility in Russia.[109]
Decay heat accidents are where the heat generated by the radioactive decay causes harm. In a large nuclear reactor, a loss of coolant accident can damage the core: for example, at Three Mile Island a recently shutdown (SCRAMed) PWR reactor was left for a length of time without cooling water. As a result, the nuclear fuel was damaged, and the core partially melted. The removal of the decay heat is a significant reactor safety concern, especially shortly after shutdown. Failure to remove decay heat may cause the reactor core temperature to rise to dangerous levels and has caused nuclear accidents. The heat removal is usually achieved through several redundant and diverse systems, and the heat is often dissipated to an 'ultimate heat sink' which has a large capacity and requires no active power, though this method is typically used after decay heat has reduced to a very small value. The main cause of release of radioactivity in the Three Mile Island accident was a pilot-operated relief valve on the primary loop which stuck in the open position. This caused the overflow tank into which it drained to rupture and release large amounts of radioactive cooling water into the containment building.
In 2011, an earthquake and tsunami caused a loss of electric power at the Fukushima Daiichi nuclear power plant in Japan. The decay heat could not be removed, and the reactor cores of units 1, 2 and 3 overheated, the nuclear fuel melted, and the containments were breached. Radioactive materials were released from the plant to the atmosphere and to the ocean. [110]
Transport accidents can cause a release of radioactivity resulting in contamination or shielding to be damaged resulting in direct irradiation. In Cochabamba a defective gamma radiography set was transported in a passenger bus as cargo. The gamma source was outside the shielding, and it irradiated some bus passengers.
In the United Kingdom, it was revealed in a court case that in March 2002 a radiotherapy source was transported from Leeds to Sellafield with defective shielding. The shielding had a gap on the underside. It is thought that no human has been seriously harmed by the escaping radiation.[111]
Equipment failure is one possible type of accident. In Białystok, Poland, in 2001 the electronics associated with a particle accelerator used for the treatment of cancer suffered a malfunction.[112] This then led to the overexposure of at least one patient. While the initial failure was the simple failure of a semiconductor diode, it set in motion a series of events which led to a radiation injury.
A related cause of accidents is failure of control software, as in the cases involving the Therac-25 medical radiotherapy equipment: the elimination of a hardware safety interlock in a new design model exposed a previously undetected bug in the control software, which could have led to patients receiving massive overdoses under a specific set of conditions.
Many of the major nuclear accidents have been directly attributable to operator or human error. This was obviously the case in the analysis of both the Chernobyl and TMI-2 accidents. At Chernobyl, a test procedure was being conducted prior to the accident. The leaders of the test permitted operators to disable and ignore key protection circuits and warnings that would have normally shut the reactor down. At TMI-2, operators permitted thousands of gallons of water to escape from the reactor plant before observing that the coolant pumps were behaving abnormally. The coolant pumps were thus turned off to protect the pumps, which in turn led to the destruction of the reactor itself as cooling was completely lost within the core.
A detailed investigation into SL-1 determined that one operator (perhaps inadvertently) manually pulled the 84-pound (38 kg) central control rod out about 26 inches rather than the maintenance procedure's intention of about 4 inches.[113]
An assessment conducted by the Commissariat à l’Énergie Atomique (CEA) in France concluded that no amount of technical innovation can eliminate the risk of human-induced errors associated with the operation of nuclear power plants. Two types of mistakes were deemed most serious: errors committed during field operations, such as maintenance and testing, that can cause an accident; and human errors made during small accidents that cascade to complete failure.[10]
In 1946 Canadian Manhattan Project physicist Louis Slotin performed a risky experiment known as "tickling the dragon's tail"[114] which involved two hemispheres of neutron-reflective beryllium being brought together around a plutonium core to bring it to criticality. Against operating procedures, the hemispheres were separated only by a screwdriver. The screwdriver slipped and set off a chain reaction criticality accident filling the room with harmful radiation and a flash of blue light (caused by excited, ionized air particles returning to their unexcited states). Slotin reflexively separated the hemispheres in reaction to the heat flash and blue light, preventing further irradiation of several co-workers present in the room. However, Slotin absorbed a lethal dose of the radiation and died nine days later. The infamous plutonium mass used in the experiment was referred to as the demon core.
Lost source accidents,[115][116] also referred to as orphan sources, are incidents in which a radioactive source is lost, stolen or abandoned. The source then might cause harm to humans. One case occurred at Yanango where a radiography source was lost, also at Samut Prakarn a phosphorus teletherapy source was lost[117] and at Gilan in Iran a radiography source harmed a welder.[118] The best known example of this type of event is the Goiânia accident in Brazil.
The International Atomic Energy Agency has provided guides for scrap metal collectors on what a sealed source might look like.[119] The scrap metal industry is the one where lost sources are most likely to be found.[120]
Comparing the historical safety record of civilian nuclear energy with other forms of electrical generation, Ball, Roberts, and Simpson, the IAEA, and the Paul Scherrer Institute found in separate studies that during the period from 1970 to 1992, there were just 39 on-the-job deaths of nuclear power plant workers worldwide, while during the same time period, there were 6,400 on-the-job deaths of coal power plant workers, 1,200 on-the-job deaths of natural gas power plant workers and members of the general public caused by natural gas power plants, and 4,000 deaths of members of the general public caused by hydroelectric power plants.[121][122][123] In particular, coal power plants are estimated to kill 24,000 Americans per year due to lung disease[124] as well as causing 40,000 heart attacks per year[125] in the United States. According to Scientific American, the average coal power plant emits 100 times more radiation per year than a comparatively sized nuclear power plant in the form of toxic coal waste known as fly ash.[126]
In terms of energy accidents, hydroelectric plants were responsible for the most fatalities, but nuclear power plant accidents rank first in terms of their economic cost, accounting for 41 percent of all property damage. Oil and hydroelectric follow at around 25 percent each, followed by natural gas at 9 percent and coal at 2 percent.[21] Excluding Chernobyl and the Shimantan Dam, the three other most expensive accidents involved the Exxon Valdez oil spill (Alaska), the Prestige oil spill (Spain), and the Three Mile Island nuclear accident (Pennsylvania).[21]
Nuclear safety covers the actions taken to prevent nuclear and radiation accidents or to limit their consequences. This covers nuclear power plants as well as all other nuclear facilities, the transportation of nuclear materials, and the use and storage of nuclear materials for medical, power, industry, and military uses.
The nuclear power industry has improved the safety and performance of reactors, and has proposed new safer (but generally untested) reactor designs but there is no guarantee that the reactors will be designed, built and operated correctly.[127] Mistakes do occur and the designers of reactors at Fukushima in Japan did not anticipate that a tsunami generated by an earthquake would disable the backup systems that were supposed to stabilize the reactor after the earthquake.[128][129] According to UBS AG, the Fukushima I nuclear accidents have cast doubt on whether even an advanced economy like Japan can master nuclear safety.[130] Catastrophic scenarios involving terrorist attacks are also conceivable.[127]
In his book Normal Accidents, Charles Perrow says that unexpected failures are built into society's complex and tightly-coupled nuclear reactor systems. Nuclear power plants cannot be operated without some major accidents. Such accidents are unavoidable and cannot be designed around.[131] An interdisciplinary team from MIT have estimated that given the expected growth of nuclear power from 2005 – 2055, at least four serious nuclear accidents would be expected in that period.[132][133] To date, there have been five serious accidents (core damage) in the world since 1970 (one at Three Mile Island in 1979; one at Chernobyl in 1986; and three at Fukushima-Daiichi in 2011), corresponding to the beginning of the operation of generation II reactors. This leads to on average one serious accident happening every eight years worldwide.[129]
Phase | Symptom | Whole-body absorbed dose (Gy) | ||||
---|---|---|---|---|---|---|
1–2 Gy | 2–6 Gy | 6–8 Gy | 8–30 Gy | > 30 Gy | ||
Immediate | Nausea and vomiting | 5–50% | 50–100% | 75–100% | 90–100% | 100% |
Time of onset | 2–6 h | 1–2 h | 10–60 min | < 10 min | Minutes | |
Duration | < 24 h | 24–48 h | < 48 h | < 48 h | N/A (patients die in < 48 h) | |
Diarrhea | None | None to mild (< 10%) | Heavy (> 10%) | Heavy (> 95%) | Heavy (100%) | |
Time of onset | — | 3–8 h | 1–3 h | < 1 h | < 1 h | |
Headache | Slight | Mild to moderate (50%) | Moderate (80%) | Severe (80–90%) | Severe (100%) | |
Time of onset | — | 4–24 h | 3–4 h | 1–2 h | < 1 h | |
Fever | None | Moderate increase (10–100%) | Moderate to severe (100%) | Severe (100%) | Severe (100%) | |
Time of onset | — | 1–3 h | < 1 h | < 1 h | < 1 h | |
CNS function | No impairment | Cognitive impairment 6–20 h | Cognitive impairment > 24 h | Rapid incapacitation | Seizures, tremor, ataxia, lethargy | |
Latent period | 28–31 days | 7–28 days | < 7 days | None | None | |
Illness | Mild to moderate Leukopenia Fatigue Weakness |
Moderate to severe Leukopenia Purpura Hemorrhage Infections Alopecia after 3 Gy |
Severe leukopenia High fever Diarrhea Vomiting Dizziness and disorientation Hypotension Electrolyte disturbance |
Nausea Vomiting Severe diarrhea High fever Electrolyte disturbance Shock |
N/A (patients die in < 48h) | |
Mortality | Without care | 0–5% | 5–95% | 95–100% | 100% | 100% |
With care | 0–5% | 5–50% | 50–100% | 99–100% | 100% | |
Death | 6–8 weeks | 4–6 weeks | 2–4 weeks | 2 days – 2 weeks | 1–2 days | |
Table Source[134] |
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Environment Ecology