Alina, aged fifteen, had been diagnosed with thyroid
cancer in 1992, and her thyroid gland had been completely removed.
She had just undergone a second surgery to remove knots that had
spread to her trachea. Alina wobbled her head, straining to find
ways of resisting the surgical pain… “I have to live…I was afraid
of this second operation. The nodules can still spread into the
lungs and to the brains. If they go into the brains it will be too
late; it will be almost impossible to save me. But if the nodules
spread into the lungs, they can still save me.” She wanted to
be saved. “But everything is normal right now”, she reassures
herself. “I have to drink iodine and take daily doses of
thyroxine. If I don’t have that hormone I’ll be faint, and I won’t
be as lucky.”
– Chernobyl ‘Survivor’ [Petryna
2002:80]
The accident at the Chernobyl nuclear reactor on April 26, 1986
remains the most destructive industrial accident to date. An
enormous amount of literature has emerged analysing the causes of
the accident, the sequence of events on that fateful night, the
amount of radioactive material released into the environment, the
health and environmental consequences of the accident, and the
implications of the accident for nuclear reactor safety and the
future of atomic energy. We outline the debates on some of these
areas and explore in brief the underlying political and
organisational dimensions of these debates as well as some of their
implications.
April 26 and Immediate Aftermath
The Chernobyl power complex is 130 kms north of Kiev,
Ukraine, and about 20 kms south of the border with Belarus. The
unit 4 reactor at the complex was to be shutdown for routine
maintenance on April 25, 1986. Reactor operators decided to
take advantage of this shutdown to run a test to determine whether,
in the event of a loss of station power, the emergency equipment
could be operated until the diesel emergency power supply
became operative [NEA 2002]. As part of the experiment, a number of
safety features were disabled.
The Chernobyl reactor was of the so-called RBMK design, which has
some undesirable characteristics with negative implications for
safety.1 Important among these is the positive void coefficient.2
This means that if there is increased steam production in the
fuel channels, either because of a power increase or a decrease in
the flow of water used to transport the heat generated, there would
be an increased rate of nuclear fission reactions. Under some
conditions, particularly at low power levels, this would produce a
positive feedback loop that makes the reactor prone to abrupt power
surges. Early on April 26, during the experiment conducted by the
operators, the reactor was operating in this domain and produced an
overwhelming power surge.
The exact physical sequence of events remains a matter of debate.
But it is fairly certain that the sudden increase in heat production
ruptured part of the fuel, which reacted with water and caused a
steam explosion. A few seconds later there was another explosion.
The nature of the second explosion is unresolved; different people
have argued that it was a steam explosion, a hydrogen explosion, and
a nuclear explosion, respectively. But clearly an immense amount of
energy was released; estimates are in the range of 100-250 tonnes of
TNT [Kiselev and Checherov 2001; Martinez-Val et al 1990].3 Though
the RBMK design is often faulted for not having a structure to
contain radioactive releases in the event of an accident, these
calculated energy releases are so high that it is quite unlikely
that any containment structure would have withstood such an
explosion.4
The debate about the actual sequence of events results from two
factors. First, there is incomplete information about the accident
during the initial period, both because of the secrecy imposed by
authorities, and because the data relevant for a detailed analysis
could not be recorded. The second factor is the sheer complexity of
the various processes underway during the course of the accident.
Nuclear reactors are complex entities and their behaviour, even
under slightly abnormal conditions, can defy precise understanding.5
Understanding the course of a major accident like Chernobyl involves
very detailed modelling of nuclear reactions, thermodynamic and
hydraulic changes, the fragmentation of fuel, and complicated
interactions between these different processes under inhomogeneous
and rapidly evolving conditions. Thus, it is not surprising that
different studies come to very different conclusions.
Whatever their nature, the two explosions sent radioactive fuel,
reactor core components, and structural items into the air,
producing a shower of hot and highly radioactive debris and exposing
the damaged core to the atmosphere. The plume rose about one
kilometre up in the air. Fires started in what remained of the unit
4 building and in adjacent buildings. Finally, the graphite that is
used to slow down (moderate) neutrons in the reactor also caught
fire. Efforts to put out the last fire proved ineffective and it
burned for 10 days. The long duration had important health
consequences. For example, only 40 per cent of the total release of
iodine-131, a radioactive isotope of iodine that accumulates in the
thyroid gland and can be responsible for thyroid tumours and
cancers, occurred on the first day [UNSCEAR 2000:520].
The cloud from the burning reactor spread numerous types of
radioactive materials, especially iodine and caesium radionuclides,
over much of Europe. Iodine-131 has a short half-life (eight days)
and largely disintegrated within the first few weeks of the
accident. However, radioactive caesium-137, which contributes to
both external and internal radiation doses, has a half-life of 30
years and has contaminated more than 2,00,000 square kilometres of
Europe.6 Over 70 per cent of this area was in the three most
affected countries, Belarus, Russia and Ukraine, home to about five
million people. But even people in regions further away were
affected, some considerably so.
Multiple Repercussions
Though clearly having immense consequences, it is difficult to
quantify the impacts of the accident, either in terms of public
health or in terms of economic and social costs. There have also
been other, less direct, consequences ranging from the widespread
loss of faith in the safety of nuclear reactors and the honesty of
officials in charge of nuclear installations, to the formation of
political parties like the Green Party in Ukraine and the Popular
Front party in Belarus.
Among the worst affected by the accident were the “liquidators” –
those involved in emergency actions on the site during the accident
and the subsequent clean up operations, and who were exposed to high
radiation doses. It is estimated that up to about 6,00,000 people
were involved in such activities [NEA 2002:13]. Also subjected to
significant radiation doses were the over 1,00,000 people, mostly
from within a radius of 30 kms around Chernobyl, who were evacuated
during the first few weeks following the accident. Finally, about
2,70,000 people continued to live in contaminated areas of the
former Soviet Union, with high levels of caesium and requiring
protection measures. All three population groups have undergone
great suffering in terms of health, social conditions, and economic
opportunity.
The extent of health consequences, usually measured in numbers of
deaths, resulting from the accident and consequent radiation
exposure, has been subject to wide debate.7 Such estimates
range from a few tens (31 was the official Soviet figure for some
years after the accident) to hundreds of thousands [Vidal 2006].
“Reality”, to use a cliché, is likely to be somewhere in between.
The use of the quote marks around the term reality is because much
depends on what criteria are used to attribute deaths to radiation.
This is for at least two important reasons.
First, it is intrinsically difficult to unambiguously calculate
the number of cancers and other health effects induced by radiation
exposure. There are two kinds of effects due to radiation exposure:
deterministic and stochastic. Deterministic effects occur only
at high radiation doses. Only the firemen and the personnel of the
power station on the night of the accident were exposed to such high
radiation doses. Of these, at least 134 were clinically
diagnosed with “acute radiation sickness”.
At lower radiation doses, the health impacts take time to develop
and are not uniform; in other words, not all people exposed to the
same level of radiation will exhibit the same effects. However,
exposure to radiation does result in a statistically increased
number of health effects of various kinds, particularly cancers
[UNSCEAR 2000; National Research Council 2006]. But the increase
would be against a much larger number of cancers induced by both
natural and anthropogenic (other than radiation from Chernobyl)
causes. It is often difficult to determine if the excess of cancers
is merely a statistical fluctuation of the background or if it is
caused by radiation exposure due to the accident.
The second reason is that the figures for casualties are the site
of intense political battles. On the one hand, there has been a
sustained effort, mostly by or at the instigation of institutions
and people connected to the nuclear industry, to diminish the
magnitude of the numbers of deaths attributed to the accident. This
is understandable – they can then argue that if even the worst
nuclear disaster has resulted in only a relatively small number of
deaths, then nuclear power is safe. On the other hand, there are
vested interests on the side of institutions and individuals,
especially in the affected areas, that drive them to exaggerate the
extent of deaths and other health consequences.
Estimates of the number of thyroid cancers resulting from the
accident offer a good example of this political contest. Thyroid
cancer was one of the health impacts expected to manifest itself
quickly; early estimates suggested that there would be “thousands to
tens of thousands of… thyroid tumours over the next few decades”
[Von Hippel and Cochran 1986]. In 1991, the International Atomic
Energy Agency (IAEA), whose primary mandate is to promote the use of
nuclear energy, concluded that “there is no clear pathologically
documented evidence of an increase in thyroid cancer of the types
known to be radiation related” [International Chernobyl Project and
International Atomic Energy Agency 1991]. This was despite the
reports that had been submitted to the IAEA by 1990 that “unusually
numbers of thyroid cancer cases in children” had been noted in
Belarus and Ukraine [Williams 2002]. But the IAEA underplayed them.
As time proceeded, the increase in thyroid cancers could
scarcely be denied. In 2000, the United Nations Scientific Committee
on the Effects of Atomic Radiation (UNSCEAR), recorded that there
were an “unusually high numbers of thyroid cancers observed in
the contaminated areas during the past 14 years” and went on to
observe that “the number of thyroid cancers (about 1,800) in
individuals exposed in childhood, in particular in the severely
contaminated areas of the three affected countries, is considerably
greater than expected based on previous knowledge. The high
incidence and the short induction period are unusual… If the current
trend continues, additional thyroid cancers can be expected to
occur, especially in those who were exposed at young ages” [UNSCEAR
2000]. These “form the largest number of cancers of one type, caused
by a single event on one date, ever recorded” [Williams 2002].
More recently, the IAEA has convened the Chernobyl Forum in 2003
to “generate ‘authoritative consensual statements’ on the
environmental consequences and health effects attributable to
radiation exposure arising from the accident as well as to provide
advice on environmental remediation and special healthcare
programmes, and to suggest areas where further research is required”
[Forum 2005]. In September 2005, the IAEA put out a press release
announcing that the Forum had determined that only up to 4,000
people could eventually die as a result of radiation exposure from
the accident. This was hailed by officials from the nuclear
establishment as having settled the debate on “how many deaths and
how much disease really resulted from the accident” [Parthasarathy
2005]. But this was widely criticised by civil society groups,
especially those in the affected countries. Many have produced
counter-reports suggesting that the number of deaths would be in the
range of 30,000-60,000 [Fairlie and Sumner 2006], to about 93,000
[Greenpeace 2006].
There are several problems with the Forum’s report. One is their
focus on just the most heavily exposed areas, and ignoring the much
larger populations in the affected countries themselves and the rest
of the world, who have been exposed to lower levels of radiation
from Chernobyl. There is general scientific consensus that no matter
how small, radiation exposure always increases the risk of cancer
[National Research Council 2006]. Further, there is also
considerable theoretical and empirical support for the assumption
that the biological risk is a linear function of radiation dose at
low doses. Then, if a given dose is shared among N people, the risk
of cancer death per person is reduced to 1/N, but since each of N
people now suffers this risk, the total probable number of cancer
deaths remains the same. Thus, the combined effect of a low level of
radiation exposure to large populations could be sizeable.
The estimated collective radiation dose to the entire world from
Chernobyl is 6,00,000 person-Sv [UNSCEAR 1993:23].8 The most
recent estimate of risk from radiation exposure is 0.057 cancer
deaths per Sv [National Research Council 2006]. Therefore, the
collective radiation dose mentioned above would result in roughly
34,000 deaths over a long period of time, much higher than the
misleading figure of 4,000 from the IAEA.9
The Chernobyl Forum’s estimates also suggest a systematic pattern
of avoiding attribution of various other health impacts by arguing
that increases in these do not correlate adequately with estimated
radiation doses. As a leading expert on thyroid cancers argued: “the
degree of proof needed to accept a causal link is strongly
correlated with the vested interest of the individual or
organisation in the outcome” [Williams 2001].
Consider the case of leukaemia in children who were exposed to
radiation doses while still in the uterus. Past studies have
established that such children are at increased risk of cancer
[Stewart et al 1956]. Similar increases were found in the case of
some regions subject to radioactive fallout from Chernobyl. The
number of excess deaths due to leukaemia in infants, for example in
Chernobyl [Noshchenko et al 2001], falls well within the range
of standard estimates of leukaemia mortality from radiation
exposure.10 All published studies reviewed by the Forum found
excesses, albeit of varying magnitudes. And yet the Forum dismissed
them as “not entirely convincing” and concluded that “there is
neither strong evidence for or against an association between in
utero exposure to Chernobyl fallout and an increased risk of
leukaemia” [Chernobyl Forum 2005].
Despite such efforts at minimising the impact of Chernobyl, the
Forum was forced to admit to some concrete and unexpected, at least
in magnitude, effects. One unanticipated consequence is the “mental
health impact of Chernobyl”, which according to the Forum, “is the
largest public health problem caused by the accident to date”. This
may seem trivialising the other impacts. Nevertheless, it is
testimony to the “complex web of events and long-term difficulties,
such as massive relocation, loss of economic stability, and
long-term threats to health in current and, possibly, future
generations”, unleashed by Chernobyl “that resulted in an increased
sense of anomie and diminished sense of physical and emotional
balance”.
These, of course, are only illustrative of the health effects of
Chernobyl. More such impacts will likely manifest themselves over
the coming years [Williams and Baverstock 2006].
Some Lessons
Despite the nuclear industry’s efforts to play down the
significance of the Chernobyl disaster, there are important lessons
to be drawn from the accident and subsequent events. Writing in the
Bulletin of the International Atomic Energy Agency in June
1983, the head of IAEA’s safety division claimed: “The design
feature of having more than 1,000 individual primary circuits
increases the safety of the reactor system – a serious loss of
coolant accident is practically impossible…the safety of nuclear
power plants in the Soviet Union is assured by a very wide spectrum
of measures…” But, on April 26, 1986 a serious accident did occur.
The first lesson, therefore, is that such assurances from those who
have a vested interest in the continued operation and expansion of
nuclear power cannot be trusted. Despite increased attention to
safety since Chernobyl, such massive accidents cannot be ruled out
even today. Indeed, some have argued that such accidents will occur
despite the best of intentions, and so should be considered “normal”
[Perrow 1984].
The second lesson is that safety evaluations should not be
performed by organisations that operate the facility, but be left to
independent agencies. Organisations that operate nuclear reactors
have other pressures and requirements, most importantly the cost and
ease of operation.11 In India, the Atomic Energy Regulatory Board
(AERB), which is supposed to oversee the safe operation of all
civilian nuclear facilities, is not independent of the Department of
Atomic Energy (DAE) because it answers to the Atomic Energy
Commission, which is headed by the secretary of the DAE. Further, as
a former chairman of the AERB has observed, “the AERB has very few
qualified staff of its own, and about 95 per cent of the technical
personnel in AERB safety committees are officials of the DAE whose
services are made available on a case-to-case basis for conducting
the reviews of their own installations. The perception is that such
dependency could be easily exploited by the DAE management to
influence the AERB’s evaluations and decisions” [Gopalakrishnan
2002].
Third, the contested nature of the Chernobyl impacts means that
the evaluation of health impacts of accidents, real or hypothetical,
as well as routine releases of radiation from operating nuclear fuel
chain facilities should be performed by individuals and
organisations independent of nuclear utilities in a transparent
manner.
A fourth lesson is that when accidents occur at nuclear
facilities, details about the accident and its potential (even if
considered low probability) impacts must be made public as soon as
reasonably possible. In contrast, the first reaction to the accident
by Soviet authorities was to impose enormous secrecy on the event
itself and its fallout [Medvedev and Sakharov 1991].12 This
resulted in thousands of unnecessary deaths and victims of cancer
and other serious illnesses. This secrecy cannot be attributed
entirely to the Soviet system of government; even in India, the
nuclear establishment operates largely in secret [Subbarao 1998;
Ramana 2005].
Fifth, Chernobyl shows that nuclear accidents could have
transboundary, potentially global, impacts; what happens in one
country cannot be considered just its own sovereign matter. Thus,
for example, the concern among some in Sri Lanka, that the
construction and operation of the Russian designed Koodankulam
reactors might pose a potential threat to their health in the event
of an accident, should not be dismissed out of hand.
Finally, one is left with the all important question – what
lesson does Chernobyl offer for the continued use of and further
expansion of nuclear power worldwide. Deciding on the future of
nuclear power depends on many considerations: environmental
sustainability, economics, ethics, international security, and
safety, to name some. These are all contentious and will remain so.
If there is one normative consideration that can be advanced into
this debate, it should be that of democratising the decision-making.
Chernobyl demonstrates beyond doubt that nuclear technology poses a
risk to all people, and that their consent, based on a sound
understanding of the issues involved, is a prerequisite for making
any decisions about nuclear power or other hazardous
technologies.
Email: ramana@princeton.edu
Notes
1 Soviet safety
philosophy focused on active safety systems, which would shutdown
the reactor in cases of mishaps, but largely ignored basic design
safeguards or passive safety features in order to improve
performance or save costs [Dodd 1994:85].
2 The design of
the prototype fast breeder reactor being constructed in Kalpakkam
also has this unsafe feature.
3 In comparison to nuclear
weapon explosions these are small yields; the atomic bomb that
destroyed Hiroshima produced about 13,000 tonnes of TNT
equivalent.
4 This is not to say that a containment
structure is not desirable. It is certainly an additional level of
safety. Yet, it should not be used to reassure the public that they
would be completely safe even in the event of a nuclear reactor
accident. A containment structure, of course, increases the
construction cost of the reactor, thereby making nuclear energy even
more expensive. The construction cost of the reactor is already the
largest component of the cost of generating nuclear electricity
[Ramana et al 2005].
5 The events at the Kakrapar Atomic
Power Station (KAPS) in March 2004 provides an example of the
difficulties in understanding even under slightly abnormal
conditions. According to the Atomic Energy Regulatory Board, there
were failures of the automatic reactor power control system and the
automatic liquid poison addition system of Unit-1 of KAPS on March
10, 2004, and the reactor power rose gradually [AERB 2004].
Investigations by KAPS and the Nuclear Power Corporation of India
(NPCIL) lasting over a month could not identify the causes of the
power increase and the unit had to be shutdown.
6 This is
the region where the caesium-137 level would have sufficed to cause
an estimated radiation dose of about 1 mSv during the first month.
The typical annual limit for radiation dose to members of the
general public from anthropogenic activities is 1 mS/y.
7
The number of deaths should not be considered the only marker of
importance. Each cancer patient and their families underwent immense
amounts of suffering that cannot be captured through merely counting
cancer deaths and incidences. The epigraph is an illustration of the
suffering undergone by a survivor.
8 More recent UNSCEAR
volumes, including the 2000 volume which focused on the Chernobyl
accident, have not revisited this estimate. [UNSCEAR 2000] estimates
that the lifetime collective dose to the inhabitants of contaminated
regions of Belarus, Russian Foundation, and Ukraine to be about
60,000 man-Sv, about a tenth of the estimated global dose.
9 For the same institutional and political reasons as
there are underestimates of the number of deaths, the collective
radiation dose estimate itself could be a deflated one. Verifying
this estimate, however, requires enormous technical and financial
resources, which is well beyond the abilities of independent
scientists and civil society groups.
10 While there is clear
evidence of elevated leukaemia risk from in utero radiation
exposure, there is some uncertainty over its magnitude. However, it
is likely to be at least in the range of lifetime risk of leukaemia
mortality from radiation exposure for all ages, which is roughly
0.04 for an exposure of 0.1 Sv [UNSCEAR 2000:427]. The average
radiation dose to the children studied by [Noshchenko et al 2001] is
4.5 mSv. This translates to over 40 deaths over a 70-year period,
roughly three times the excess observed in the study. Since
[Noshchenko et al 2001] only studies children up to age 10, this is
not inconsistent.
11 The design of the Chernobyl reactor is
testimony to this. As recounted by Valery Legasov, who was closely
involved in the planning and design of RBMK reactors of the type
installed in Chernobyl, "reactor specialists considered that this
was a bad one. Bad not because of safety considerations but because
of economic reasons: high consumption of fuel and high capital
expenditure" [Mould 2000:297-98].
12 Decree U-2617 C of the
Soviet health ministry, issued June 27, 1986, states: "Secrecy is
imposed upon any data concerning the accident. Secrecy is imposed
upon the results of treatments for sicknesses. Secrecy is imposed
upon the data about the extent of radioactive contamination of
personnel who took part in the liquidation of the accident at the
Chernobyl atomic power plant" [Watermann 2006].
References
AERB (2004): 'Unit-1 of
Kakrapar Atomic Power Station Shutdown as Per Directive of AERB',
Atomic Energy Regulatory Board, Press Release,
http://www.aerb.gov.in/prsrel/prsrel.asp?Mode=Prev&Istart=46,
last updated on April 22, accessed on September 6,
2004.
Chernobyl Forum (2005): 'Health Effects of the Chernobyl
Accident and Special Healthcare Programmes: Report of the UN
Chernobyl Forum Expert Group 'Health' (EGH), Working Draft', World
Health Organisation.
Dodd, Charles K (1994): Industrial
Decision-Making and High-risk Technology: Siting Nuclear Power
Facilities in the USSR, Rowman and Littlefield, Lanham, Maryland,
US.
Fairlie, Ian and David Sumner (2006): The Other Report on
Chernobyl (TORCH), commissioned by a member of the European
parliament, Berlin, Brussels, London, Kyiv.
Forum, Chernobyl
(2005): Environmental Consequences of the Chernobyl Accident and
Their Remediation: Twenty Years of Experience, International Atomic
Energy Agency, Vienna.
Gopalakrishnan, A (2002): 'Evolution of
the Indian Nuclear Power Programme', Annual Review of Energy and
Environment, 27: 369-95.
Greenpeace (2006): The Chernobyl
Catastrophe: Consequences on Human Health, Greenpeace,
Amsterdam.
International Chernobyl Project and International
Atomic Energy Agency (1991): The International Chernobyl Project:
Technical Report: Assessment of Radiological Consequences and
Evaluation of Protective Measures, IAEA, Vienna.
Kiselev, A N and
K P Checherov (2001): 'Model of the Destruction of the Reactor in
the No 4 Unit of the Chernobyl Nuclear Power Plant', Atomic Energy,
91(6): 967-75.
Martinez-Val, Jose M, Jose M Aragones, Emilio
Mingues, Jose Manuel Perlado and Guillermio Velarde (1990): 'An
Analysis of the Physical Causes of the Chernobyl Accident', Nuclear
Technology, June, 90: 371-78.
Medvedev, Grigoriæi and Andreæi
Sakharov (1991): The Truth about Chernobyl, Basic Books, New
York.
Mould, Richard F (2000): Chernobyl Record: The Definitive
History of the Chernobyl Catastrophe, Institute of Physics
Publishing, Bristol, Philadelphia, UK, PA.
National Research
Council (2006): Health Risks from Exposure to Low Levels of Ionising
Radiation: BEIR VII, Phase 2, National Academies Press, Washington
DC.
NEA (2002): 'Chernobyl: Assessment of Radiological and Health
Impacts (2002 Update of Chernobyl: Ten Years On)', OECD Nuclear
Energy Agency, Paris.
Noshchenko, Andrey G, Kirsten B Moysich,
Alexandra Bondar, Pavlo V Zamostyan, Vera D Drosdova and Arthur M
Michalek (2001): 'Patterns of Acute Leukaemia Occurrence among
Children in the Chernobyl Region', International Journal of
Epidemiology, February 1, 30(1): 125-29.
Parthasarathy, K S
(2005): 'Chernobyl's Legacy: Health Impacts', The Hindu, September
15.
Perrow, Charles (1984): Normal Accidents: Living with
High-Risk Technologies, Basic Books, New York.
Petryna, Adriana
(2002): Life Exposed: Biological Citizens after Chernobyl, Princeton
University Press, Princeton, NJ.
Ramana, M V (2005): 'India's
Nuclear Enclave and the Practice of Secrecy' in Workshop on Culture,
Society and Nuclear Weapons in South Asia, Amsterdam.
Ramana, M
V, Antonette D'Sa and Amulya K N Reddy (2005): 'Economics of Nuclear
Power from Heavy Water Reactors', Economic and Political Weekly,
April 23, 40(17): 1763-73.
Stewart, Alice, J Webb, D Giles and D
Hewitt (1956): 'Malignant Diseases in Childhood and Diagnostic
Irradiation in Utero', Lancet, 2: 447-48.
Subbarao, Buddhi Kota
(1998): 'India's Nuclear Prowess: False Claims and Tragic Truths',
Manushi, November-December, 109.
UNSCEAR (1993): Sources and
Effects of Ionising Radiation: UNSCEAR 1993 Report to the General
Assembly, with Scientific Annexes, United Nations Scientific
Committee on the Effects of Atomic Radiation, United Nations, New
York.
– (2000): Sources and Effects of Ionising Radiation:
UNSCEAR 2000 Report to the General Assembly, with Scientific
Annexes, United Nations Scientific Committee on the Effects of
Atomic Radiation, United Nations, New York.
Vidal, John (2006):
'UN Accused of Ignoring 5,00,000 Chernobyl Deaths: Doctors
'Overwhelmed' by Cancers and Mutations', The Guardian, March
25.
Von Hippel, Frank and Thomas B Cochran (1986): 'Chernobyl:
Estimating the Long-Term Health Risks', Bulletin of the Atomic
Scientists, August-September, pp 18-24.
Watermann, Ute (2006):
'The Consequences of Chernobyl: Truth's Uphill Battle' in
A Yablokov, R Braun and U Watermann (eds), Chernobyl 20 Years
After – Myth and Truth, Agenda Verlag, Muenster.
Williams,
Dillwyn (2001): 'Lessons from Chernobyl', British Medical Journal,
September 22, 323: 643-44.
– (2002): 'Cancer after Nuclear
Fallout: Lessons from the Chernobyl Accident', Nature Reviews
Cancer, 2: 543-49.
Williams, Dillwyn and Keith Baverstock (2006):
'Too Soon for a Final Diagnosis', Nature, April 20, 440: 993-94.