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The Nuclear Weapons Inheritance Project
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The Medical Effects of Nuclear War
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A nuclear explosion consists mainly of four devastating effects:
-pressure wave (blast)
-thermal radiation
-ionising radiation
-electromagnetic pulse
 

Background radiation per year equals 5-10 mSv*. A nuclear bomb explosion leads to radiation levels of  more than 200 Sv within seconds. This leads to radiation sickness with symptoms depending on the level of radiation:
~ 1 Sv             neuromuscular 
~ 0.5 – 2 Sv   haematopoetic
> 2 Sv             gastrointestinal  
> 50 Sv           neurovascular

*1 Sv (Sievert) = dose equivalent = Gray (absorbed energy) * Q (quality factor, radiation type)


Effects of a nuclear blast, based on a bomb the size used on Hiroshima (12.5 kt):
 
Ground zero: giant crater 90 x 370 m, total annihilation
0 – 1.5 km: giant fireball (1 sec.)
3 x heat of the surface of the sun
rises into the air, destroys everything below
1.5 – 5 km: flash + heat radiates outward with the speed of light
pressure wave of compressed air (5 km in 12 sec.)
5 – 10 km:  direct heat radiation
pressure wave
both create firestorm that consume all oxygen (shelters, underground tubes etc.)
10 – 20 km:
100% casualties within minutes or hours shock wave (15 km in 40 sec.)
electromagnetic radiation
casualty 5-50% depending on shelter
        
 
Considering this together with the total amount of beds for severe burns (in Europe there are only about 1500) and the loss of medical infrastructure and personal, the only thing one can do is to prevent an atomic bomb from exploding.