Doctors’ prescription for the Tokyo Olympics — IPPNW, Beyond Nuclear International

Statement of IPPNW Germany regarding participation in the Olympic Games in Japan

In July 2020, the Olympic Games will start in Japan. Young athletes from all over the world have been preparing for these games for years and millions of people are looking forward to this major event.

We at IPPNW Germany are often asked whether it is safe to travel to these Olympic Games in Japan either as a visitor or as an athlete or whether we would advise against such trips from a medical point of view. We would like to address these questions.

To begin with, there are many reasons to be critical of the Olympic Games in general: the increasing commercialization of sports, the lack of sustainability of sports venues, doping scandals, the waste of valuable resources for an event that only takes place for several weeks and corruption in the Olympic organizations to name just a few. However, every four years, the Olympic Games present a unique opportunity for many young people from all over the world to meet other athletes and to celebrate a fair sporting competition – which was the initial vision of the Olympic movement. Also, the idea of Olympic peace and mutual understanding between nations and people is an important aspect for us as a peace organization.

Fukushima…and no end in sight

Regarding the Olympic Games in Japan, another factor comes into play: the Japanese government is using the Olympic Games to deflect from the ongoing nuclear catastrophe in the Northeast of the country.

The government wants people to think that the situation in Fukushima is under control and people in the region are safe from radioactive contamination. The president of the German Olympic Sports Association, Alfons Hörmann, recently went so far as to say that “the regions close to the Olympic Games are safe from environmental disasters”.

Of course, this is an untenable assertion for a region with extremely high seismic activity. Regarding the situation around the destroyed nuclear reactors in Fukushima, the situation is far from “under control” even today. External cooling water has to be continuously circulated through the ruins of the damaged reactors. Inside, life-threatening radiation doses still prevail. Large parts of the contaminated cooling-water is still flowing into the sea or leaches into groundwater despite major efforts by the Japanese authorities to contain it. The rest of the radioactive wastewater is being stored in huge tanks on site. Their contamination with hazardous radioisotopes like Strontium- 90 presents an ongoing threat to the region.

In December of 2018, data regarding thyroid tests were published. The incidence of thyroid cancer among tested children in Fukushima is 15 times higher than the Japanese average for this age bracket.

We are also seeing a distinct geographic distribution, with a significantly higher incidence of thyroid cancer in the most heavily contaminated regions.

With each storm, radioactive particles from the forests and mountains are brought back to the villages and cities – even to those previously decontaminated. International regulations stipulate that the population should not be exposed to more than one millisievert of additional radiation after a nuclear accident. In areas around Fukushima already earmarked for resettlement, the population will be exposed to radiation dosages that can range up to 20 mSv. As an organization of physicians, we have repeatedly pointed out the resulting health risks for the population of the affected regions, which we consider unacceptable.

While the nuclear catastrophe is a daily reality for the people living in the area and will be for many years to come, the situation for visitors is of course different. To answer the question of whether a trip to Japan or participation in the Olympic Games is acceptable from a medical point of view, a variety of aspects must be taken into consideration:

General information regarding radiation risks

Generally, the radiation exposure in the contaminated regions in Japan poses increased health risks. However, especially for short-term visits, these risks can be considered small – as long as individuals are not specifically sensitive to radiation. But it needs to be stressed that there is no threshold in radiation dose, below which it could be considered safe or without negative effects on health.

The individual disposition and the risk for a radiation-induced disease normally remains undetected and individuals themselves are often not aware of their sensitivity. Once a person falls sick, you can draw conclusions by working backward and may find increased radiation sensitivity (e.g. for breast cancer patients with the BRCA-1/2-mutation).

For pregnant women and small children, we generally recommend to refrain from intercontinental flights and to avoid visits to the contaminated areas in Japan to minimize individual radiation doses. Until today, there are still hot-spots, even in the decontaminated regions – places where radioactive particles from the Fukushima meltdowns have accumulated and were overlooked during the decontamination efforts or places that were recontaminated by rain, pollen flight or flooding. These hot-spots pose an ongoing risk for the residents of the region. Even in the greater Tokyo area, hot-spots were detected in the past.

It is important to know that even when radiation exposure limits are met, certain health risks cannot be ruled out. Exposure limits are derived from the politically acceptable risk of disease that the government thinks the population would be willing to accept. The question is not “At which dose can we expect health risks to occur?” but rather “Which health risks are still acceptable for society?”

Radioactivity in any dosage, however small, can trigger a disease – the higher the dose, the higher the risk. As with smoking and other cancer-inducing factors, there is no “safe” dose. Even natural background radioactivity can trigger diseases. While natural background radiation can mostly not be avoided, we recommend trying to avoid additional radiation exposure as best as possible in order to lower the individual risk of contracting radiation-induced diseases such as cancer.

We can only hope that there will be no further recontamination in Japan caused by storms, earthquakes, forest fires, flooding or technical failures at the damaged reactors, which could put the Olympic Games in Japan at risk.

How you travel

For most visitors, the flight to Japan and back will probably present the highest single radiation exposure. Depending on solar activity, length, height, and routing of the flight, the radiation dose for a flight from Europe to Japan is between 45 and 110 microsieverts (μSv) per flight – about the same dose you are exposed to during a normal chest x-ray. The exact radiation dose resulting from a flight can be calculated on the website of Munich Helmholtz-Institute.

Where you travel

While large parts of Japan have remained relatively unaffected by the Fukushima nuclear catastrophe, there are still radiation hot-spots in the prefectures of Fukushima, Tochigi, Ibaraki, Miyagi and Chiba. Inhalation or ingestion of radioactive particles with food or water poses a considerable health risk. It is not sufficient to rely on officially published dose measurements, as even previously decontaminated areas can always become recontaminated with radioactive particles from the forests and mountains around Fukushima through pollen, rains, forest fires or storms.

Some areas around Fukushima remain closed to the public due to elevated radiation levels, others have been reopened after decontamination measures were performed. In metropolitan areas, like in Fukushima City, most monitoring posts record radiation levels below 0.2 microsieverts per hour (0.2 μSv/h). This corresponds to common background values registered in other parts of the world. Background radiation is a continuous source of radiation that depends largely on the local geographical soil composition. Background radiation contributes to numerous cancers and cardiovascular diseases worldwide. Unlike background radiation, which can hardly be avoided, manmade radiation stemming from nuclear weapons testing or the nuclear industry can be confronted politically. A regularly updated map of the official monitoring post in the prefecture can be found (in Japanese) on line.

However, these official measurements need to be treated with caution since the authorities have a vested interest in systematically downplaying radiation effects and ambient dose levels. While officially published dose levels can be low, just a few meters away from the monitoring post you can find local hot-spots due to contaminated foliage, dust or pollen.

A discussion regarding the actual radiation levels in Japan is difficult since the Japanese government has forfeited a lot of trust through questionable methods, for example by installing shielding lead batteries in the measuring instruments or positioning the monitoring posts in blind spots and other protected areas. Independent monitoring posts installed by independent citizen groups often register much higher values than the official posts.

Unfortunately, for symbolic as well as political reasons, sport arenas in Fukushima were selected to hold softball and baseball competitions during the Olympic Games 2020. Even the symbolic first competitions of the Olympics are to be held here. At the same time, the competition calendar was arranged in a way to ensure that no western teams would compete here. This may sound cynical, but it seems that the organizers expected problems regarding acceptance of these sensitive venues. Consequently, European visitors and athletes will most likely not have to travel to Fukushima in order to compete or watch their team.

If people do plan to travel to Fukushima, they should avoid trips to the mountains or forests and also avoid close contact with dust, dirt, foliage, or other possibly contaminated substances. In the event of high pollen flight, forest fires or natural disasters such as earthquakes, flooding or storms, they should exercise caution. FFP-breathing masks, as well as staying indoors, can offer relative protection against inhalation of radioactive particles. Visitors should make sure to pay attention to and follow the instructions issued by local authorities.

Japan is a country with high seismic activity and earthquakes are a common occurrence, as are forest fires in the summer and storms at any time of the year. To familiarize foreign visitors with the right behavior during emergencies, the Japanese tourism agency has established a website as well as a mobile app called “Safety Tips” with up-to-date information and safety advice.

What you eat

The official dose limits for radioactivity in food in Japan are currently stricter than those in the European Union. This means that contaminated foodstuff not fit for sale on the Japanese markets could very well be sold in Europe without any special labeling or warnings. The dose limit for general foodstuff Japan is 500 Becquerel (Bq) per kilogram, while in the EU it is 600 Bq/kg. One example of this difference: blueberry jam sold in the EU had to be taken off the shelves in Japan due to excessive cesium levels (originating from the Chernobyl disaster). More information can be found here.

Food controls in Japan are rather meticulous, but naturally, it can never be guaranteed that no contaminated foodstuff reaches the shelf. The individual measurement data can be seen at www.new-fukushima.jp, but it cannot be excluded that conspicuous values were prefiltered and do not show up in the statistics. At best, this website can help understand which foodstuffs are regularly tested in Japan.

We strongly recommend avoiding products bought directly from farmers in the contaminated regions, since they are often not monitored. Also, dubious “solidarity events” specifically offering foodstuffs from the contaminated regions should be avoided. Apart from these exceptions, it can be assumed that foodstuff declared safe for sale in Japan complies with high safety standards.

Summary note

In summary, it can be said that the health risk for visitors and athletes participating in the Olympics for short periods of time is small – as long as there is no specific individual sensitivity to radiation. Pregnant women and small children should avoid long-distance flights and trips to Fukushima to protect themselves against radiation.

At the same time, we should all be aware of the continuing problems facing the population in the radioactively contaminated regions in the Northeast of Japan, who has to live with the ongoing nuclear catastrophe on a daily basis.

The Olympic Games should not be abused to distract from their fate but rather to make sure their needs, worries, and demands are properly addressed. The German affiliate of IPPNW is trying to do just that with its campaign “Tokyo 2020 – The Radioactive Olympics”.

The International Physicians for the Prevention of Nuclear War (IPPNW), was founded in 1980 and won the 1985 Nobel Peace Prize. It is a non-partisan federation of national medical groups in 64 countries, representing tens of thousands of doctors, medical students, other health workers, and concerned citizens who share the common goal of creating a more peaceful and secure world freed from the threat of nuclear annihilation.

For more on how the dispersal of “hot” radioactive particles might affect the Olympics, see the Beyond Nuclear article.

published by Beyond Nuclear International

source

Dangerous radioactive hot particles span the globe — Beyond Nuclear International

” When reactors exploded and melted down at the Fukushima nuclear power complex in March 2011, they launched radioactivity from their ruined cores into the unprotected environment. Some of this toxic radioactivity was in the form of hot particles (radioactive microparticles) that congealed and became airborne by attaching to dusts and traveling great distances.

However, the Fukushima disaster is only the most recent example of atomic power and nuclear weapons sites creating and spreading these microparticles. Prior occurrences include various U.S. weapons sites and the ruined Chernobyl reactor. While government and industry cover up this hazard, community volunteer citizen science efforts – collaborations between scientists and community volunteers – are tracking the problem to raise awareness of its tremendous danger in Japan and across the globe.

After the Fukushima nuclear disaster began, one highly radioactive specimen, a particle small enough to inhale or ingest, was found in a private home where it should not have been, hundreds of miles from its source, in a vacuum cleaner bag containing simple house dust.

This “high activity radioactively-hot dust particle” came from a house in Nagoya, Japan – after it had traveled 270 miles from Fukushima. The only radioactive particle found in the home’s vacuum cleaner bag, it was an unimaginably minuscule part of the ruined radioactive core material from Fukushima – many times smaller than the width of a human hair. We know it came from Fukushima because it contained cesium-134, meaning that the particle came from a recent release, and we know it is a piece of core material specifically because it was so radioactive that it could not have come from any other material.

Most of the particle’s radioactivity came from cesium-134 and cesium-137. By the time it was collected, some of the particle’s radioactivity, mostly from iodine-131, had already decayed. Named “corium” by scientists, it was still thousands of times more radioactive (5,200,000,000,000,000 disintegrations per second per kilogram — that’s 5.2 quadrillion more than the average activity (26,000 disintegrations per second per kilogram) found in dust and soil samples collected through community volunteer efforts from across Japan — with a focus on areas around Fukushima — since the 2011 nuclear disaster began. By way of comparison, in the U.S., average soil and dust activity is thousands of times lower.

Due to privacy concerns, we are not permitted to know the identities of the Nagoya residents who participated in the dust sampling collection and in whose home the particle was found. Nor do we know how many people lived in the home; if there were children or babies present; or pets; or pregnant women. And we will never know if there were any other radioactive microparticles in the home that did not make it into that vacuum cleaner bag.

We do not know how the particle got there. No one in the home (nor the vacuum cleaner) had any connection to the Fukushima reactors or the exclusion zone. Was the particle transported by a car tire into their city? On someone’s shoes? Did it fly in through a window after being lofted by air currents? Did it arrive by a combination of forces? We do not know if other particles like this travelled just as far in all directions, or who may have taken a breath at just the wrong moment, so that a similar microparticle might be lodged in their lungs.

We do know the residents in Nagoya were notified about the particle’s presence, and that if it had been inhaled or ingested, it could have proven lethal over time. This corium particle would have destroyed tissue near it, potentially threatening the function of any organ that tissue was part of. But the particle’s additional danger would come from what it didn’t destroy – that is tissue that is damaged but survives and can go on to mutate into cancer or non-cancer diseases.

We also know that had scientists and citizens not worked together to collect samples, we would never have known a microparticle of corium existed at all at a distance so far away from the Fukushima meltdowns. If the presence of this particle – and its potential for inhalation – had gone unnoticed, any calculations of the doses to residents of this home would have been significantly underestimated. And while the Nagoya particle may simply be an outlier, it shows how inaccurate radiation risk assessment has turned out to be. All of these microparticles, even ones less radioactive, may pose significant health risks inside the body that are currently uncalculated.

Citizen and scientists collaborations show us that radioactive microparticles are a worldwide problem. Yet action by public health advocates and government officials has been slow to nonexistent in recognizing this danger, much less working to protect people against exposure from it. Detecting radioactive microparticles is extremely difficult, in part because detecting them and proving their danger requires specialized techniques and equipment. But this is no excuse for governments to ignore the problem altogether as they continue to do. When experts tell us what our risks are from radiation exposure, risks from these microparticles remain unaccounted for in every country in the world. Speculation swirls around these particles and whether the rapid-onset cancers occurring in Japan are possibly due to their presence.

Radioactive particles across the globe

Collections of various samples (home air filters, vehicle engine intake filters, soils, samples of dust from vacuum cleaner bags) have revealed radioactive microparticles from Fukushima made it as far as Seattle, WA and Portland, OR in the U.S.,and to the Western coast of Canada.

Not surprisingly, microparticles in Japan were much more radioactive than those that made their way to the U.S. and contained more varied radioisotopes, thus posing a much greater health risk. In the case of some filters in Japan, contamination was high enough to be classified as “radioactive waste.”

In addition to catastrophic releases from nuclear power facilities, these particles come from atomic detonations, other nuclear industry processes such as mining and atomic fuel fabrication, and nuclear facility releases of radioactivity, as well as leaking atomic waste dumps. Nuclear workers, First Nations Tribes, and local residents have submitted samples for testing around such facilities. Particles have been detected in the environment and in house dusts in communities around weapons facilities in Los Alamos, NM; Hanford, WA; and Rocky Flats, CO. Thorium, plutonium, and uranium from nuclear facilities were found “outside of radiation protection zones,” including workplaces, workers’ homes and cars. “Given the small respirable size of these radioactive microparticles, they are a potential source of internal exposure from inhalation or ingestion,” according to Dr. Marco Kaltofen of Worcester Polytechnic Institute.

In some cases, radioactive particle releases can be higher from nuclear power catastrophes than disasters at atomic bomb facilities. In 1986, Chernobyl also released radioactive particles that still contaminate the environment today. Forest fires are spreading them further. Current community volunteer citizen science efforts are underway in the environs of the Santa Susana Field Laboratory (SSFL) – a former reactor test site adjacent to Simi Valley, CA – and the site of several unanticipated and unmonitored nuclear releases, a meltdown, and the November 2018 Woolsey forest fire.

Similar work is being carried out in Pike County, OH, host to a uranium enrichment facility for military and civilian nuclear reactors that has spread radioactive contamination to a nearby middle school, the grounds of which have now been quarantined. The U.S. Department of Energy hid the school contamination for two years, prompting public outrage and calls for health investigations into the high incidence of local childhood disease.

Ignoring danger to human health, environment

The U.S. Nuclear Regulatory Commission (NRC) currently has an existing 10-mile emergency planning radius around commercial nuclear power reactors, a zone the NRC does not place around other nuclear facilities. This 10-mile zone is not large enough to account for exposures that often occur well outside of it.

While the NRC is aware of the radioactive microparticle threat, its dose models fail to provide the extensive, detailed calculations required to actually protect anyone working at or living near these sites. Since radioactive microparticles remain a threat for generations after a catastrophe begins, the NRC should account for continuing exposure to communities and their people for the decades or centuries it takes for such materials to be safe for human or animal exposure. ”

by Cindy Folkers, Beyond Nuclear International; with technical and editorial input from Arnie and Maggie Gundersen

source with photos

**7 Years on, sailors exposed to Fukushima radiation seek their day in court — The Nation

At over 1,000 feet in length and weighing roughly 100,000 tons, the USS Ronald Reagan, a supercarrier in the United States Navy’s Seventh Fleet, is not typically thought of as a speedboat. But on a March day in 2011, the Nimitz-class ship was “hauling ass,” according to Petty Officer Third Class Lindsay Cooper.

Yet, when the Reagan got closer to its destination, just off the Sendai coast in northeastern Japan, it slowed considerably.

“You could hardly see the water,” Cooper told me. “All you saw was wood, trees, and boats. The ship stopped moving because there was so much debris.”

Even after more then 20 years in the service, Senior Chief Petty Officer Angel Torres said he had “never seen anything like it.” Torres, then 41, was conning, or navigating, the Reagan, and he describes the houses, trucks, and other flotsam around the carrier then as “an obstacle course.” One wrong turn, he worried, “could damage the ship and rip it open.”

The Reagan—along with two dozen other US Navy vessels—was part of Operation Tomodachi (Japanese for “friends”), the $90 million rescue, disaster-relief, and humanitarian mobilization to aid Japan in the immediate aftermath of the Tohoku earthquake and tsunami. For the sailors, the destruction was horrific—they told me of plucking bodies out of the water, of barely clothed survivors sleeping outside in sub-freezing weather, and of the seemingly endless wreckage—but the response was, at first, something they’d rehearsed.

“We treated it like a normal alert,” Cooper said. “We do drills for [these] scenarios. We went into that mode.” She and her approximately 3,200 shipmates moved food, water, and clothing from below to the flight deck where it could be put on helicopters and flown to the stricken residents.

But that sense of routine soon changed.

“All of the sudden, this big cloud engulfs us,” Torres said. “It wasn’t white smoke, like you would see from a steam leak,” he explained, but it also wasn’t like the black smoke he saw from the burning oil fields during his deployment in Kuwait in 1991. “It was like something I’d never seen before.”

Cooper was outside with her team, on the flight deck, prepping before the start of reconnaissance flights. She remembers it was cold and snowing when she felt, out of nowhere, a dense gust of warm air. “Almost immediately,” she said, “I felt like my nose was bleeding.”

But her nose wasn’t bleeding. Nor was there blood in her mouth, though Cooper was sure she tasted it. It felt, she said, “like I was licking aluminum foil.”

On March 11, 2011, at 2:46 pm local time, a 9.1 magnitude earthquake struck about 40 miles east of Japan’s Oshika Peninsula. The quake, the world’s fourth largest since 1900, devastated northern Honshu, Japan’s main island. At the Fukushima Daiichi nuclear power plant, located near the epicenter on the Pacific coast, the temblor damaged cooling systems and cut all electrical power to the station—power that is needed to keep water circulating around the active reactor cores and through pools holding decades of used but still highly radioactive nuclear fuel.

Several of the diesel-powered emergency generators at Daiichi kicked in to restart some of the safety systems, but less than an hour after the earthquake a 43-foot-high wave triggered by the quake swept over the sea wall, flooding the facility, including most of the generators, some of which had been positioned in the basement by the plant’s designer, General Electric.

Without any active cooling system, the heat in the reactor cores began to rise, boiling off the now-stagnant water and exposing the zirconium-clad uranium fuel rods to the air, which set off a series of superheated chemical reactions that split water into its elemental components. Hundreds of workers from Tokyo Electric Power Company (TEPCO), the station’s owner, struggled valiantly to find a way to circulate water, or at least relieve the pressure now building in the containment vessels of multiple reactors.

But the die was cast by the half-century-old design, with results repeatedly predicted for decades. The pressure continued to build, and over the course of the next two days, despite attempts to vent the containment structures, hydrogen explosions in three reactor buildings shot columns of highly radioactive gas and debris high into the air, spreading contamination that Japan still strains to clean up today.

And yet, despite this destruction and mayhem, proponents of nuclear power can be heard calling Fukushima a qualified success story. After all, despite a pair of massive natural disasters, acolytes say, no one died.

But many of the men and women of the Seventh Fleet would disagree. Now seven years removed from their relief mission, they’d tell you nine people have died as a result of the disaster at Fukushima Daiichi—and all of them are Americans.

For the sailors on the Reagan who have spoken about it, the reaction to encountering the cloud was bewilderment.

“At first, we were still dialed in,” said Torres. “We didn’t really have a chance to take in what we were experiencing. It was more like, ‘Well, this was different.’” But when he came off watch, sitting in his office, his perception changed to “What the hell just happened?”

Cooper described the same response: “We didn’t really know what was going on.” But after about 10 minutes, the crew was told to go below deck. It was there, as she was first learning about the problems at Fukushima Daiichi from the television, that Cooper recalls hearing an announcement on the public-address system indicating that the ship might have been hit by a plume of radiation from the nearby power plant. Shortly thereafter, Cooper said, the mission got “hectic—just kind of a crazy mess.”

Cooper said the crew hadn’t been warned in advance of any radiation risk, and she didn’t think the Reagan’s commanding officers had any foreknowledge either. But after radioactive contamination was suspected, those aboard the carrier say, everything changed.

Everyone who, like Cooper, had been on the flight deck was ordered to the fo’c’sle, the forward part of the ship, to “implement decontamination.” Cooper said she was instructed to “take anything you can off without getting naked.” She was told to write her name on her discarded clothes and boots—which she saw being piled in the middle of the room—then the crew was “wanded,” as Cooper described it, and given “white, plastic painters’ suits.”

For Torres, news of the radiation came through the rumor mill before he heard about it from his commanding officer. “It was minimal”—that was the impression Torres was given—still, the ship’s meteorologist tracked the wind and talked with Torres about taking the Reagan north of whatever it was they’d just passed through. But Torres was soon instructed to head back toward the coast. They had a HADR, a humanitarian assistance and disaster relief mission, to complete, and since they’d already been exposed—though they’d take precautions such as turning off the ship’s ventilation—they were going back to where they’d encountered the cloud.

It was likely about this time that Cooper recalled being woken up. “I was asleep in my rack when I had someone shake the living shit out of me.” She said she was told with great urgency that she needed to get to the hangar bay immediately to get a gas mask.

As Cooper stood in her pajamas and flip-flops, waiting for her mask and filter canisters, she looked around: “People were shoving wet rags in the cracks of the hangar bay door so none of the air would seep through, and they had rags stacked high along the entire wall,” she said. “It was crazy.”

“After that,” Cooper told me, “our ship went from ‘OK, we got this,’ to, like, ‘Oh, my God… we have no idea what we’re doing.’”

For Marine Lance Corporal Nathan Piekutowski—who arrived several days later with the USS Essex, a Wasp-class amphibious-assault ship—there seemed to be some advanced warning, and he said his preparation initially proceeded in an orderly fashion: “They had us shut all the portholes, all the windows, all the doors.” Piekutowski said they attempted to seal off the berthing area and stayed inside while they headed toward Japan. He was issued iodine tablets—which are used to block radioactive iodine, a common byproduct of uranium fission, from being absorbed by the thyroid gland—and fitted for an NBC (nuclear, biological, chemical) suit. He was also told not to drink water from the ship’s desalination system.

(Those I spoke with from the Reagan said they’d filled out consent forms for iodine tablets, but then never received the pills.)

Piekutowski wasn’t particularly troubled by these precautions. He knew they had plenty of bottled water on the ship, and, by the time they were near the coast, they were allowed back on deck with no special protection. “We were never once told to put on our NBC suits.” He had been issued big rubber over-boots and a gas mask along with the suit. “Those were in sealed plastic, like freezer bags,” he told me. “Mine stayed sealed till we got back to Hawaii.”

Torres, the senior petty officer, recounted, “One of the scariest things I’ve heard in my career was when the commanding officer came over the loudspeaker, and she said, ‘We’ve detected high levels of radiation in the drinking water; I’m securing all the water.’” That included making showers off limits.

Torres described a kind of panic as everyone rushed to the ship store to buy up cases of bottled water and Gatorade—“they didn’t want to dehydrate.”

Cooper also remembers the announcement on the water contamination: “We were like, ‘Are you fucking kidding me?’” She was among those trying to buy bottled water, but said it was quickly taken off the shelves—reserved for “humanitarian assistance.” Instead, Cooper said she was told she’d be issued rations of one bottle of water per day. For the long, hard shifts spent outside, Cooper said it was not nearly enough. She said an attitude set in among her shipmates, “We were like, ‘Fuck that, we’re already exposed—I’m gonna drink the water.’”

“We didn’t know how else to handle it,” she told me. “Like, you’re exposed on the flight deck, you’re exposed in the hangar bay, you’re exposed in berthing, you’re exposed walking, you’re exposed eating—congratulations, now you’re drinking it.”

“You’re working up top for like 18 hours, you’re busting your ass off—you need to hydrate.”

Cooper described her days during Operation Tomodachi starting before dawn and ending after 8 pm, with one 30-minute break for lunch, using the bathroom, and any personal business she could squeeze in. “They didn’t want you coming downstairs too many times because it just took too long,” she said, describing a lengthy and isolating decontamination process that was supposed to keep her and about 20 of her shipmates on the flight deck from spreading radioactive contamination to the rest of the carrier. “If you had to go to the bathroom, you were pretty much shit out of luck,” Cooper said of the time and hassle required to get to the women’s restrooms one floor below deck. “A lot of us females had to hold it in—it was miserable.”

The long hours, the short rations, and the unrelenting tableau of death and destruction drifting by the ship combined with the constant reminders that they were exposed to an unknown amount of radioactive contamination wore on the crew. They felt committed to the mission, and gratified to help, but the threat of radiation presented an aggravating obstacle. “Every time we got close to do humanitarian assistance,” said Cooper, “we’d need to dodge another plume.”

Even when operating normally, reactors like the ones designed and built by General Electric at Fukushima Daiichi produce highly radioactive isotopes of noble gases such as xenon and krypton, explained nuclear engineer Arnie Gundersen, who encountered the phenomenon when he worked at the Millstone Nuclear Power Plant in Waterford, Connecticut, in the 1970s. Millstone’s first reactor was a GE Mark 1 boiling-water reactor (BWR), the same model that failed at Fukushima. (Millstone 1 ceased operation in 1998; two other reactors of a slightly different design remain in use at the facility.)

But, as detailed by Gundersen—who is now one of the directors of Fairewinds Energy Education, a nuclear-industry watchdog—superheated “cracked fuel,” like that in the crippled Daiichi reactors, “immediately releases noble gases.”

“And that happens before the explosions” that destroyed the three reactor-containment buildings at Fukushima, he said. As Gundersen sets out the time line of the disaster, fuel began to crack within six hours of the earthquake, and TEPCO’s plant operators would have known it. “They had to know,” he told me, “because when the containment pressure started to go up, that was a clear indication that the fuel was failing.”

So, in those early hours, pressure built inside the Mark 1’s containment vessel to a point where it is thought to have broken the seal on the massive metal lid, and, as plant workers desperately tried to vent some of the gas and relieve that pressure, a radioactive plume formed over the coast.

And as the venting failed and the containments on three reactor units ruptured and exploded, a volume of radioactive xenon and krypton estimated to be about triple what was released in the 1986 Chernobyl disaster, wafted from Fukushima Daiichi over the next eight days. “Eighty percent of the radiation went out to sea,” said Gundersen. “That’s good for Japan, but it’s not good for the sailors, that’s for sure.”

Marco Kaltofen, president of Boston Chemical Data Corporation and an engineer with over 30 years of experience investigating environmental and workplace safety, noted that sensors in Richland, Washington, nearly 5,000 miles across the Pacific, saw a sixfold increase in radioactive noble gases in the days after the start of the Fukushima crisis. Chiba, the prefecture east of Tokyo, nearly 200 miles south of Fukushima, recorded radiation levels 400,000 times over background after the explosions.

Closer to the release, Kaltofen figured, would be orders of magnitude worse. “A bad place to be is a couple of miles offshore,” he said.

When told what the sailors experienced in the earliest days of the operation, Gundersen and Kaltofen differ slightly on their interpretations. Gundersen finds symptoms like the metallic taste consistent with the radiation exposure possible from a plume of otherwise odorless xenon or krypton. Kaltofen thinks that indicates exposure to some of the radioactive particulate matter—containing isotopes of cesium, strontium, iodine, and americium—that was sent into the air with the hydrogen explosions. But both believe it speaks to a notable degree of radiation exposure.

Cindy Folkers agreed. Folkers is the radiation-and-health specialist at the clean-energy advocacy group Beyond Nuclear, and when she hears the symptoms reported by the Tomodachi sailors, she hears the telltale signs of radiation exposure. And when told of what those relief workers experienced next, and the speed with which their symptoms manifested, she said she thinks the levels of exposure were higher than some have reported—or many would like to admit.

Just what the two large companies responsible for the design and operation of Fukushima Daiichi—TEPCO and GE—will admit is at the center of a pair of lawsuits currently moving through US courts. Or at least should be, if and when it gets in front of a jury.

“We’re still trying to get to the merits,” attorney John Edwards, the former US senator and Democratic vice-presidential nominee, told me, “because the merits of the case are so strong.” Edwards, along with attorneys Cate Edwards (his daughter) and Charles Bonner, represent what Bonner told me were now upward of 400 sailors who accuse the Japanese utility and the US industrial giant of gross negligence in the design, construction, maintenance, and operation of the Fukushima Daiichi nuclear power plant, and of deliberately obscuring the radiologic disaster that rapidly unfolded after the March 2011 earthquake and tsunami.

And if that were all there was to it, many who have examined the Fukushima disaster—including the Japanese government’s own investigation, Japan’s prime minister at the start of the crisis, Naoto Kan, and even TEPCO itself—would say the plaintiffs have a point.

Before the first of the Daiichi reactors was brought online (construction began in 1967, and operation commenced in 1971), there were already open concerns about its design and placement. Originally conceived in the 1950s, the General Electric BWR Mark 1 was thought by some of its own designers to have too small a containment structure to survive a prolonged LOOP—a loss of onsite power. The ability to adequately vent the containment was also called into question, as was the resilience of the containment vessel’s metal alloy. In 1976, three GE engineers who had worked on the Mark 1 quit to protest the manufacturer’s lack of urgency in addressing flaws they said would cause reactor containment to fail in a loss-of-cooling accident.

In readying the site for Fukushima Daiichi, TEPCO opted to cut down the natural 115-foot sea wall, to less than 33 feet, to reduce construction costs and make it easier to access seawater for cooling. The emergency cooling systems were also placed close to shore and did not use submersible pumps. That whole facility was placed behind what was originally only a 13-foot-high sea wall (later raised to nearly 19 feet), despite evidence that eight tsunamis of at least 40 feet had hit the area in the 70 years prior to the agency’s breaking ground on Daiichi. Many emergency generators were situated in the basement, and diesel-fuel tanks were placed on a flood plane, leaving them vulnerable to the massive wave that slammed the site in 2011.

Within two years of the containment breaches, Kan, by then the former prime minister, was telling experts and investigators, including nuclear engineer Gundersen, that TEPCO had withheld critical information about what was happening at Fukushima in the first hours and days of the crisis. In 2016, TEPCO was forced to admit it failed to publicly declare a meltdown at the three crippled reactors, even though its internal guidelines indicated from early on that meltdowns were indeed occurring. And just last spring, a Japanese court found TEPCO (along with the government) guilty of negligence, not just in handling the disaster but also, in the years prior, in declaring the events at Daiichi “predictable” and preventable.

But none of that has been heard by a US jury. For over four years, a number of sailors, Marines, and other military-relief personnel have waited for their day in court while their attorneys wade through motions from the defendants, GE, and TEPCO, challenging venue and jurisdiction.

In an e-mailed statement, General Electric, while expressing “heartfelt sympathy for those affected by the earthquake and tsunami,” and appreciation for “the hard work and dedication of our US service members,” said claims “can and should be addressed under Japan’s nuclear compensation law.” TEPCO also “appreciates the plaintiffs’ service on Operation Tomodachi,” according to its e-mail, but declined to comment outside of court on pending judicial actions. TEPCO did add, “It is most unfortunate that some of the plaintiffs are ill.”

Ruby Perez was a 22-year-old petty officer first class on the Reagan during Operation Tomodachi. She was also pregnant. Perez told her mother, Rachel Mendez, about the snow falling during the first days of the operation. She and her shipmates were excited by a moment of diversion from the misery around them. As Mendez relayed her daughter’s story to me, “They were playing in it, eating the snow, making snow cones, making snowmen.”

Cooper, part of the flight deck crew, remembers the snow, too, though not so much as a light moment but rather as a symbol of decaying morale. After days of long hours and short rations, feeling isolated from the below-deck crew, knowing she’d been exposed to some radiation, she felt “knocked down.”

“Nobody really cared about anything. People were making radioactive snowmen on the flight deck out of radioactive snow,” she said. Dealing with the contamination and the stress “completely changed the dynamic of the ship.”

“Stress” was what the Reagan’s medical staff told Cooper when she asked about her blurred vision, poor depth perception, and loss of equilibrium during the early days of the mission.

“Gastroenteritis” was what she and many of her shipmates were told as a wave of bowel problems swept through the carrier over the next several weeks.

“I had a lot of issues with the restroom,” Cooper told me. “I don’t think I was the only one. People would shit themselves on the flight deck so often that it wasn’t even a surprise anymore. Like when you saw someone running from one side of the flight deck to go to decon[tamination], you knew something was happening.”

Torres’ experience was comparable. “I was going to the bathroom constantly,” he said. “I would eat something and I would go to the bathroom almost immediately.” It happened so often, Torres told me, that he developed severe internal hemorrhoids that eventually required multiple surgeries.

But when he visited the shipboard doctor, Torres was told he had diverticulitis, a disease not typically seen in men that young. “Watch your diet, don’t eat spicy food, and drink lots of water, eat lots of fiber,” that was the advice he said he received.

Cooper heard much the same: “Stay hydrated—drink water and eat a bland diet.” But the symptoms didn’t subside. “They didn’t attribute it to anything except ‘it’s going around,’” she said. But if that’s so, it’s been going around a long time. “I haven’t had a solid bowel movement since,” said Cooper.

Soon after Operation Tomodachi ended, when the Reagan ported in Bahrain, Cooper, who was 21 at the time, noticed her hair thinning. “I used to have really, really thick hair,” she said, but in Bahrain it became brittle and started falling out. Cooper said it still hasn’t recovered.

She also told me she now bruises easily and gets “burning, tingling sensations” on her arms, and a rash that extends from her hands to her elbows—an area that coincides with where she’d had her sleeves rolled up when she encountered the cloud at the start of the Japan mission. Cooper has also recently needed veneers on teeth she said have started to “shatter and break.”

For Piekutowski, the lance corporal from the Essex, he didn’t feel particularly sick until over a year after Operation Tomodachi. He was back stateside in the fall of 2012, and felt fatigued and had lost weight, and in November of that year, his ankles swelled up to the size of his calves. “I’m an in-shape and slim guy, and usually have pretty good definition,” he told me. His doctor thought it might be gout, though Piekutowski was skeptical. “I told him, I drink as much as the next 21-year-old, but I don’t drink that much.” Then, on Christmas Day, he lost the sight in his left eye. “That’s when I knew I should probably get to the hospital,” he said.

In the ER, Piekutowski said the doctors seemed to recognize right away what a blood test and bone-marrow biopsy later confirmed: He had leukemia. “They were honestly surprised I was still walking,” he said. Medical staff put him in a gown and rushed him to a bigger hospital.

Piekutowski was diagnosed with acute myelogenous leukemia (AML), an aggressive form of blood cancer most often seen in men over age 65. It is rare to see it in an otherwise healthy 21-year-old. He began treatment in Arizona, where he’d been living, but then moved to Chicago to be closer to his parents and what Piekutowski called “some pretty amazing doctors.”

From Christmas 2012 to Valentine’s Day 2014, Piekutowski figures he spent eight months in hospitals. He first went through a year of chemotherapy, but after four months in remission, his leukemia returned. He had radiation and a stem-cell transplant at the start of 2014, which has so far kept him cancer-free. But Piekutowski is still struggling to rebuild his immune system, and battling stiffness and stomach problems. “I feel like I’m 60,” he said.

Petty Officer Perez gave birth to her daughter Cecilia on March 26, 2011, and it was soon afterward that she told her mom she was feeling ill. “She just kept saying her menstrual periods would keep going and going and never stop,” said Mendez.

Despite her health, she reenlisted at the end of her tour. She was in San Diego trying to sort out some missing paperwork on her enlistment when she was hospitalized for a uterine hemorrhage. According to her mother, Perez was diagnosed with late-stage ovarian cancer in July 2016. Mendez wanted her daughter to come back to Texas, where she grew up, but Perez refused. She always believed she’d get better. “I can’t go home,” Mendez said Perez told her, “I just reenlisted. I still owe the Navy two years.”

On December 7, 2016, Ruby Perez died.

Perez is one of the eight deceased service members represented in the suits slowly making their way in US courts. Her daughter Cecilia, whose health will require a watchful eye well into adulthood, is also a plaintiff. So are 24 men and women currently living with various forms of cancer. So is a sailor whose son was born with brain and spinal tumors and lived only 26 months.

“We have a lot of clients with bone and joint issues, degenerative discs,” Cate Edwards told me, “young, healthy, active individuals who have trouble walking now.”

The most prevalent ailments, according to the younger Edwards, are thyroid-related. Thyroid cancers are some of the earliest to emerge after nuclear accidents because of the easy pathway for absorption of radioactive iodine. Childhood thyroid cancers skyrocketed in Belarus, Russia, and Ukraine in the first two decades after Chernobyl. According to a study published in the journal of the International Society for Environmental Epidemiology, individuals who were 18 or under at the time of the disaster in Fukushima Prefecture were 20-to-50 times more likely to be diagnosed with thyroid cancer in the period between the March 2011 and the end of 2014.

And health experts will tell you it is still too early to see many of the cancers and other illnesses that increase in incidence after exposure to ionizing radiation. Some can take 20 or 30 years to emerge. “That these sailors are getting the health effects they are already experiencing tells me that the radiation levels were extraordinarily high, and that we are likely just seeing the tip of the iceberg,” said nuclear-engineer Gundersen. “I think we’re going to see more of these people in the same boat as this initial wave of hundreds.”

“I can’t believe in a couple of years,” he added, “we won’t have thousands.”

Which is why, Cate Edwards told me, everyone who was part of Operation Tomodachi, even those who haven’t yet been diagnosed with particular ailments, are going to need additional medical monitoring for decades to come.

But General Electric and Tokyo Electric Power contend that these US citizens, from the US armed forces, who served on US ships, should seek their legal remedies in Japanese courts. “We believe these claims can and should be addressed under Japan’s nuclear compensation law, which provides relief for persons impacted by these events,” said GE in its e-mailed statement. (TEPCO did not respond specifically to a question about venue.)

The plaintiffs’ lawyers dismiss this idea. “It’s the difference between winning and losing,” John Edwards told me. “If the case ends up in Japan, it just goes away.”

The Edwardses and Bonner paint a picture of a Japanese legal system that is slanted in favor of industry. “You don’t get a jury trial in Japan,” said Bonner. “You don’t get punitive damages. Plaintiffs have to pay exorbitant fees to have their cases tried before politically involved judges,” and are not allowed to seek recovery of court costs, he said.

John Edwards added that Japan rarely awards damages for pain and suffering, loss of life, or the effects on a family. “They have an established compensation system,” he said, “they have never paid a dime for personal injury—it’s all for property damage.”

Indeed, while there were rulings in Japan’s courts last year against TEPCO and in favor of Japanese citizens, the awards were notably small (averaging $5,400 per person in one case, $1,500 in another), and were meant as compensation for residents of towns surrounding the nuclear plant who had to relocate. In a separate case in February, a Japanese court ordered TEPCO to pay $142,000 to the family of a 102-year-old man who killed himself after being told he’d have to leave his home inside the Fukushima radiation zone. TEPCO is still considering whether it will appeal.

One group of Tomodachi plaintiffs has been cleared to proceed in the US by the US Court of Appeals for the Ninth Circuit. A second group is still fighting in San Diego to establish jurisdiction in California courts, a hurdle all three of the plaintiffs’ attorneys are confident they will eventually clear.

And when the merits of the case have their day in a US court, “the only real defense,” for TEPCO and GE, said John Edwards, “is to try to argue, ‘Yeah, we screwed up, we know it was bad, but is that what really caused what happened to these people?’” In other words, the defendants will concede there was a disaster at Fukushima Daiichi, but will contend the plaintiffs weren’t harmed by it.

There are pretty strong indications that just such a defense is in the works. TEPCO spokesman Shinichi Nakakuki asserted in an e-mail to me that “objective scientific data demonstrates that plaintiffs were not exposed to amounts of radiation from the Fukushima Daiichi Nuclear Power Plant sufficient to cause illness.” Nakakuki wrote that radiation estimates by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) “confirm that the doses received by the plaintiffs were below the level that would give rise to adverse health effects.” The spokesman also referenced a report submitted by the US Defense Department to Congress in 2014 that downplayed the link between service on the Reagan during Operation Tomodachi and the specific cancers that had then emerged among crew members.

Time is one of the keys to understanding both of these reports. The Defense Department looked at the cancer rates only three years removed from the service members’ exposure, far too short a period to predict future numbers, according to radiation-expert Folkers. The UNSCEAR paper is even older than the DoD testimony, and has been roundly criticized for attempting to make bold predictions based on a small window and data extrapolated from analysis of Hiroshima and Nagasaki (which, aside from being drawn from a radically different exposure scenario, has itself been called into question by doctors and epidemiologists). UNSCEAR also appears to have averaged exposure over the entire island, not accounting for the notably higher exposures of those closest to the Daiichi reactors, according to analysis from Folkers’s Beyond Nuclear.

Dr. Keith Baverstock, the former chief radiation-protection expert at the World Health Organization who studied the Chernobyl disaster, said at the time that the UNSCEAR report was “not qualified to be called ‘scientific,’” and questioned the panel’s impartiality because its funding and membership came from the countries with the largest nuclear-power programs.

All of the radiation experts interviewed wondered whether the true scale of the radiation doses sustained by the Tomodachi sailors was ever measured. Safety specialist Kaltofen argued that most measurements don’t account for what are called “hot particles”—minute bits (6 to 9 microns in diameter) of intensely radioactive matter that can be extremely dangerous in close proximity, or if ingested, but are easily missed by measuring devices mere inches away. He also pointed out that different tissues are vulnerable to different isotopes in different ways, and that some parts of the body are much more sensitive to exposure than others. “One of them is the bowel,” he said, “because your intestines have villi, which are rapidly reproducing cells, and that means that they are extremely susceptible to radiation.” If radiation were ingested, or if the gut were exposed to a large external dose, you could see signs of real damage.

These are deterministic signs of radiation exposure, said Kaltofen, meaning you get a specific biological effect that might not itself be cancer, but would indicate the size and kind of exposures that could cause cancers later on. Folkers, discussing the sailors, put it more starkly: “The people in this case might be the dosimeters.”

Gundersen’s experience with radioactive noble gases led him to make another observation about dose estimates. Unless measurements were taken during those first days when ships were likely cloaked in plumes of radioactive xenon and krypton, the exposure would be missed, thus contributing to far-lower-than-accurate dose assessments. “Gases don’t show up on swipe tests, or anything like that,” he said. (Again, this level of methodological detail is not evident in the studies cited by TEPCO.) And Folkers stressed that the increased sensitivity to radiation seen in women and children is not part of most exposure models.

Folkers told me that there is a blood test that could more accurately estimate individuals’ exposures. Karyotyping, mapping chromosomes to look for specific abnormalities closely tied to radiation damage, has been around for decades, she said, but is too rarely done. (No one interviewed for this story believes karyotyping was done on the participants in Operation Tomodachi.) Folkers said that the tests are not only capable of predicting some future illnesses; they can also be used to extrapolate backward to determine the time and intensity of suspected radiation exposure.

But that level of specificity is not the argument lawyers expect in court, nor is it the standard public-health experts would say is appropriate. “Definitive cause is not the standard for protecting public health,” said Folkers, “association is the standard.”

In the case of the Tomodachi sailors, there was exposure to radiation, even if there is some dispute over the size and kind of dose any particular individual received. There are a number of symptoms and illnesses, long associated with radiation, that have been reported in the service members. If people are sick, would doctors, epidemiologists, workplace-safety experts, or public-health officials wait for absolute certitude of a causal link before implementing treatments and preventive actions?

Folkers and Kaltofen each said they would not. Even Petty Officer Cooper’s experience showed that the Navy—whether or not it acknowledges this now—had a basic recognition of this standard. “When you went down there,” she told me about her trips to the medical station on board the Reagan, “you were supposed to tell them if you were on the flight deck.” Depending on the answer, said Cooper, you might have seen a different doctor. “As soon as you said [where you worked], then, pretty much, they knew your issues.”

Cooper had actually reenlisted after Operation Tomodachi, but when the Navy told her “‘OK, you’re gonna do another sea tour with the Reagan,’” she said her response was “Nonononononono.” She told me she didn’t want any possible additional exposure to radiation on a ship she saw as contaminated from stem to stern. Cooper “took the hit” and applied for an “early out” from her reenlistment.

And the Navy, according to Cooper, “fast-tracked an early out because they understood.” Asking off the Reagan became so common, she told me, that there was a little “cheat sheet” on how to expedite the paperwork. “An early out would normally have taken me six months,” she said, “but they got it done in like two weeks.”

Cooper said that because her commanders were there, they understood what she’d suffered through after the radiation exposure, and knew the toll it took on the Reagan’s crew. “That deployment took a lot out of people,” she said. “A lot.”

For Torres, readjusting to civilian life after 27 years in the Navy was made much more difficult because of his post–Operation Tomodachi health problems. His own gastrointestinal difficulties, surgeries for hemorrhoids and hernias, and low-energy levels when he returned stateside deeply affected his mood and his relationships. Torres also said he feels guilt over “the young 17-, 18-year-old kids standing outside,” having to watch them “getting directly exposed” to the radioactive fallout as he stood inside conning the ship. “I have a lot of conflicted feelings,” he told me. “Could I have done something more? All these ‘what ifs.’”

There are plenty of “what ifs” to go around, but Torres is probably one of the last people who should feel guilty. Sure, Cooper now expresses regret for drinking too much of the ship’s tainted water. Piekutowski wishes he’d found a way to avoid spending five days exposed to the elements without any protection. Even Rachel Mendez, mother of Ruby Perez, wonders if she shouldn’t have been so encouraging when her daughter decided to join the Navy.

And some who served question if the Navy did all it could to protect its personnel (though not all, and not all the time). Did the Reagan spend too much time too close to shore? Did commanders always put the health and safety of sailors first when addressing the contamination of the ship and the water system? Did the US military measure properly for radiation, or perform the right tests for exposure? Are they doing all they can now to track the health of, and to care for, the Tomodachi veterans?

Watchdogs and health experts will tell you those are valid questions—especially if they better ensure the well-being of all the sailors going forward—but the attorneys will say that, while the military and the VA have responsibilities for the medical care of service members and veterans, “they are not, in a legal sense,” as Cate Edwards told me, “responsible for the exposure itself.”

(The Navy, for its part, said in an e-mailed statement that it has “a long distinguished history with the successful management of its occupational ionizing radiation exposure program.” It acknowledged some risk from radiation exposure at any level, but said the risks borne by the Reagan sailors were “small compared to other risk” accepted in work and everyday life. In making this assessment, they cite the same 2014 Defense Department report referenced by TEPCO.)

“The end of the road is not the VA,” said John Edwards. The main issue, as Edwards put it, is, “If you’re going to have nuclear plants, make sure they’re designed, built, maintained, and monitored properly.”

And the question of whether TEPCO and GE did do those things properly is not just of interest to the sailors or the residents of northern Honshu—in the minds of all the attorneys and experts interviewed for this story, it is of keen relevance to tens of millions of people living in the United States.

“There’s an obvious connection between what happened in Japan and what could happen in the United States,” said John Edwards. “What they failed to do in the manufacture and maintenance of the facility in Japan also occurred, and is occurring, in the US.”

There are currently 99 operating civilian nuclear reactors in the United States, and 22 of those are General Electric Mark 1 boiling-water reactors—the make and model identical to the three that melted down and exploded at Fukushima Daiichi. Based on a 1955 design, all but four of the US reactors have now been online for more than 40 years. All of them have the same too-small primary containment vessel, the same questionable alloys, the same bolted-on lid, the same safety systems, and (with one exception) the same vent “upgrade” that failed to prevent the tragic failures at the Japanese nuclear plant. Large US cities, such as Boston, Chicago, Detroit, Philadelphia, and Washington, DC, are all closer to BWRs than Tokyo is to Fukushima Daiichi.

“It starts with the design,” Cate Edwards told me, and the complaint filed on behalf of the Tomodachi sailors goes into great detail about the flaws on the Japanese reactors that mirror the ones in the United States. “Each one of these Mark 1 BWRs is defective,” said Bonner.

For Folkers, the lesson is to look at nuclear power plants through the lens of public health. Don’t wait until after an incident to argue over which illnesses might or might not have been caused by a particular dose. Instead, Folkers urged, establish baselines for what the population’s blood work and chromosomes look like beforehand. Then, instead of only starting the fact-finding after an accidental release of radiation, or when a mysterious cancer cluster emerges—when too many vested interests invoke “what-aboutism,” as she called it, to obscure responsibility—already-informed public officials and medical professionals can focus on the response to emerging health problems.

For Kaltofen, the environmental-safety expert, the focus should be on prevention and planning before treatment and tracking. “It’s very hard to come up with a response plan after the fact,” he said.

And, most importantly, for the sailors, Marines, and pilots who rushed into harm’s way to provide emergency aid and humanitarian relief to people battling a devil’s trident of disasters, the acknowledgment of their radiation exposure and the acceptance of responsibility by those who caused it could potentially be as life-changing as their service in Operation Tomodachi.

Sure, it might mean a measure of financial compensation were they to win a settlement, but for the sailors who spoke to me, that would be secondary. Foremost, a victory in court would mean a degree of respect for what they did, how they’ve suffered, and what they might need down the line—not just for those who are ailing today but also for the potentially thousands who might get sick in the future. As Angel Torres told me, “Set up an infrastructure to address those issues. Do the right thing and provide for people that were misled. Let them know, ‘You are not alone.’” ”

by Gregg Levine, The Nation

source with photos and internal links

Fleeing from Fukushima: a nuclear evacuation reality check — Beyond Nuclear International

” (The following is an excerpt from a longer article on the subject of evacuations after severe nuclear accidents. While this section focuses on Fukushima, there are lessons here for all nuclear sites and the likely failure of “on paper” evacuation plans.)

If another severe nuclear accident, such as Windscale (in 1957), Chernobyl (1986) or Fukushima (2011) were to occur, then the most important response, in terms of preventing future cancer epidemics, is evacuation. The other main responses are shelter and stable iodine prophylaxis. Adverse health effects would primarily depend on wind direction and on the nature of the accident.  This article looks primarily at the Fukushima evacuation and its after-effects.

When the Fukushima-Daiichi, Japan nuclear disaster began on March 11, 2011, evacuations were not immediate and some were hampered by the destructive after-effects of the Tsunami and earthquake that precipitated the nuclear crisis.

Once people were evacuated, little, if any, consideration seems to have been given to how long such evacuations would last. For example, the large majority of the 160,000 people who left or were evacuated from Fukushima Prefecture are still living outside the Prefecture. Many are living in makeshift shelters such as shipping containers or prefabricated houses.

At present, the Japanese Government is attempting to force evacuees (by withdrawing state compensation) to return to less contaminated areas, with little success. Currently, seven years after the accident, an area of about 1,000 square kilometers is still subject to evacuation and no entry orders. This compares with the area of 2,700 square kilometers still evacuated and subject to no or restricted entry at Chernobyl, almost 32 years after the accident.

Experience of the Fukushima Evacuation

In 2015 and 2016, I visited Fukushima Prefecture in Japan with international study teams. These study tours were informative as they revealed information about the evacuations that differed from official accounts by TEPCO and the Japanese Government. From many discussions with local mayors, councillors, local health groups and small community groups, the following information was revealed.

The most common figure cited for evacuees is 160,000, of which 80,000 were evacuated by the authorities and the rest left to evacuate on their own, often on foot, cycles and carts. It took about two weeks to evacuate all parts of the initial 20 km (later 30 km) radius evacuation areas around the Fukushima reactors.

The main reason for the delays was that many roads in the Prefecture were jammed with gridlocks which sometimes lasted 24 hours a day, for several days on end on some roads. These traffic jams were partly due to the poor existing road infrastructure and partly due to many road accidents. These jams were of such severity that safety crews for the Fukushima nuclear station had to be moved in and out mostly by helicopter. All public transport by trains and buses ceased. Mobile telephone networks and the internet crashed due to massive demand.

Thousands of people either refused to leave their homelands or returned later. Older farmers often refused to leave their animals behind or be moved from their ancestral lands. In at least a dozen recorded cases, older farmers slaughtered their cow herds rather than leave them behind (dairy cows need to be milked daily): they then committed suicide themselves in several instances.

According to Hachiya et al (2014), the disaster adversely affected the telecommunications system, water supplies, and electricity supplies including radiation monitoring systems. The local hospital system was dysfunctional; hospitals designated as radiation-emergency facilities were unable to operate because of damage from the earthquake and tsunami, and some were located within designated evacuation zones. Emergency personnel, including fire department personnel, were often asked to leave the area.

At hospitals, evacuations were sometimes carried out hurriedly with the unfortunate result that patients died due to intravenous drips being ripped out, medicaments being left behind, the absence of doctors and nurses who had left, and ambulance road accidents. Many hastily-allocated reception centres (often primary schools) were either unable or ill-equipped to deal with seriously ill patients.

Much confusion resulted when school children were being bussed home, while their parents were trying to reach schools to collect their children. Government officials, doctors, nurses, care workers, police, firepersons, ambulance drivers, emergency crews, teachers, and others faced the dilemma of whether to stay at their posts or return to look after their families. In the event, many emergency crews refused to enter evacuation zones for fear of radiation exposure.

Stable iodine was not issued to most people. Official evacuation plans were either non-existent or inadequate and, in the event, next to useless. In many cases, local mayors took the lead and ordered and supervised evacuations in their villages without waiting for orders or in defiance of them. Apparently, the higher up the administrative level, the greater the levels of indecision and lack of responsibility.

In the years after the accident, the longer-lasting effects of the evacuations have become apparent. These include family separations, marital break-ups, widespread depression, and further suicides. These are discussed in a recent publication (Morimatsu et al, 2017) which relates the sad, often eloquent, stories of the Fukushima people. They differ sharply from the accounts disseminated by TEPCO.

Deaths from evacuations at Fukushima

Official Japanese Government data reveal that nearly 2,000 people died from the effects of evacuations necessary to avoid high radiation exposures from the Fukushima disaster, including from suicides.

The uprooting to unfamiliar areas, cutting of family ties, loss of social support networks, disruption, exhaustion, poor physical conditions and disorientation resulted in many people, in particular older people, apparently losing their will to live.

The evacuations also resulted in increased levels of illnesses among evacuees such as hypertension, diabetes mellitus and dyslipidaemia, psychiatric and mental health problems, polycythaemia — a slow growing blood cancer — cardiovascular disease, liver dysfunction, and severe psychological distress.

Increased suicide rates occurred among younger and older people following the Fukushima evacuations, but the trends are unclear. A 2014 Japanese Cabinet Office report stated that, between March 2011 and July 2014, 56 suicides in Fukushima Prefecture were linked to the nuclear accident.

Should evacuations be ordered?

The above account should not be taken as arguments against evacuations as they constitute an important dose-saving and life-saving strategy during emergencies. Instead, the toll from evacuations should be considered part of the overall toll from nuclear accidents.

In future, deaths from evacuation-related ill-heath and suicides should be included in assessments of the fatality numbers from nuclear disasters.

For example, although about 2,000 deaths occurred during and immediately after the evacuations, it can be calculated from UNSCEAR (2013) collective dose estimates that about 5,000 fatal cancers will arise from the radiation exposures at Fukushima, i.e. taking into account the evacuations. Many more fatal cancers would have occurred if the evacuations had not beeCn carried out.

There is an acute planning dilemma here: if evacuations are carried out (even with good planning) then illnesses and deaths will undoubtedly occur. But if they are not carried out, even more people could die. In such situations, it is necessary to identify the real cause of the problem. And here it is the existence of nuclear power plants near large population centres. In such cases, consideration should be given to the early closure of the nuclear power plants, and switching to safer means of electricity generation.

Conclusions

The experiences of Japanese evacuees after Fukushima are distressing to read. Their experiences were terrible, so much so that it requires Governments of large cities with nearby nuclear power plants to reconsider their own situations and to address the question…. what would happen if radioactive fallout heavily contaminated large areas of their city and required millions of residents to leave for long periods of time, for example several decades?

And how long would evacuations need to continue…. weeks, months, years, or decades? The time length of evacuations is usually avoided in the evacuation plans seen so far. In reality, the answer would depend on cesium-137 concentrations in surface soils. The time period could be decades, as the half-life of the principal radionuclide, Cs-137, is 30 years. This raises the possibility of large cities becoming uninhabited ‘ghost’ towns like Tomioka, Okuma, Namie, Futaba, etc in Japan and Pripyat in Ukraine.

This bleak reality is hard to accept or even comprehend. However it is a matter that some governments need to address after Fukushima. It is unsurprising therefore, that after Fukushima, several major European states including Germany and Switzerland have decided to phase out their nuclear reactors. ”

by Dr. Ian Fairlie, Beyond Nuclear International

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*The Fukushima nuclear meltdown continues unabated – Helen Caldicott, Global Research News

Dr. Helen Caldicott really tells it how it is. No sugarcoating in this article, just the cold, hard facts.

” Recent reporting of a huge radiation measurement at Unit 2 in the Fukushima Daichi reactor complex does not signify that there is a peak in radiation in the reactor building.

All that it indicates is that, for the first time, the Japanese have been able to measure the intense radiation given off by the molten fuel, as each previous attempt has led to failure because the radiation is so intense the robotic parts were functionally destroyed.

The radiation measurement was 530 sieverts, or 53,000 rems (Roentgen Equivalent for Man). The dose at which half an exposed population would die is 250 to 500 rems, so this is a massive measurement. It is quite likely had the robot been able to penetrate deeper into the inner cavern containing the molten corium, the measurement would have been much greater.

These facts illustrate why it will be almost impossible to “decommission” units 1, 2 and 3 as no human could ever be exposed to such extreme radiation. This fact means that Fukushima Daichi will remain a diabolical blot upon Japan and the world for the rest of time, sitting as it does on active earthquake zones.

What the photos taken by the robot did reveal was that some of the structural supports of Unit 2 have been damaged. It is also true that all four buildings were structurally damaged by the original earthquake some five years ago and by the subsequent hydrogen explosions so, should there be an earthquake greater than seven on the Richter scale, it is very possible that one or more of these structures could collapse, leading to a massive release of radiation as the building fell on the molten core beneath. But units 1, 2 and 3 also contain cooling pools with very radioactive fuel rods — numbering 392 in Unit 1, 615 in Unit 2, and 566 in Unit 3; if an earthquake were to breach a pool, the gamma rays would be so intense that the site would have to be permanently evacuated. The fuel from Unit 4 and its cooling pool has been removed.

But there is more to fear.

The reactor complex was built adjacent to a mountain range and millions of gallons of water emanate from the mountains daily beneath the reactor complex, causing some of the earth below the reactor buildings to partially liquefy. As the water flows beneath the damaged reactors, it immerses the three molten cores and becomes extremely radioactive as it continues its journey into the adjacent Pacific Ocean.

Every day since the accident began, 300 to 400 tons of water has poured into the Pacific where numerous isotopes – including cesium 137, 134, strontium 90, tritium, plutonium, americium and up to 100 more – enter the ocean and bio-concentrate by orders of magnitude at each step of the food chain — algae, crustaceans, little fish, big fish then us.

Fish swim thousands of miles and tuna, salmon and other species found on the American west coast now contain some of these radioactive elements, which are tasteless, odourless and invisible. Entering the human body by ingestion they concentrate in various organs, irradiating adjacent cells for many years. The cancer cycle is initiated by a single mutation in a single regulatory gene in a single cell and the incubation time for cancer is any time from 2 to 90 years. And no cancer defines its origin.

We could be catching radioactive fish in Australia or the fish that are imported could contain radioactive isotopes, but unless they are consistently tested we will never know.

As well as the mountain water reaching the Pacific Ocean, since the accident, TEPCO has daily pumped over 300 tons of sea water into the damaged reactors to keep them cool. It becomes intensely radioactive and is pumped out again and stored in over 1,200 huge storage tanks scattered over the Daichi site. These tanks could not withstand a large earthquake and could rupture releasing their contents into the ocean.

But even if that does not happen, TEPCO is rapidly running out of storage space and is trying to convince the local fishermen that it would be okay to empty the tanks into the sea. The Bremsstrahlung radiation like x-rays given off by these tanks is quite high – measuring 10 milirems – presenting a danger to the workers. There are over 4,000 workers on site each day, many recruited by the Yakuza (the Japanese Mafia) and include men who are homeless, drug addicts and those who are mentally unstable.

There’s another problem. Because the molten cores are continuously generating hydrogen, which is explosive, TEPCO has been pumping nitrogen into the reactors to dilute the hydrogen dangers.

Vast areas of Japan are now contaminated, including some areas of Tokyo, which are so radioactive that roadside soil measuring 7,000 becquerels (bc) per kilo would qualify to be buried in a radioactive waste facility in the U.S..

As previously explained, these radioactive elements concentrate in the food chain. The Fukushima Prefecture has always been a food bowl for Japan and, although much of the rice, vegetables and fruit now grown here is radioactive, there is a big push to sell this food both in the Japanese market and overseas. Taiwan has banned the sale of Japanese food, but Australia and the U.S. have not.

Prime Minister Abe recently passed a law that any reporter who told the truth about the situation could be goaled for ten years. In addition, doctors who tell their patients their disease could be radiation related will not be paid, so there is an immense cover-up in Japan as well as the global media.

The Prefectural Oversite Committee for Fukushima Health is only looking at thyroid cancer among the population and by June 2016, 172 people who were under the age of 18 at the time of the accident have developed, or have suspected, thyroid cancer; the normal incidence in this population is 1 to 2 per million.

However, other cancers and leukemia that are caused by radiation are not being routinely documented, nor are congenital malformations, which were, and are, still rife among the exposed Chernobyl population.

Bottom line, these reactors will never be cleaned up nor decommissioned because such a task is not humanly possible. Hence, they will continue to pour water into the Pacific for the rest of time and threaten Japan and the northern hemisphere with massive releases of radiation should there be another large earthquake. ”

by Helen Caldicott, Global Research News, originally published in Independent Australia

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US sailors face grim diagnoses after Fukushima mission — Courthouse News Service

” (CN) – To serve in the U.S. Armed Forces, you must meet certain health and fitness requirements: you must be fit to serve. But a healthy group of young service men and women – many in their 20s – have come down with serious health problems since serving on a humanitarian mission to Fukushima, Japan, following the 2011 earthquake and tsunami that led to a nuclear meltdown of the Tokyo Electric Power Co. (TepCo) nuclear power plant.

Service members have faced cancer, brain tumors, birth defects, and other rare health problems since being exposed to radiation from the Fukushima plant. Some have even died.

Courthouse News talked to some of these service members to find out what’s happened since they came home from Fukushima and why they believe TepCo needs to take responsibility.

“It was a gray smoke that surrounded you, and you didn’t even know what it was”

Naval officer Angel Torres, 47, said he knew his mission to South Korea would be redirected to Fukushima as soon as the earthquake hit. He was aboard the USS Ronald Reagan, the first aircraft carrier deployed by the United States to Fukushima as part of humanitarian mission Operation Tomodachi to render aid and supplies to the Japanese people.

He said when the ship arrived he got “an eerie feeling.”

“It was like a cloud I’ve never seen, a gray smoke that surrounded you and you didn’t even know what it was,” Torres said.

Torres said once Navy personnel realized they’d directed the aircraft carrier straight through a radiation plume, there was confusion and a sense of panic. People bought up all the Gatorade and water at the ship store in fear there wouldn’t be water available.

He said they had to drive back through the plume a second time to render aid, and were issued gas masks to wear.

Helicopters which took supplies to people on land “were completely contaminated,” Torres said. Helicopter pilots and personnel were required to throw out their clothes, scrub down and get tested for radiation.

“We all volunteered to join and sometimes you have to do dangerous things, and this was one of them,” Torres said.

“It was our turn.”

The naval officer said commanders told the service members the amount of radiation they were exposed to was negligible, similar to flying in an airplane or eating a banana. Torres said the executive officer of the ship even told the crew they would be fine unless they licked the flight deck.

“That did well to pacify and stabilize the sentiment and general feeling throughout the ship, but I don’t know that I agree with that one bit, because I’ve eaten a lot of bananas,” Torres said.

Twenty-six-year-old Marine Corps veteran Nathan Piekutowski was in Malaysia on a rest stop when his crew on the USS Essexx got word of the tsunami and headed toward Fukushima. He was part of a team that landed to deliver food and supplies, and they wore biological chemical suits.

“Some areas were completely destroyed, it looked like a wall had smashed everything and a hand drew everything back out to sea,” Piekutowski said.

Piekutowski said crew members were also required to take iodine pills to help mitigate radiation exposure and potential thyroid impacts. They closed up all the windows and hatches on the ship as well.

Radiation impacts on sailors’ health

Piekutowski left the Marine Corps shortly after his service in Fukushima. He began exhibiting extreme weight loss and limb swelling months later, in November 2012. He experienced eyesight loss and vomited stomach acid before going to the emergency room on Christmas Day.

He was diagnosed with acute myeloid leukemia at the age of 21.

“The type of leukemia I had usually is something you get later in life. Early onset can be caused from being around certain types of chemicals,” Piekutowski said.

The following days and months included chemotherapy treatments, but after his leukemia came back less than six months into remission, the Marine received a stem cell transplant. He’s since faced day-long doctor appointments with specialists which require him to take time off work and travel out of town.

Piekutowski disputes TepCo’s contention the service members who’ve faced cancer and other health problems since returning from Fukushima were predisposed to those conditions. The utility claims their health problems are not from the radiation exposure.

“If that were the case, TepCo would have disseminated all the information it should have,” Piekutowski said, referring to the utility’s initial withholding of information after the nuclear meltdown.

“If we were predisposed to a genetic mutation or illness, why lie and cover things up?”

When Torres returned from Fukushima he said he felt weak and tired and didn’t feel like being intimate with his significant other, something out of the ordinary given what Torres called the “honeymoon effect” when a service member returns home from deployment.

When working out six months after coming home, Torres got a hernia which required surgery. Two years later, he had another one.

“I thought ‘oh my gosh, I’m breaking down here, what’s going on?’” Torres said.

He exhibited symptoms of multiple sclerosis and had an MRI scan, but a spinal tap last month showed Torres does not have the disease.

Torres also suffers from post-traumatic stress disorder, which he manages through therapy and volunteering with veterans organizations in Chicago.

He said he wishes TepCo would have done “the right thing” and told U.S. officials about the nuclear meltdown before sailors were exposed to radiation.

“When I would deploy to the Middle East, I had a team of sailors and I would look at their wives and children and say: ‘I’m going to make sure your mom and dad are okay. I wish someone would have done that for me,” Torres said.

“There are people that are dying from that carrier. They need to know what these people endured and help them get the help that they need.”

Seeking Justice

Torres and Piekutowski are part of a class action of over 420 sailors suing TepCo and General Electric in San Diego’s federal court. While eight of the sailor-plaintiffs have already died – most from cancer – since the first case was filed in 2012, many others have yet to experience any symptoms and want Tepco to foot the bill for medical monitoring and testing and future health care costs over their lifetime.

The class is represented by high-profile attorneys – former Sen. John Edwards and his daughter Cate Edwards with Edwards Kirby out of North Carolina, along with Charles Bonner of Bonner & Bonner in Sausalito, California, and Paul Garner of San Diego.

In a phone interview, Cate Edwards said there are 23 plaintiffs living with cancer, many of whom served in Fukushima in their early 20s and some as young as 18 years old. In addition to the group facing cancer diagnoses, many of the sailors have degenerative diseases, with some losing mobility and use of their arms and legs in addition to experiencing back problems and eyesight loss.

A 26-month-old toddler born to a sailor-father who served in Fukushima died from brain and spine cancer. Another female sailor opted to end a pregnancy after finding out the fetus had severe birth defects, Edwards said.

“Why are all these young, healthy, fit people getting cancer? Experiencing thyroid issues? It’s too strange to be a coincidence,” Edwards said.

“That just doesn’t happen absent some external cause. All of these people experienced the same thing and were exposed to radiation at Fukushima. A lot of this is just common sense.”

The class has been fighting to get their day in court and get a trial date set. They will inch toward that goal with a motion to dismiss hearing scheduled for Jan. 4. ”

by Bianca Bruno, Courthouse News Service

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