Project 4.1
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Project 4.1 was the designation for a medical study and experimentation conducted by the United States of those residents of the
Marshall Islands The Marshall Islands ( mh, Ṃajeḷ), officially the Republic of the Marshall Islands ( mh, Aolepān Aorōkin Ṃajeḷ),'' () is an independent island country and microstate near the Equator in the Pacific Ocean, slightly west of the Intern ...
exposed to
radioactive fallout Nuclear fallout is the residual radioactive material propelled into the upper atmosphere following a nuclear blast, so called because it "falls out" of the sky after the explosion and the shock wave has passed. It commonly refers to the radioac ...
from the March 1, 1954 ''
Castle Bravo Castle Bravo was the first in a series of high-yield thermonuclear weapon design tests conducted by the United States at Bikini Atoll, Marshall Islands, as part of '' Operation Castle''. Detonated on March 1, 1954, the device was the most powerful ...
''
nuclear test Nuclear weapons tests are experiments carried out to determine nuclear weapons' effectiveness, Nuclear weapon yield, yield, and explosive capability. Testing nuclear weapons offers practical information about how the weapons function, how detona ...
at
Bikini Atoll Bikini Atoll ( or ; Marshallese: , , meaning "coconut place"), sometimes known as Eschscholtz Atoll between the 1800s and 1946 is a coral reef in the Marshall Islands consisting of 23 islands surrounding a central lagoon. After the Seco ...
, which had an unexpectedly large yield. Government and mainstream historical sources point to the study being organized on March 6 or March 7, 1954, six days after the ''Bravo'' shot.


Establishment and secrecy

In the wake of the Castle Bravo detonation, a new research section was added to the ''Castle Bravo'' Weapons Effects research section. Program 4, "Biomedical effects," was to include one project, Project 4.1, titled "Study of Response of Human Beings exposed to Significant Beta and Gamma Radiation due to Fall-out from High-Yield Weapons." Eugene P. Cronkite of the
National Naval Medical Center National may refer to: Common uses * Nation or country ** Nationality – a ''national'' is a person who is subject to a nation, regardless of whether the person has full rights as a citizen Places in the United States * National, Maryland, ...
was designated as Project Officer. Cronkite's instructions stressed the importance of secrecy surrounding the project: The purpose of the project, as a 1982 Defense Nuclear Agency report explained, was both medical as well as for research purposes:


Preparation

As a
Department of Energy A Ministry of Energy or Department of Energy is a government department in some countries that typically oversees the production of fuel and electricity; in the United States, however, it manages nuclear weapons development and conducts energy-re ...
Committee writing on the human radiation experiments wrote, "It appears to have been almost immediately apparent to the AEC and the Joint Task Force running the Castle series that research on radiation effects could be done in conjunction with the medical treatment of the exposed populations."''Final Report of the Advisory Committee on Human Radiation Experiments'', Chapter 12, Part 3: "The Marshallese". Available online at https://ehss.energy.gov/ohre/roadmap/achre/chap12_3.html. The DOE report also concluded that "The dual purpose of what is now a DOE medical program has led to a view by the Marshallese that they were being used as 'guinea pigs' in a 'radiation experiment.'" Organizations involved in the project included the
Naval Medical Research Institute The Naval Medical Research Center (NMRC) is an agency that performs basic and applied biomedical research to meet the needs of the United States Navy and United States Marine Corps. Its areas of focus include study of infectious diseases, biodef ...
, the Naval Radiological Defense Laboratory, Patrol Squadron 29, the Naval Air Station, Kwajalein,
Los Alamos National Laboratory Los Alamos National Laboratory (often shortened as Los Alamos and LANL) is one of the sixteen research and development laboratories of the United States Department of Energy (DOE), located a short distance northwest of Santa Fe, New Mexico, ...
, the Applied Fisheries Laboratory at the
University of Washington The University of Washington (UW, simply Washington, or informally U-Dub) is a public research university in Seattle, Washington. Founded in 1861, Washington is one of the oldest universities on the West Coast; it was established in Seattl ...
, and Hanford Atomic Power Operations. Three U.S. Navy ships were used in the project: '' USS Nicholas'', '' USS Renshaw'', and '' USS Philip''. The primary study of the Marshallese was terminated around 75 days after the time of exposure. In July 1954 a meeting at the Division of Biology at the U.S. Atomic Energy Commission decided to complete 6- and 12-month follow-up exposure studies, some of which were later written up as addendums to Project 4.1.


Intentionality

Some Marshallese have alleged that the exposure of the Marshallese was premeditated. In 1972, Micronesian Representative
Ataji Balos Ataji Balos is a Marshallese politician who was a member of the Congress of the Trust Territory of the Pacific Islands. During the Trust Territory era, his activism concerning Marshall Islands–United States relations included a sit-in that dela ...
charged at the Congress of Micronesia that the exposure during ''Bravo'' was purposeful so that the AEC could develop medical capabilities for treating those exposed to fallout during nuclear war, and charged that the Marshallese were chosen because of their marginal status in the world at large. According to a U.S. internal transcription of Balos' talk, Balos alleged that "The U.S. chose to make guinea pigs out of our people because they are not white but some brown natives in some remote Pacific islands. Medical treatment that Rongelapese and Utrikese have been receiving is also highly questionable." The AEC issued a staff comment denying these charges. In 1994, a 1953 ''Castle Bravo'' program prospectus was found which included reference to Project 4.1 apparently written before the ''Bravo'' shot had occurred. The U.S. government responded that someone had gone back into the project list after the ''Bravo'' test to insert Project 4.1; thus, according to the U.S. government, the acts were not premeditated. All other U.S. documents point to Project 4.1 having been established after the ''Bravo'' test—most sources point to its having been organized on March 7, 1954. The final Project 4.1 report began in its preface with the statement that "Operation CASTLE did not include a biomedical program" (it mentions this in discussing the ad hoc nature by which the project personnel were assembled).E.P. Cronkite, V.P. Bond, L.E. Browning, W.H. Chapman, S.H. Cohn, R.A. Conard, C.L. Dunham, R.S. Farr, W.S. Hall, R. Sharp, N.R. Shulman, ''Study of Response of Human Beings Accidentally Exposed to Significant Fallout Radiation, Operation CASTLE—Final Report Project 4.1'', Naval Medical Research Institute, Naval Radiological Defense Laboratory, Defense Atomic Support Agency, Oak Ridge National Laboratory, Report #WT-923 (October 1954). Online at http://worf.eh.doe.gov/data/ihp2/2776_.pdf. All official and mainstream historical accounts of the ''Bravo'' test indicate that its high level of fallout was a result of a miscalculation in relation to its
design A design is a plan or specification for the construction of an object or system or for the implementation of an activity or process or the result of that plan or specification in the form of a prototype, product, or process. The verb ''to design' ...
and was not deliberate (see the
Castle Bravo Castle Bravo was the first in a series of high-yield thermonuclear weapon design tests conducted by the United States at Bikini Atoll, Marshall Islands, as part of '' Operation Castle''. Detonated on March 1, 1954, the device was the most powerful ...
article for more information on the alleged accident). Barton C. Hacker, the official historian of U.S. nuclear testing exposures (who is, in the end, very critical of the U.S. handling of the ''Bravo'' incident), characterized the controversy in the following way: Controversy continues however, fed by the legacy of mistrust sown by American nuclear testing in the
Marshall Islands The Marshall Islands ( mh, Ṃajeḷ), officially the Republic of the Marshall Islands ( mh, Aolepān Aorōkin Ṃajeḷ),'' () is an independent island country and microstate near the Equator in the Pacific Ocean, slightly west of the Intern ...
, which involved relocating hundreds of people and rendering several atolls uninhabitable. While most sources do not think that the exposure was intentional, there is no dispute that the United States did carefully study the exposed Marshallese, but never obtained informed consent from the study subjects. This study of the Marshallese was in some cases beneficial for their treatment, and in other cases not. In these ways, the study of the exposed Marshallese reflects the same ethical lapses as were undertaken in other aspects of the secret
human radiation experiments Since the discovery of ionizing radiation, a number of human radiation experiments have been performed to understand the effects of ionizing radiation and radioactive contamination on the human body, specifically with the element plutonium. Ex ...
conducted by the Atomic Energy Commission in the 1940s and 1950s, which came to light only after the end of the Cold War.


Results about effects

According to the Final Project 4.1 report, the ''Bravo'' test exposed 239 Marshallese on the
Utirik Utirik Atoll or Utrik Atoll ( Marshallese: , ) is a coral atoll of 10 islands in the Pacific Ocean, and forms a legislative district of the Ratak Chain of the Marshall Islands. Its total land area is only , but it encloses a lagoon with an area ...
, Rongelap, and
Ailinginae Atoll Ailinginae Atoll ( Marshallese: , ) is an uninhabited (due to Castle Bravo nuclear testing) coral atoll of 25 islands in the Pacific Ocean, on the northern end of the Ralik Chain of the Marshall Islands. Its total land area is only , but it en ...
s to significant level of radiation, and 28 Americans stationed on the
Rongerik Atoll Rongerik Atoll or Rongdrik Atoll ( Marshallese: , ) is a coral atoll of 17 islands in the Pacific Ocean, and is located in the Ralik Chain of the Marshall Islands, approximately east of Bikini Atoll. Its total land area is only , but it enclose ...
were also exposed. Those on the Rongelap Atoll were the most seriously affected, receiving approximately 175 rads of radiation before they were evacuated. Those on Ailinginae received 69 rads, those on Utirik received 14 rads, and the Americans on Rongerik received an average dose of 78 rads. The results of the original Project 4.1 were published by the study's authors in professional medical journals in 1955, such as the Journal of the American Medical Association. In 2010 it was calculated that by sub-population, the projected proportion of cancers attributable to radiation from fallout from all nuclear tests conducted in the Marshall Islands is 55% (with a 28% to 69% uncertainty range) among 82 persons exposed in 1954 on
Rongelap Atoll Rongelap Atoll ( Marshallese: , ) is a coral atoll of 61 islands (or motus) in the Pacific Ocean, and forms a legislative district of the Ralik Chain of the Marshall Islands. Its total land area is . It encloses a lagoon with an area of . ...
and
Ailinginae Atoll Ailinginae Atoll ( Marshallese: , ) is an uninhabited (due to Castle Bravo nuclear testing) coral atoll of 25 islands in the Pacific Ocean, on the northern end of the Ralik Chain of the Marshall Islands. Its total land area is only , but it en ...
. Most of the individuals exposed did not immediately show signs of radiation sickness, though within a few days other effects of significant radiation exposure manifested: loss of hair and significant skin damage, including "raw, weeping lesions", among the Rongelap and Ailinginae groups. The lesions healed quickly, however, consistent with radiation exposure. The report abstract concluded that "estimates of total body burden indicate that there is no long term hazard." Additional follow-up checks on the Marshallese studied in Project 4.1 were conducted at regular intervals afterwards every year since 1954. Though the Marshallese experienced far milder immediate effects than the Japanese fishermen exposed to ''Bravo'' fallout on the fishing boat ''
Daigo Fukuryū Maru was a Japanese tuna fishing boat with a crew of 23 men which was contaminated by nuclear fallout from the United States Castle Bravo thermonuclear weapon test at Bikini Atoll on March 1, 1954. The crew suffered acute radiation syndrome (ARS ...
'', the long-term effects were more pronounced as they depended largely on subsistence living and were relocated to the site of the testing in Bikini, Ene Wetak, and Rongelap while the Japanese fisherman were returned to Japan. For the first decade after the test, the effects were ambiguous and statistically difficult to correlate to radiation exposure: miscarriages and stillbirths among exposed Rongelap women doubled in the first five years after the accident, but then returned to normal; some developmental difficulties and impaired growth appeared in children, but in no clear-cut pattern. In the decades that followed, though, the effects were undeniable. Children began to disproportionately develop
thyroid cancer Thyroid cancer is cancer that develops from the tissues of the thyroid gland. It is a disease in which cells grow abnormally and have the potential to spread to other parts of the body. Symptoms can include swelling or a lump in the neck. C ...
(due to exposure to
radioiodine There are 37 known isotopes of iodine (53I) from 108I to 144I; all undergo radioactive decay except 127I, which is stable. Iodine is thus a monoisotopic element. Its longest-lived radioactive isotope, 129I, has a half-life of 15.7 million year ...
s), and almost a third of those exposed developed
neoplasm A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...
s by 1974.


Notes


References

* * {{cite book, last=Barker, first=Holly M., title=Bravo for the Marshallese: regaining control in a post-nuclear, post-colonial world, year=2004, publisher=Wadsworth/Thomson, location=Belmont, CA, isbn=0-534-61326-8 * Conard, R.A.
Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation
' Brookhaven National Laboratory report #46444 (September 1992). A first-hand account of the long-term head of the U.S. survey effort of the Marshallese people.


Report citations

This is a list of reports made under Project 4.1. ''This list is not exhaustive.'' *E.P. Cronkite, V.P. Bond, L.E. Browning, W.H. Chapman, S.H. Cohn, R.A. Conard, C.L. Dunham, R.S. Farr, W.S. Hall, R. Sharp, N.R. Shulman, ''Study of Response of Human Beings Accidentally Exposed to Significant Fallout Radiation, Operation CASTLE, Project 4.1'', Naval Medical Research Institute, Naval Radiological Defense Laboratory, Defense Atomic Support Agency, Oak Ridge National Laboratory, Report #WT-923 (October 1954). Online at http://worf.eh.doe.gov/data/ihp2/2776_.pdf. *S.H. Cohn, R.W. Rinehart, J.K. Gong, J.S. Robertson, W.L. Milne, W.H. Chapman, V.P. Bond, ''Nature and Extent of Internal Radioactive Contamination of Human Beings, Plants, and Animals Exposed to Fallout, Operation CASTLE, Project 4.1'', Naval Radiological Defense Laboratory, Naval Medical Research Institute, Report #WT-936 (December 1955). Online at http://worf.eh.doe.gov/data/ihp1d/6205e.pdf. *V.P. Bond, R.A. Conrad, J.S. Robertson, E.A. Weden, ''Medical Examination of Rongelap People Six Months After Exposure to Fallout, Operation CASTLE, Project 4.1 Addendum'', Naval Medical Research Institute, Naval Radiological Defense Laboratory, Report #WT-937 (April 1955). Online at http://worf.eh.doe.gov/data/ihp2/2774_.pdf. *R. Sharp, W.H. Chapman, ''Exposure of Marshall Islanders and American Military Personnel to Fallout, Operation CASTLE, Project 4.1 Addendum,'' Naval Medical Research Institute, Report #WT-938 EX (March 1957). Online at http://worf.eh.doe.gov/data/ihp2a/0283_a.pdf. *C.A. Sondhaus, V.P. Bond, ''Physical Factors and Dosimetry in the Marshall Island Radiation Exposures, Operation CASTLE, Report on Addendum Report for Project 4.1'' Naval Radiological Defense Laboratory Report #WT-939 (December 1955). Online at http://worf.eh.doe.gov/data/ihp1d/15187e.pdf.


External links


Department of Energy Marshall Islands Chronology
—fully referenced with links to PDFs of many primary documents—indicates that Project 4.1 began ''after'' the Bravo test

* ttps://web.archive.org/web/20160424042410/http://www.rmiembassyus.org/Nuclear%20Issues.htm Republic of the Marshall Islands Embassychronology indicates Project 4.1 began ''after'' the Bravo test
The Mayor of Rongelap discusses Project 4.1
alleging it was pre-meditated
Nuclear Savage
A heartbreaking and intimate ethnographic 2011 documentary on Pacific Islanders struggling for dignity and survival after decades of intentional radiation poisoning at the hands of the American government. Radiation health effects research American nuclear weapons testing Nuclear accidents and incidents in the United States Nuclear fallout