
Regional
Nuclear War in South Asia: |
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Figure 1. A nuclear war between India and Pakistan or between India and China would have health and environmental consequences for the entire South Asia region, including neighboring countries Bangladesh and Nepal. |
This nuclear war could cause immediate deaths from radiation exposure in neighboring countries--depending on meteorological conditions, which vary by season. Other impacts on the neighboring countries could arise from exposure to sub-lethal local fallout (increased long-term cancer risk), the disruption in cross-border trade of critical products such as food, floods from destroyed dams, and the movements of refugees across borders. Bangladesh would be particularly vulnerable to the consequences of a nuclear attack on Calcutta, and Nepal would suffer from attacks on northern Indian coastal cities.
Due to the relatively small size of the nuclear weapons used in this scenario, there would not be significant injection of radioactivity into the stratosphere. Hence this war would not contribute significantly to global radioactive fallout.
A China-India War
In this scenario the devastation on Indian cities by the higher yield Chinese weapons would be substantially greater. For example, a 150-kt attack on Bombay would be likely to cause between two and six million deaths [12]. Surface level nuclear explosions in this scenario would contaminate even larger areas of India than would be affected in an India-Pakistan exchange. Short term deaths in non-combatant countries such as Nepal and Bangladesh would also occur from nuclear attacks on Indian cities. For example, a surface burst explosion of 300 kt produces a 300-square-km fallout plume that delivers a 48-hour whole-body dose of 450 centiGray. This would be lethal to half the exposed adult population [13]. Depending on wind speed and direction, plumes could extend from explosions on Delhi and Calcutta into the territories of Nepal and Bangladesh respectively (e.g., with the predominant southwesterly winds which occur mid-year). By comparison, an estimated 53% of the total person-sievert exposure of radioactivity from Chernobyl affected those living in European countries outside the Soviet Union where the disaster occurred [14].
In this scenario, which involves weapons of 100 kt and larger, a proportion of the fallout would be injected into the stratosphere and hence circulate the globe and even cross the hemispheres. The global external gamma ray dose was estimated to peak at 4.6 milliGray (mGy) (at latitude 20 to 40 degrees North) in the Northern Hemisphere and 0.003 mGy (at latitude 30 to 50 degrees South) in the Southern Hemisphere. These levels of radiation would be expected to cause 230 fatal cancers per million population in the latitude bands of the Northern Hemisphere and 0.2 in the Southern Hemisphere. For the 20 to 40 degree North latitude, with a population of approximately 2.5 billion people, there would be an estimated 0.6 million radiation-induced cancer deaths. However, only around 12% of this dose would be delivered in the first 20 years, with the rest being delivered over thousands of years (based on the experience of atmospheric tests and the importance of carbon-14 as a radionuclide from these explosions [5]).
These levels of global fallout would only be marginally increased if Chinese weapons vaporised the contents of all Indias 10 nuclear reactors (i.e., adding an estimated 1.5 mGy to gamma ray doses from lower latitude Northern Hemisphere fallout). Bombing nuclear reactors, however, would dramatically increase the area contaminated with hazardous local fallout within the attacked country. For example, the explosion of a one-megaton bomb on a one-gigawatt reactor has been estimated to cause a fallout plume delivering total external gamma-ray doses of 100 centiGray per year around 530 km long and up to 70 km wide [4].
This analysis indicates that plausible types of nuclear wars involving Pakistan, India, and China would have catastrophic impacts on these countries that would rival the previous worst disasters they have experienced. These include the 1876-1877 famine in India that affected 20 million and killed 3.5 million [15] and the 1958-1961 famine in China that caused an estimated 30 million premature deaths [16].
The global fallout distribution model used in this analysis has a number of limitations, including being based on limited data on Northern Hemisphere explosions in mid-latitudes [4]. The assumptions that there would be no weathering and no sheltering lead to an over-estimation of the exposure level since weathering is important in most environments and a majority of humans spend most of their lives indoors. These estimates of radiation exposure are probably conservative, however, since the effects of internal radiation dosage are not included and since these would probably be more important than external radiation in the long term [7]. Moreover, low-level radiation exposure might be significantly more hazardous than the estimate used in this analysis [17,18].
If the nuclear arsenals of these countries increase in size and in average weapon yield in the future, then multiple attacks on cities would become more likely in future war scenarios. This would further increase the risk of firestorms in cities suffering nuclear attack, which would increase the probability of toxic and radioactive debris reaching adjacent countries. It would also pose greater risks of regional climatic disturbances arising from nuclear war.
Adverse economic effects on neighboring countries would arise from disruption in cross-border trade, floods from destroyed dams, and the movements of refugees across borders. These impacts could be further exacerbated if there were cross-border radioactive contamination of primary agricultural products produced for export. Such impacts could damage trade for many years into the post-war period.
The use of weapons of mass destruction is the very worst way for nations to solve international disputes. Moreover, most forms of nuclear weapons use are likely to be illegal under international law [19] and damage to non-combatant countries in war breaches international law [20]. There is an urgent need for nuclear disarmament to lower the risk of such catastrophic nuclear wars. Progress toward disarmament is unlikely, however, without strong leadership by the United States and Russia towards a verifiable and enforceable Nuclear Weapons Convention [21].
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NW is a public health physician
and an independent consultant to health organizations in Wellington, New Zealand.
Address correspondence to Nicholas Wilson, FAFPHM, 367A Karori Rd, Karori,
Wellington, NZ; e-mail: nwilson@actrix.gen.nz.
© Copyright 1999 Medicine & Global Survival
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