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I want to talk to you today about the medical consequences of nuclear war.
Since the end of the Cold War,
we have acted as if the problem of nuclear war has gone away.
Unfortunately it hasn't.
There remain in the world today nearly twenty thousand nuclear warheads,
the vast majority, ninety-five percent
in the arsenals of the United States and Russia.
And so it is terribly important that we understand what will happen if these
weapons are used.
During the Cold War, we all understood
that if there was a large war between the US and the Soviet Union,
it would be a disaster not just for them,
but for the entire planet.
In recent years, we have come to understand that even in much more
limited nuclear war,
as might take place between India and Pakistan,
would also be a disaster for all humanity.
We've examined a scenario
in which India and Pakistan fight,
using about fifty
Hiroshima-sized bombs on either side
with these weapons targeted urban areas.
Immediate consequences in South Asia are catastrophic.
Something between twenty and thirty million people die in the first few
weeks;
from radiation,
from fire, from blast.
But as horrific as these local consequences are,
it's the global climate disruption
that is really terrifying.
Because it turns out that the fire storm started by these weapons
cause more than five million tons of debris to be lofted into the upper atmosphere,
where they block out sunlight,
causing temperatures across the planet to drop an average of one point three
degrees Centigrade.
This shortens the growing season,
cuts down precipitation,
and this disrupts food production.
In the last year we have learned
that under this scenario
US corn production would fall about twelve percent,
and this decline could last for a full decade.
Chinese middle season rice production
would drop nearly fifteen percent.
And this too would persist for a whole decade.
And some preliminary studies that are just now being done,
suggest the corn production in China and wheat production China might drop even more.
The world is very ill prepared at this time
to deal with this kind of decline in food production.
The granaries of the world hold only a reserve amounting to about seventy days
of consumption.
And this simply would not be an adequate buffer.
In addition,
there are eight hundred seventy million people in the world who are malnourished
today at baseline.
These people receive less than eighteen hundred calories a day.
This is just enough to maintain their body mass and to let them do a little
bit of work,
to gather food, to grow food.
There are also three hundred million people in the world,
who get pretty good nutrition today,
but live in countries that are very dependent on food imports.
In the event of a limited nuclear war,
and a significant decline in food production,
all of these people,
more than a billion people total,
would be at risk of starvation.
This data has profound implications for the nuclear weapons policy.
It tells us that it is not just the arsenals of the great powers
that put the whole world at risk,
but even the smaller nuclear arsenals of countries like India and Pakistan.
And this has obviously immense implications
for the nuclear weapons policy in South Asia.
But it also has huge implications for the nuclear weapons policies of the
United States and Russia.
Each US Trident submarine
carries ninety-six warheads.
each of which is ten to thirty times more powerful than the bombs used
in the nuclear famine scenario that I've just discussed.
That means that each Trident submarine
is capable of causing the nuclear famine problem
many times over.
And the United States has fourteen of them,
and that's just one third of the US arsenal
because the US also has ground-based missiles,
and airplanes to deliver gravity bombs.
The Russians arsenal has the same extreme overkill capacity,
and so we need to know what will happen if these weapons are actually used.
I want to start by describing what happens to one city,
in a large scale nuclear attack, and I'm going to use the model of the twenty
megaton bomb.
Now, back in the 1960s, both the United States and the Soviet Union had
twenty megaton bombs in their arsenals.
Since then the arsenals have been modernized.
And a modern attack
on Moscow or New York would involve not one twenty megaton bomb,
but perhaps fifteen to twenty
half megaton bombs.
The megatonnage would be less,
but the destruction would be even greater, because it would be spread out more
efficiently over the entire metropolitan area.
It's difficult though to visualize fifteen to twenty bombs going off all
at the same time.
And so the model of a single twenty megaton bomb, even though it tends to
underestimate the destruction,
serves as an adequate approximation for our purposes.
Within a thousandth of a second of the detonation of this bomb,
a fireball would form,
reaching out for two miles in every direction...
four miles across.
Within this area, temperatures would rise to twenty million degrees Fahrenheit.
Which is hotter than the surface of the sun,
and everything would be vaporized.
The buildings...
the people...
the trees...
the upper level of the Earth itself.
To a distance of four miles in every direction,
the blast would generate winds in excess of six hundred miles per hour,
and blast pressures greater than twenty-five pounds per square inch.
Forces of this magnitude
can destroy anything that humans can build.
Underground shelters would collapse...
To distance of six miles in every direction,
the heat would be so intense,
that automobile sheet metal would melt.
To a distance of ten miles in every direction,
the blast would still generate winds in excess of two hundred miles per hour,
and blast pressures greater than ten pounds per square inch.
Forces of this magnitude,
would level wood frame buildings,
masonry buildings;
a modern steel and concrete building would see its walls and floors swept out;
just the steel skeleton would remain.
To a distance of sixteen miles in every direction,
the heat would be so intense,
that everything flammable would burn:
wood, paper, cloth,
heating oil...
gasoline---it would all ignite.
Hundreds of thousands of fires, which would over the next half hour coalesce
into a giant firestorm
thirty-two miles across,
covering over eight hundred square miles.
Within this entire area,
the temperature would rise to fourteen hundred degrees Fahrenheit;
all the oxygen would be consumed,
and every living thing would die.
Beyond this great fire storm the destruction would continue.
There would be hundreds of thousands if not millions of people suffering
severe injuries,
crush injuries,
penetrating injuries, extensive burns,
blindness from retinal burning...
all of these people would need intensive medical care,
but it would not be available,
because most of the hospitals would be destroyed; most of the doctors and nurses
and other health professionals would be dead.
There would be no electricity to run the ventilators or cardiac monitors,
most of the medical supplies would be exhausted within hours.
And the vast majority of these people would not receive any medical care all.
They would die, alone,
and in great pain.
And if this attack were part of a large-scale war between the United
States and Russia,
this level of destruction would be visited on every metropolitan area in the
United States and in Russia.
A study which Physicians for Social Responsibility published in 2003
showed that if just three hundred of the warheads in the Russian arsenal
detonated over urban targets in the United States,
something between seventy-five and a hundred million people would die in the
first half hour.
In addition,
the entire economic infrastructure
would be destroyed:
the transportation system, the communications network, the public health system...
all the things
that a modern, industrial country requires
to maintain its population,
all these things would be gone.
And it's probable,
that in the ensuing months,
the vast majority of the American and Russian population
those who were not killed outright,
in the first half hour of the attack,
they too would die...
from starvation,
from exposure,
from epidemic disease,
from radiation poisoning.
As unimaginable
as these direct consequences are,
they are not the worst part of the story.
Here too is the environmental consequences
that we need to really look at.
A limited war in South Asia puts five million tons of debris
into the atmosphere, and drops global temperatures one point three degrees.
A large war between the United States and Russia,
using only those weapons which is still allowed to them,
when the new START Treaty is fully implemented in 2018.
That war
puts 150 million tons of debris into the upper atmosphere.
And it drops temperatures across the globe an average of eight degrees Centigrade.
In the interior regions of North America and Eurasia, the temperature drop is
even greater...
up to thirty degrees Centigrade.
Earth has not seen conditions like this,
since the coldest point in the last Ice Age 18,000 years ago.
And under these conditions,
all food production,
all agriculture would come to a halt.
The vast majority of the human race would starve to death.
And it is possible that our species would become extinct.
It is important that we understand
that this is not just some nightmare fantasy
that I've cooked up to scare you.
This is a real and present danger,
as long as
nuclear weapons exist
there exists the possibility they will be used.
The United States and Russia between them
maintain several thousand warheads
on high alert.
They are mounted on rockets which could be launched in fifteen minutes
and destroy the other countries thirty minutes later ---
this is not normal behavior.
This is not the way nations which are securely at peace with each other
treat each other.
Even if there is not a deliberate use of these weapons,
there remains under these conditions, the very real possibility that there will be
an accidental war.
We know of at least five occasions,
since 1979
when either Washington or Moscow
prepared to launch a nuclear attack
in the mistaken belief
that it itself was under attack.
And the most recent of these
took place on January 25, 1995,
a full five years after the end of the Cold War.
The conditions which existed then have not changed substantially,
and the danger of an accidental nuclear war is still with us.
A scenario like the one which unfolded then,
and which brought us to within minutes
of nuclear holocaust,
could unfold as we are sitting here today.
I've done something really terrible by telling you all of these things.
And it goes beyond just darkening this particular day in your life.
Because once you know about this information,
you have an obligation to act on it.
Fortunately,
there are things that people can do.
A movement is forming around the world
to abolish nuclear weapons.
The International Red Cross Red Crescent movement
has called for the abolition of nuclear weapons,
and National Red Cross Red Crescent Societies around the globe
are organizing educational campaigns
to teach people about the humanitarian consequences of nuclear war.
International Physicians for the Prevention of Nuclear War
and its national affiliates like Physicians for Social Responsibility in the
United States are continuing their work
educating leaders and the general public
about the medical consequences of nuclear war
And governments are beginning to listen;
in the Fall of 2012,
thirty four nations and the Holy See joined together,
in a statement calling for the abolition of all nuclear weapons,
and calling on the nuclear weapon states to take seriously their obligations,
under Article VI of the Non-Proliferation Treaty,
to negotiate a treaty
abolishing these weapons forever.
The normal reaction that each of you is going to have,
is to try to forget the things which I have talked about today.
This is very difficult material,
and it's very painful to think about it.
Please,
don't do that.
Try to remember this message
and try to act on it.
Each one of us has a role to play
in building an international movement
to abolish nuclear weapons.
In the Hebrew Bible it is written
that God said: "Behold, I have set before you life and death,
therefore choose life
that you and your children might live."
That is literally the choice before humanity today.
And so let us all choose wisely,
and act with courage
and determination,
so that indeed
our children might live.
We've been given the opportunity to save the world.
Please visit these websites to learn what you can do.
We can prevent nuclear war.