View source for Project 4.1

{{Short description|Radioactive fallout exposure study and experiment}}
{{Use dmy dates|date=December 2024}}{{Use American English|date=December 2024}}
[[File:Project 4.1 final report cover.png|right|thumb|300px|The cover to the Project 4.1 Final Report, "Study of Response of Human Beings Accidentally Exposed to Significant Fallout Radiation"]]

'''Project 4.1''' was the designation for a medical study and experimentation conducted by the United States of those residents of the [[Marshall Islands]] exposed to [[nuclear fallout|radioactive fallout]] from the 1 March 1954 ''[[Castle Bravo]]'' [[nuclear testing|nuclear test]] at [[Bikini Atoll]], which had an unexpectedly large [[nuclear weapons yield|yield]].  Government and mainstream historical sources point to the study being organized on March 6 or 7 March 1954, less than a week 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]] was designated as Project Officer.<ref>James Reeves to Frank D. Peel, "Establishment of Program 4 and Project 4.1 in Castle" (11 March 1954), online at [https://web.archive.org/web/*/worf.eh.doe.gov/ihp/chron/F15.PDF].</ref> Cronkite's instructions stressed the importance of secrecy surrounding the project:
{{blockquote|... the project is classified SECRET [[Restricted Data|RESTRICTED DATA]]. Due to possible adverse public reaction, you will specifically instruct all personnel in this project to be particularly careful not to discuss the purpose of this project and its background or findings with any except those who have specific "[[need to know]]."<ref>Barton Hacker, ''Elements of Controversy'', 146-147.</ref>}}

The purpose of the project, as a 1982 Defense Nuclear Agency report explained, was both medical as well as for research purposes:
{{blockquote|''The purposes of [Project 4.1] were to (1) evaluate the severity of radiation injury to the human beings exposed, (2) provide for all necessary medical care, and (3) conduct a scientific study of radiation injuries to human beings.''<ref name="DNA1982">Edwin J. Martin and Richard H. Rowland, "Castle Series, 1951", Defense Nuclear Agency Report DNA 6035F (1 April 1982), p. 186 and 188. Available online at http://worf.eh.doe.gov/data/ihp1c/0858_a.pdf.</ref>}}

== Preparation ==
As a [[United States Department of Energy|Department of Energy]] 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."<ref name="ACHRE.12.3">''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.</ref> 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.'"<ref name="ACHRE.12.3" />

[[File:Bravo Fallout.jpg|right|thumb|300px|The ''[[Castle Bravo]]'' fallout plume spread dangerous levels of radiation over an area over 100 miles long, including inhabited islands]]

Organizations involved in the project included the [[Naval Medical Research Institute]], the [[Naval Radiological Defense Laboratory]], Patrol Squadron 29, the Naval Air Station, Kwajalein, [[Los Alamos National Laboratory]], the Applied Fisheries Laboratory at the [[University of Washington]], and [[Hanford Site|Hanford Atomic Power Operations]]. Three U.S. Navy ships were used in the project: ''[[USS Nicholas (DD-449)|USS Nicholas]]'', ''[[USS Renshaw (DD-499)|USS Renshaw]]'', and ''[[USS Philip (DD-498)|USS Philip]]''.<ref name="DNA1982" /> 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 [[United States Atomic Energy Commission|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.<ref>See the "Introduction" of E.P. Cronkite, C.L. Dunham, David Griffin, S.D. McPherson, Kent T. Woodward, ''Twelve-Month Postexposure Survey on Marshallese Exposed to Fallout Radiation'' (Upton, NY: Brookhaven National Laboratory, August 1955). Available online at http://worf.eh.doe.gov/data/ihp1a/1013_.pdf.</ref>

== Intentionality ==
Some Marshallese have alleged that the exposure of the Marshallese was premeditated. In 1972, Micronesian Representative [[Ataji Balos]] charged at the [[Trust Territory of the Pacific Islands|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 warfare|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."<ref>See entry under 25 Jan 1972 at http://worf.eh.doe.gov/ihp/chron/ {{Webarchive|url=https://web.archive.org/web/20041102135432/http://worf.eh.doe.gov/ihp/chron/ |date=2004-11-02 }}. Quote is from unclassified telegram DISTAD Palau to SECSTATE Wash. DC, 27 Jan 72, Document 48025, CIC, available online at http://worf.eh.doe.gov/ihp/chron/G15.PDF.</ref> 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 7 March 1954.<ref>See the chronologies at both the [http://worf.eh.doe.gov/ihp/chron/ Department of Energy Marshall Islands Chronology] {{Webarchive|url=https://web.archive.org/web/20041102135432/http://worf.eh.doe.gov/ihp/chron/ |date=2004-11-02 }} and [http://www.rmiembassyus.org/Nuclear%20Issues.htm Republic of the Marshall Islands Embassy] {{webarchive|url=https://web.archive.org/web/20160424042410/http://www.rmiembassyus.org/Nuclear%20Issues.htm |date=2016-04-24 }}.</ref> 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).<ref name="Project4.1finalreport">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.</ref> 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 [[nuclear weapon design|design]] and was not deliberate (see the [[Castle Bravo]] 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:
{{blockquote|''In March 1954, the AEC had quickly decided that learning how the Marshallese victims of Castle Bravo responded to their accidental exposure could be of immense medical and military value. Immediate action centered on seeing them evacuated and decontaminated, then cared for medically. But studies of their exposures and aftereffects also began. That effort became project 4.1 in the Castle experimental program. This unfortunate choice of terminology may help explain later charges that the AEC had deliberately exposed the Marshallese to observe the effects. Like the American radium dial painters of the 1920s and the Japanese of Hiroshima and Nagasaki in 1945, the Marshallese of 1954 inadvertently were to provide otherwise unobtainable data on the human consequences of high radiation exposures. Findings from project 4.1 soon began to appear in print.''<ref name="HackerElements">Barton C. Hacker, ''Elements of controversy: the Atomic Energy Commission and radiation safety in nuclear weapons testing, 1947-1974'' (Berkeley, CA: University of California Press, 1994): pp. 226-228.</ref>}}

[[File:Project 4.1 figures.png|thumb|right|300px|Photographs of exposed Marshallese studied during Project 4.1 (in this case, the photographs are showing the development and healing of neck lesions) caused by the [[radiation burn#Radioactive fallout|nuclear fallout sticking to the common damp areas of exposed human skin]], and the resulting [[beta burn]]s<ref name="nuchandb">{{cite book|url=https://books.google.com/books?id=CAUYAAAAYAAJ&q=%22beta+burns%22&pg=PA18 |title=Nuclear handbook for medical service personnel|author=United States. Dept. of the Army|page=18|year=1990}}</ref>]]

Controversy continues however, fed by the legacy of mistrust sown by American nuclear testing in the [[Marshall Islands]], 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]] conducted by the [[United States Atomic Energy Commission|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 Atoll|Utirik]], [[Rongelap Atoll|Rongelap]], and [[Ailinginae Atoll]]s to significant level of radiation, and 28 Americans stationed on the [[Rongerik Atoll]] were also exposed. Those on the Rongelap Atoll were the most seriously affected, receiving approximately 175 [[Rad (unit)|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.<ref name="wrj1954usa1">{{cite web|last=Johnston|first=Wm. Robert |title=Castle Bravo nuclear test, 1954 |url=http://www.johnstonsarchive.net/nuclear/radevents/1954USA1.html|accessdate=25 July 2010}}</ref><ref>{{cite web|title=Operation Castle|url=http://nuclearweaponarchive.org/Usa/Tests/Castle.html|accessdate=25 July 2010|date=17 May 2006}}</ref><ref>{{cite book|title=Would the insects inherit the earth?|year=1988|publisher=Pergamon Professional Publishers|author=Jack C. Greene|author2=Daniel J. Strom |author3=Health Physics Society |page=37}}</ref><ref>{{cite book|title=Atoms for peace and war, 1953-1961: Eisenhower and the Atomic Energy Commission|year=1989|publisher=University of California Press|author=Richard G. Hewlett|author2=Jack M. Holl |page=174}}</ref>

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]].<ref>For example, Cronkite, et al. {{cite journal |title=Response of Human Beings Accidentally Exposed to Significant Fall-out Radiation | pmid=13251882 | doi=10.1001/jama.1955.02960220020007 | volume=159 | journal=JAMA | pages=430–4 | year=1955 | issue=5 | last1=Cronkite | first1=Eugene P. | author2=BOND VP | author3=CONARD RA | author4=SHULMAN NR | author5=FARR RS | author6=COHN SH | author7=DUNHAM CL | author8=BROWNING LE }}</ref>

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]] and [[Ailinginae Atoll]].<ref>{{cite journal |title=Projected lifetime cancer risks from exposure to local radioactive fallout in the Marshall Islands | pmid=20622551 | doi=10.1097/HP.0b013e3181dc4e84 | volume=99 | pmc=3892964 | journal=Health Phys | pages=201–15 | last1 = Land | first1 = CE | last2 = Bouville | first2 = A | last3 = Apostoaei | first3 = I | last4 = Simon | first4 = SL| issue=2 | year=2010 }}</ref>

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."<ref name="Project4.1finalreport" />

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]]'', 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,{{medical citation needed|date=October 2016}} but then returned to normal; some developmental difficulties and impaired growth appeared in children,{{medical citation needed|date=October 2016}} but in no clear-cut pattern. In the decades that followed, though, the effects were undeniable. Children began to disproportionately develop [[thyroid cancer]] (due to exposure to [[radioiodine]]s),<ref>{{cite journal |title=Risk of thyroid neoplasms after irradiation in childhood. Studies of populations exposed to radiation in childhood show a dose response over a wide dose range | pmid=5642565 | doi=10.1126/science.160.3824.159  | volume=160(3824) | journal=Science | pages=159–63 | last1 = Hempelmann | first1 = L H| issue=3824 | year=1968 | s2cid=7239308 }}</ref> and almost a third of those exposed developed [[neoplasm]]s by 1974.<ref name="HackerElements" />{{medrs|date=October 2016}}

==Notes==
{{Reflist|30em}}

==References==
* {{cite book|last=Experiments|first=of the Advisory committee on Human Radiation|title=Final report of the Advisory Committee on Human Radiation Experiments.|year=1996|publisher=Oxford Univ. Press|location=New York |isbn=0-19-510792-6}}
* {{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.  ''[http://www.osti.gov/bridge/product.biblio.jsp?query_id=3&page=0&osti_id=10117645  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==
*[https://web.archive.org/web/20041102135432/http://worf.eh.doe.gov/ihp/chron/ 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
*[https://web.archive.org/web/20130218075903/http://www.hss.doe.gov/healthsafety/ohre/roadmap/achre/chap12_3.html The Advisory Committee on Human Radiation Experiments (ACHRE)Chapter 12: The Marshallese]
*[https://web.archive.org/web/20160424042410/http://www.rmiembassyus.org/Nuclear%20Issues.htm Republic of the Marshall Islands Embassy]—chronology indicates Project 4.1 began ''after'' the Bravo test
*[http://yokwe.net//modules.php?op=modload&name=News&file=article&sid=721&mode=thread&order=0&thold=0 The Mayor of Rongelap discusses Project 4.1], alleging it was pre-meditated
*[http://www.nuclearsavage.com/ 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.

[[Category:Radiation health effects research]]
[[Category:American nuclear weapons testing]]
[[Category:Nuclear accidents and incidents in the United States]]
[[Category:Nuclear fallout]]