Project 4.1
Encyclopedia
Project 4.1 was the designation for a medical study conducted by the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 of those residents of the Marshall Islands
Marshall Islands
The Republic of the Marshall Islands , , is a Micronesian nation of atolls and islands in the middle of the Pacific Ocean, just west of the International Date Line and just north of the Equator. As of July 2011 the population was 67,182...

 exposed to radioactive fallout
Nuclear fallout
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 shock wave have passed. It commonly refers to the radioactive dust and ash created when a nuclear weapon explodes...

 from the March 1, 1954 Castle Bravo
Castle Bravo
Castle Bravo was the code name given to the first U.S. test of a dry fuel thermonuclear hydrogen bomb device, detonated on March 1, 1954 at Bikini Atoll, Marshall Islands, as the first test of Operation Castle. Castle Bravo was the most powerful nuclear device ever detonated by the United States ,...

nuclear test
Nuclear testing
Nuclear weapons tests are experiments carried out to determine the effectiveness, yield and explosive capability of nuclear weapons. Throughout the twentieth century, most nations that have developed nuclear weapons have tested them...

 at Bikini Atoll
Bikini Atoll
Bikini Atoll is an atoll, listed as a World Heritage Site, in the Micronesian Islands of the Pacific Ocean, part of Republic of the Marshall Islands....

, 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.

Project 4.1

In the wake of the Bravo accident, 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 Naval Medical Center
The National Naval Medical Center in Bethesda, Maryland, USA — commonly known as the Bethesda Naval Hospital — was for decades the flagship of the United States Navy's system of medical centers. A federal institution, it conducted medical and dental research as well as providing health care for...

 was designated as Project Officer. Cronkite's instructions stressed the importance of secrecy surrounding the project:
...the project is classified SECRET RESTRICTED DATA
Restricted Data
Restricted Data is a category of classified information in the United States. Specifically, it is defined by the Atomic Energy Act of 1954 as:The concept was initially introduced, with similar wording, in the Atomic Energy Act of 1946...

. 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
Need to know
The term "need to know", when used by government and other organizations , describes the restriction of data which is considered very sensitive...

."


The purpose of the project, as a 1982 Defense Nuclear Agency report explained, was both medical as well as for research purposes:
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.


As a Department of Energy
United States Department of Energy
The United States Department of Energy is a Cabinet-level department of the United States government concerned with the United States' policies regarding energy and safety in handling nuclear material...

 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." 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 Radiological Defense Laboratory, Patrol Squadron 29, the Naval Air Station, Kwajalein, Los Alamos National Laboratory
Los Alamos National Laboratory
Los Alamos National Laboratory is a United States Department of Energy national laboratory, managed and operated by Los Alamos National Security , located in Los Alamos, New Mexico...

, the Applied Fisheries Laboratory at the University of Washington
University of Washington
University of Washington is a public research university, founded in 1861 in Seattle, Washington, United States. The UW is the largest university in the Northwest and the oldest public university on the West Coast. The university has three campuses, with its largest campus in the University...

, and Hanford Atomic Power Operations
Hanford Site
The Hanford Site is a mostly decommissioned nuclear production complex on the Columbia River in the U.S. state of Washington, operated by the United States federal government. The site has been known by many names, including Hanford Works, Hanford Engineer Works or HEW, Hanford Nuclear Reservation...

. Three U.S. Navy ships were used in the project: USS Nicholas
USS Nicholas (DD-449)
USS Nicholas was a Fletcher-class destroyer of the United States Navy, which served through most of World War II, and for 27 years and two more wars after. She was the second Navy ship to be named for Major Samuel Nicholas....

, USS Renshaw
USS Renshaw (DD-499)
USS Renshaw , a , was the third ship of the United States Navy of that name, in honor of Commander William B. Renshaw.Renshaw was laid down 7 May 1942 by the Federal Shipbuilding & Drydock Company in Kearny, New Jersey; launched on 13 October 1942, sponsored by Miss Dorothy Lillian Renshaw; and...

, and USS Philip
USS Philip (DD-498)
USS Philip , a , was the second ship of the United States Navy to be named for Rear Admiral John W. 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
United States Atomic Energy Commission
The United States Atomic Energy Commission was an agency of the United States government established after World War II by Congress to foster and control the peace time development of atomic science and technology. President Harry S...

 decided to complete 6- and 12-month followup exposure studies, some of which were later written up as addendums to Project 4.1.

Some Marshallese have alleged that the exposure of the Marshallese was premeditated. In 1972, Micronesian Representative Ataji Balos charged at the Congress of Micronesia
Congress of Micronesia
The Congress of the Federated States of Micronesia has 14 non-partisan members, 10 members elected for a two year term in single-seat constituencies and 4 members elected for a four year term by proportional representation.-Speakers of the Congress:...

 that the exposure during Bravo was purposeful so that the AEC could develop medical capabilities for treating those exposed to fallout during nuclear war
Nuclear warfare
Nuclear warfare, or atomic warfare, is a military conflict or political strategy in which nuclear weaponry is detonated on an opponent. Compared to conventional warfare, nuclear warfare can be vastly more destructive in range and extent of damage...

, 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 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). 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
Nuclear weapon design
Nuclear weapon designs are physical, chemical, and engineering arrangements that cause the physics package of a nuclear weapon to detonate. There are three basic design types...

 and was not deliberate (see the Castle Bravo
Castle Bravo
Castle Bravo was the code name given to the first U.S. test of a dry fuel thermonuclear hydrogen bomb device, detonated on March 1, 1954 at Bikini Atoll, Marshall Islands, as the first test of Operation Castle. Castle Bravo was the most powerful nuclear device ever detonated by the United States ,...

 article for more information on the 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:
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.


Controversy continues however, fed by the legacy of mistrust sown by American nuclear testing in the Marshall Islands
Marshall Islands
The Republic of the Marshall Islands , , is a Micronesian nation of atolls and islands in the middle of the Pacific Ocean, just west of the International Date Line and just north of the Equator. As of July 2011 the population was 67,182...

, 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
Informed consent
Informed consent is a phrase often used in law to indicate that the consent a person gives meets certain minimum standards. As a literal matter, in the absence of fraud, it is redundant. An informed consent can be said to have been given based upon a clear appreciation and understanding of the...

 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
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....

 conducted by the Atomic Energy Commission
United States Atomic Energy Commission
The United States Atomic Energy Commission was an agency of the United States government established after World War II by Congress to foster and control the peace time development of atomic science and technology. President Harry S...

 in the 1940s and 1950s, which came to light only after the end of the Cold War
Cold War
The Cold War was the continuing state from roughly 1946 to 1991 of political conflict, military tension, proxy wars, and economic competition between the Communist World—primarily the Soviet Union and its satellite states and allies—and the powers of the Western world, primarily the United States...

.

According to the Final Project 4.1 report, the Bravo test exposed 239 Marshallese on the Utirik
Utirik Atoll
Utirik Atoll or Utrik Atoll 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 of...

, Rongelap
Rongelap Atoll
Rongelap Atoll or Namorik Atoll is a coral atoll of 61 islands in the Pacific Ocean, and forms a legislative district of the Ralik Chain of the Marshall Islands. Its total land area is only , but it encloses a lagoon with an area of...

, and Ailinginae Atoll
Ailinginae Atoll
Ailinginae Atoll is a 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 encloses a lagoon of . It is located approximately west of Rongelap Atoll. The landscape is low-lying with only the top few...

s to significant level of radiation, and 28 Americans stationed on the Rongerik Atoll
Rongerik Atoll
Rongerik Atoll or Rongdrik Atoll 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 encloses a lagoon of .-History:Rongerik Atoll was claimed by the Empire of...

 were also exposed. Those on the Rongelap Atoll were the most seriously affected, receiving approximately 175 rads
Rad (unit)
The rad is a unit of absorbed radiation dose. The rad was first proposed in 1918 as "that quantity of X rays which when absorbed will cause the destruction of the malignant mammalian cells in question..." It was defined in CGS units in 1953 as the dose causing 100 ergs of energy to be absorbed by...

 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. Most of those exposed did not immediately show signs of radiation sickness
Radiation Sickness
Radiation Sickness is a VHS by the thrash metal band Nuclear Assault. The video is a recording of a concert at the Hammersmith Odeon, London in 1988. It was released in 1991...

, 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
Daigo Fukuryu Maru
was a Japanese tuna fishing boat, which was exposed to and contaminated by nuclear fallout from the United States' Castle Bravo thermonuclear device test on Bikini Atoll, on 1 March 1954....

, the long-term effects were more pronounced. 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 suffer disproportionately from thyroid cancer
Thyroid cancer
Thyroid neoplasm is a neoplasm or tumor of the thyroid. It can be a benign tumor such as thyroid adenoma, or it can be a malignant neoplasm , such as papillary, follicular, medullary or anaplastic thyroid cancer. Most patients are 25 to 65 years of age when first diagnosed; women are more affected...

 (due to exposure to radioiodines), and almost a third of those exposed developed neoplasms by 1974.

The results of the original Project 4.1 were published by the study's authors in professional medical journals, such as the Journal of the American Medical Association
Journal of the American Medical Association
The Journal of the American Medical Association is a weekly, peer-reviewed, medical journal, published by the American Medical Association. Beginning in July 2011, the editor in chief will be Howard C. Bauchner, vice chairman of pediatrics at Boston University’s School of Medicine, replacing ...

.

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

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