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U. S. Strategic Bombing Survey:
The Effects of the Atomic Bombings
of Hiroshima and Nagasaki
Chairman's Office, June 1946 (51 pages)

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U.S. Strategic
Bombing Survey

THE EFFECTS OF THE ATOMIC BOMBINGS OF
HIROSHIMA AND NAGASAKI
CHAIRMAN’S OFFICE
19 June 1946

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THE UNITED STATES STRATEGIC BOMBING SURVEY
THE EFFECTS OF THE ATOMIC BOMBINGS OF

HIROSHIMA AND NAGASAKI
CHAIRMAN’S OFFICE
19 June 1946

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FOREWORD

The United States Strategic Bombing Survey was established by the Secretary of War on 3 November 1944, pursuant to a Directive from the late President Roosevelt. Its mission was to conduct an impartial and expert study of the effects of our aerial attack on Germany, to be used in connection with air attacks on Japan and to establish a basis for evaluating the importance and potentialities of air power as an instrument of military strategy, for planning the future development of the United States armed forces, and for determining future economic policies with respect to the national defense. A summary report and some 200 supporting reports containing the findings of the Survey in Germany have been published.

On 15 August 1945, President Truman requested that the Survey conduct a similar study of the effects of all types of air attack in the war against Japan, submitting reports in duplicate to the Secretary of War and to the Secretary of the Navy.The officers of the Survey during its Japanese phase were: Franklin D’Olier,Chairman Paul H. Nitze,Henry C. Alexander,Vice-Chairmen Walter Wilds,Secretary Harry L. Bowman J.K.Galbraith Rensis Likert Frank A.McNamee Fred Searls, Jr. Monroe Spaght Dr. Louis R. Thompson Theodore P. Wright,Directors. 

The Survey’s complement provided for 300 civilians, 350 officers, and 500 enlisted men. The military segment of the organization was drawn from the Army to the extent of 60 percent, and from the Navy to the extent of 40 percent. Both the Army and Navy gave the Survey all possible assistance in furnishing men, supplies, transport, and information. The Survey operated from headquarters in Tokyo early in September, 1945, with sub-headquarters in Nagoya, Osaka, Hiroshima, and Nagasaki, and with mobile teams operating in other parts of Japan, the islands of the Pacific and the Asiatic mainland. 

It was possible to reconstruct much of wartime Japanese military planning and execution engagement by engagement and campaign 

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by campaign, and to secure reasonably accurate statistics on Japan’s economy and war- production plant by plant, and industry by industry. In addition, studies were conducted on Japan’s overall strategic plans and the background of her entry into the war, the internal discussions and negotiations leading to her acceptance of unconditional surrender, the course of health and morale among the civilian population, the effectiveness of the Japanese civilian defense organization and the effects of the atomic bombs. Separate reports will be issued covering each phase of the study. 

The Survey interrogated more than 700 Japanese military, government and industrial officials. It also recovered and translated many documents which have not only been useful to the Survey, but will also furnish data valuable for other studies. Arrangements are being made to turn over the Survey’s files to a permanent government agency where they will be available for further examination and distribution. 

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TABLE OF CONTENTS PAGE
I. INTRODUCTION
II. THE EFFECTS OF THE ATOMIC BOMBINGS
A. THE ATTACKS AND DAMAGE

1. THE ATTACKS
2. HIROSHIMA
3. NAGASAKI 

B. GENERAL EFFECTS 

1. CASUALTIES
FLASH BURNS
OTHER INJURIES
RADIATION DISEASE

2. MORALE

3. THE JAPANESE DECISION TO SURRENDER

III. HOW THE ATOMIC BOMB WORKS 

A. THE NATURE OF THE EXPLOSION
B. HEAT
C. RADIATION
D. BLAST 
E. THE ATOMIC BOMB COMPARED WITH OTHER WEAPONS.

IV. SIGNPOSTS

A. THE DANGER
B.WHAT WE CAN DO ABOUT IT

1.SHELTERS
2.DECENTRALIZATION
3.CIVILIAN DEFENSE
4.ACTIVE DEFENSE

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I. INTRODUCTION

The available facts about the power of the atomic bomb as a military weapon lie in the story of what it did at Hiroshima and Nagasaki. Many of these facts have been published, in official and unofficial form, but mingled with distortions or errors. The U.S. Strategic Bombing Survey, therefore, in partial fulfillment of the mission for which it was established, has put together in these pages a fairly full account of just what the atomic bombs did at Hiroshima and Nagasaki. Together with an explanation of how the bomb achieved these effects, this report states the extent and nature of the damage, the casualties, and the political repercussions from the two attacks. The basis is the observation, measurement, and analysis of the Survey’s investigators. The conjecture that is necessary for understanding of complex phenomena and for applying the findings to the problems of defense of the U.S. is clearly labelled.

When the atomic bombs fell, the U.S. Strategic Bombing Survey was completing a study of the effects of strategic bombing on Germany’s ability and will to resist. A similar study of the effects of strategic bombing on Japan was being planned. The news of the dropping of the atomic bomb gave a new urgency to this project, for a study of the air war against Japan clearly involved new weapons and new possibilities of concentration of attack that might qualify the effectiveness of air power. The directors of the Survey, therefore, decided to examine exhaustively the effects of the atomic bombs, in order that the full impact on Japan and the implications of their results could be confidently analyzed. Teams of experts were selected to study the scenes of the bombings from the special points of emphasis of physical damage, civilian defense, morale, casualties, community life, utilities and transportation, various industries, and the general economic and political repercussions. In all, more than 110 men - engineers, architects, fire experts, economists, doctors, photographers, draftsmen - participated in the field study at each city, over a period of ten weeks from October to December, 1945. Their detailed studies, now being published, are listed in an appendix to this summary report. 

In addition, close liaison was maintained with other investigating units. Cooperation was received from, and extended to, the following groups: 

The Joint Commission for the Investigation of the Atomic Bomb in Japan 

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The British Mission to Japan 
The Naval Technical Mission to Japan 

Special acknowledgement is due to the medical groups of the Joint Commission, whose data and findings have been generously made available to the Survey. On medical aspects of the bombings, the Joint Commission was the chief fact-finding group; it will present its definitive report in the near future. In other fields, however -- particularly the study of physical damage and the impact on community life -- the Survey collected its own data and is the primary source. 

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II. The Effects of the Atomic Bombings. 
A. The Attacks and Damage. 

1. The Attacks.

A single atomic bomb, the first weapon of its type ever used against a target, exploded over the city of Hiroshima at 0815 on the morning of 6 August 1945. Most of the industrial workers had already reported to work, but many workers were enroute and nearly all the school children and some industrial employees were at work in the open on the program of building removal to provide firebreaks and disperse valuables to the country. The attack came 45 minutes after the "all clear" had been sounded from a previous alert. Because of the lack of warning and the populace’s indifference to small groups of planes, the explosion came as an almost complete surprise, and the people had not taken shelter. Many were caught in the open, and most of the rest in flimsily constructed homes or commercial establishments. 

The bomb exploded slightly northwest of the center of the city. Because of this accuracy and the flat terrain and circular shape of the city, Hiroshima was uniformly and extensively devastated. Practically the entire densely or moderately built-up portion of the city was leveled by blast and swept by fire. A "fire-storm", a phenomenon which has occurred infrequently in other conflagrations, developed in Hiroshima: fires springing up almost simultaneously over the wide flat area around the center of the city drew in air from all directions. The inrush of air easily overcame the natural ground wind, which had a maximum velocity of 30 to 40 miles per hour two to three hours after the explosion. The "fire-wind" and the symmetry of the built-up center of the city gave a roughly circular shape to the 4.4 square miles which were almost completely burned out. 

The surprise, the collapse of many buildings, and the conflagration contributed to an unprecedented casualty rate. Seventy to eighty thousand people were killed, or missing and presumed dead, and an equal number were injured. The magnitude of casualties is set in relief by a comparison with the Tokyo fire raid of 9/10 March 1945, in which, though nearly 16 square miles were destroyed, the number killed was no larger and fewer people were injured. 

At Nagasaki, three days later, the city was scarcely more prepared, though vague references to the Hiroshima disaster had appeared in the newspaper of 8 August. From the Nagasaki Prefectural Report on the bombing, something of the shock of the explosion can be inferred: 

"The day was clear with not very much wind -- an ordinary midsummer's Day. The strain of continuous air attack on the city's population and the severity of the summer had vitiated

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enthusiastic air raid precautions. Previously, a general alert had been sounded at 0748, with a raid alert at 0750; this was cancelled at 0830, and the alertness of the people was dissipated by a great feeling of relief."

The city remained on the warning alert, but when two B-29’s were again sighted coming in the raid signal was not given immediately; the bomb was dropped at 1102 and the raid signal was given a few minutes later, at 1109. Thus only about 400 people were in the city’s tunnel shelters, which were adequate for about 30 per cent of the population. 

"When the atomic bomb exploded, an intense flash was observed first as though a large amount of magnesium had been ignited, and the scene grew hazy with white smoke. At the same time at the center of the explosion, and a short while later in other areas, a tremendous roaring sound was heard and a crushing blast wave and intense heat were felt. The people of Nagasaki, even those who lived on the outer edge of the blast, all felt as though they had sustained a direct hit, and the whole city suffered damage such as would have resulted from direct hits everywhere by ordinary bombs." 

"The Zero area where the damage was most severe was almost completely wiped out and for a short while after the explosion no reports came out of that area. People who were in comparatively damaged areas reported their condition under the impression that they had received a direct hit. If such a great amount of damage could be wreaked by a near miss, then the power of the atomic bomb is unbelievably great." 

In Nagasaki, no fire storm arose, and the uneven terrain of the city confined the maximum intensity of damage to the vally over which the bomb exploded. The area of nearly complete devastation was thus much smaller: only about 1.8 square miles. Casualties were lower also; between 35,000 and 40,000 were killed, and about the same number injured. People in the tunnel shelters escaped injury, unless exposed in the entrance shaft. 

The difference in the totals of destruction to lives and property at the two cities suggests the importance of the special circumstances of layout and construction of the cities, which affect the results of the bombings and must be considered in evaluating the effectiveness of the atomic bombs. An account of the nature and history of each city will give meaning to the details of the damage and disorganization at each. 

2. HIROSHIMA.

The city of Hiroshima is located on the broad fan-shaped delta of the Ota River, whose seven mouths divide the city into six 

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islands which project finger-like into Hiroshima Bay of the Inland Sea. These mouths of the river furnished excellent firebreaks in a city that is otherwise flat and only slightly above sea level. A highly developed bridge system with 81 important bridges, joined the islands. A single kidney shaped hill in the easter part of the city, about one-half mile long and rising to an elevation of 221 feet, offered some blast protection to structures on the eastern side opposite the point of fall of the bomb. Otherwise, the city was uniformly exposed to the spreading energy from the bomb. 

The city boundary extends to some low hills to the west and northeast and embraces 26.36 square miles, only thirteen of which were built up. Seven square miles were densely or moderately built up, the remaider being occupied by sparsely built-up residential, storage, hilly sections. In the central area, no systematic separation of commercial, industrial, and residential zones existed, though there were rough functional sections. The main commercial district was located in the center of the city, and with the adjoining Chugoku Regional Army Headquarters occupied the greater portion of the central island. Residential areas and military barracks overlapped and surrounded this central area. The bulk of the industries were located on the perimeter of the city, either on the southern ends of the islands (where the Hiroshima airport was also situated) or to the east of the city. The residential, commercial, and military -- contained 75 percent of the total population. If there were, as seems probable, about 245,000 people in the city at the time of the attack, the density in the congested area must have been about 46,000 per square mile. Five completed evacuation programs and a sixth then in progress had reduced the population from its wartime peak of 380,000. 

In Hiroshima (and in Nagasaki also) the dwellings were of wood construction; about one-half were one story and the remainder either one and one-half or two stories. The roof coverings were mostly either hard-burnt black tile. There were no masonry division walls, and large groups of dwellings clustered together. The type of construction, coupled with antiquated fire-fighting equipment and inadequately trained personnel, afforded even in peacetime a high possibility of conflagration. Many wood framed industrial buildings were of poor construction by American standards. The principal points of weakness were the extremely small tenons, the inadequate tension joints, and the inadequate or poorly designed lateral bracings. Reinforced concrete framed buildings showed a striking lack of uniformity in design and in quality of materials. Some of the construction details (reinforcing rod splices, for example) were often poor, and much of the concrete was definitely weak; thus some reinforced concrete buildings collapsed and suffered structural damage when within 2,000 feet of ground zero, and some internal wall paneling was demolished even up to 3,800 feet. (For convenience, the term Òground zero" will be used to designate the point on the ground directly beneath the point of detonation, or "air zero".) 

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Other buildings, however, were constructed far more stongly than is required by normal building codes in America, to resist earthquakes. Furthermore, construction regulations in Japan have specified since the 1923 earthquake that the roof must safely carry a minimum load of 70 pounds per square foot whereas American requirements do not normally exceed 40 pounds per square foot for similar types. Though the regulaion was not always followed, this extra strong construction was encountered in some of the buildings near ground zero at Hiroshima, and undoubtedly accounts for their ability to withstand atomic bomb pressures without structural failures. Nearly 7 percent of the residential units had been torn down to make firebreaks. 

Hiroshima before the war was the seventh largest city in Japan, with a population of over 340,000, and was the principal administrative and commercial center of the southwestern part of the country. As the headquarters of the Second Army and of the Chugoku Regional Army, it was one of the most important military command stations in Japan, the site of one of the largest military supply depots, and the foremost military shipping point for both troops and supplies. Its shipping activities had virtually ceased by the time of the attack, however, because of sinkings and the mining of the Inland Sea. It had been relatively unimportant industrially before the war, ranking only significance. These factories were not concentrated, but spread over the outskirts of the city; this location, we shall see, accounts for the slight industrial damage. 

The impact of the atomic bomb shattered the normal fabric of community life and disrupted the organizations for handling the disaster. In the 30 percent of the population killed and the additional 30 percent seriously injured were included corresponding proportions of the civic authorities and rescue groups. A mass flight from the city took place, as persons sought safety from the conflagration and a place for shelter and food. Within 24 hours, however, people were streaming back by the thousands in search of relatives and friends and to determine the extent of their property loss. Road blocks had to be set up along all routes leading into the city, to keep curious and unauthorized people out. The bulk of the dehoused population found refuge in the surrounding countryside; within the city the food supply was short and shelter virtually non-existent. 

On August 7, the commander of the Second Army assumed general command of the counter-measures, and all military units and facilities in the area were mobilized for relief purposes. Army buildings on the periphery of the city provided shelter and emergency hospital space, and dispersed Army supplies supplemented the slight amounts of food and clothing that had escaped destruction. The need far exceeded what could be made available. Surviving civilians assisted; although casualties in both groups had been heavy, 190 policemen and over 2000 members of the Civilian Defense Corps reported for duty on 

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7 August. 

The status of medical facilities and personnel dramatically illustrates the difficulties facing authorities. Of more than 200 doctors in Hiroshima before the attack, over 90 percent were casualties and only about 30 physicians were able to perform their normal duties a month after the raid. Out of 1,780 nurses, 1,654 were killed or injured. Though some stocks of supplies had been dispersed, many were destroyed. Only three out of 45 civilian hospitals could be used, and two large Army hospitals were rendered unusable. Those within 3,000 feet of ground zero were totally destroyed, and the mortality rate of the occupants was practically 100 percent. Two large hospitals of reinforced concrete construction were located 4,900 feet from ground zero. The basic structures remained erect but there was such severe interior damage that neither was able to resume operation as a hospital for sometime and the casualty rate was approximately 90 percent, due primarily to falling plaster, flying glass, and fire. Hospitals and clinics beyond 7,000 feet, though often remaining standing, were badly damaged and contained many casualties from flying glass or other missiles. 

With such elimination of facilities and personnel, the lack of care and rescue activities at the time of the disaster is understandable; still, the eyewitness account of Father Siemes* shows how this lack of first aid contributed to the seriousness of casualties. At the improvised first aid stations, he reports: 

"...Iodine is applied to the wounds but they are left uncleansed. Neither ointment nor other therapeutic agents are available. Those that have been brought in are laid on the floor and no one can give them any further care. What could one do when all means are lacking? Among the passersby, there are many who are uninjured. In a purposeless, insensate manner, distraught by the magnitude of the disaster, most of them rush by and none conceives the thought of organizing help on his own initiative. They are concerned only with the welfare of their own families--in the official aid stations and hospitals, a good third or half of those that had been brought in died. They lay about there almost without care, and a very high percentage succumbed. Everything was lacking, doctors, assistants, dressings, drugs, etc..."

Effective medical help had to be sent in from the outside, and arrived only after a considerable delay. 

Fire fighting and rescue units were equally stripped of men and equipment. Father Siemes reports that 30 hours elapsed before any organized rescue parties were observed. In Hiroshima, only 16 pieces of fire-fighting equipment were available for fighting the * German-born Jesuit professor at Jochi University, Tokyo; in the Hiroshima area when the bomb fell. 

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conflagration, three of them borrowed. However, it is unlikely that any public fire department in the world, even without damage to equipment or casualties to personnel, could have prevented development of a conflagration in Hiroshima, or combatted it with success at more than a few locations along its perimeter. The total fire damage would not have been much different. 

All utilities and transportation services were disrupted over varying lengths of time. In most cases, however, the demand fell off even more precipitously than the available supply, and where the service was needed it could be restored at a minimal level. Thus, through railroad service was possible on 8 August, only two days after the attack, when fire trucks still had to be used to pump water into the locomotives because of insufficient water pressure. Electric power from the general network was available in most of the surviving parts of the city on 7 August, and only one plant, the Engineering Division of Mitsubishi Heavy Industries, was hampered in its recovery by the inability to obtain sufficient power for several weeks. 

The water resevoir, which was of reinforced concrete and earthcovered, was undamaged; it was nearly two miles from the blast center. However, 70,000 breaks of pipe connections in buildings and dwellings were caused by blast and fire effects. No subsurface pipes were crushed and no leaks resulted from blast as a direct cause, though several leaks in underground mains resulted from falling debris. Pressure in the city center dropped to zero because of the connection breaks and the damage to a 16-inch and a 14- inch water main where they crossed damaged bridges. Six sewer pumping stations were rendered inoperable by fire and blast within a radius of one mile. The remaining eight stations were only slightly damaged, but no effort was made to repair or operate them. Water tables rose at flood periods and lands behind revetments were inundated. 

Trolley cars, trucks, and railroad rolling stock suffered extensive damage. Transportation buildings (offices, stations, living quarters, and a few warehouses) were damaged by fire in the passenger station area, but damage was slight to the roundhouses, transit sheds, warehouses, and repair units in the classification and repair area. About 200 railroad employees were killed, but by 20 August, 14 days after the attack, 80 percent of the employees were at work. 

The electric power transmission and distribution system was wrecked; only power equipment of rugged construction, such as transformers, resisted the blast and heat within the devastated areas. Instruments were damaged beyond repair, and switches, switchyard insulators, cables, and copper bus work were rendered unusable. The telephone system was approximately 80 percent damaged, and no service was restored until 15 August 1945. 

Industry in the center of the city was effectively wiped 

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out. Though small workshops numbered several thousand, they represented only one- fourth of the total industrial production of Hiroshima, since many of them had only one or two workers. The bulk of the city’s output came from large plants located on the outskirts of the city: one-half of the industrial production came from only five firms. Of these larger companies, only one suffered more than superficial damage. Of their working force, 94 percent were uninjured. Since electric power was available, and materials and working force were not destroyed, plants ordinarly responsible for nearly three-fourths of Hiroshima’s industrial production could have resumed normal operation within 30 days of the attack had the war continued. 

Immediately after the attack, the presence of these nearly intact industries spurred counter-measures in an effort to retain for the nation’s war effort the potential output of the city. The prefectural governor issued a proclamation on 7 August, calling for "a rehabilitation of the stricken city and an aroused fighting spirit to exterminate the devilish Americans". To prevent the spread of rumors and brace morale, 210,000 out-of-town newspapers were brought in daily to replace the destroyed local paper. On 16 August, regular rationing was resumed. Care of the injured and disposal of corpses remained urgent, but other steps were few. 

By 1 November, the population of Hiroshima was back to 137,000. The city required complete rebuilding. The entire heart, the main administrative and commercial as well as residential section, was gone. In this area only about fifty buildings, all of reinforced concrete, remained standing. All of these suffered blast damage and all save about a dozen were almost completely gutted by fire; only five could be used without major repairs. These burnt-out structural frames rose impressively from the ashes of the burned over section where occasional piles of rubble or twisted steel skeletons marked the location of brick or steel frame structures. At greater distances light steel frame and brick structures remained undamaged. Blast damage to wood frame buildings and to residences extended well beyond the burned over area, gradually becoming more erratic and spotty as distances were reached where only the weakest buildings were damaged, until in the outer portions of the city only minor disturbances of the tile roofs or breakage of glass were visible. The official Japanese figures summed up the building destruction at 62,000 out of a total of 90,000 buildings in the urban area, or 69%. An additional 6,000 or 6.6% were severely damaged, and most of the others showed glass breakage or disturbance of roof tile. These figures show the magnitude of the problem facing the survivors. 

Despite the absence of sanitation measures, no epidemics are reported to have broken out. In view of the lack of medical facilities, supplies and personnel, and the disruprion of the sanitary system, the escape from epidemics may seem surprising. The experience of 

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other bombed cities in Germany and Japan shows that this is not an isolated case. A possible explanation may lie in the disinfecting action of the extensive fires. In later weeks, disease rates rose, but not sharply. 

3. Nagasaki. 

Nagasaki is located on the best natural harbor of western Kyushu, a spacious inlet in the mountainous coast. The city is a highly congested urban pattern extending for several miles along the narrow shores and up the valleys opening out from the harbor. Two rivers, divided by a mountain spur, form the two main valleys in whose basins the city lies: the Urakami River, in whose basin the atomic bomb fell, running into the harbor from a NNW direction, and the Nakashima River, running from the NE. This mountain spur and the irregular lay-out of the city effectively reduced the area of destruction. 

The main residential and commercial districts are intermingled in these two river basins. The large industrial plants stretch up the west shore of the bay and up the Urakami Valley. Though the metropolitan area of the city is officially about 35 square miles and stretches far into the countryside, the heavily built-up area is confined by the terrain to less than four square miles. The greatest population density thus approximated 65,000 per square mile even after the evacuations. 

Despite its excellent harbor, Nagasaki’s commercial importance, though great in previous centuries, had declined in recent years because of the city’s isolated peninsular position and the difficulties of transportation through the mountains by inadequate roads and railroad facilities. As a naval base it had been supplanted by Sasebo. Industry gradually increased in importance, primarily under Mitsubishi influence. The four largest companies in the city were the Mitsubishi Shipyards, Electrical Equipment Works, Arms Plant, and Steel Works, employing nearly 90 percent of the city’s labor force. Administratively, Nagasaki was by 1941 of merely local importance despite being the seat of the prefectural government. 

Before the atomic bombing on 9 August, Nagasaki had experienced five small-scale air attacks in the previous twelve months, by an aggregate of 136 planes which dropped a total of 270 tons of high explosive, 53 tons of incendiary, and 20 tons of fragmentation bombs. 

Of these, a raid of 1 August 1945 was most effective, with several bombs falling in the Mitsubishi Shipyards and Steel Works. The scale of effect can be roughly measured, however, by comparing the toll of building damage with that from the atomic bomb; in all these raids 276 residential buildings and 21 industrial buildings were destroyed or badly damaged. When the atomic bomb fell, Nagasaki was comparatively intact. 

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Because the most intense destruction was confined to the Urakami Valley, the impact of the bomb on the city as a whole was less shattering than at Hiroshima. In addition, no fire storm occurred; indeed, a shift in wind direction helped control the fires. Medical personnel and facilities were hard-hit, however. Over 80 percent of the city’s hospital beds and the Medical College were located within 3,000 feet of the center of the explosion, and were completely destroyed. Reinforced concrete buildings within this range, though standing, were completely gutted by fire; buildings of wooden construction were destroyed by fire and blast. The mortality rate in this group of buildings was between 75 and 80 percent. Exact casualty figures for medical personnel are unknown, but the city seems to have fared better than Hiroshima: 120 doctors were at work on 1 November, about one-half of the pre-raid roster. Casualties were undoubtedly high: 600 out of 850 medical students at the Nagasaki Medical College were killed and most of the others injured; and of the 20 faculty members 12 were killed and four others injured. 

Utilities and services were again disrupted. Both gas plants were destroyed, and the replacement time was estimated at several months. Though the basic water supply was not affected, thousands of residential feeder-line breaks were supplemented by eight breaks on a fourteen-inch main line and four breaks where another main line crossed a bridge. Electric power distribution and transmission systems were effectively destroyed in the area of heaviest destruction, but power could be supplied to the other parts of the city almost immediately.

Shipping was virtually unaffected. Trolley service was halted both by the interruption in power supply and by damage to street cars. Nagasaki is at the end of a railroad spur line. The major damage was sustained by track and railroad bridges. The rails buckled intermittently for a distance of 5,000 to 7,500 feet from ground zero, at points where burning debris set fire to wooden cross ties. Three bridges were displaced; rails were distorted and the tracks had to be completely rebuilt. The railroad stations were completely destroyed by blast and fire and the electric signal system was severely damaged. Rolling stock was slightly damaged, primarily by fire. Although the damage to equipment was not extensive, it was severe enough to curtail traffic for 48 hours, during which time sufficient emergency repair work was performed to permit resumption of limited traffic. 

Control of relief measures was in the hands of the Prefecture. The sequence of clearance and repair activities illustrates the activities that were carried on. 

The city’s repair facilities were completely disorganized by the atomic bomb, so that with the single exception of shutting off water to the affected areas no repairs were made to roads, bridges, water mains, or transportation installations by city forces. The prefecture took full responsibility for such restoration as was accomplished, 

page 17

delegating to the scattered city help the task of assisting in relief of victims. There were only three survivors of 115 employees of the street car company, and late as the middle of November 1945 no cars were running. A week after the explosion, the water works officials made an effort to supply water to persons attempting to live in the bombed out areas, but the leakage was so great that the effort was abandoned. It fell to the prefecture, therefore, to institute recovery measures even in those streets normally the responsibility of the city. Of the entire public works construction group covering the Nagasaki City area, only three members appeared for work and a week was required to locate and notify other survivors. On the morning of 10 August, police rescue units and workers from the Kawami-nami shipbuilding works began the imperative task of clearing the Omura- Nagasaki pike, which was impassable for 8,000 feet. A path 6 1/2 feet wide was cleared despite the intense heat from smouldering fires, and by August 15 had been widened to permit two-way traffic. No trucks, only rakes and shovels, were available for clearing the streets, which were filled with tile, bricks, stone, corrugated iron, machinery, plaster, and stucco. Street areas affected by blast and not by fire were littered with wood. Throughout the devastated area, all wounded had to be carried by stretcher, since no motor vehicles were able to proceed through the cluttered streets for several days. The plan for debris removal required clearance of a few streets leading to the main highway; but there were frequent delays caused by the heat of smouldering fires and by calls for relief work. The debris was simply raked and shoveled off the streets. By 20 August the job was considered complete. The streets were not materially damaged by the bomb nor were the surface or the abutments of the concrete bridges, but many of the wooden bridges were totally or partially destroyed by fire. 

Under the circumstances -- fire, flight of entire families, destruction of official records, mass cremation -- identification of dead and the accurate count of casualties was impossible. As at Hiroshima, the season of the year made rapid disposal of bodies imperative, and mass cremation and mass burial were resorted to in the days immediately after attack. Despite the absence of sanitary measures, no epidemics broke out here. The dysentery rate rose from 25/100,000 to 125/100,000. A census taken on 1 November 1945 found a population of 142,700 in the city. 

At Nagasaki, the scale of destruction was greater than at Hiroshima, though the actual area destroyed was smaller because of the terrain and the point of fall of the bomb. The Nagasaki Prefectural Report describes vividly the impress of the bomb on the city and its inhabitants: 

"Within a radius of one kilometer from ground zero, men and animals died almost instantaneously from the tremendous blast pressure and heat; houses and other structures were smashed, crushed and scattered; and fires broke out. The strong complex steel members of the structures of 

page 18

the Mitsubishi Steel Works were bent and twisted like jelly and the roofs of the reinforced concrete National Schools were crumpled and collapsed, indicating a force beyond imagination. Trees of all sizes lost their branches or were uprooted or broken off at the trunk. 

"Outside a radius of one kilometer and within a radius of two kilometers from ground zero, some men and animals died instantly from the great majority were seriously or superficially injured. Houses and other structures were completely destroyed while fires broke out everywhere. Trees were uprooted and withered by the heat. 

"Outside a radius of two kilometers and within a radius of four kilometers from ground zero men and animals suffered various degrees of injury from window glass and other fragments scattered about by the blast and many were burned by the intense heat. Dwelling and other structures were half or only partially damaged." 

While the conflagration with its uniformly burnt out area caught the attention at Hiroshima, the blast effects, with their resemblance to the aftermath of a hurricane, were most striking at Nagasaki. Concrete buildings had their sides facing the blast stove in like boxes. Long lines of steel framed factory sheds, over a mile from ground zero, leaned their skeletons away from the explosion. Blast resistant objects like telephone poles leaned away from the center of the explosion; on the surrounding hills trees were blown down within considerable areas. Although there was no general conflagration, fires contributed to the total damage in nearly all concrete structures. Evidence of primary fire is more frequent than at Hiroshima. 

Because parts of the city were protected by hills, more than one-half of the residential units escaped serious damage. Of the 52,000 residential units in the city on 1 August, 14,146 or 27.2 percent were completely destroyed (by Japanese count) (11,494 of these were burned) ; 5,441 or 10.5 percent were half-burned or destroyed; many of the remaining units suffered superficial or minor damage. In 558 non-residential buildings in the built-up area of Nagasaki which the Survey studied, almost 60 percent of the usable floor area was destroyed or structurally damaged. Only 12 percent was undamaged, the rest suffering superficial or minor damage. 

The survival of a higher percentage of the buildings, then, distinguishes Nagasaki from Hiroshima; so also, on the other hand, does the damage to factories. In Nagasaki, only the Mitsubishi Dockyards among the major industries was remote enough from the explosion to 

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escape serious damage. The other three Mitsubishi firms, which were responsible together with the dockyards for over 90 percent of the industrial output of the city, were seriously damaged. The Arms Plant and the Steel Works were in the main area of damage. Plant officials estimated that 58 percent of the value of the former and 78 percent of the value of the latter were destroyed: Survey investigators considered the two plants to be 50 percent destroyed. The Mitsubishi Electric Works were on the edge of the main area of destruction, but suffered 10 percent structural damage. 

One or two paragraphs from the report of the commanding officer of Sasebo Naval District will illustrate the sort of damage done to industrial installations. Of two plants of the Mitsubishi Arms Works, he reports: 

"With the exception of the tunnel workshops and the half-underground workshops, the Ohashi and Mori Machi Plants were completely destroyed by collapse. Reinforced concrete structures in these plants were severely damaged internally - ceilings collapsed, fittings of all sorts were destroyed, and equipment was damaged. Casting and forging shops in the Ohashi Plant were destroyed by fire, which broke out in those structures. The Mori Machi Plant was nearly completely destroyed by fire. Taking both plants together, 60% of the machinery installations was damaged. In the Ohashi Plant, from 80 to 90% of the machinery can be used again; in the Mori Machi Plant only 40 to 50% of the machinery can be used in the future."

Or of the Mitsubishi Steel Works: 

"Plant structures here (some north-light steel framed structures) suffered extensive damage to roofs and walls as steel plates were blown off. The frames themselves were bent, twisted, or toppled over, and several buildings caught fire. Hardly any of the machinery in the plant can be used again in its present condition. However, nearly 70% of the machinery can be repaired."

In general, (as has proved true with high explosive or incendiary bombs also), the damage to machinery and other contents of a factory was less than damage to the buildings. In addition, the air burst of the atomic bomb meant that it acted indirectly on machine tools and other building contents. Though a few tools were blown over by blast, almost all the serious damage was caused by debris from damaged buildings, overturning through mass movement of buildings, or burning of buildings. 

Thus the extent and sort of damage to machinery depended on the construction of the buildings housing them. In wood frame buildings, 95 percent of the machines were seriously damaged, but in reinforced 

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concrete or steel framed buildings only one-third or one-fourth of the machines were affected seriously. As would be expected, fire caused much damage to machines in timber framed shops (practically all of which were destroyed up to 7,000 feet from ground zero) and some damage in other types of structure. Debris was a major cause of damage only in certain reinforced concrete buildings, where walls and roofs collapsed. 

Shortage of raw materials had reduced operations at these four Mitsubishi plants to a fraction of their capacity. Had the raw material situation been normal and had the war continued, it is estimated that restoration of production would have been possible though slow. The dockyard, which was affected mainly by the 1 August attack rather than by the atomic bomb, would have been able to produce at 80 percent of full capacity within three or four months. The steel works would have required a year to get into substantial production, the electric works could have resumed production at a reduced rate within two months and been back at capacity within six months, and the arms plants would have required 15 months to reach two-thirds of their former capacity.

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B. GENERAL EFFECTS

1. Casualties

The most striking result of the atomic bombs was the great number of casualties. The exact number of dead and injured will never be known because of the confusion after the explosions. Persons unaccounted for might have been burned beyond recognition in the falling buildings, disposed of in one of the mass cremations of the first week of recovery, or driven out of the city to die or recover without any record remaining. No sure count of even the pre-raid populations existed. Because of the decline in activity in the two port cities, the constant threat of incendiary raids, and the formal evacuation programs of the government, an unknown number or the inhabitants had either drifted away from the cities or been removed according to plan. In this uncertain situation, estimates of casualties have generally ranged between 100,000 and 180,000 for Hiroshima, and between 50,000 and 100,000 for Nagasaki. The Survey believes the dead at Hiroshima to have been between 70,000 and 80,000 with an equal number injured; at Nagasaki over 35,000 dead and somewhat more than that injured seem the most plausible estimate. 

Most of the immediate casualties did not differ from those caused by incendiary or high explosive raids. The outstanding difference was the presence of radiation effects, which became unmistakable about a week after the bombing. At the time of impact, however, the causes of death and injury were flash burns, secondary effects of blast and falling debris, and burns from blazing buildings. No records are available that give the relative importance of the various types of injury, especially for those undoubtedly died several times over, theoretically, since each was subjected to several injuries any one of which would have been fatal. The Hiroshima prefectural health department placed the proportion of deaths from burns (flash or flame) at 60 percent, from falling debris at 30 percent and from other injuries at 10 percent; it is generally agreed that burns caused at least 50 percent of the initial casualties. Of those who died later, an increasing proportion succumbed to radiation effects.

The seriousness of these radiation effects may be measured by the fact that 95 percent of the traced survivors of the immediate explosion who were within 3,000 feet suffered from radiation disease. Colonel Stafford Warren, in his testimony before the Senate Committee on Atomic Energy, estimated that radiation was responsible for 7 to 8 percent of the total deaths in the two cities. Most medical investigators who spent some time in the areas feel that this estimate is far too low; it is generally felt that no less than 15 to 20 percent of the deaths were from radiation. In addition, there were an equal number who were casualties but survived, as well as uncounted thousands who probably were affected but survived, as well as uncounted thousands who probably were affected by the gamma rays but not enough to produce definite illness. 

A plausible estimate of the importance of the various causes of death would range as follows: 

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Flash burns 20 to 30 per cent
Other injuries 50 to 60 per cent
Radiation Sickness 15 to 20 per cent

If we examine the nature of the casualties under each group of causes we find familiar and unfamiliar effects.

Flash burns.

The flash of the explosion, which was extremely brief, emitted radiant heat travelling at the speed of light. Flash burns thus followed the explosion instantaneously. The fact that relatively few victims suffered burns of the eyeballs should not be interpreted as an indication that the radiant heat followed the flash, or that time was required to build up to maximum heat intensity. The explanation is simply that the structure of the eye is more resistant to heat than is average human skin, and near ground zero the recessed position of the eyeball offered protection from the overhead explosion. Peak temperatures lasted only momentarily. 

Survivors in the two cities stated that people who were in the open directly under the explosion of the bomb were so severely burned that the skin was charred dark brown or black and that they died within a few minutes or hours. 

Among the survivors, the burned areas of the skin showed evidence of burns almost immediately after the explosion. At first there was marked redness, and other evidence of thermal burns appeared within the next few minutes or hours, depending on the degree of the burn. Uninfected burns healed promptly without any unusual clinical features, according to the Japanese physicians who attended the cases. American medical observers noted only a tendency to formation of excess scar tissue, which could be satisfactorily explained as the result of malnutrition and the large degree of secondary infection that complicated healing of the burns. There were also a few instances of burns healing with contractures and limitation of the mobility of certain joints, such as the elbows or knees. In many instances, these primary burns of minor nature were completely healed before patients developed evidence of radiation effects. 

Because of the brief duration of the flash wave and the shielding effects of almost any objects -- leaves and clothing as well as buildings-there were many interesting cases of protection. The radiant heat came in a direct line like light, so that the area burned corresponded to this directed exposure. Persons whose sides were toward the explosion often showed definite burns of both sides of the back while the hollow of the back escaped. People in buildings or houses were apparently burned only if directed exposed through the windows. The most striking instance was that of a man writing before a window. His hands were seriously burned but his exposed face and neck suffered only slight burns due to the angle of entry of the radiant heat through the window.

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Flash burns were largely confined to exposed areas of the body, but on occasion would occur through varying thicknesses of clothing. Generally speaking, the thicker the clothing the more likely it was to give complete protection against flash burns. One woman was burned over the shoulder except for a T-shaped area about one-fourth inch in breadth; the T-shaped area corresponded to an increased thickness of the clothing from the seam of the garment. Other people were burned through a single thickness of kimono but were unscathed or only lightly affected underneath the lapel. In other instances, skin was burned beneath tightly fitting clothing but was unburned beneath loosely fitting portions. Finally, white or light colors reflected heat and afforded some protection; people wearing black or dark-colored clothing were more likely to be burned. Other Injuries 

Because of the combination of factors at the area near the center of the explosion, the casualty effects of blast are hard to single out. If it is remembered that even directly under the explosion people were several hundred feet away from the air-burst, it will be easier to understand why true blast effects were relatively rare. Only toward the periphery of the affected zone was the blast effect lateral and likely to throw people violently against buildings, and at the periphery the intensity of the blast had fallen off sharply. Comparatively few instances were reported of arms or legs being torn from the body by flying debris. Another indication of the rarity of over-pressure is the scarcity of ruptured eardrums. Among 106 victims examined by the Japanese in Hiroshima on 11 and 12 August, only three showed ruptured eardrums; a study done in October at the Omura hospital near Nagasaki revealed that only two of 92 cases had ruptured eardrums. Only at Nagasaki were there reports of over-pressure in the stock wave. Some of the dead were said by survivors to have protruding eyes and tongue, and to have looked as if they had drowned. Thorough check by Allied investigators discredited these stories as evidence of direct blast effects; the normal effects of blast are internal hemorrhage and crushing. These external signs point to injuries from debris rather than blast. 

Injuries produced by falling and flying debris were much more numerous, and naturally increased in number and seriousness nearer the center of the affected area. The collapse of the buildings was sudden, so that thousands of people were pinned beneath the debris. Many were able to extricate themselves or received aid in escaping, but large numbers succumbed either to their injuries or to fire before they could be extricated. The flimsiness of Japanese residential construction should not be allowed to obscure the dangers of collapse; though the walls and partitions were light, the houses had heavy roof timbers and heavy roof tiles. Flying glass from panels also caused a large number of casualties, even up to 15,000 feet from ground zero. 

The number of burns from secondary fires was slight among survivors, but it was probable that a large number of the deaths in both cities came 

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from the burning of people caught in buildings. Eyewitness accounts agree that many fatalities occurred in this way, either immediately or as a result of the lack of care for those who did extricate themselves with serious burns. There are no references, however, to people in the streets succumbing either to heat or to carbon monoxide as they did in Tokyo or in Hamburg, Germany. A few burns resulted from clothing set afire by the flash wave, but in most cases people were able to beat out such fires without serious injury to the skin. Radiation Disease 

The radiation effects upon survivors resulted from the gamma rays liberated by the fission process rather than from induced radio-activity or the lingering radio-activity of deposits of primary fission products. Both at Nagasaki and at Hiroshima, pockets of radio-activity have been detected where fission products were directly deposited, but the degree of activity in these areas was insufficient to produce casualties. Similarly, induced radio-activity from the interaction of neutrons with matter caused no authenticated fatalities. But the effects of gamma rays -- here used in a general sense to include all penetrating high- frequency radiations and neutrons that caused injury--are well established, even though the Allies had no observers in the affected areas for several weeks after the explosions. 

Our understanding of radiation casualties is not complete. In part the deficiency is in our basic knowledge of how radiation affects animal tissue. In the words of Dr. Robert Stone of the Manhattan Project, "The fundamental mechanism of the action of radiation on living tissues has not been understood. All methods of treatment have therefore been symptomatic rather than specific. For this reason, studies into the fundamental nature of the action of radiation have been carried on to some extent, the limitation being that it was unlikely that significant results could be obtained during the period of war." 

According to the Japanese, those individuals very near the center of the explosion but not affected by flash burns or secondary injuries became ill within two or three days. Bloody diarrhea followed, and the victims expired, some within two to three days after the onset and the majority within a week. Autopsies showed remarkable changes in the blood picture--almost complete absence of white blood cells, and deterioration of bone marrow. Mucous membranes of the throat, lungs, stomach and intestines showed acute inflammation. 

The majority of the radiation cases, who were at greater distances, did not show severe symptoms until one to four weeks after the explosion, though many felt weak and listless on the following day. After a day or two of mild nausea and vomiting, the appetite improved and the person felt quite well until symptoms reappeared at a later date. In the opinion of some Japanese physicians, those who rested or subjected themselves to less physical exertion showed a longer delay before the onset of subsequent symptoms. The first signs of recurrence were loss of appetite, lassitude, 

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and general discomfort. Inflammation of the gums, mouth, and pharynx appeared next. Within 12 to 48 hours, fever became evident. In many instances it reached only 100 degrees Fahrenheit and remained for only a few days. In other cases, the temperature went as high as 104 or 106 degrees Fahrenheit. The degree of fever apparently had a direct relation to the degree of exposure to radiation. Once developed, the fever was usually well sustained, and in those cases terminating fatally it continued high until the end. If the fever subsided, the patient usually showed a rapid disappearance of other symptoms and soon regained his feeling of good health. The other symptoms commonly seen were shortage of white corpuscles, loss of hair, inflammation and gangrene of the gums, inflammation of the mouth and pharynx, ulceration of the lower gastrointestinal tract, small livid spots (petechiae) resulting from escape of blood into the tissues of the skin or mucous membrane, and larger hemorrhages of gums, nose and skin. 

Loss of hair usually began about two weeks after the bomb explosion, though in a few instances it is reported to have begun as early as four to five days afterwards. The areas were involved in the following order, with variations depending on the degree of exposure : scalp, armpits, beard, pubic region, and eyebrows. Complete baldness was rare. Microscopic study of the body areas involved has shown atrophy of the hair follicles. In those patients who survived after two months, however, the hair has commenced to regrow. An interesting but unconfirmed report has it that loss of the hair was less marked in persons with grey hair than in those with dark hair. 

A decrease in the number of white blood corpuscles in the circulating blood appears to have been a constant accompaniment of radiation disease, even existing in some milder cases without other radiation effects. The degree of leukopenia was probably the most accurate index of the amount of radiation a person received. The normal white blood count averages 5,000 to 7,000: leukopenia is indicated by a count of 4,000 or less. The white blood count in the more severe cases ranged from 1,500 to 0, with almost entire disappearance of the bone marrow. The moderately severe cases showed evidence of degeneration of bone marrow and total white blood counts of 1,500 to 3,000. The milder cases showed white blood counts of 3,000 to 4,000 with more minor degeneraion changes in the bone marrow. The changes in the system for forming red blood corpuscles developed later, but were equally severe. 

Radiation clearly affected reproduction, though the extent has not been determined. Sterility had been a common finding throughout Japan, especially under the conditions of the last two years, but there are signs of an increase in the Hiroshima and Nagasaki areas to be attributed to the radiation. Sperm counts or complete aspermia for as long as three months afterwards in males who were within 5,000 feet of the center of the explosion. Cases dying of radiation disease showed clear effects on spermatogenesis. Study of sections of ovaries from autopsied radiation victims has not yet been completed. The effects of the bomb on pregnant women are marked, however. Of women in various stages of pregnancy who were 

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