volved in other studies. For example,
many of Hempelmann’s staff were
commandeered late in 1945 to study the
effects of the atomic bombings in
Japan, and on their return, many of
those were released from service. By
1946, Langham was deeply involved in
studies of the fallout from atmospheric
testing of weapons in the Pacific.
Stone returned to Berkeley, and both
Bassett and Warren eventually went to
the University of California in Los An-
geles. The attention of the researchers
was thus diverted away from the injec-
tion studies.
In addition, the transfer, in January
1947, of the Manhattan Project to the
newly formed Atomic Energy Commis-
sion caused the injection studies to be
viewed in a different light—a senstive,
potentially embarrassing one. As a re-
sult of these various forces, no one fol-
lowed up the ten remaining plutonium
injection patients, the only people with
well-characterized plutonium doses, to
determine the impact of plutonium on
their health. Likewise, the eventual
long-term study of Los Alamos plutoni-
um workers with significant body bur-
dens was not started until 1952.
The impact on workers. What was
the impact of the injection studies on
the people working with plutonium at
Los Alamos? In July 1945, five Los
Alamos plutonium workers were judged
to have body burdens equal to or above
the 1-microgram tolerance limit (calcu-
lated by applying the 0.01-per-cent ex-
cretion model to their urine assays).
These workers were removed from fur-
ther work with plutonium. When
World War II ended in August 1945,
all plutonium-related research at Los
Alamos was discontinued pending com-
pletion of a new plutonium laboratory
then under construction (see “Middle
Years—1952 to 1978 at DP Site,” page
134). The new facility was fully occu-
pied by November 1945, and the im-
proved working conditions reduced the
probability of serious accidental expo-
sures. After that, very few workers re-
ceived significant plutonium exposures,
especially those involving inhalation.
Meanwhile, the 0.01-per-cent excretion
model continued as a straightforward
way to estimate a worker’s accumulated
plutonium burden (firmly established by
a 1946 summary of the human injection
data by Russell and Nixon). For exam-
ple, several editions of the General
Handbook for Radiation Monitoring
published by Los Alamos (LA-1835)
after the war stated that measuring 14
disintegrations per minute for plutoni-
um-239 in a 24-hour urine sample col-
lected about a month after exposure
would correspond approximately to a
permissible body burden. That activity
was equivalent, for a 0.01-per-cent ex-
cretion rate, to a 1-microgram (or 63-
nanocurie) body burden.
Chronic exposures. The primary ex-
posure for workers in 1945 was not a
single acute dose, as it was for the pa-
tients injected with plutonium. Rather,
the main concern was chronic inhala-
tion of low levels of plutonium dust,
followed by gradual absorption into the
body of a fraction of the plutonium that
had built up in the lung. Determining
body burdens for this latter type of ex-
posure was more complicated because
the total excreted plutonium was actual-
ly a sum of excretions from many indi-
vidual exposures (or absorptions of ma-
terial from the lungs). Using the
Langham power-function equation to
estimate an effective body burden was
highly sensitive to the selection of data
used to make the calculation. As a re-
sult, it was important to determine if
the picture of plutonium distribution
and excretion based on the injection
studies of humans and animals was an
accurate one for plutonium workers.
On December 30, 1958, an accident oc-
curred in the plutonium processing fa-
cility at Los Alamos in which an expe-
rienced chemical operator, Cecil Kelley,
received a sudden burst of intense neu-
tron and gamma radiation. It was later
estimated that Kelley received a total
dose to his body of 4000 to 5000 rad
(around 12,000 rem), a tremendous
amount of radiation, and he died about
35 hours later.
Kelley had been a plutonium worker
for two-and-a-half years from 1946 to
1949 and, again, for three-and-a-half
years from 1955 through 1958. During
that time, especially the early years, he
had been exposed to plutonium dust on
a regular basis and had a record that in-
cluded 18 instances of high nose-swipe
counts and ten instances of minor expo-
sure, for example, during the cleanup of
a plutonium spill or from a slight skin
laceration. Throughout that period, reg-
ular urine assays had been performed
that usually showed slight amounts of
plutonium. Records were also available
on the average low-level concentrations
of airborne plutonium in the areas
where Kelley had worked.
Kelley’s tragic death, thus, became an
opportunity to compare an individual’s
extensive health and exposure records,
including urine assays, to a postmortem
analysis of tissue. Autopsy samples
were taken from throughout Kelley’s
body so that plutonium concentrations
could be measured. (The accident it-
self, an exposure to neutrons and
gamma rays, had no impact on the lev-
els or distribution of plutonium in his
body.) It was found that about 50 per
cent of the plutonium was in the liver,
36 per cent in the skeleton, 10 per cent
in the lungs, and 3 per cent in the respi-
ratory lymph nodes. Intravenous injec-
tion of plutonium in humans had shown
a somewhat different distribution: 65
per cent in the skeleton and 22 per cent
in the liver, for example. The investi-
gators (Harry Foreman, Wright Lang-
ham, and Bill Moss) felt that such dif-
ferences might have been a result of
differences in the chemical and physical
nature of the plutonium (a soluble salt
versus dust particles). Finally, the total
plutonium in Kelley’s body was esti-
mated to be 18 nanocuries (equivalent
to 0.29 micrograms of plutonium-239).
The Human Plutonium Injection Experiments
Number 23 1995 Los Alamos Science
continued on page 216
213