examinations were conducted.
After the plutonium injection, urine and
stool samples were collected over a pe-
riod ranging from 22 to 65 days. Urine
was collected as 24-hour samples, ex-
cept on the first day when two 12-hour
samples were taken. Fecal samples
were collected daily for the first few
days, then generally pooled at 4-day in-
tervals. Blood samples were obtained at
“frequent intervals” after the injection.
By March 1946, Langham had excre-
tion data from HP-12 at Oak Ridge for
89 days after the injection and from the
first seven Rochester patients for some
25 days. After reviewing these data,
Langham informed Bassett on March
13 that:
The work here is coming along
nicely. I went over some of our
data with our medical physicist
[Joseph G. Hoffman]. We tried to
extrapolate our excretion curves
and derive a mathematical expres-
sion for calculating the amount of
material remaining in the body at
ten and fifteen years. He was
alarmed and disappointed that we
had not followed the excretion fur-
ther in each case. It is his opinion
that the result should be followed
to 244 days in order that an accu-
rate mathematical interpretation
can be made. This emphasizes to
me the necessity of our trying to
get each patient back into the hos-
pital for an occasional study if it is
possible from your point of view.
In fact, additional urine and fecal sam-
ples had been collected in Rochester
from three of the patients (HP-2, HP-4,
and HP-7) about 80 days after their in-
jections, although Langham did not re-
alize this because of a tabulation error.
(The analyses were done in a secure
area—“behind the fence”—whereas
Langham worked in the “rat lab” out-
side, and when the data were trans-
ferred, the final compilation made them
appear to be a continuation of the earli-
er sequential data after day 25.) In re-
sponse to Langham’s letter, additional
urine and fecal samples were collected
for HP-8 continuously out to day 65
after the injection and for HP-9 and
206
Los Alamos Science Number 23 1995
Wright Haskell Langham—1911-1972
As you can see, I have not made any great contributions to science. I have never
been a scientific bride—so to speak—but I have been a bridesmaid at some of the
biggest and most interesting scientific weddings in history.
Wright Langham penciled those words on note paper during an interview regarding
the book “The Bombs of Palomares.” A humble statement from a man who be-
came known throughout the biomedical world as “Mr. Plutonium.” Langham was, in
fact, one of the great pioneers in what became the modern field of health physics.
Born in Winsburro, Texas, May 21, 1911, and raised in a nonacademic, nonprofes-
sional environment, Langham put himself through every measure of his schooling
by hard work. He attended Panhandle A.&M. College (B.S., chemistry, 1934), Ok-
lahoma A.&M. College (M.S., chemistry, 1935), and the University of Colorado
(Ph.D., biochemistry, 1943). After receiving his doctorate, Langham joined the Plu-
tonium Project at the Met Lab in Chicago, and in 1944, he came to Los Alamos.
Eventually, he went on to become Associate Division Leader for Biomedical Re-
search before his untimely death in a local air-commuter crash in 1972.
Although educated in biochemistry, Langham’s major contributions were made in
the fields of radiation biology and radiation toxicology. As discussed at length in
the main article, Langham helped develop, in 1945, the early bioassay procedures
for estimating plutonium body burdens. From the data gathered in the plutonium
injection experiments, he determined the universally used “Langham equation” for
plutonium excretion. He was active in stimulating and correlating nearly all of the
toxicological work on plutonium and related elements for Los Alamos, Argonne,
Rochester, and later, the programs at Utah and other laboratories. He took an ac-
tive part in determining the values for the maximum permissible body burden of
plutonium and derived allowable air and water concentrations for exposure to pluto-
nium, figures that stand essentially unchanged today. There is no major work in
the field of plutonium toxicology that does not bear the hallmark of his work and
The Human Plutonium Injection Experiments
HP-10 through day 36 and day 30,
respectively.
Within a year, five of the subjects had
died from their diagnosed illnesses and
tissue samples were obtained from three
of these cases: HP-5, a 56-year-old man
with Lou Gehrig’s disease who died of
bronchopneumonia; HP-9, a 64-year-old
male with dermatomyositis (an inflam-
matory reaction of unknown cause
involving degenerative changes of skin
and muscle) who also died of bron-
chopneumonia; and HP-11, an 69-year-
old man suffering from alcoholism,
malnutrition, dyspnea, and abdominal
swelling who was moribund at the time
of the injection and lived only 6 more
days. These tissue samples were ana-
lyzed to help determine the distribution
of plutonium in the body.
The injection doses for the 11 patients
ranged from 4.6 to 6.5 micrograms of
plutonium-239, resulting in effective
dose-equivalents that ranged from about
24 to 43 rem per year, or about 67 to
120 times the U.S. average annual ef-
fective dose-equivalent from natural
and manmade radiation sources. The
total dose received by each patient was,
therefore, mainly a function of the
number of years they lived after the in-
jection. These total doses ranged from
0.6 rem (for HP-11, who lived 6 days)
to 1000 rem (for HP-8, who lived al-
most 30 more years).
Two more Chicago patients. Halfway
through the Rochester injection experi-
ments, the Chicago Health Division, on
December 27, 1945, authorized the in-
jection of two additional patients with
plutonium. Both patients were consid-
ered terminal: one was a 56-yr-old
woman with metastasized breast cancer
who was close to death; the other was a
young adult male who most likely had
Hodgkin’s disease. These two patients,
because they were terminal, were in-
jected with 95 micrograms of plutoni-
um-239, the largest amounts (in terms
of mass of plutonium and amount of ra-
dioactivity) injected into any of the
eighteen plutonium-injection patients.
Because of the short survival times
after injection (17 days and about 170
The Human Plutonium Injection Experiments
Number 23 1995 Los Alamos Science
207
ideas, either by direct contribution or by reference to his publications. No major in-
cident involving plutonium contamination went without the benefit of his direct par-
ticipation or consultation. He was in constant demand by both the military and the
federal government in nearly every biomedical phase of the development of nuclear
energy.
Langham may well be identified with his plutonium toxicology work, but it must also
be remembered he made invaluable contributions in other areas of radiobiology.
He participated in studies of the ultimate effects of low levels and high doses of ra-
diation and in an intensive program on the biological effectiveness of diverse types
of radiation in a variety of animal species. That work eventually led him to consid-
er the radiobiological problems of manned space flight and similar work for NASA
and the National Academy of Sciences Space Science Board. Under the auspices
of the Space Science Board, he wrote the definitive volume on radiobiological fac-
tors in manned space flight.
Langham authored or coauthored numerous scientific papers and reviews and held
positions of leadership on many committees, among them the first Chairman of the
National Council on Radiation Protection SubCommittee on Relative Biological Ef-
fectiveness from 1957 to 1960. He was a member of the Health Physics Society
and served on the board of directors (1958-61) and as president (1968-69).
Langham was extremely efficient, a superb organizer, and could be counted on to
speak up for his convictions both as a researcher and as an administrator. For ex-
ample, he sponsored and encouraged liquid-scintillation-detector development (see
“Los Alamos Radiation Detectors for Biology and Medicine,” page 274). He was
never one to be over-impressed by authority, whether it be by rank, position, or lin-
eage. As told by those who knew him, he would always champion the safety and
health of the workers responsible for handling the new-age metal, plutonium.
s
continued on page 210