O
ver the past fifty years, thousands of workers in the United
States have handled plutonium. Of those workers, only about
fifty, all from the nuclear-weapons complex, have been exposed
to plutonium at levels above the maximum permissible dose. Because
so few people have high-dose exposures, we have little direct informa-
tion about the risk of plutonium in man. This leads to the ironic situa-
tion that the better we protect our workers, the less we know about
their risk. What then do we use to base our decisions about the risk of
plutonium and the precautions we need to take to safeguard workers
against that risk?
Much of our understanding of
the health risk posed by plutoni-
um is based on another element,
radium. Like plutonium, radium
is an alpha-emitting radioisotope,
but it is created naturally as a
decay product, or daughter, of
uranium. As described below,
thousands of people were exposed
to radium before 1932, and the ef-
fects of the many high-dose expo-
sures became apparent after just a
few years. That grievous situation
none-the-less provided scientists
with a group of people who were ex-
posed internally to an alpha-emitting
radioisotope, and who could be ob-
served, evaluated, and studied. In 1944, the risk associated with the
new manmade element plutonium was therefore estimated by scal-
ing the risks associated with radium. That initial estimate was soon
modified to take into account new animal data on the comparative
toxicity and distribution in the bone of radium versus plutonium.
But even today, much of our understanding of the risk of plutonium
to humans and much of the public's perceptions about the dangers of radioactive
materials are grounded in the story of radium.
That story began in 1898 when Marie and Pierre Curie discovered radium. The
announcement at the French Academy of Science of a new radioactive material
followed just two years after Henri Becquerel’s discovery of radioactivity in urani-
um. Radium was only the third radioactive element to be identified (polonium
was the second—also discovered in 1898 by the Curies). Radium was very
scarce; after four years of hard labor, the Curies were able to separate only 100
milligrams of the pure element (roughly equivalent in volume to the the head of a
match) from several tons of uranium ore. It was therefore very expensive, and as
late as 1921, one gram of radium cost $100,000. However, the extraordinary at-
tributes of radium made it worth the cost. The half-life of radium is 1600 years,
as opposed to only 138 days for polonium and 4.5 billion years for uranium (see
“Ionizing Radiation—It’s Everywhere!” pages 24-25, for a discussion of radioac-
tive half-life). Radium was thus a stable source of radiation for hundreds of years
The Human Plutonium Injection Experiments
224
Los Alamos Science Number 23 1995
Radium–the Benchmark for Alpha Emitters
with an intensity three-thousand times greater than an equal amount of uranium.
In other words, radium combined a long life with radioactive intensity far better
than the other known radioactive ma-
terials, and it was eagerly put to a
great number of uses.
Cancer treatment was among the ear-
liest and most beneficial applications
of radium. The idea derived from an
incident that occurred in 1901 in
which Becquerel, eager to carry out
some impromptu demonstrations, car-
ried a tube of radium that was loaned
to him by the Curies in his shirt
pocket for six hours. Ten days later,
he developed a small erythema, or
reddening of the skin, identical to
that produced by x rays. It was clear
that emanations from the radium
sample could affect skin tissue, and
that perhaps, like x rays, such emana-
tions could be used as a treatment for
cancer.
That idea proved to be successful,
and in 1906, the Biological Laborato-
ry of Paris for the practice of “radium
therapy" was established. Applica-
tors containing radium salts were ap-
plied directly to the surface of benign
and malignant tumors to shrink or
eliminate them. Such use of radium
dramatically improved the quality of
many lives (see Figure 1) and helped
found the modern medical field of ra-
diotherapy. However, the radiation
that penetrated the applicators were mainly gamma rays from the radioactive
daughters of radium decay. Once other gamma-ray-emitting radioisotopes, such as
cesium-137, became available from nuclear reactors during the 1960s, the use of ra-
dium as a radiation source for cancer treatment gradually declined and eventually
ended.
During its heyday, however, radium’s use as a cure for cancer was widely publi-
cized in the press. The element assumed an aura that was both mysterious and
fascinating, and it was celebrated in Europe and America. Audiences drew
around storytellers describing the danger of radium’s emanations, while at the
same time, it was touted as a miracle cure for many diseases. The young in-
dulged themselves with radium-laced candies and sodas. Women sought youthful
beauty in radium-containing facial creams, while the fatigued restored their vigor
The Human Plutonium Injection Experiments
Number 23 1995 Los Alamos Science
225
for Alpha Emitters
Marie Curie (1867-1934),
photo taken circa 1920.
Inset: Pierre Curie (1859-1906).