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Childhood Leukaemia and Radiation near Newbury
Interim Report
Chris Busby, PhD
Background
In August 1996, Eddie Goncalves of CND wrote a report, Broken Arrow (Golcalves,
1996) which drew attention to a nuclear accident in 1957 in which a USAF
bomber had jettisoned its fuel tanks at Greenham Common airbase and caused a
fire in which a nuclear warhead had burned, releasing radioactivity to the
environment. The evidence was contained in a 1961 letter and other
correspondence relating to measurements of Uranium-235 made around Newbury by
scientists from AWRE Aldermaston. These showed that levels of the isotope in
laurel leaves pointed to a source in some event centred on Greenham: it was
stated that about 10gms of U-235 and 20 gms of Plutonium might have been
involved, but no measurements of Plutonium were recorded. There was considerable
media interest in the story and questions were asked in Parliament. Concern was
expressed about the possible consequences of the radiation release to people
living near the base and in and around the nearest town, Newbury.
This had several results. Local people began to collect lists of
leukaemia
cases, COMARE (the Committee on Medical Aspects of Radiation in the Environment)
were asked to reopen their enquiry (COMARE, 1989) into increases in cancer in
West Berkshire, Newbury Council commissioned a study by Southampton University
to measure radioactivity in the area and the National Radiological Protection
Board were asked to investigate and comment on possible hazard. Green Audit was
already looking at increases in cancer and leukaemia in the areas near Harwell,
Aldermaston and Burghfield as part of its on-going study of cancer near nuclear
installations on behalf of the Low Level Radiation Campaign. It contacted the
relevant cancer registry, the Oxford Cancer Intelligence Unit in September. In a
letter, dated 16th October, the director, Dr Monica Roche, refused to release
cancer incidence aggregated small area incidence data. She stated that the
registry was ‘reviewing the completeness of the data and would probably be
undertaking additional work to ensure completeness of case ascertainment.’ It
was therefore not possible to establish the incidence of childhood leukaemia near
Newbury or within its wards.
To bypass this block, Green Audit contacted the Office of National Statistics
and obtained information on leukaemia mortality for the period 1982-1995. This
interim report outlines the results of an analysis of this data for children
aged 0-14 and also discusses radioactive exposure in the area from Greenham, and
more importantly from the triangle AWE Aldermaston, ROF Burghfield, and AERE
Harwell. All three of these establishments have been releasing large quantities
of radioactive pollution to the 800sq km area defined by the Thames and Kennet
valleys since 1952.
Radioactivity in the Newbury leukaemia triangle 1948-1985
Figure 1 shows a schematic map of the area defined by the three nuclear
establishments. Figure 2 and Figure 3 shows trends in liquid radioactive isotope
releases to the various outfalls into the Kennet and Thames and the water table
drained by these two rivers and their tributaries. Total discharges to the area
over the period to 1985 are compared with Sellafield discharges to the Irish Sea
in Table 1.
It is clear that the density of deposition over the period is comparatively
large. Interestingly, there have been few measurements of radioactivity in the
area, and in particular measurements of Plutonium isotopes have been very scarce
and levels shown have been very variable. In general, except for one value of
15Bq/ kg soil at Greenham recorded in a fact sheet handed out by NRPB in 1996
(claiming to represent the concentration found by Cripps and Stimson in 1961)
levels have been in the range of normal global fallout deposition. 15 Bq per kg
represents about 3000 Bq.square metre which is much higher than can be accounted
for by weapons testing fallout (Cawse et al., 1988). Other sample
results, made by the MoD, Harwell or NRPB show no anomalous increases in
measured levels of man-made radioactive pollution. This is curious in view of
the large quantities of these materials released by the three nuclear sites over
the thirty-year period 1950–80.
Table 1.
Total releases to the environment defined by
the 800km2 area of the Thames and Kennet valleys above Reading 1948–1986,
compared with emissions from Sellafield
(Mbq)
|
Site |
Total alpha |
Total beta |
Pu-239 |
U-235 |
Tritium |
Kr-85 +
Ar-41 |
|
Aldermaston |
|
|
|
|
|
|
|
airborne |
2213 |
1013 |
85 |
2128 |
5,615,000,000 |
1,800,000 |
|
liquid |
69,810 |
60,900 |
nr |
nr |
5,640,.000 |
|
|
Harwell |
|
|
|
|
|
|
|
airborne |
nr |
nr |
1443000 |
nr |
604 |
210,000 |
|
liquid |
22,563 |
3,829,196 |
|
|
|
|
|
Total |
94,586 |
3,891,109 |
1443085 |
2128 |
5,620,640,000 |
2,010,000 |
|
Sellafield 1952-95 |
1.35
E+9 |
117
E+9 |
— a |
— a |
|
|
|
Greenham bomb fire |
|
|
uncertain |
0.8 |
|
|
Notes: nr = not recorded.
a For
the Sellafield emissions, these figures are included under total alphas.
Table 2.
Comparison of density of cumulated alpha and
beta radioactive pollution, excluding Tritium and noble gases to Thames and
Kennet valleys (1948-86) with that from Sellafield to the Irish Sea (1952-95),
and weapons testing fallout
|
Sink |
Area
sq. km |
Total alpha
MBq |
Mbq/km2
alpha |
Total beta MBq |
Mbq/km2
beta |
|
Newbury triangle |
800 |
94586 |
118 |
3,891,109 |
4863 |
|
Sellafield |
57 E+6 |
1.35 E+9 |
23 |
117 E+9 |
2052 |
|
Fallout (N. hemisphere) |
|
|
.055 |
|
220 |
Sources :
Greenham bomb: Goncalves, 1996; Newbury Triangle: COMARE, 1989; Sellafield
and global fallout: Busby, 1995.
Leukaemia Mortality in Newbury District 1982-1995
Previous Studies
Following interest in childhood leukaemia near nuclear sites generated by the
reports of a ten-fold excess in Seascale near BNFL Sellafield in 1984 (Gardner
and Winter, 1984), studies were made of populations near Dounreay (Heasman et
al., 1986) and also Aldermaston and Burghfield (Roman et al., 1987).
Initial investigations of childhood leukaemia incidence in West Berkshire and
North Hampshire regions by Roman and colleagues found a small but significant
excess of childhood leukaemia in the age group 0-14 (RR = 1.3 p<.05) and in
the 0-4 age group (RR= 1.6, p<.01) relative to national averages. (RR = risk
relative to the national average.) Looking inside areas 10 km from the nuclear
sites the same authors found relative risks of 1.4 (p<.001) and 2.0
(p<.05) for the same age groups. Following from this, an investigation by
COMARE (1989) confirmed the increases but found that the cause of the excess
could not be radiation from any plant as the exposure levels were too low to
account for them on the basis of risk factors based on the survivors of the
Hiroshima bomb. This is essentially the same argument used by COMARE in
exonerating BNFL Sellafield in the Seascale cluster, an argument first used in
that case by the Black committee in 1984 (Independent Advisory Group, 1984).
Mortality Results
Leukaemia mortality in the age group 0-14 in the Newbury District Council
area, (which extends from Hungerford in the East to Pangbourne in the West) is
given in Table 3 together with the approximate populations. The population at
risk aged 0-14 is approximately 27,000 in 1981 and 25,600 in 1991 (census
figures). Census populations were also used in conjunction with mortality data
for England and Wales from OPCS to generate an average annual national rate for
the comparison periods 1981-90 and 1986-95 and 1991-95.
Table 3.
Mortality from leukaemia ICD 204-208, all
persons aged 0-14: average annual rates per 100,000
|
Region |
1981-1990 |
1986-1995 |
1991-1995 |
population |
|
England and Wales |
1.52 (1457) |
1.19 (1179) |
1.05 (518) |
9,838,000 |
|
Berkshire* |
0.38 (18) |
not available |
n.a. |
475,000 |
|
Newbury CD |
1.9 (5) |
2.58 (7) |
4.68 (6) |
25,600 |
Notes: Population figures are approximated from
available census figures.
* rates were calculated from period 1982-1991.
Sources:
Office of National Statistics; Oxford Cancer Intelligence Unit.
Table 4.
Statistical analysis of data blocks: Newbury
CD versus England and Wales
|
Period |
Odds Ratio
OR |
95% confi-dence limits |
Chi-squared |
Fisher exact
p values |
|
1991-95 |
4.43** |
1.79<OR<10.2 |
15.76 |
.00279 |
|
1986-95 |
2.16* |
0.95<OR<4.7 |
4.35 |
.047 |
|
1981-90 |
1.27 |
0.47<OR<3.16 |
.29 |
.35 |
| |
|
|
|
|
Note : Calculations were performed using Epi-Info
V6.
** highly significant; * significant , otherwise not statistically
significant.
Discussion
There are now reports of increased risk from childhood
leukaemia and other
cancers near many of the main sources of man-made radioactive pollution in the
world. In Europe, the focus of interest has been on Sellafield, Dounreay and La
Hague, in Normandy. The increased incidence in Sellafield is about ten times the
national average for childhood leukaemia. In Dounreay it is eight and near La
Hague about fifteen times the respective national averages. The Newbury
triangle, as we can see from Tables 1 and 2, has received large quantities of
radioisotopic pollution of generally the same type as that released by
Sellafield and over a similar period.
While the latter has been releasing its pollution to the sea, where it is
dispersed more easily, the nuclear sites at Harwell, Aldermaston and Burghfield,
have been releasing their radioactive isotopes to a highly populated area inland
defined by the drainage basins of two rivers, the Thames and Kennet. Drinking
water for the local populations is abstracted from both these rivers, which are
also part of the source for water supplies as far away as London and the Medway
towns in Kent. The water table has also been polluted by significant quantities
of chlorinated solvents, originating in various processes at Harwell and
Aldermaston. Discharges of radioactive gases have been made to the air, and
liquid wastes have been routinely discharged to both the Thames at Sutton
Courtenay (Harwell) , the Thames at Pangbourne (Aldermaston) and Silchester
Sewage Works, Foundry Brook and Kennet (Aldermaston). In addition, the pipeline
from Aldermaston to the Thames discharge point at Pangbourne has leaked and
contaminated land (COMARE, 1989).
The trend in radioactive pollution shown in Figures 1 and 2 indicate maximum
exposures occurring during 1955 to 1965 from Harwell. For Aldermaston alphas
peaked in 1955–65 and beta emitters peaked in 1964–68. From 1965 onwards
large quantities of Tritium were released from both sites. The pollution from
ROF Burghfield was generally much lower and was discharged through normal drains
to the local sewage works.
We have established that the population of the Newbury
leukaemia triangle has
received exposure to similar levels of many of the same radioisotopes that
populations exhibiting high relative risk for childhood leukaemia have received
at Sellafield, Dounreay and La Hague. It is clear that childhood leukaemia
mortality, and therefore, presumably, incidence, is increasing. What is the
cause? If it is radiation exposure, then the 1957 Greenham bomb fire represents
a far lower risk than the emissions under licence over the period 1952 to the
present day. But could such emissions, at levels of overall exposure below
natural background have caused an increase in leukaemia of 400%, twenty years
after they peaked in the sixties, in children who were born later, in the period
1986-95?
The risk factors for radiation-induced cancer, including
leukaemia, are
published by the radiological protection agencies. In the UK the relevant agency
is the National Radiological Protection Board. In the last ten years,
particularly since Chernobyl, the underlying assumptions upon which such
risk-factors are based has been challenged (Busby, 1995). The main basis for
this is the increasing understanding of the molecular basis of radiation
mutagenesis at the level of the cell. It is now widely believed that the study
used to deduce risk from radiation, the Hiroshima survivors lifetime study of
people exposed to a single large acute flash, is unsafe when used to deduce
risks for chronic internal contamination by radioactive elements that mimic
normal atoms used by living organisms (Bramhall, 1996).
In particular, it is now known that cancer and
leukaemia are essentially
genetic diseases, and that genetic damage can be passed on to children and
grandchildren. For example, a specific man-made radioisotope, the beta emitter
Strontium-90, is a most hazardous substance in this regard since it binds to
chromosomes and has a sequential decay scheme which can bypass normal cellular
repair. Man-made radioisotopes cannot generally be compared with natural
background radiation against which living organisms have developed repair
systems. Thus reports by COMARE on the increases in leukaemia near Sellafield
(1996) and also Aldermaston (1989) are wrong to use risk factors based on the
Hiroshima survivors to exonerate radioactive pollution from the plants.
We believe that there is now considerable evidence, which this study
supports, that exposure of parents to internal man-made radioisotopes caused
genetic damage which, amongst other consequences, may be expressed in their
children as leukaemia. This is essentially the Gardner hypothesis (Gardner et
al., 1990) but with internal exposure rather than external exposure as the
cause.
The alternative hypothesis, advanced by COMARE, and others is that population
mixing and a hypothetical virus cause childhood leukaemia (Kinlen et al.,1988,1991).
Population mixing levels in the Newbury area and their comparison with national
averages indicate that this is unlikely to be a factor in the increases shown
here. We intend to report on this shortly.
Finally, we are concerned at the difficulty we have had obtaining cancer
incidence data down to ward level. This data is essential if an analysis of the
cause of the disease is to be located. An alarming situation exists when
information needed to identify a possible environmental threat is kept from the
public, and this situation is even more worrying when the establishment is
ultimately part of an organisation whose director was also, until recently, also
director of the main organisation whose activities constitute the threat.
In this situation are we to believe the results of studies made by COMARE,
whose chairman, Professor Bryn Bridges, once worked at Harwell and whose
secretariat is now based at Harwell? Or we are to look for advice to the
National Radiological Protection Board, also at Harwell? We might expect that
problems of health in the area would be addressed by the Regional Health
Authority, whose chairman is Dr Peter Iredale. But can we rely on their
objectivity when we know that Dr Iredale moved suddenly to this post in 1992
from his job as director of the Harwell laboratory? (Didcot Herald, 12
Mar. 1992). Independent work on the health effects of low level radiation is
urgently needed.
Conclusions
Childhood mortality from leukaemia in the Newbury District Council area has
been increasing relative to the national average over the period 1981-95. In the
five-year period 1991-95 it was 4.4 times the average in England and Wales and
over ten times the average for Berkshire. The cause of this increase is unlikely
to be the nuclear warhead fire at Greenham in 1957, since the amounts of
radiation involved were too small. It is suggested that the cause is radioactive
emissions from Aldermaston and Harwell which peaked in the 1960s causing genetic
damage to the parents of the affected children. There must be concern at the
cancer registry refusal to release small area incidence data which would enable
a more comprehensive analysis to be carried out.
References
Bramhall, R. (ed.) (1996), The Health Effects of Low Level Radiation:
Proceedings of a Symposium held at the House of Commons, London, April 1996
(Aberystwyth: Green Audit).
Busby, C. C. (1995), Wings of Death: Nuclear Pollution and Human Health
(Aberystwyth: Green Audit).
Cawse, P. A., Cambray, R. S., Baker, S. J., and Burton, P. J. (1988), A
Survey of Background Levels of Environmental Radioactivity in Wales, 1984-1986
(Pre-Chernobyl) (Cardiff: Welsh Office).
COMARE (1989), Report on the Incidence of Childhood Cancer in the West
Berkshire and North Hampshire Area in which are Situated the Atomic Weapons
Research Establishment Aldermaston and the Royal Ordnance Factory, Burghfield,
`Third Report’, ed. Martin Bobrow (London: HMSO).
COMARE (1996), The Incidence of Cancer and Leukaemia in Young People in
the Vicinity of the Sellafield Site, West Cumbria: Further Studies and an Update
of the Situation since the Publication of the Report of the Black Advisory Group
in 1984, `Fourth Report’ (London: HMSO).
Gardner, M. J., and Winter, P. D. (1984), `Mortality in Cumberland during
1959-78 with Reference to Cancer in Young People around Windscale’, Lancet,
i: 216–17.
Gardner, M. J., Hall, A. J., Downes, S., and Terrell, J. D. (1987),
`Follow-up Study of Children Born to Workers Resident in Seascale, West Cumbria’,
British Medical Journal, 295: 891–21.
Goncalves, E. (1996), Broken Arrow: The Secret of Greenham Common’s
Nuclear Accident (London: CND).
Heasman, M. A., Kemp, I. W., Urquhart, J. D., and Black, R., (1986), `Childhoold
Leukaemia in Northern Scotland’, Lancet, i: 266.
Independent Advisory Group (1984), Investigation of the Possible Increased
Incidence of Cancer in West Cumbria, `The Black Report’ (London: HMSO).
Kinlen, L. J. (1988), `Evidence for an Infective Cause of Childhood
Leukaemia:
Comparison of a Scottish New Town with Nuclear Reprocessing Sites in Britain’,
Lancet, ii: 1323–7.
Kinlen, L. J., Hudson, C. M., Stiller, C. A. (1991), `Contacts between Adults
as Evidence for an Infective Origin of Childhood Leukaemia: An Explanation for
the Excess near Nuclear Establishments in West Berkshire?’, British Journal
of Cancer, 64: 549–54.
Roman, E., Beral, V., Carpenter, L., Watson, A., Barton, C., Ryder, H., and
Aston, D. L. (1987), `Childhood Leukaemia in the West Berkshire and Basingstoke
and North Hampshire District Health Authorities in Relation to Nuclear
Establishments in the Vicinity’, British Medical Journal, 294: 597–602. |