Strontium-90 in Baby Teeth as a Basis for Estimating U.S. Cancer Deaths From Nuclear Weapons Fallout

Int J Soc Determinants Health Health Serv. 2023 Jul;53(3):374-384. doi: 10.1177/27551938231152771. Epub 2023 Jan 31.

Abstract

Nuclear weapons testing in the atmosphere during the 1950s and 1960s deposited fallout throughout the world, exposing all humans to food and water before the Limited Test Ban Treaty ended large-scale tests. The largest effort to measure in vivo fallout in humans, performed by Washington University (USA), collected over 300,000 deciduous teeth to document a sustained increase in Strontium-90 (Sr-90) during testing and a sharp decline after the test ban. Sr-90 patterns and trends in teeth were consistent with those of bones and milk. Sr-90 is still detectable in about 100,000 of the teeth, which were never tested. Tooth donors were born during atmospheric testing (1946-1965) and thus exposed to fallout in utero and during infancy/childhood, when exposures pose the greatest health risk. Preliminary analysis of global fallout's health risk in the United States indicates recent cancer mortality in several high-fallout areas exceeded that of states with the lowest fallout, peaking for the cohort born in the early 1960s, when fallout was highest. These findings support subsequent measurement of Sr-90 in deciduous teeth of persons who died of diseases such as cancer, along with controls, a novel approach to assessing fallout hazards.

Keywords: Strontium-90; bomb fallout; deciduous teeth; nuclear weapons; radioactivity.

MeSH terms

  • Child
  • Humans
  • Infant
  • Neoplasms*
  • Nuclear Weapons*
  • Radioactive Fallout* / adverse effects
  • Tooth, Deciduous
  • United States / epidemiology
  • Washington

Substances

  • Strontium-90
  • Radioactive Fallout