Science Friday

A Nagasaki survivor and physician recounts his life's work

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Key takeaways

  • The atomic bombings of Hiroshima and Nagasaki resulted in immediate and long-lasting health and psychological effects on survivors, known as hibakusha.
  • Radiation exposure from nuclear bombs can cause various cancers and genetic abnormalities that may develop decades after the initial exposure, indicating lifelong health implications.
  • The psychological trauma experienced by survivors includes anxiety, sleep issues, and flashbacks, which can diminish or intensify over time.
  • Scientific research shows that residual radiation from nuclear weapons, such as plutonium particles, is minimal and unlikely to cause further health problems in survivors.
  • The ongoing health effects and devastating history of nuclear warfare underscore the urgent need for global disarmament and the abolition of nuclear weapons to prevent future tragedies.

Summary

The Impact of the Atomic Bomb on Nagasaki and Its Survivors

This section recaps the devastating human toll of the atomic bombings of Nagasaki, including the initial deaths, the survivors (hibakusha), and their ongoing medical challenges. Dr. Masao Tomanaga shares his personal experience as a child at the time of the bombing and highlights the long-term physical health effects, such as leukemia and other cancers, which have persisted for decades. The discussion underscores the profound and lasting impact of nuclear warfare on individuals and communities.

Medical Research and Long-Term Effects of Radiation Exposure

Dr. Tomanaga delves into his medical work, exploring how radiation from the bomb has caused genetic abnormalities and various cancers, including leukemia and myelodysplastic syndromes (MDS), which can develop many decades after exposure. He explains how radiation effects are dose-dependent and lifelong, with some conditions emerging 80 years later. The section emphasizes the importance of scientific research to understand these long-term health consequences, revealing that radiation's impact on human health can be more enduring than initially thought.

Psychological and Social Consequences for Survivors

This part discusses the psychological trauma experienced by hibakusha, including anxiety, sleep disturbances, and flashbacks, especially during the anniversary seasons of the bombings. Dr. Tomanaga shares findings from large-scale psychological assessments showing that survivors, often living within close proximity to ground zero, have endured significant mental health struggles. He also mentions that, over time, many survivors' memories may fade, leading to a decrease in anxiety, but the long-term emotional scars remain.

Current Care for Survivors and Scientific Findings on Residual Radiation

Dr. Tomanaga runs a nursing home where he cares for survivors. He notes that some patients believe the atomic bomb's effects still linger within their bodies, but scientific studies show that residual radiation, such as plutonium particles, is minimal and unlikely to cause additional health issues. The discussion highlights ongoing medical monitoring and the importance of understanding the true long-term effects of radiation exposure.

Advocacy for Nuclear Disarmament and Lessons for Humanity

In the concluding segment, Dr. Tomanaga emphasizes that 80 years after the Nagasaki bombing, humanity must recognize the inhumane nature of nuclear weapons. He advocates for a nuclear weapon-free world and urges political leaders to make decisive steps towards disarmament. He also stresses the role of younger generations and global diplomacy in achieving a future without nuclear threats, calling for increased awareness and activism to prevent future tragedies.

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Show notes

Dr. Masao Tomonaga was only 2 years old when the United States bombed his home city of Nagasaki. He survived, and grew up to become a physician for other survivors, known as hibakusha. He also studied hematology, and his research on leukemia and myelodysplastic syndromes was foundational for understanding how radiation affects the body. 

In August 2025, the 80th anniversary of the bombings of Hiroshima and Nagasaki, he spoke with Host Ira Flatow about his life’s work, how hibakusha lived with the medical consequences of the bombs, and his message to the world.

Guest: 

Dr. Masao Tomonaga is a survivor of the atomic bombing of Nagasaki and director emeritus of the Japanese Red Cross Nagasaki Atomic Bomb Hospital.

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The transcript for this episode is available at sciencefriday.com.

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