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JAMA. 1984;252(5):635-638. doi: 10.1001/jama.1984.03350050023020

The Final Epidemic

Prescriptions for Prevention

  1. Howard H. Hiatt, MD
  1. From the Harvard School of Public Health, Boston.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

IN FEBRUARY 1980, the US Physicians for Social Responsibility held its first public meeting on the medical consequences of nuclear war. That meeting emphasized the effects on health of a nuclear exchange and the inability of the medical community to respond in any meaningful way. An analogy was drawn to an epidemic orders of magnitude worse than any ever experienced or even imagined. Since treatment for such a catastrophe is inconceivable, speakers on that occasion and subsequently have emphasized that all efforts must be directed at prevention.

At the time of that meeting, some political and military figures were talking about surviving—even winning—a nuclear war. Therefore, we physicians considered it our responsibility to describe in stark terms the medical realities, lest strategic planning be based on mistaken assumptions of medical capabilities. We were aware, of course, that prevention of any disease requires an effective prescription. We also recognized that what

Footnotes

  • Presented as a keynote address to the Fourth Congress of the International Physicians for the Prevention of Nuclear War, Helsinki, June 4, 1984.

  • Reprint requests to the Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115 (Dr Hiatt).

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