Attachment F Assistant Secretary of the Army memorandum to Director of Medical Services, Office of the Secretary of Defense, May 3, 1950 MEMORANDUM FOR DIRECTOR OF MEDICAL SERVICES Office of the Secretary of Defense SUBJECT: Recommendation that the Armed Services Conduct Experiments on Human Subjects to Determine Effects of Radiation Exposure 1. Reference is made to your memorandum, L5-2/M3-4 April 1950, subject as above, forwarding for comment a copy of a letter from the Secretary of the NEPA Medical Advisory Committee, dated 22 March 1950, together with a paper, "Irradiation of Human Subjects as a Medical Experiment," prepared by Dr. Robert Stone, Professor of Radiology at the University of California School of Medicine, San Francisco. 2. The Department of the Army recognizes the need to establish the limits of man's tolerance for single and repeated exposures of total body-ionizing radiation. To define these tolerances within narrow limits by a significant number of volunteer human exposures would be exceedingly difficult and dangerous. Considering our present knowledge on treatment of radiation injury, the damage is irreversible at levels of radiation exposure that would give significant information of value to national defense. 3. Significant progress has been made in protecting animals against radiation injury by use of certain endocrine products or chemicals acting through the endocrine systems. It is believed that these studies should be continued. When it appears that reliance can be placed upon these findings, one or two cancer patients, who must have intense radiation treatment for their condition, should be sought on a volunteer basis to undergo what appears to be, from animal experimentation, the probable maximum tolerance level for man. If these acute experiments prove successful, and the treatment methods as good as prior experimental results indicate, then it is recommended that consideration be given to establishing a significant experiment to validate the limits of human tolerance to radiation. 1 4. It is believed that the Armed Forces need to know: a. the level of radiation exposure that will make the individual a casualty within 7 to 30 days; b. the level of radiation exposure that will significantly shorten an individual's life; c. the chances for recovery of individuals showing signs of radiation sickness within one week after exposure to radiation. 5. The Committee on Medical Sciences, Research and Development Board, did not support the views of the joint panel on Medical Aspects of : at its , the Committee "revoked its previous endorse out of the motion of the Joint Panel on Medical Aspects of Atomic Warfare in the of the NEPA Medical Advisory Committee with regard to human experimentation, and voted to refer the matter back to the Joint Panel on Medical Aspects of Atomic Warfare for further consideration." 6. In view of the above, and until experimentation cited in paragraph 5 above, has been accomplished, it is recommended that the proposed piecemeal experimentation at low levels of exposure to radiation injury not be undertaken. Archibald S. Alexander The Assistant Secretary of the Army 2