Darling, Professor of Humian Ecology at Yal Finally, both able personnel and an importanit degree of conitiniuity have been assured by)X the assunmption of responsibility for the miedical service at Hiroshimia since 1958 by the Department ot Internial Medicine at Yal For these reasons it is appropriate that thi-L diary be first published in The Yale Joitrna(il of Biology anld Jledicinl 1. Since 1957 the ABCC has been tinder the distinguished Directorship of Dr. Thomiias Francis, Jr., now Professor of Public Health at the University of 'Michigan, who designed the closed population sampling study that is now the core of the operation at ABCC.
A miiajor contribution was made by another former Yale medical student, Dr. one of the first pathologists assigned was Dr. After the Atomic Bomiib Casualty Commllission (ABC was established in 1948. MIen of the Yale Medical School wrere closely associated with the studies at Hiroshimlla fromii the beginning and have remained so to the present timl Colonel Oughterson, himself was an Associate Professor of Surgery on leave, and three others of the seven medical officers assigned to Hiroshimia had been Yale miedical students and twN-o wN-ere on leave froml the faculty. The McGraw-Hill Book Company also permitted the use of several diagrams and sketches reproduced from the original report of the Joint Volume 38, October, 1965 Commi111issioI in M4ledical Effects of thle Atomiiic Bomib itt Japani ( W. Permission to use these was graciously given by the Editor, Mr. transparencies and in part from larger transparencies made by Captain Brownell. These were prepared in part from personal 35 mm. Last and least are personal photographs made by the writer during the time covered by the diary, and again in 1949 on another visit to Hiroshim These provided an opportunity to see the city in renascenc Two of the color plates were first published in Medical Radiography and Photography (Eastman Kodak Company), Volume 24, No. Personnel of the Tokyo Dai-Ichi Military Hospital supplied graphic illustrations of patients at the height of the aplastic anemi Photographs by the Bunka-sha Agency of medical activities at Hiroshima prior to the arrival of the Commission are noteworthy for their technical excellenc Particular credit is due to Captain Charles Brownell and his staff, members of the Joint Commission, who were highly skilled, sensitive to the medical and human problems, and tireless workers. One of the first on the scene and among the most observant of the investigators was Professor Nishina, the famous physicist. All of the early photographs that were incorporated into this report were made by Japanese investigators or news agencies. Blumberg, the Director of the Armed Forces Institute of Pathology, for making this material availabl Most of it has never been published. The writer wishes to express his appreciation to Brigadier General Joe M. These provide background without which the bare daily record might be less than fully comprehensibl Illustrative material was drawn in large part from the original report of the Joint Commission. At the hazard of disturbing continuity, explanatory notes have been put into the text. There is also a short account of the preparation of the report at the Army Institute of Pathology, to the time of its completion on September 7, 1946. This diary provides a record of how the joint Commission was formed, of the establishment of the essential working relationship with Japanese medical investigators immediately after the cessation of hostilities, and of the trials and rewards of daily activities during stressful times from September 18 to December 6, 1945. It was of necessity impromptu, the personnel assigned were not specially prepared, and there was no equipment in hand. It was accomplished in the field, since no thoroughgoing preparations had been made in Washington. Oughterson, surgical consultant in the Pacific Theatre of Operations. The timely organization of the Commission was the work of Colonel Ashley W. Warren representing the "Manhattan District," the responsibility for a comprehensive medical study was placed on the Joint Commission for the Investigation of the Effects of the Atomic Bomb in Japan.
C S P4~ C's > O 0 O a: o0 d C' +Y 3 0 v) C-, 0 N 0 0_ 0- C Ut FOREWORD Although Japanese medical investigating teams had been at work in Hiroshima within three days of the atomic bombing, and although a brief survey had been made between September 8 by a team under Colonel Stafford L. Encounter with Disaster-A Medical Diary of Hiroshima, 1945 Encounter with Disaster-A Medical Diary of Hiroshima, 1945