Statistical summary of radiological accidents and other incidents causing radiation casualties

compiled by Wm. Robert Johnston
last updated 29 November 2022

These tables summarize data on radiation accidents and other incidents (i.e. intentional) that have caused acute radiation injury. They are based on the events listed at the Database of radiological incidents and related events. While this includes the major accidents/incidents, it is not a complete listing, nor is it a uniform sampling. In particular, it is known to be incomplete with regard to medical and industrial accidents involving minor injuries.

Table 1: Summary of listed radiological accidents/incidents by type

type of eventcodeincidentsfatalitiesinjuries
accident involving nuclear reactor A-R 11 0 31
accident involving naval reactor A-NR 8 33 179
accident involving power reactor A-PR 2 31 255
criticality accident AC 27 17 51
criticality accident involving research reactorAC-RR 2 4 5
criticality accident involving other reactor AC-R 1 9 19
accelerator accident A-a 14 0 16
accidental dispersal of radioactive material A-d 2 0 940
accidental internal exposure to radioisotope A-i 10 12 79
irradiator accident A-ir 27 13 39
medical radiotherapy accident A-mr 31 70 228
medical x-ray accident A-mx 8 0 20
orphaned source accident A-os 31 31 113
accidental dispersal of orphaned source A-osd 2 6 24
radiography accident A-rg 65 1 82
accidental exposure to source A-s 44 5 67
x-ray accident A-x 51 0 62
radiation accident (unspecified or other) A 44 3 92
intentional exposure of individual (assault) I-a 10 4 84
criminal act (unspecified) I-c 6 0 15
intentional self-exposure I-s 5 3 2
exposures resulting from theft of source I-t 9 8 19
nuclear weapon test NT 4 1 195
TOTAL 414 251 2,617
combat use of nuclear weapon NW 2195,000161,000

Note: Casualty figures include fatalities from effects other than ionizing radiation in several cases (for some reactor accidents and the combat nuclear weapon uses). Nuclear weapon tests are only listed if acute radiation casualties resulted; an additional 4 nuclear tests resulted in casualties from thermal flash or blast only (total of 3 fatalities and 64 injuries). The 1961 SL-1 reactor incident is counted as a reactor accident, although it appears to have been intentional, not accidental.

Figures in the remaining tables do not include the combat use of nuclear weapons by the United States in Japan in 1945. Figures for the U.S.S.R. include several nuclear submarine incidents at sea.

Table 2: Summary of listed radiological accidents/incidents by country

countryincidentsfatalitiesinjuries
Algeria 1 2 6
Argentina 11 1 13
Australia 1 0 2
Bangladesh 1 0 1
Belarus 1 1 0
Belgium 2 0 2
Brazil 2 5 23
Bulgaria 2 1 5
Canada 1 0 1
Chile 1 0 4
China, Republic (ROC) 1 0 1
China, P. R. (PRC) 26 14 125
Costa Rica 1 7 81
Czechoslovakia 5 0 6
Ecuador 1 0 1
Egypt 1 2 5
El Salvador 1 1 2
Estonia 1 1 4
France 9 2 24
Germany (FRG) 11 1 14
Germany, East (GDR) 10 0 11
Georgia 3 2 13
Hungary 3 0 3
India 9 1 16
Indonesia 2 0 2
Iran 1 0 1
Iraq 1 0 1
Israel 1 1 0
Italy 2 1 1
Ivory Coast/Senegal 1 0 4
Japan 4 2 24
Kazakhstan 1 0 1
Korea, South (ROK) 1 0 1
Mexico 3 5 8
Morocco 1 8 3
Netherlands 1 0 1
Nigeria 1 0 26
Norway 1 1 0
Panama 1 17 11
Peru 4 0 13
Poland 1 0 5
Russia (post-Soviet) 29 19 56
South Africa 3 0 6
Spain 2 18 10
Sweden 1 0 1
Switzerland 2 1 3
Thailand 1 3 7
Trust Terr. of Pacific Islands 1 1 93
Tunisia 1 0 1
Turkey 1 0 10
United Kingdom 12 3 22
United States 56 39 222
U.S.S.R. 170 902,714
Venezuela 1 0 1
Vietnam 1 0 1
Yugoslavia 1 1 5
TOTAL 4142512,617

Table 3: Summary of listed radiological accidents/incidents by region

regionincidentsfatalitiesinjuriestotal casualties
U.S.S.R./former Soviet Union2051131,8081,901
Europe 65 29 113 142
United States 56 39 222 261
P. R. China 27 14 125 139
Latin America and Canada 25 36 158 194
Asia (not PRC) 24 7 65 72
Africa 9 12 51 63
Australia and Oceania 2 1 95 96
TOTAL 4142512,6172,868

Table 4: Summary of listed radiological accidents/incidents by 5-year period

periodincidentsfatalitiesinjuries
pre- 1945 3 9 72
1945-1949 2 2 2
1950-1954 29 51,093
1955-1959 11 6 29
1960-1964 26 22 80
1965-1969 39 13 132
1970-1974 39 6 150
1975-1979 59 18 165
1980-1984 46 28 85
1985-1989 49 54 392
1990-1994 32 28 56
1995-1999 31 20 132
2000-2004 23 28 142
2005-2009 15 3 27
2010-2014 8 1 40
2015-2019 1 9 19
2020-2022 1 0 1
TOTAL 4142512,617

Table 5: Summary of listed radiological accidents/incidents by isotope involved

isotope/otherincidentsfatalitiesinjuries
Am-241 1 0 1
Au-197 1 1 1
Au-198 1 1 0
Cf-252 1 0 1
Co-60 62 49 291
Cs-137 27 18 73
H-3 4 4 7
I-125 1 0 1
I-131 6 2 5
I-131, I-123 1 0 1
I-131, Tc-99m 1 0 1
Ir-192 86 16 206
P-32 3 0 5
Po-210 3 2 5
Ra 1 1 0
Ra-226 2 9 81
Rh-106 1 0 1
Sb-124 2 0 2
Sc-46 1 0 1
Sr-90 2 1 3
Sr-90, Y-90 1 0 3
Y-90 1 7 0
multiple isotopes 3 0 966
criticality--Pu 8 4 11
criticality--U 15 17 32
criticality--unknown 7 9 32
accelerator 14 0 16
reactor 30 65 487
x-ray 63 0 87
nuclear test 4 1 193
unknown 60 45 102
TOTAL 4142512,617

Table 6: Summary of outcomes for cases with various whole body doses, cases with reported radiation doses

whole body dose (rad)number exposedfatalities (percent)survival time for fatal cases,
median (range)
4,100-12,000 1616 (100%)6 d (1.5-38 d)
1,610-4,000 1515 (100%)14 d (2-207 d)
610-1,600 4835 (73%)24 d (10-750 d)
410-600 5015 (30%)34 d (16-48 d)
110-400 142 5 (4%)49 d (37-96 d)
10-100 84 0 (0%)N/A

Note that the cases represented by the data in this table encompass a range of situations, for example: doses incurred in short periods or over periods of days to months; medical care ranging from intensive treatments to treatments proceeding without having recognized radiation exposure as the issue involved; some cases where the most serious medical issue is from localized radiation exposure, not from whole body dose.


© 2004-2011, 2022 by Wm. Robert Johnston.
Last modified 29 November 2022.
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