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According to the authors of a new study, “Cancer, Infant Mortality and Birth Sex-Ratio in Fallujah, Iraq 2005–2009,” the people of Fallujah are experiencing higher rates of cancer, leukemia, infant mortality, and sexual mutations than those recorded among survivors in Hiroshima and Nagasaki in the years after those Japanese cities were incinerated by US atomic bomb strikes in 1945.

The epidemiological study, published in the International Journal of Environmental Studies and Public Health (IJERPH), also finds the prevalence of these conditions in Fallujah to be many times greater than in nearby nations.

The assault on Fallujah, a city located 43 miles west of Baghdad, was one of the most horrific war crimes of our time. After the population resisted the US-led occupation of Iraq—a war of neo-colonial plunder launched on the basis of lies—Washington determined to make an example of the largely Sunni city. This is called “exemplary” or “collective” punishment and is, according to the laws of war, illegal.

The new public health study of the city now all but proves what has long been suspected: that a high proportion of the weaponry used in the assault contained depleted uranium, a radioactive substance used in shells to increase their effectiveness.

In a study of 711 houses and 4,843 individuals carried out in January and February 2010, authors Chris Busby, Malak Hamdan, Entesar Ariabi and a team of researchers found that the cancer rate had increased fourfold since before the US attack five years ago, and that the forms of cancer in Fallujah are similar to those found among the Hiroshima and Nagasaki atomic bomb survivors, who were exposed to intense fallout radiation.

In Fallujah the rate of leukemia is 38 times higher, the childhood cancer rate is 12 times higher, and breast cancer is 10 times more common than in populations in Egypt, Jordan, and Kuwait. Heightened levels of adult lymphoma and brain tumors were also reported. At 80 deaths out of every 1,000 births, the infant mortality rate in Fallujah is more than five times higher than in Egypt and Jordan, and eight times higher than in Kuwait.

Strikingly, after 2005 the proportion of girls born in Fallujah has increased sharply. In normal populations, 1050 boys are born for every 1000 girls. But among those born in Fallujah in the four years after the US assault, the ratio was reduced to 860 boys for every 1000 female births. This alteration is similar to gender ratios found in Hiroshima after the US atomic attack of 1945.

The most likely reason for the change in the sex ratio, according to the researchers, is the impact of a major mutagenic event—likely the use of depleted uranium in US weapons. While boys have one X-chromosome, girls have a redundant X-chromosome and can therefore absorb the loss of one chromosome through genetic damage.

“This is an extraordinary and alarming result,” said Busby, a professor of molecular biosciences at the University of Ulster and director of scientific research for Green Audit, an independent environmental research group. “To produce an effect like this, some very major mutagenic exposure must have occurred in 2004 when the attacks happened. We need urgently to find out what the agent was. Although many suspect uranium, we cannot be certain without further research and independent analysis of samples from the area.”

Busby told an Italian television news station, RAI 24, that the “extraordinary” increase in radiation-related maladies in Fallujah is higher than that found in the populations of Hiroshima and Nagasaki after the US atomic strikes of 1945. “My guess is that this was caused by depleted uranium,” he said. “They must be connected.”

The US military uses depleted uranium, also known as spent nuclear fuel, in armor-piercing shells and bullets because it is twice as dense as lead. Once these shells hit their target, however, as much as 40 percent of the uranium is released in the form of tiny particles in the area of the explosion. It can remain there for years, easily entering the human bloodstream, where it lodges itself in lymph glands and attacks the DNA produced in the sperm and eggs of affected adults, causing, in turn, serious birth defects in the next generation.