It is possible that such a US strike on active nuclear enrichment facilities could kill as many Iranians as did the use of an atom bomb on Hiroshima in 1945, which killed between 90,000 and 145,000 people over four months. Further effects lingered for years. There was a big spike in leukemia in children from 1947-1951. A similar elevated rate of leukemia in Iranian children would almost certainly follow on a US airstrike on Iranian nuclear facilities. Although the US would not be using a nuclear bomb, it would subject the nuclear material to massive conventional firepower, which would throw up similar radioactive fallout.
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