Summary: This paper is emerging science, and it is too soon to know one way or the other.
"Has the fallout from American nuclear tests killed hundreds of thousands of civilians as the paper suggests?" This is emerging science and I am unqualified to critique the methods of the paper. When I am faced with a question about emerging science, I go through a checklist.
- Are the authors real scientists? Is the paper a real scientific paper? Is the research peer reviewed?
- Does the author review other scientific literature about the same question in his paper? How do the results of those papers compare?
- Is the research cited by other papers? Are those citations favorable?
Are the authors real scientists? Is the paper a real scientific paper? Is the research peer reviewed?
Keith Meyers is a Ph.D. candidate at the University of Arizona in the department of economics. His research focuses on "Investigating the Economic Consequences of Atmospheric Nuclear Testing." He has apparently finished 3 chapters of his dissertation, which means that substantial effort has been put into this work. According to his CV, the paper linked in the claim is currently under peer review.
None of this speaks to the accuracy of the papers, but it does mean that this guy is not some crank. He is in the process of going through the usual scientific channels.
Does the author review other scientific literature about the same question in his paper? How do the results of those papers compare?
When looking at emerging science, my first stop is to check the existing science. If the estimates of emerging science are in line with the existing, I am much less skeptical. From the literature review in Meyers' paper,
Simon and Bouville (2015) of the National Cancer Institute (NCI) note that there is great uncertainly underlying these estimates. They estimate that fallout from domestic nuclear testing caused 49,000 thyroid cancer deaths. The 95 percent confidence interval for this estimate is 11,300 and 220,000 deaths. Simon and Bouville (2015) suggest testing contributed up to 11,1000 (sic) additional of other cancer deaths. Without nuclear testing they estimated that 400,000 cases of thyroid cancer would arise naturally in the same population.
Meyers then goes on to talk about the limitations of Simon and Bouville's work. They made some assumptions that limit the scope of the deaths they can attribute to fallout. Meyers also lists a number of other references about fallout from other sources in other parts of the world. His methodology differs from the current literature, and his estimates are higher than the current literature.
Oddly, the largest mortality effects occurred in the Great
Plains and Central Northwest U.S., far outside of areas studied by the current literature. Back-of-the-envelope estimates suggest that fallout from nuclear testing contributed between 340,000 to 460,000 excess deaths from 1951 to 1973.
After having read his literature review and conclusions, I am skeptical of both his work and the current literature. The existing estimate by Simon and Bouville is an order of magnitude lower than Meyers' estimate. Meyers questions their assumptions and methodology, but I imagine that his own assumptions and methodology are open to questions. I am not qualified to decide who is correct.
- Is the research cited by other papers? Are those citations favorable?
This research is too new to be cited by other scientists. If you are reading this in the future, this google scholar link can be used to find all of the papers that cite this one. Just click on the button that says "cited by X." Citations in other scientific papers are the real peer review. Other qualified authors may cite this paper positively, argue with its results, or simply repeat the results uncritically. If other papers on very similar topic cite this paper positively, I will trust it a lot more.