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Sanctions can only make things worse for the people of India and Pakistan
Pokaran and Chagai, two remote wastelands in India
and Pakistan, convulsed painfully under the impact of 11 nuclear
explosions in May this year, as both countries overtly crossed the
nuclear threshold. In the weeks that followed the widespread euphoria
and irresponsible jingoism witnessed in the streets of Delhi and
Islamabad has given way to introspection and the beginnings of a real
debate on the implications of a nuclear arms race in the subcontinent.
Although the genie of nuclear capability in both countries has been
well and truly let out, it is imperative that India and Pakistan
refrain from embarking on a nuclear weapons build up. It may already be
too late to prevent such a build up, but there are several compelling
reasons why such a programme in the subcontinent may not serve as a
real deterrent to war but greatly enhance its risks and costs.
The analogy with the nuclear stalemate between the United States and
the Soviet Union is misguided, as neither India nor Pakistan possesses
the technology or resources for the requisite safeguards and early
warning systems that the United States and Soviet Union eventually
established. Even if such fail safe systems were available, contiguous
borders and missile delivery times of under 10 minutes, coupled with
fragile democracies and volatile political systems, make the
effectiveness of such systems highly questionable.
Despite sophisticated systems of command and control, the cold war was
fraught with numerous instances of near miss accidents, and a recent
analysis suggests that the risk of accidental nuclear conflict may have
actually increased since the breakup of the Soviet Union.1
Despite claims of safety, significant radiation leakage has resulted
from accidents involving nuclear weapons and production facilities in
the West
2 3
and it is debatable if the fragile economies
of India and Pakistan could sustain better weapons manufacturing,
control, and monitoring systems. In the aftermath of the chemical
disasters in Bhopal (India) and Seveso (Brazil) some have asserted that
the sociopolitical turmoil and unstable economic structures make
developing countries considerably more vulnerable to industrial
accidents.4
More importantly, the enormous costs of nuclear weapons must be weighed
against the abysmal state of human development and health in south
Asia. Both India and Pakistan have some of the highest rates for
maternal and infant mortality in the world.5 Of every 1000 children born in these countries, at least 80 will not live to see
their first birthday.6 Between 20% and 33% of all
newborn infants are of low birth weight,7 and the region
boasts over half of all the malnourished children in the
world.8 These horrifying health indicators, coupled with
lack of basic facilities for health and education, make the diversion
of scarce economic resources to weapons of mass destruction even more
incongruous. Since the nuclear explosions India's defence budget has
already been increased by 10% and Pakistan has imposed a 10% tax
surcharge to meet increasing defence needs. These allocations have led
to an unfortunate but predictable reduction in the existing meagre
allocations to health and education.9
Few among the unruly mobs celebrating in the streets of Delhi and
Islamabad truly appreciate the horrors of nuclear war and the futility
of available measures aimed at reducing the costs of nuclear conflict.
The shocking calculations of the human costs of such an exchange,
highlighted over 36 years ago,10 not only still hold true,
but are amplified severalfold by the growing sophistication of weapons
design and burgeoning urban populations. In a hypothetical calculation
of the impact of a 20 megaton ground burst nuclear device in Boston,
USA, Ervin et al estimated that 2.1 million residents would perish and
a further 0.5 million would be at risk of dying subsequently from major
injuries.10 With large urban populations living in highly
inflammable and flimsy shanty towns, the casualty rates in comparable
cities of India and Pakistan would inevitably be much higher. It is
estimated that an exchange of much smaller (20 kilotons) nuclear
devices between India and Pakistan would cause at least 1.2 million
immediate deaths, with many more succumbing later from the effects of
fall out and lack of medical facilities.11
Neither side would be immune to the effects of even a limited nuclear
exchange: a truly mutually assured destruction. The only way to ensure
that such a conflict never occurs is by educating the populace and
opinion leaders to the true horrors of nuclear conflict and the human
costs of embarking on an expensive and futile programme of weapons
building.
In a subcontinent teetering on the brink of a nuclear abyss, a
rapprochement between India and Pakistan can be achieved only by
pragmatic confidence building measures12 and by
publicising the views of the many proponents of peace on both sides of
the border.
13 14
It should dawn on politicians in both
countries, asserting their right to rub shoulders with global nuclear
superpowers, that true nuclear capability only comes with the necessary
"nuclear responsibility," a responsibility to their impoverished,
destitute, and sick populations and to a world already made unsafe by
stockpiles of nuclear, chemical, and biological weapons.
Nor do the old nuclear powers hold any sort of moral high ground The Aga Khan University, PO Box 3500, Karachi 74800, Pakistan
(zulfiqar.bhutta{at}aku.edu)
with
their continued nuclear weapons programmes and a pitifully slow
disarmament process. Surely some of the blame for recent events in
south Asia lies at their doorstep. Given this failure of the leading
nuclear powers to set an example by getting rid of their own nuclear
arsenals, it is imperative that international sanctions against India
and Pakistan do not add to the misery of millions of children and poor
people in the subcontinent, who will undoubtedly bear the brunt of such
measures.
a post cold war assessment.
N Engl J Med
1998;
338:
1326-1331.
© BMJ 1998
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