[1] https://edition.cnn.com/2018/10/14/australia/australia-uk-nu...
My name is Yami Lester
I hear I talk I touch but I am blind
My story comes from darkness
Listen to my story now unwind
This is a rainy land
First we heard two big bangs
We thought it was the great snake digging holes
Then we saw the big cloud
Then the big black mist began to roll
This is a rainy land
~ https://www.youtube.com/watch?v=KHY13PCeSxcIn the USofA they just went straight to testing on home soil and wafting fallout across Los Vegas and elsewhere.
SGS Maps Radioactive Fallout from U.S. Nuclear Weapon Tests, Beginning with July 1945 Trinity Test
https://sgs.princeton.edu/news-announcements/news-2023-07-21
https://www.epa.gov/radtown/radioactive-fallout-nuclear-weap...
and then there was the seal level coral reef blast that won the record for fallout across the Pacific: https://en.wikipedia.org/wiki/Castle_Bravo and spawned a generation of mutant radioactive skyscraper toppling lizards and tutles https://en.wikipedia.org/wiki/Godzilla_(franchise) .
In the areas affected by Chernobyl disaster, that lifetime cancer risk went up to 41%/38% respectively. It's unclear even if that rise can be attributed to Chernobyl fallout, or to other factors.
See also: https://cancerletter.com/guest-editorial/20210423_3/
I've read of similar (non-)findings after Hiroshima and Nagasaki. Basically, there is no evidence of any long-term cancer or birth defect increase among survivors. <https://en.wikipedia.org/wiki/Atomic_bombings_of_Hiroshima_a...>
Specific cancers can absolutely be linked with exposure to radiation and certain chemicals.
In your examples, "an elderly man developing prostate cancer" doesn't suffer big QALY impact, since elderly men sadly don't have many LY to begin with, and in addition prostate cancer survivorship rates are pretty high. On the other hand, speaking about thyroid cancer — and don't get me wrong, any cancer sucks — but thyroid cancer afair has well above 95% survivorship rate, where the patient has the thyroid removed and needs to rely on daily pill for the rest of their lives, which no doubt sucks but their life expectancy is otherwise not suffering big impact.
Is also impossible to have any meaningful progress without appealing to feelings.
That is why politicians will often lead with a heartfelt story about a singular person to make us empathize and rarely use data or anecdata.
(I cannot remember the book that expose me to this observation. It's cited several studies that showed that a story such as "just before I came here, I ran into John. He has suffered from leukemia since he was a child in the beautiful islands of Tahiti, wherein he was dosed with radiation from nearby nuclear tests" fared much better in persuading people to do something then "there is a 76% greater likelihood of developing childhood leukemia in Tahiti then elsewhere in the world")
Personal examples specifically don't work in a public funds allocation scenario, where one politician meets John (and his ailment) while another meets Mary (and her ailment) but the funds can be diverted either to treat the Johns or the Marys (but not both). At least QALYs have the right answer for that.
The authors did. I suggest you read the article. They talk about local cancer rates vs France and the types of cancer locals get.