Within hours, fallout from a groundburst at Crewe begins descending upon Sheffield. As their severely damaged home offers little protection, the Kemps suffer from radiation sickness, and
Mrs. Kemp is also severely burned (the narrator points out: "the symptoms of radiation sickness and panic are identical"). A day after the attack, they stumble outside to search for Michael, looking in horror at the devastation and fires around them. They find Michael, dead, under a pile of wreckage in the front garden. The Becketts are better protected in their cellar, but Ruth's grandmother (who had been sent to live with them as hospitals were cleared for expected casualties) dies. After helping to move her body to the front room, Ruth leaves the cellar and wanders through the devastated city. Little has been left standing and corpses are everywhere along with dazed, traumatised and injured survivors. Eventually, she arrives at a hospital in Buxton, 20 miles from Sheffield. There is no electricity, no running water and no sanitation, and drugs and medical supplies have long since run out. Crowds of people await treatment, with floors are covered with blood, pillowcases being torn up into makeshift bandages and injured limbs being amputated without anaesthetic. The narrator points out that the entire peacetime resources of the National Health Service, had they survived, would be unable to cope with the casualties from just the one bomb that hit Sheffield. In the aftermath of a full-scale nuclear attack, "as a source of help or comfort he [a doctor] is little better equipped than the nearest survivor."
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