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One month after the attack, soldiers dig into the town hall basement and find the bodies of the emergency operations staff, who have all died of suffocation. No efforts are made to bury the dead as the surviving population is too weak for manual labour. Burning the bodies is considered a waste of what little fuel remains and so millions are left unburied, threads  which leads to the outbreak of diseases such as cholera and typhoid. The government authorises the use of capital punishment and special courts are given wide-ranging powers to shoot prisoners. As money no longer has any value the only viable currency is food, given as a reward for work or withheld as punishment. Workers who die slightly increase the average daily food rations to the survivors. Due to the millions of tons of soot, smoke and dust that have been blown into the upper atmosphere by the explosions, a nuclear winter develops. Ruth is later working on a farm, having defied official advice and fled the city, eventually giving birth alone in a farm out-building to her daughter, Jane. With nobody to help, Ruth is forced to cut the umbilical cord with her teeth. A year after the war, sunlight begins to return but food production is poor due to the lack of proper equipment, fertilisers and fuel. Damage to the ozone layer also means this sunlight is heavy with ultraviolet radiation. Cataracts and cancer are much more common. The remaining survivors are weakened from illness and hunger.
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