Significance
The United States performed nuclear testing on Bikini and Enewetak Atolls in the northern Marshall Islands between 1946 and 1958. Fallout from the largest test Bravo, detonated in 1954, spread over a large area, exposing to radiation not only land and ocean but also Marshallese people living in neighboring atolls, including Rongelap and Utirik. Cesium-137, present in the fallout, has a half-life of approximately 30 y and is readily absorbed by food crops, thus representing a health hazard for island inhabitants. In situ measurements of cesium-137 content were made for fruits from 11 islands on four atolls. Contamination remains above limits set by international safety standards in some measured fruits, and several islands display contamination from this human-made radionuclide.
Keywords: Marshall Islands, food, radiation, cesium-137, Bikini
Abstract
Radioactive contamination of fruits in the northern Marshall Islands, resulting from the US nuclear weapons testing program in the 1940s and 1950s, is still a human health concern, in particular pertaining to island population resettlement and the economic benefit from farming. Over 200 fruits, primarily coconuts and pandanus, were collected on 11 islands from four atolls in the northern Marshall Islands in 2017. The energy spectra from nuclear gamma decays were measured on a research vessel for each fruit in situ. From these recordings, the level of cesium-137 (137Cs) contamination was determined for individual fruits. Comparisons of the results are made to past studies and international food safety standards. There is a broad distribution of values, ranging from below detectable radiation levels to relatively high levels; safety concerns are largest for Bikini Island. A noticeable fraction of fruits from Bikini have significantly higher levels of 137Cs contamination compared with those from all other measured islands.
The United States conducted 67 nuclear tests in the Republic of the Marshall Islands (RMI) between 1946 and 1958. These tests consisted of a large assortment of fission and fusion devices, with an enormous range of energy yields (up to 15 megatons), including 18 tests with energy yields over a megaton (1). Radioactive fallout from the testing program contaminated a huge swath of land and ocean, extending over a million square kilometers, and severely impacted the habitability of the affected atolls. Enewetak and Bikini Atolls, used as ground zero for the tests, as well as neighboring Rongelap and Utirik Atolls, were exposed to high levels of fallout and have been formally recognized as “nuclear atolls” (2, 3). See SI Appendix, Fig. S1 for a map indicating their locations. Smaller northern atolls, such as Rongerik, Ailinginae, Ailuk, and Likiap, were also impacted (4). Inhabitants of Enewetak and Bikini Atolls were evacuated before the tests, but Rongelap and Utirik Atolls were inhabited during that time and were affected by the fallout from the largest nuclear weapon ever tested by the United States, Castle Bravo. Rongelap and Utirik inhabitants suffered severe health consequences from radiation poisoning, including death, and many of the health effects continue to affect those present on the islands at the time of the testing, as well as their descendants (5, 6).
The intervening years featured a complicated history of further evacuations, island resettlements, radiological cleanup, and even more evacuations. While Enewetak and Utirik today host populations of ∼660 and ∼410, respectively, Bikini and Rongelap Atolls are yet to be resettled. An in-depth understanding of the current radiological conditions is essential for informed decision making by the Marshallese people in regards to resettlement and future use of these lands, as well as to ensure the safety of the Marshallese who live in the northern atolls today.
Current external gamma radiation levels in Bikini, Enewetak, and Rongelap Atoll were assessed by our group in 2015 (7). We found that external gamma radiation levels on Bikini Island remain, on average, above 100 mrem/y, which was the total radiation exposure standard agreed upon by the United States and the RMI governments for resettlement (8). According to our study, Rongelap Island had external gamma radiation levels below this standard, and several islands on Enewetak Atoll had levels of external gamma radiation that were indistinguishable from Majuro Island in the southern RMI, which we had designated as a control island. However, because the total radiation dose must be considered, rather than just external gamma radiation, it is critical to examine other exposure pathways, including ingestion.
Radiological contamination of the local food sources is one of the most important health hazards from the nuclear weapons testing program. Among the different radionuclides that result from a nuclear explosion, 137Cs is most relevant to food contamination and internal exposure. For example, huge efforts have been made to regulate and reduce 137Cs in food in Japan following the Fukushima Daiichi accident in 2011, including making over a million measurements since the accident (9, 10). Due to its extreme solubility, 137Cs binds strongly to soil and does not travel far beneath the surface, being absorbed by trees and plants, and consequently transferred into their fruit (11). Additionally, due to its relatively long half-life of 30.1 y, 137Cs has a tendency to bioaccumulate in plant tissue, thus prolonging exposure to radiation and becoming a long-term health concern (11). In fact, internal radiation exposure to the radionuclide 137Cs via food ingestion has previously been estimated to contribute 85 to 90% of the total radiation exposure to the Marshallese living in the northern atolls (12). The 137Cs nucleus forms as a nuclear-fission product of uranium-235 from nuclear weapon explosions, authorized discharge of nuclear waste, or accidental release from nuclear facilities (13). Thus, our study provides an indication of the lasting effects of the US nuclear weapons testing program in the RMI.
Accurate measurement of radiation in food requires sensitive radiation detectors, as well as substantial heavy shielding to differentiate fruit signal from background radiation. Several studies conducted by scientists at the Lawrence Livermore National Laboratory (LLNL), published between 1981 and 2013, report on food radiation levels in the northern Marshall Island (14–16). In these studies, fruit samples were collected on the islands and were subsequently cut and frozen aboard the ship for shipment to LLNL for analysis. Most analyzed coconut samples were composites of 4 to 8 coconuts, and the coconut meat and juice inside were separated for analysis.
In 2017, our team conducted a second research trip to the northern Marshall Islands to assess concentrations of the radionuclide 137Cs in a total of 241 fruits, including coconuts and pandanus, the primary staples of the Marshallese diet (see SI Appendix, Fig. S3 for photographs of the fruits). The fruits were collected from 11 islands on four different atolls (Bikini, Utirik, Rongelap, and Enewetak). Unlike previous LLNL studies, we recorded spectra from a homogenous mixture of meat and juice in individual fruits aboard the research vessel shortly after collection, performing all measurements in situ. We present and discuss 137Cs activity concentrations in the different samples across the islands and compare the results to various safety standards, some of which were developed in response to the Chernobyl and Fukushima accidents. There is some variation in safety standards and 137Cs contamination limits for food, suggesting that the health impact of low radiation doses in food is not universally agreed upon. While translating contamination data into human health impact is still challenging (10), these data can shed some light on safety conditions as they pertain to habitation and resettlement decisions for the Marshallese people.
Results and Discussion
Raw Data.
Fruits were collected from Enewetak, Ikuren, Japtan, and Medren Islands in Enewetak Atoll; Bikini and Enyu Islands in Bikini Atoll; Rongelap and Naen Islands in Rongelap Atoll; and Utirik, Aon, and Eluuk Islands in Utirik Atoll. The 137Cs contamination in numerous fruits was easily identifiable from raw spectra. Fig. 1 shows characteristic spectra of fruit with (Fig. 1, Left) high concentration of 137Cs, as indicated by a large peak at 662 keV, and (Fig. 1, Right) no measurable concentration of 137Cs, lacking a recognizable peak at 662 keV. The peak at 1,461 keV corresponds to the signal from the potassium-40 (40K) calibration ring, present inside the lead shield of the detector system during all measurements. The 40K signal is used for relative calibration purposes.
Cesium-137 Levels.
Enewetak Atoll.
We measured the spectra of 60 fruits from Enewetak Atoll and found no 137Cs contamination in any of the samples within the sensitivity of our detectors. Our sensitivity for zero contamination was typically below 25 Bq/kg. The dominant uncertainty for fruits with low 137Cs contamination comes from the uncertainty in the background subtraction. Spatial distributions of where samples were collected on various islands are shown in Fig. 2. The color coding of sample locations is described in Comparison with International Standards. All of the samples on Enewetak are denoted in green, indicating that the levels observed were below all standards, as reported in Table 1. Worth noting is that we only studied fruits from islands on the southern side of Enewetak Atoll. It is likely that fruits in the northern islands, such as Enjebi Island, could contain high levels of 137Cs, as external gamma radiation levels in Enjebi are significantly higher than background (17). This is presumably due to radiation fallout that had either not been cleaned up in the northern Enewetak islands or had been higher in the north to begin with.
Table 1.
Food | IPPNW, 1996 | Belarus, current | Russia, current | Ukraine, current | Japan, current | European Union | 1994 Codex | IAEA | FDA |
Infant food | 8 | 37 | 40–60 | 40 | 50 | 370 | 1,000 | 1,000 | 1,200 |
Noninfant food | 16 | NS | NS | NS | 100 | 600 | 1,000 | 1,000 | 1,200 |
Milk | 16 | 100 | 100 | 100 | 50 | 370 | 1,000 | 1,000 | 1,200 |
Fruit | 16 | 40–100 | 40–120 | 40–70 | 100 | 600 | 1,000 | 1,000 | 1,200 |
Berries | 16 | 185–370 | 160–500 | 500 | 100 | 600 | 1,000 | 1,000 | 1,200 |
Mushroom | 16 | 2,500 | 2500 | 2500 | 100 | 600 | 1,000 | 1,000 | 1,200 |
Bread, cereal | 16 | 40 | 40–60 | 20–50 | 100 | 600 | 1,000 | 1,000 | 1,200 |
Meat | 16 | 180–500 | 160 | 200 | 100 | 600 | 1,000 | 1,000 | 1,200 |
Fish | 16 | 150 | 130 | 150 | 100 | 600 | 1,000 | 1,000 | 1,200 |
NS, not specified.
Bikini Atoll.
The largest number of fruits in our study came from Bikini and Enyu Islands in Bikini Atoll, where we collected 47 fruits per island. These two islands are separated by just 20 km and had the highest levels of 137Cs contamination in fruits. We found an average of 630 Bq/kg for Bikini Island, with an SD of 860 Bq/kg, as a result of several very high values (maximum of 3,770 Bq/kg). We also found an average value of 85 Bq/kg for Enyu Island, with an SD of 167 Bq/kg, also due to a few large values, including a maximal value of 1,150 Bq/kg. Fig. 3A shows the comparison of the distributions of coconuts vs. pandanus on Bikini Island. Pandanus have higher contamination levels compared with coconuts; a Wilcoxon rank sum test results in a P value of less than 0.001, suggesting that the contamination levels in the two different fruit types are significantly different. Fig. 3B shows the comparison of the distributions of fruit in Bikini and Enyu Islands; their close proximity to each other also made for an interesting comparison. One clearly sees that contamination levels are higher on Bikini Island. The difference in radiation level between these two islands is significant (P < 0.001).
Spatial distributions showing where samples were collected on different islands are given in Fig. 2. The color coding of sample locations is described in Comparison with International Standards. None of the 47 fruits on Bikini is color-coded green, meaning that they all exceed the standards set by the International Physicians for the Prevention of Nuclear War (IPPNW) and Belarus, Russia, and Ukraine standards for infant foods. Moreover, only 3 fruits out of 47 fruits were below the standards set by Japan for all foods, while all of the rest were above it. Thirteen fruits exceeded the standard set by the European Union (600 Bq/kg; orange), while five fruits had contamination levels far above even the highest safety limits (above 1,200 Bq/kg; red). Our average value is above standards set by all countries and organizations, except for the US Food and Drug Administration (FDA) and the Codex Alimentarius.
Rongelap Atoll.
We determined 137Cs levels in 57 fruits total on Rongelap and Naen Islands and found a mean value of 67 Bq/kg with an SD of 62 Bq/kg for Rongelap Island and a maximum value of 350 Bq/kg. We found a mean value of 139 Bq/kg and SD of 105 Bq/kg for Naen Island, including a maximum value of 536 Bq/kg. As with the comparison between Bikini and Enyu islands, the difference between Rongelap and Naen Islands is statistically significant, with Naen fruits having higher contamination levels than those collected on Rongelap (P < 0.001). This is consistent with the observations that external gamma radiation values and radionuclide concentrations in the soil are higher in Naen than in Rongelap (17). Spatial distributions of where samples were collected on various islands are also shown in Fig. 2. Almost one-third of the fruits we sampled in Rongelap Atoll (18 out of 57 fruits) exceed the Japanese standard for all food (100 Bq/kg; yellow); 8 out of 11 samples on Naen Island are also in this range (100 Bq/kg; yellow).
One interesting determination was made on a coconut crab from Naen Island in Rongelap Atoll. SI Appendix, Fig. S2A shows a photo of the Marinelli beaker containing the coconut crab meat, and SI Appendix, Fig. S2B presents the measurement of the raw spectra. Given a very large systematic uncertainty, as the crab meat was not uniformly distributed and a calibration to the crab meat density was not performed, we do not report a quantitative value for this measurement. However, the raw spectrum clearly indicates the presence of 137Cs based on a large peak at 662 keV. Our data suggest that the flora and soil contamination may lead to contamination further up the food chain. To the extent that coconut crabs represent an additional food source to the Marshallese people, this also represents an additional exposure pathway.
Utirik Atoll.
We measured the spectra of 32 fruits from Utirik Atoll and found no 137Cs contamination within the sensitivity of our detectors. Utirik is farther from Enewetak and Bikini Atolls than Rongelap Atoll; it is 835 km from Enewetak and 490 km from Bikini, whereas Rongelap is 500 km from Enewetak and 155 km from Bikini. Fig. 2 presents the location of the fruit collected in Utirik Atoll. The 137Cs values are all relatively low, with all samples in the green range, except for 4 samples on Utirik Island, which remain below all standards except for the IPPNW and Belarus, Russia, and Ukraine standards for infant food. Therefore, our data suggest that contamination of food by 137Cs may not be a concern for people living currently in Utirik Atoll. Our sample sizes, however, are limited.
Comparison with Previous Studies.
Studies from LLNL have been performed in the northern Marshall Islands for decades, including determinations of radiation levels in food (14–16). Reproducibility studies in science are a worthwhile endeavor not only to confirm what others have found in the past but also to help regain the public’s trust in science (18). This is all the more important for the work reported here, as LLNL scientists have essentially had exclusive access to the Marshall Islands due to lack of funding for independent scientists (from the United States, RMI, or elsewhere) to pursue such research. Moreover, severe mismanagement of the nuclear testing program and its aftermath, including relocation of people onto islands that were later deemed unsafe, has given rise to a deep level of mistrust on the part of the Marshallese about LLNL reports (8, 19, 20). Therefore, our goal here is to provide an independent set of results on food radiation levels that can be compared with past studies and international standards (see Comparison with International Standards), while also making measurements in situ, as described earlier.
When attempting to reduce levels of 137Cs contamination on Bikini Atoll, the LLNL group introduced potassium fertilizer rather than scraping the surface soil, as had been done on Enewetak Atoll. A study conducted from 1988 through 2001 suggested a decrease in 137Cs for potassium-treated coconuts. The control trees, which received no treatment, fell from an average level of 5,700 Bq/kg in 1988 to an average level of 2,250 Bq/kg in 2001, and the trees with treatment dropped to an average of 240 Bq/kg (15). Our observed range of 40 to 3,770 Bq/kg is consistent with the hypothesis that the fruits we observed with the highest 137Cs levels come from untreated fruits, whose contamination has gone down due to the natural decay of 137Cs, whereas the fruits we observed with the lowest 137Cs fruits could come from treated fruits. Given that we do not know which fruits were treated and which fruits were not treated, this is only a hypothesis. Another LLNL study, conducted in 2011, reports average Bikini 137Cs values of 720 Bq/kg for coconut meat and 990 Bq/kg for pandanus (14). These values are consistent with the average values that we have found.
An assessment of Rongelap Island in 1995 using data from LLNL reports the mean coconut value that is less than 80 Bq/kg and the mean pandanus value that is less than 300 Bq/kg (8). The more recent study in 2011, mentioned above, reports an average value of 19 Bq/kg for coconut and 90 Bq/kg for pandanus (14). Our values are lower than the values reported over 20 y ago (almost a full half-life of 137Cs), which is expected. Our coconuts-only average on Rongelap Island (59 Bq/kg) is almost twice as large as the more recently reported value from LLNL.
Comparison with International Standards.
Table 1 summarizes a number of standards and safety limits for 137Cs contamination set by different countries and organizations. Many of these standards were developed in response to the accidents in Chernobyl and Fukushima. The limits in Belarus, Russia, Ukraine, and Japan were adjusted after the Chernobyl and Fukushima accidents, respectively, and the table reflects the current permissible levels in these countries (21, 22). The table also includes limits set by the FDA in the United States (23), the European Union (21, 22), the IPPNW (24), and the International Atomic Energy Agency (IAEA) in 1996 (25). Finally, it includes the limit outlined by the 1994 Codex Alimentarius Commission (Codex), established by the Food and Agriculture Organization of the United Nations and the World Health Organization to ensure fair food trade practices (26).
We compare our results to international safety standards shown in Table 1. Ranges exist in the table as countries, such as Belarus, Russia, and Ukraine, set different limits for specific types of food; comparisons we make, where applicable, are for fruit. It should be noted, however, that none of these countries or organizations specifically set limits for fruits found in the Marshall Islands due to vastly different climates. The color-coded ranges shown in Fig. 2 reference these limits. The value of 40 Bq/kg represents the safety limits for specific fruits in Russia, Belarus, and Ukraine after the Chernobyl accident; 100 Bq/kg represents the higher limits set for fruit and the limit for fruit and berries in Japan after the Fukushima accident, 600 Bq/kg represents the fruit safety limit set by the European Union, and 1,200 Bq/kg represents the limit for all foods, as specified by the US FDA.
Since there is a wide range of limits for what would be considered nonconsumable foods according to these different standards, numerous Marshall Islands fruits fall both above and below these stated limits. Therefore, careful attention needs to be paid when drawing conclusions on food safety. For example, the FDA food safety limits in the United States are higher than recommendations from IPPNW by nearly two orders of magnitude.
As described above, we do not find any fruits in Enewetak and Utirik with measureable contamination and therefore conclude that fruits on these atolls are below all standards. However, this is not the case for Bikini and Rongelap Atolls. For Bikini Island, the vast majority of fruit samples are above the IPPNW, Belarus, Russia, Ukraine, and Japan standards, and a few are even above the US FDA standard. Rongelap Island also has fruit above the IPPNW, Belarus, Russia, Ukraine, and Japan limits. Bikini and Rongelap Islands previously housed native populations and are yet to be resettled. Our data suggest that to address the issue of food contamination further remediation, such as by using potassium fertilizer, may be necessary to ensure that people could safely return to the islands and eat the local foods.
Conclusion
We were not able to detect any 137Cs contamination in fruits from Enewetak and Utirik Atolls. However, Bikini and Rongelap Atolls have 137Cs levels in fruits that exceed action limits set by IPPNW in 2016, and the governments of Russia, Ukraine, Belarus, and Japan, in response to nuclear disasters in those countries. Additionally, they exceed values found near Fukushima in February 2018 (27) and values measured from 2011 to 2015 in areas near the Chernobyl accident (28).
Both Enewetak and Utirik Atolls are inhabited, so the lack of 137Cs contamination is a comforting finding for the Marshallese people living in these atolls. However, we did not do a comprehensive study of northern islands in these atolls. Especially for Enewetak, it is even expected that the northern islands will have higher radiation contamination, since that is where the majority of the nuclear tests was conducted. Although the atoll underwent a clean-up effort in 1977 through 1979, Enjebi Island in the north, for example, has gamma background contamination measurably higher than what is found in Majuro and in the southern islands on Enewetak Atoll (7, 17).
Based upon our results, we conclude that to ensure safe relocation to Bikini and Rongelap Atolls, further environmental remediation, including application of potassium fertilizer, appears to be necessary to avoid potentially harmful exposure to radiation via the indigestion pathway.
Materials and Methods
Sample Collection.
Individual islands were reached by the Indies Trader Windward vessel, traveling over a 1-mo period in May and June of 2017. Islands within each specific atoll were chosen based on their proximity to inhabited islands, considering that inhabitants might collect fruit from those neighboring islands, also referred to by the Marshallese as “pantry islands.” The primary foods collected were coconuts and pandanus (SI Appendix, Fig. S3). While a few other fruits, including breadfruit, were also collected, the sample sizes were not large enough to draw conclusions and are not presented.
Fruits were collected on foot from a wide range of trees near roads, on the outskirts of islands, and near the center of islands. In addition, teams tried to collect fruits from trees far apart from each other. There were multiple samples taken from the same tree at a few islands, either due to difficulty in finding trees with accessible fruit or difficulty in navigating through the overgrown vegetation on the island. Each fruit sample collected was labeled and paired with a Garmin eTrex 10 GPS waypoint, and fruits were transported to the boat for processing and measurement.
Sample Processing and Spectral Recording.
Samples were processed and analyzed in a temperature-controlled room onboard the Windward. Coconuts were opened using a machete and their water was collected; pandanus keys were pried from the fruit and chopped into thin pieces. The fruit’s total contents were then homogenized in a food processor. All containers and knives that came into contact with the fruit were rinsed to prevent cross-contamination. Once blended, samples were placed in a Marinelli Beaker and weighed to record the sample’s “raw” weight. All samples were measured in a filled 1-L volume. Thus, for samples which were less than 1 L, water was added to fill up the Marinelli Beaker. None of the samples exceeded 1 L once homogenized. Samples were weighed and recorded as the “shake” weight.
Radiological spectra were generated using an ORTEC FoodGuard-1 sodium iodide (NaI) rapid food screening system. One-liter samples were placed inside the ORTEC lead shield, to block any potential background radiation. Count time per sample was set at 60 min. Minimum detectable concentration for 137Cs in the FoodGuard-1 for a 60-min count time is quoted to be 6.0 Bq/L, although we set a far more conservative limit after the full analysis. A background radiation run was performed at each atoll to record the presence of any residual natural background radiation. Spectra were measured periodically using a microcurie 137Cs source.
Analysis of the Spectra.
Analysis of the spectra was performed to quantify the results and convert into units of becquerels per kilogram. Raw spectra were analyzed using Python programming code. To convert the measured spectra, (e.g., Fig. 1) to an average 137Cs activity concentration in units of becquerels per kilogram, a polynomial fit was performed to determine the area under the cesium peak, including a background subtraction. The polynomial fit was performed both on the spectrum for the individual fruit and on the spectrum from a known calibration source. SI Appendix, Fig. S4 shows an example of a fruit spectrum, including background fit for subtraction. Peaks were studied between 0 and 1,500 keV in the spectra, which corresponds to a broader range than where the 137Cs peak at 662 keV is found. The area under the peak was determined in arbitrary units of counts after subtraction and this subtraction was similarly performed on a calibration source with an identical geometry, as shown in SI Appendix, Fig. S4.
Once the signal areas were determined, the radiation value in units of becquerels was found via the following formula:
The result was finally normalized to the raw weight of the fruit to determine the final result in units of becquerels per kilogram.
Systematic Uncertainties.
A conservative uncertainty for background subtraction is assigned by taking the extreme case of the wings on the left and right sides individually to determine the minimum and maximum value of the area, respectively (SI Appendix, Fig. S4). Overall, the background subtraction provided, on average, ∼5 Bq/kg uncertainty in the 137Cs radiation content determination. For fruits with the largest radiation values, this corresponds to less than 1% uncertainty and becomes relatively larger for smaller contamination values.
Measurements of the weights of the fruit were performed on the boat, docked in the lagoons. As there was some motion of the boat in the lagoon, there was an uncertainty in the measurement of the fruit weights. We estimate a 15% uncertainty in the determination of the weight per fruit.
Given that the fruits were crushed and blended so that they could be measured with the Marinelli beaker geometry, there is also an uncertainty coming from the assumption that the fruits were crushed and uniformly distributed throughout the volume. We studied the position dependence of measurements using a radioactive source and have made a conservative estimate that the result could potentially change for a nonuniform distribution of the fruits within the container. Visually, the blended fruit did appear to be uniformly distributed, although we do not have quantitative determination of the density dependence for fruit in the container. SI Appendix, Table S1 summarizes the systematic uncertainties in the measurement for a fruit with a 100-Bq/kg value. For low-radiation fruit, the background subtraction of 5 Bq/kg becomes the dominant uncertainty. For low values, the uncertainty essentially brings the measured values below international safety standards.
Supplementary Material
Acknowledgments
We thank the people of Bikini, Utirik, Rongelap, and Enewetak Atolls for allowing us to study the cesium-137 radiation levels in the local fruit and the late Bill Graham for guiding us through the approval process and organizing presentations of our preliminary results to the local atoll governments and the RMI representatives in Majuro in December 2017. We thank President Hilda Heine for her support. We thank Indies Trader for providing the infrastructure, transportation, and overall support for the project. We thank Danielle Crosswell, Cassandra Fernandes, Christina Hill, Gemma Sahwell, Aliza Silverstein, and Emelia Suljic for collecting, processing and measuring the fruit spectra on the boat. We thank Thomas Morgan for his overall guidance on radiation safety issues. This project was funded and supported by Columbia University.
Footnotes
The authors declare no conflict of interest.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1903481116/-/DCSupplemental.
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