safeguards provided by the Permissive Action Link attached to U.S. Air Force and Army nuclear weapons. It is unknown if the navies of the other nuclear powers yet today deploy tactical nuclear weapons at sea. The 2018 US Nuclear Posture Review emphasised the need for the US to have sub-strategic nuclear weapons as additional layers for its nuclear deterrence. Nuclear terrorism Nuclear terrorism by non-state organizations or actors (even individuals) is a largely unknown and understudied factor in nuclear deterrence thinking, as states possessing nuclear weapons are susceptible to retaliation in kind, while sub- or trans-state actors may be less so. The collapse of the Soviet Union has given rise to the possibility that former Soviet nuclear weapons might become available on the black market (so-called 'loose nukes'). A number of other concerns have been expressed about the security of nuclear weapons in newer nuclear powers with relatively less stable governments, such as Pakistan, but in each case, the fears have been addressed to some extent by statements and evidence provided by those nations, as well as cooperative programs between nations. Worry remains, however, in many circles that a relative decrease in the security of nuclear weapons has emerged in recent years, and that terrorists or others may attempt to exert control over (or use) nuclear weapons, militarily applicable technology, or nuclear materials and fuel. Another possible nuclear terrorism threat are devices designed to disperse radioactive materials over a large area using conventional explosives, called dirty bombs. The detonation of a "dirty bomb" would not cause a nuclear explosion, nor would it release enough radiation to kill or injure a large number of people. However, it could cause severe disruption and require potentially very costly decontamination procedures and increased spending on security measures. Radioactive materials can also be used for targeted assassinations. For example, the poisoning of Alexander Litvinenko was described by medical professionals, as "an ominous landmark: the beginning of an era of nuclear terrorism." Survival The predictions of the effects of a major countervalue nuclear exchange include millions of city dweller deaths within a short period of time. Some 1980s predictions had gone further and argued that a full-scale nuclear war could eventually bring about the extinction of the human race. Such predictions, sometimes but not always based on total war with nuclear arsenals at Cold War highs, received contemporary criticism. On the other hand, some 1980s governmental