The Hiroshima bombing had a devastating impact on civilians. The initial blast wave caused widespread destruction, killing tens of thousands of people instantly. Many others were injured, with some survivors suffering from severe burns and radiation poisoning. The radiation from the bomb also caused long-term health problems for many people, including increased risk of cancer and birth defects. In addition, the bombing caused significant psychological trauma for many survivors, leading to long-term psychological problems such as post-traumatic stress disorder.