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the inhabitants absorbed radionuclides in the fall-out by inhalation and

ingestion of contaminated food and drinking water. Based on radiochemical
analyses of pooled urine samples taken several weeks after the accident,
it was estimated that the adult thyroid gland received about 160 rads from

the radioiodines, in addition to 175 rads from the external gamma radiation.
In view of the smaller thyroid glands of the younger children, it was
estimated that they received in the range of 700-1400 rads in the more

heavily exposed group.

As of March, 1966, a total of 16 cases of nodules

of the thyroid gland and two cases of hypothyroidism had been detected.

The

largest incidence(79%) has occurred in the children exposed at less than 10

years of age. No such pathological change has been noted in unexposed
children or children in the lesser exposed groups. Thyroid surgery has
been performed on 11 cases with nodules, Ten of these cases, 9 children

and one adult, were all found to have benign nodules.

One 41 year old woman

was found to have a cancer of the thyroid, Description of these thyroid lesions
as well as the possible radiation etiology has been discussed in a recent paper

(Conard, Rall and Sutow 1966),

A general review of the findings in the

Marshallese can be found in other references (Cronkite, Bond, Conard,

Shulman, Farr, Cohn, Dunham and Browning 1955, Conard and Hicking 1965).

There are few other so-called late effects of radiation which can,
with reasonable certainty, be ascribed to exposure in these people. Among
these was an increased incidence of miscarriages and stillbirths noted among
the exposed women during the first four years after exposure; lag in complete
recovery of peripheral white blood cells and platelets to levels of the non-

exposed comparison population; and slight retardation of growth and develop-

ment of children, particularly boys exposed at less than five years of age,

A hypothyroid etiology for growth retardation is strongly suggested by the

recent findings of definite hypothyroidism in two of the most retarded boys

in the Group (Conard et al. 1966; Sutow, Conard and Griffith 1965),

General

health and fertility have been about the same in the exposed as in the comparison population, The mortality rate has been somewhat higher in the exposed
population but this population has a larger percentage of older people.
Possible life-shortening effects of radiation can be best evaluated in the
future,
This report concerns an attempt to evaluate possible effects of
radiation on the ageing process in the exposed population. During physical
examinations ageing effects are usually referred to in a general qualitative
sense. In order better to evaluate possible ageing effects, a more quantitative approach was indicated. There are a large number of criteria which have
at one time or another been regarded as being age dependent. These studies
represent an effort to select criteria which could be carried out under conditions of these examinations. The overall objective has been to combine the
scores of the various criteria into one "average age score" for each

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