18
over a 6-year period in the exposed population
represent 48 per 1000, and the 20 births overa
4-year period for the unexposed population represent a rate of 62 per 1000. Thefourin utero irradi-
been observed in 1957 in the children. when abou
10 had night blindness associated with vitamin 4
deficiency." The improvement may be duein part
to the argicultural program on theisland resulting
ated children did not show any abnormalities nor
in the availability of papaya and squash. The
usual number of skin infections and fungusdis-
have they shown any impairment of growth and
development.
eases was noted, as was the usual tncidence of
impetigo in the children.
PHYSICAL EXAMINATIONS
PEDIATRIC EXAMINATIONS
At the times of the 1959 and 1960 surveys of the
Marshallese, the people appeared to be generally
in a state of good health and nutrition. There was
no indication of vitamin deficiencies such as had
The numbersof children seen during the 1958.
1959, and 1960 surveys are summarized in Table
5. In the limited 1960 survey, only the body meas-
Table 5
Numbers of Children Examined in 1958, 1959, and £960
Exposed
Nonexposed with exposed parents
Nonexposed, Rongelap
Nonexposed, Majuro
Utirik
In 1960
In 1959
In 1958
In 1958 but’
not in 1959
35
10
31
0
0
34
20
82
15
60
39
13
88
20
0
5 (5)*
0
16 (3)
6 (2)
0
En 1959 but
not in 1958
0
7
10
l
60
In 1959 but
not in 1960
.
oO
LO
34 (2)
15
60
*Numbers tn parentheses are numbers of children not examined who had becomeadults or near-adults since thepreceding survey.
Fable 6
Summary of Physical Findings on Children, 1959
Exposed
Chronic impetigo (active )
Molluscum contagiosum
Tinea versicolor
Chronic otitis media
Palpable liver
Under 3 cm
Over 3 cm
Cervical nodes
Axillary nodes
Rheumatic heart disease, inactive
Vitiligo
Cheilosis
Asthma
Loss of hearing, unilateral
Elevated blood pressure**
Obesity in girls > 10 years of age**
Nonexposed with
Nonexposed
Nonexposed
Rongelap (34)*
exposed parents (20)
Rongelap (82)
Mayjuro (15}
10
0
2
0
7
1
0
0
25
6
0
4
0
0
2
0
4
5
14
8
1
!
2
6
2
0
I5
11
36
13
0
2
2
8
3
0
!
0
0
0
0/20
1/4
0
0
0
0
0
0
L
|
0/36
0/7
|
l
iv
)
0/8
*Number examined.
**Utirik group showed noelevated blood pressure in 58 children examined, and anincidenceofobesity in girls >10
years of age of 7/16.