54 in the exposed population will be compared with those in the unexposed for differences that might indicate possible premature aging effects. As pointed out, such differenves have not been apparent thusfar. tion and various comparison populauons since exposure in March 1954. In Appendices 3 and + are listed the individual biood counts lor 1959 and 1960. The data are also summarized graphically in Figures 33, 35, and 38. Vhe blood data have been classified as in the past according to age and sex. The results of blood counts in the 1959 and 1960 surveys may be summarized as tullows. White Blood Counts. The mean WBC in 1959 showed a further trend upward in buth the exposed and unexposed populauons, being slightly lower in the former (see Table 2t and Figure 33). The 1960 WBCievel of the exposed peuple RESIDUAL BETA BURNS Ten peuple conunued to show residual skin damage from beta burns sustained 6 years previously. Most of che residua consisted of very mild changes, such as varying degrees of pigment alteration giving a mottled appearance, sometimes accompanied by a roughening ofthe skin (increased rugosity). Some showed more pronounced changes, such as atrophy and scarring. None of the more severe residual lesions showed any gross evidence of breakdown with the development ofchronic radiation dermatitis or any premalignant or malignant change. No biopsies were taken. Several women who had sustained more severe neck lesions seemed tu be showing an increase in pigmented motes in and aroundthealfected areas. However, showed a considerable drop from a mean level of 9500 in 1959 to 6500 in 1960 as compared with the trend during the previous two years {no counts were made on unexposed people in 1960). The explanation tor this is not clear. Lhe percentage distribution of the various white ceil levels was not very different, however, from that of the previous values. Neutrophils. The neutrophils in 1959 (Table 21 and Figure 33) showed an increase corresponding to the increase in WBCin both exposed and unexposed populations, the mean level also being sightly flower in the exposed. A scattergram (Figure 34) of the age distribution of the counts in this is not certain, and these moles will be ob- served carefully in the tuture for any suspicious changes. In Table 2U are listed descriptions of the residual beta burns seen in 1960. Figure 32 shows healed beta burnsofthe leet 5 years after exposure. 1959 shows a greater tendency for the younger groups to have lower mean counts in the exposed than in the unexposed populations. This was noted also in 1958. In 1960 the average of neutrophil counts was 3500 tor the exposed group compared with 4800in 1959. This decrease corresponded with the decrease in the total white count. LABORATORY EXAMINATIONS Hematological In Appendices 1 and 2 are presented summaries of the mean blood counts of the exposed popula- ‘Fabie 21 Mean Leukocyte and Platelet Counts, 1959 and 1960, bywe and Sex Rongelap exposed 1959 WBRO (x10), ave 2-5 Neut (x10'), age Lymph (x10 ‘age Monu ¢xXiU ), age Fosin. (x 10+), age Basu. (x 10 >}, ~5 24 5 25 age 5 Plate. (x 100°), Malesage5-10 t4lQ Females -> Ailingnae exposed 1960 1954 Unexposed [Yoo 1959 95m 25° (oo 65 +18 (54) Y¥7 4240135) 7.4 H4.3 (14) Obst 314023) 4462 404 JO 5.U2 49 12.35 $B 3.6 (60) (60) (60) (60) 3571.5 27408 O6eU-2 2.720.8 SLAZ1V(1S) A7AV TE (1S) S27 5015) 6.UTE2 015) Sb oedsy SO 12 6¢14) Ob. 83) 4020.2 (035) ye $d 247, BO Vl) 25) L4¢'23) 25 (124j 99EL25) 04> U.44+0.11 (54) 0.520.8(15) (40.4 (15) O5+t Wal) (54) (54) (54) (54) O06 (60) $2.42200 ( 7) - 40.9 2h4e 99 (20) - 26.3 HOU YIGHLOS (293 ( 2) 4) Jo.84 55.7 ( 9) *Stancdard des iatuon. **The numbers in parentheses are the nuribers of people ui the groups. - Jt.b 2108 e 11) 2BOUt ¥4¢ 54) Shir 720 52)

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