MEDICAL SURVEY OF RONGELAP PEOPLE FIVE AND SIX YEARS AFTER EXPOSURE TO FALLOUT Introduction The results of medical surveys of the people of Rongelap in the Marshall Islands, carried out in March 1959 and in March 1960 at 5 and 6 years after the accident, are presented in this report. These people had been accidentally exposed to fallout radiation following a detonation of a high yield thermonuclear device during experiments at Bikini in the Pacific Proving Grounds in March 1954. An unpredicted shift in winds caused a deposition of significant amounts offallout on four inhabited Marshall Islands to the east of Bikini (see Figure 1) and also on 23 Japanese fishermen aboard their fishing vessel, the Lucky Dragon. Of the inhabitants of the island of Rongelap, 105 nautical miles away from thedetonation, 64 received the largest fallout exposure: an estimated dose of £75 r of whole-body gamma radiation, contamination of the skin sufficient to result in beta burns, and slight internal absorption of radio- active materials through inhalation and ingestion. Another 18 Rongelap people away on a nearby isiand ({Ailingnae), where less fallout occurred, re- ceived only an external gammadose of about 69 r. There were 28 American servicemen on the island of Rongerik further to the east who received about the same amount of radiation as did the Rongclap people on Ailingnae. Lastly, 157 Marshallese on Utirik Island, about 200 miles further east, received about an estimated 14 r of whole-body radiation. The fallout was not visible on this island and no skin effects developed. The exposed people were evacuated from these islands by plane and ship about two days after the accident and taken to Kwajalein Navat Base about 150 miles to the south, where they received extensive examinations for the following three months. In view of the generally negative findings tion. Because Rongelap Atoll was considered to be too highly contaminated, a temporary village was constructed for the Rongelap people on Majuro Atoll several hundred miles to the south, where they lived for the following 3'2 years and were examined at yearly intervals by a special medical team. [n July 1957, after careful evaluation of the radioactive contamination situation, Rongelap Island was considered safe for habitation. A new village was constructed, and the Rongelap people were moved there by Navy ship. The annual medical surveys have since been carried out on Rongelap Island. A group of more than 100 Rongelap people, who wererelatives of the exposed people but had been away from the island at the timeofthe accident, moved back with the Rongelap peopie to their home island and have served as an ideal comparison population for the studies. Following the initial survey of the Utirik people on Kwa- jalein in 1954, a repeat survey was carried out in March 1957. In addition, during the past survey, as In the previous surveys, a visit was made to Majuro Atoil to examine a group of children who represent part of the control group used for the growth and development studies of the exposed children. oe 500" 209 Bikwe eens on the American servicemen, they werelater re- turned to their duty stations. The Uurik people were also allowed to return to their home island, where radioactive contamination was considered io be of a slight enough extent to allow safe habita- centita Figure t. i / (March 1, Ry.

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