thyroid disease was not expected in the Utirik people.

Even more

important is that only very recently has information become available
from several sources that the thyroid gland, especially in children, is
considerably more sensitive te the-induction of-radiation indueed-tumors

radiationeffects than was anticipated in the past.

Taking these factors

together, we can now, many years later, explain the incidence of malignant
thyroid glands in the Utirik people.

ft this time it-is impossible we are

not able to predict whether more cases are to be expected in the exposed

members of this-the Utirik population.

Itis, therefore, of the greatest

importance that the regular medical examinations be continued in the
future.

By having regular medical exmainations, signs of thyroid disease

can be detected early and prompt treatment will avoid unnecessary

suffering on the part of the Utirik people.

For these reasons, I believe it is of great importance that the Chiefs
leaders of the people of Utirik explain to their people the significance
purpose and the importance of the regular medical exaMinations.

Conducting the medical exmainations and treating people of the islands
whenever necessary has been largely in the hands of Drs.
and during the past year, Dr.

Conard, Knudsen

Kotrady. On many occasions, the-best expert

medical advice was invited from outstanding specialists in the field, many

of whom participated in the actual medical exmainations.

MM oes:

We believe

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