-8- When signs of thyroid abnormalities appeared in the 1964 annual survey, the actions taken were prompt and effective.’ Surgery was performed at the U. S. Naval Hospital on Guam and subsequent cases were treated in the United States. One or more outstanding the team each year since 1964. of thyroid disease developed thyroid specialists have accompanied During the years 1964 to 1971, additional cases in the exposed population ranging from hypothyroidism with deficient growth to modularity of the gland to malignant adenocarcinoma. The majority of people affected had been under 10 years of age at the time of exposure . Prompt surgical treatment and/or daily thyroid hormone therapy brought the situation under control. The observations have been widely published and accepted by medical authorities. A summary of the incidence of thyroid disease in the exposed populations following the March 1971 survey is enclosed. The }larsl~alleseon Utirik who received low exposures (less than 15 Roentgens) have been visited by Dr. Conard and the teams at three to four-year intervals. It has been reported that the Utirik people are of two minds about this schedule: On the one hand they feel neglected, particularly by comparison to the Rongelapese; on the other they are happy not to be examined and have blood drawn. Non-Medical Problems which Relate to the Medical Surveys Possibly the most troublesome problem originates from a legal complaint styled Abia et al. v. United States, Trial Division, High Court Trust Territory of the Pacific Islands. This was received by the High Commissioner the request tha~ he effect service upon the United States. in Guam with In essence it sought a sum of $8,500,000 for property damage, radiation sickness, burns, physical and