117

Radiation doses and cancerrisks in the Marshall Islands @ S. L. Simon ET AL.

contributor to dose for the residents of all other atolls

With respect to the total internal dose relative to the

(Table 15, Simon et al. 2010).

external dose, external doses were muchgreater than the

same geographic pattern as for '*’Cs deposition that is

the Utrik and Rongelap Island communities). Internal
doses to the thyroid were significantly greater than
external doses, regardless of the population group.

The cumulative thyroid doses (mGy) to representative adults on each atoll from both acute and chronic
intakes of radionuclidesin fallout from all tests with 90%
uncertainty ranges are presented in Table 5 and have the

internal doses to RBM and stomach wall, regardless of
the population group, but were comparableto the internal
doses to the colon wall (greater by two-fold at the
southern and mid-latitude atolls, and about one-half for

illustrated in Fig. 2.

Comparison of doses by mode of exposure. Table

6 compares estimated cumulative internal doses to representative adults of four population groups as reported

Total doses. Total (external plus internal) organ
absorbed doses can be presented in various ways to
demonstrate the spatial and time-dependence of exposures received across the Marshall Islands and the dependence onageat exposure. Asdiscussed earlier, Fig. 2
illustrates the groups of the atolls within the Marshall
Islands with similar degrees of deposition. In parallel,
Table 7 presents population-weighted total doses to
adults within each of the four geographic areas. We
found that our estimated total doses are relatively comparable within each of the four population groups:

in Simon et al. (2010) with the external doses for those

same population groups as reported in Bouville et al.
(2010). As elsewhere in this paper and companion
papers, those personsof adult age (>18 y) at the time of
the first test with significant deposition (Yoketest, 1 May
1948) are considered as adults in this assessment. In
addition, all dose estimates presented are best estimates

based on an analysis of all available data.
With respect to the components of the internal dose,
the dose from chronic intake exceeded the dose from acute
intake for RBM and stomach wall, for all populations
groups except the Rongelap Island community. For the
Rongelap Island community, the acute doses for all organs
exceeded the chronic doses. Because of the exposure to

residents of southern atolls, residents of mid-latitude

atolls, the Utrik community, and the Rongelap Island/
Ailinginae/Rongerik evacuees (Table 5). Here, as elsewhere in this paper and companion papers, both Fig. 2
and Table 7 demonstrate that adults in mid-latitude atolls
received cumulative organ doses approximately four
times as great as adults in the most southern atolls.
Similarly, adults of the Utrik community received cumulative organ doses four to seven times as great as adults

radioiodines in fallout, the absorbed dose to the thyroid

gland from acute intakes exceeded the chronic dose to the
thyroid, regardless of the population group. Acute doses to
colon wall were also greater than the corresponding chronic
doses for all four population groups.

Table 6. Comparison of best estimates of cumulative internal and external dose (mGy) to adults of four representative
population groups for four organs. All dose estimates rounded to two significant digits.
Population group
Organ/Mode of exposure

Majuro
residents

Kwajalein
residents

Utrik
community

Rongelap Island
community

Thyroid
Acute internal

22

66

740

7,600

Total internal

23

67

760

7,600

Chronic internal
RBM
Acute internal
Chronic internal
Total internal
Stomach wall
Acute internal
Chronic internal
Total internal
Colon
Acute internal

Chronic internal
Total internal
Whole body

(external dose)

0.76

1.3

25

14

0.11
0.98
1.1

0.25
1.7
2.0

2.3
33
35

25
17
42

0.32
0.75
1.1

1.1
.
2.4

16
24
40

530
14
540

4.4

12

180

2,800

5.4
9.8

14
22

210
130

2,800
1,600

0.99

1.7

32

17

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