social changes and pressures, and it is not my belief that the only force or the only stress on these people is the effects of the atomic bombing. cause however. These are my initial reactions. which I.make are as follows: 1.. I think it is a major The recommendations All slides on the tissue removed from the thyroids of the Marshallese and retained at Tripler, or Guam, or Cleveland General Hospital or Brookhaven should be examined by a single pathologist of your choice and one skillful in the recognition of thyroid cancer. I do not mean this as a reflection on the integrity or skill of the pathologists who examined the tissue intially, but I do recommend verification of the benign nature of the tumors as reported. It would be highly desirable to collect firm health statistics independent of any prior statistics taken by the Trust Treaty or AEC scientists. I am not certain what criteria were used in the collection of former statistics, and I am not certain as to whether doctors were sent, and I certainly am not at all satisfied that a vigorous search has been made in respect to cataracts or other complaints that _these people have. I would think that such medical investigation would should be done on a number of different islands. I recommend a consultation with a geneticist, to examine the chromosomal pattern of a number of Marshallese Islanders. I recommend a horticultural expert who should study the effects of the radiation on the vegetable foodstuffs and a marine biologist to consider the question of concentration of radioisotopes in the bodies of the larger fish. That some of these studies have been done before should not discourage similar studies by experts of your designation.