MEMORANDU
~
'
Arthur C. Upton, M.D.
irector, NCI
TO
DEPARTMENT OF HE4'.TH, EDUCATION, AND WELFARE
HEALTH SERVICE
PUBL
NATIONAL INSTITUTES OF HEALTH
NATIONAL CANCER INSTITUTE
0
Through: Acting Director, Division of Cancer,
Cause and Prevention, NCI
wo
Associate Director of Field Studies”
DaTE: March 23, 1978
;
HOLS ee
and Statistics, Division of Cancer, Me
Cause and Prevention, NCI
FROM
Gilbert W. Beebe, Ph.D., Clinical Epidemiology Branch, DCCP, NCI
SUBJECT:
Comment on Dr. Conard's letter of March 9, 1978
1. Dr. Conard spoke to me about the compensation of the Marshallese when we were together in Vienna last week. I think his list is
incomplete insofar as it represents the experience of the Japanese Abomb survivors, and that any list of affected sites would have to be
somewhat open-ended because we seem still to be adding sites in Japan.
Of course, the GI tract includes a number of organs for which we have
only suspicions, not good evidence, at this time.
In addition to his
list I would add, from the Japanese experience, the salivary gland,
organs of the urinary tract (although it may be that only the bladder
is involved), and lymphatic and hematopoietic tissues other than their
involvement through leukemia. What I feel more uncertain about is the
applicability of the Japanese experience to the Marshallese, of course.
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