CONTENTS DNfo0)B1601U0). Sn eS OEEE SSE EEETETESSETSSOSESOLOVEOSSESTOOSSSSSOEOSSOSOTIOSSOS i SUMMARY OF PAST FINDINGS..00000..00 occ ener entre cteees cssesssstcessseesnisseessventecees Penetrating Radiation... cee terete re ree ere n ee nd ete peta ene poe cee dee cnet teeteeeeeneneeeas 2 2 Internal Irradiation .....00.0.0ccccccceccssessesssssssessesessessecsscssscssessacsessseeusesacsnesneevetiessisieeaieensareteecrersensanes 5 Difficulties Associated With the Examinations. .....0.00.0.000.00cccccececeee cee eee teens cesensneteaeeneteenecie Comparison Populations......0.00.0.0.ccccece te cence cernte ree seca rsesesecaeaecnenesrenevanseneeeeseseescneteseeesstcnanes 7 7 Beta Irradiation of the Skin... occ cece e ee enne tere c ree cene eens eeseeenecotesserenebessnieessensneseeeeraee Other Studies... cece cece enee eee eee en eee ene e sneer nee seeneteseesaeseaeceneycatecesceasseeecperessestaseeseesenees ORGANIZATION... cecccccceccene eens cece eee tence tee e eee cn EE EnE SSE F OED SE CEEOL eDEH CAC CL aD EEC code pne rH ae Saaeeseeia peceasaeetenesnaenaneats 1963 Survey (9 Years Post Exposure)... ce cece ccs tense ee en tense sees csecnseseseceeseeesieesenees tenets 1964 Survey (10 Years Post Exposure)... cise cere een ee er tee nee ree reteneneceneenaesrenneeneces Sh0,010D)OS52k, EEC O EE OSES SEU OT EE SEES SOS OTSSOSSEOSESO TESS SOSSOSESOIOSSOSSESSOTSEOSESPhysical Examinations.......00..0000cccccccccccecee cere eee e ene e crest ene ene enne cbse sneer ee ss esne reac neeneesaeennesenenes Laboratory Procedures. ..........0 cece ceeee cee eeee cee ceneeneee serene tee cn ntenene er geee set ree eee eenetneeteeniecieee gees BOS093501: OSES OE SEESEES ONO UEEETELEONCEESTSEENSOTESIESESESTSOOSOTENTSTSONTENSSSONSSSSSOSETSNTSOSSIOSOSSOSEOSIEOTE Interval Medical History... cocci cee eee tee cnee cece seaesaececenesesceeesaccesseeesecaesneeseesasesensneeaseetieengs - 5 6 9 9 10 10 10 12 13 13 Tmesses... eee cece cece eee ee ces ees eee ceceeeeeetiecescsceasaeseveseseesseesaeseesaseeneeeassseecsesieesseceseneesseseneees Deaths... cece cececencetsececeeceteecnsescseseesseseseeeesestsenaeesitieseesitetgaenstiateeteteseesgentieeaeeestaeeaes.. Births... cece cece cee cee ces cn eeecebee ence ee taegeseeceeeeceineesiegessoseeeeesnseeseasesteegesseeesseessnnseneseesacen Congenital Anomalies.....0....0. cc cccccccccccececnseneececesensecesceeesecaeeceecaelaeesasueeeaeceecsecseseeueteesessenteatens 13 13 13 14 Adult Examinations.....0.00..00ccccccccccccseccesceseeeeesseaeesecoeeneeseseecseceasesensessesaeenensateaeesaecaveresaseneeneneeaes Anthropometric Studies.....0...0.00.02ccccccecccceenecceeeeaeescceseeeeeetecesecteaenenteesnesensteagersnsteseeesrttiecin Pediatric Examinations. ..........0..0cccccccccsecececseeeceeceeeeeceeteceaecsecesesetececaeeenessevsecaevieensentenseesens 17 18 18 Miscarriages and Stillbirths... ccc ccceeeeseeeeeeenseeeceeeneceeceseseeneceseseeeeenseitesaeerevesneenseeeeaees Physical Examimations..........00.00.ccceccceceeceeceeeeeecee sense nee caeeeeeettceeeeeeneeseeceresiegeaeeniesegsreesiesunieenenas Children Examined 1963.00.00... cccccccecenee sees cent eens cere veeeecaetnecenieesneseceetieesnreveensesesntenees 14 17 18 Children Examined 1964.00.00... cccccccccccceccesceeeeceeeseceeeeeesacesiecaaensevseceeesuseresurscerseseeseetaaeed Results of Physical Examimations......0..00. 00 cccccccceccecceeecseseeeseteeeneeveeeeseeenseseesntteeenaeeetteaaeea Thyroid Nodules.......0....c i ccccccccececeeseeececeesesceseceeseeaseecesenssseseeiesseeeeesseseeenssarenestesnesectiaeeeas Growth and Development Studies.........00..0 ccc ceceeeeeseeeneeeteeenecnseeeteeseaeessrsatesaeserteataneees Ophthalmological Findings.....0.00..0.0.0.cccceeeseec eens cecesene cates caeeseeetaeestietiseeeeseneececenieenenstereiaati 20 20 20 23 24 Laboratory Examinations.....0.00000000 ccc cscs tec ences reese ceteeececepeereceeseettensesseisesseseseseaenenienenes Hematological 0.0.0. ceccceceecceeseeseteceesaeeressecercaseaeeneeesseeeeaeseeceseaeseeteresesesaeenttaeageasereeaesets Rongelap Population.........ve cceuetuseeneevesteeeseenstuecaeerseeceeeteticesseieeseteeeetsteeeresneteteseeeeeseetinteeteeeiens 28 28 32 Neutrophils... ccc eee cee cere cnecesesceaeeesesseseeeeseeseesessaneseeeneteeseesesenesaeensesseseeneensteees Lymphocytes... i eecccceee ees cnecetteeecnecnsteaeneeseesseesaseateaaeassessenaeerteeeeniessensseaeseseeseneeresees Eosinophils, Monocytes, and Basophils....000.00..0.. ccc ese eens eee eters teens renee cere eneteesaees 32 32 33 Residual “Beta Burns? 2.0.0.0... cece eceeeeeecneeneeneeseesnteseeeessseseinesetesevaesersiesseseeeneenerseevsneeseess Leukocytes... ccecccccecenceceeecceeeecesceeesecaecesetseesseresarensesseneecsereneens vecteeeeveseneetenersaeeesetnnees Platelets... ccc ccceeeceeee cece ceeseeeneeneenecneeneveecnetneseeenitirseeseesnesersnennsneteresespeenerciesesenenieerce Erythropoietic Element. ...0.00.0000. ccc eee enters rneeteecnteeenes eaecessaeneneeseeenneenieeney Statistical Analysis of Rongelap Blood Data Over Past Four Years..........0.0.00.c0 sce Ailingnae Population... eer ence ene reeeesesessnetiesaseseaesesnesusnesessenecssesessneseeens Utirik Population... ccc ccc cece ceceseccneeessessisesesesseesevecienesenssesiensneseenecsenecseqecentianenes Children of Exposed Parents.....0.....ccccccccccscsssssessssesseseseseeseseesetensneneeesecaceceesnerceeeveneeseaeeseeesens Bone Marrow Examinations. ........00..0.cccceccccceeceeeeceseceeeeeeeeneeeeeennetcreeneesieesansenteenisssessertseseeeteraas Red Cell Mass and Plasma Volume Studies......0..0.00 cc cecccceesceeseese trees reterenne ener te ecnseneeneees ii 5000182 28 32 33 33 33 37 37 37 39 39