TT

Td

L\ TUNBRIOGE
O VANOER

J

|

|

oO

1

O MORTENSEN
O TROWGRIOGE
VW RALLISON

|

nN

u

TF]

+»

-

r

PREVALENCE (cases/I00 persons}

Tf

jo
19

ft
20

{
390

40

}

|

|

|

50

60

TO

80

L
90

190

AGE (years)

Fig.

1.

Prevalence of spontaneous thyroid nodules.

From Maxon et al. (164).

The data in Table 4, taken from a Nuclear Regulatory Commission Report

(234), summarize the estimated occurrence of thyroid neoplasms in the general
U.S. population compared with data on the Marshallese comparison population.
In the Marshallese comparison population, as in other unexposed populations,

the preponderance of thyroid nodules is in the older age group, whereas in the

exposed Rongelap people the reverse is true.

This appears to be the case in

other exposed populations also.* About 1300 children living in Utah were exposed to fallout from the Nevada tests in the 1950s (181), receiving doses
estimated to be considerably higher than those to the Marshallese control
populations, and they had no detectable increase in thyroid abnormalities
compared with the unexposed populations in Arizona.

Table 4.

Age

0-19
20-39
40-59
60-80

grou

Prevalence of thyroid nodules and cancer in unexposed
Marshallese and U.S. populations.

Prevalence of nodularity (4%)

Prevalence of cancer (%)

U.S.

Marshallese

U.S.

Marshallese

0.8
2.6
4.3
6.1

2.6

0.08
0.31
0.52
0.73

0.9

7.9

0.7

*The slightly higher prevalence of nodules and carcinoma may be related to the
more rigorous examinations given that group compared with reported surveys
of other world populations.

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