heel or ear.

were used.

Subsequently, venipuncture specimens anticoagulated with heparin

Since 1973, Na EDTA has been used as the anticoagulant.

Duplicate

pipettes were filled for leukocyte and platelet counts and diluted with 3% acetic acid or 1% ammonium oxalate, respectively, and each was then dispensed

into a single hemocytometer chamber after 10-minute rotations and counted by
phase microscopy after settling 10 minutes. Hematocrits were measured in

heparinized capillary tubes.
One-hundred-cell differential counts were performed on Wright's stained blood smear and used to calculate absolute concen-

trations of leukocyte subsets. Hemoglobin concentration after conversion to
cyanmethemoglabin was measured with a Lumitron colorimeter.
Hemocytometrics were used for leukocyte counts until the introduction of

a Coulter counter during the third annual survey (1957).

Erythrocyte counts

were also performed with the Coulter instrument, and modifications in orifice
diameter allowed electronic counts to replace phase microscopy for platelets
after the fourteenth annual survey.
The Coulter counters were superseded in
1973 by instruments from General Science for both leukocyte (MK-3) and

platelet (MK-4) enumeration.

In 1978, a J.T. Baker Instruments (Milford, CT)

MK-4/HC platelet counting system was adopted, along with a Baker MK-40 fourparameter cell counter to measure leukocytes, erythrocytes, hemoglobin, and
hematocrit.
Initially, hematologic measurements in exposed individuals were repeated

in duplicate or triplicate at weekly intervals. By 1962, a repeat determination was made only if an abnormal value was observed.

C.

Results and Discussion

Specific mean hematologic values over the last five-year survey period

are presented in Figures 2 to 4, segregated on the basis of exposure group and
sex.
It should be emphasized that the values for the Ailingnae group represent means of only 4 to 8 determinations (Table 1), and this clearly contrib-

utes to their variability.

No statistically significant differences were de-

monstrable among the three groups exposed to radiation and their appropriate
comparison populations for any of the mean hematologic values recorded during

this period.

Certain measurements showed tendencies to segregate on the basis

of sex, however, regardless of exposure group.

These included increased

platelet counts in females (Figure 4) and the expected increases in various
red cell parameters in males (Figure 3).

Variation between sexes in platelet

concentrations has been observed consistently throughout the 26-year study period and appears to represent a true anthropometric distinction in the

Marshallese, as it does in Caucasians.

The sporadic very low values for indi-

vidual platelet counts shown in Figure 7 most likely represent technical
artifacts.

Despite the lack of significant variance among group means, a number of

individuals exhibited sufficient deviations in certain hematologic measure-

ments to require followup assessments.

Figures 5 to 7 record individual

values segregated by exposure group, sex, and time of study between 1975 and
1979 for persons whose hemograms contained values outside the ranges 4,280 to

10,640/y1 leukocytes, 10.2 to 17.2 g/dl hemoglobin, and 120,000 to 372,000/y1

platelets.

These ranges represent values more than one standard deviation

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