twice the natural potassium-40 activity in man and about 1/300 of the recommended
maximum allowable activity for cesium-137 in nonindustrial personnel.
Although the fodine-131 excretion levels measured in these Nevada subjects
represented only a short interval of time, the values were not remarkably
different from 1!3! measurements during Operation Teapot,
The highest 1 31
activity measured in our study group was in an Alamo resident, and was 1.7
percent of the "maximum permissible thyroid burden" (NBS HB-68 standards).
Thyroid burden can be estimated crudely by assuming that 30 percent of the
urinary activity represented thyroidal release at a rate of about 2 percent
per day.
The mean adult thyroid burdens of 1131 are then:
Mercury:
Alamo:
Lincoln Mine:

5.6 x 10°" microcuries
1.5 x 10-3 microcuries
1.6 x 1073 microcuries

certainly encountered in MLON investigations. Pertinent problems in investiga-—
tion and management were reviewed with MLON representatives, and some general
recommendations for management of similar situations were developed.
Nineteen sixty-eight also saw the institution of a program for doing whole-body
scans and counting among representative residents of the off-site area. This
program has continued and, along with the studies of the Alaska natives, has
in
become one of the main methods of monitoring body burdens of radionuclides
residents of the off-site area.
Genetic studies and evaluation of chronic radiation injury have never been
entered by the MLON. MLON investigations have generally concentrated on acute
illnesses, or problems, and have always tried to make a positive diagnosis
rather than simply stating "that is not radiation injury." In all the years
of MLON investigation, we have yet to find a true case of radtation injury
which could be attributed to radioactive fallout.

The 1960s saw a marked increase in the use of radiation by industry and physicians, with a comparable increase in the possibility of a yadiation incident
occurring.
It was believed desirable to include all types of radiation emergencies in the training sessions of the MLON.
Several investigators carried out studies of leukemia clusters and thyroid
disease in certain areas of Utah and Arizona.
The MLON participated in some
of these investigations carried on in the sixties.
One of these investigations concerned leukemia deaths in the area surrounding
St. George, Utah. Rumors were circulating among the citizens that certain
deaths, and particularly an increase in leukemia deaths in 1962, were due to
fallout occurring from some 1955 tests.
During those tests, one cloud was
estimated to have given the residents of a small town near St. George about
5 rad total body exposure, with higher doses to the thyroid. Review of the
vital statistics for the area did show a small peak of cases in that year
(1962).
This was a "peak" of three cases, whereas the average for several
years preceding and subsequent to 1962 was less than one case per a year.
Statistical evaluation indicated that if four cases had occurred, it would
have been a statistically significant peak, but three was still within the
statistical variation.
We had also received some complaints of chronic anemia and thyroid nodules in
residents in northern Artzona.
Investigation produced no significant findings
in this area.
Cases investigated by MLON in 1968-69 had very strong psychiatric overtones.
One such patient called the USPHS and/or the AFC every 24-48 hours.
She was
hospitalized on several occasions with the final diagnosis being chronic
paranoid schizophrenia. This diagnosis was arrived at only after all possible
causes (organic) of her symptoms had been eliminated.
This MLON case presented a difficult, and different, investigative and management problem.
Psychiatric illness is common in the United States and was

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