tg al.
Thyroid and other radiation-related diseases in the exposed and
A.
"=
ARE ERE Sun.
-
gomparison populations.
4
All of A plus other patients already taken into the study with
B.
vey tg
non-radiation related diseases (e.g., diabetes}.
This would include exposed and
comparison group patients only.
All of A and B plus all low level radiation exposed patients who
Cc.
have gone through full screening, irrespective of findings of disease (e.g., the
Bikini group).
All of A, B, and C plus full screening of all inhabitants living
D.
on, or scheduled to be repatriated to,
atomic fallout;
the Marshall Islands contaminated by
i.e., background radiation higher than median for all
Micronesian islands.
Discontinue the study under DOE mandate and turn the care over to
* E.
the new Marshall Island Health Care System. *
'
With these five options in mind, we must first consider the common constraints impinging on the subheadings listed under Column II of the flow sheet
(see Figure 1}.
priate.
The
The unique constraints for each option will be listed as appro-
common
1.
constraints
are:
Under current operating policies, DOE responsibilities do not
include health care for non-irradiation related pathologic conditions.
2.
The definition of "“radiation-related" pathologic conditions is
There is uncertainty among radiation experts as to the biologic ef-
not clear.
fects of long-term "low-level" radiation.
The status of acute and long-term ef-
(}
fects of higher levels of radiation offers a greater consensus by the experts.
ro.
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