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. 3 ie 7 Nonepe ‘ t tee, . ne : ty Fed at aes we at * hae TA Choe . yy 8 cone of _ mals vay * = ye tte Bp Eee ee . wy ae wt * 1. egge te ey ta? 3 Fens et = toe eee a 7 ¥ ve ease ae, ee nn Seoe Uet “ 4 “ert: ¥ ast 7 " See Ao we