some degree of residual skin change largely in the

rials, probably brought about largely through

form of pigment aberrations with atrophy and
scarring. Numerous histopathological studies have

eating and drinking contaminated food and water.
Calculations of the body burdens of these mate-

been made, and the changes found have been consistent with radiation damage. However, at no

rials, however, showed that the concentrations

time have changes been observed either grossly or
microscopically indicative of malignant or premalignant change.
The spotty epilation on the heads was shortlived, regrowth of hair occurring about 3 months
after exposure and complete regrowth of normal
hair by 6 months post-exposure. No further evi-

denceof epilation has been seen.
An interesting observation was the appearance
of a bluish-brown pigmentation of the semilunar
areas of the fingernails and toenails in about 90%
of the people beginning about 3 weeks after exposure. By 6 months, however, the pigmentation had
largely grown out with the nail and had disappeared in most cases. The cause of this phenomenon has not been explained.
Internal Irradiation

Radiochemical analysis of numerous urine

samples of the exposed population showed some
degree of internal absorption of radioactive mate-

were too low to result in any serious effects, and
the levels found at 2 and 3 years post-exposure
were far below the accepted maximum permissible body level. The results of numerousradiochemical examinationsof the urines over the past
4 years, and of gamma spectroscopy over the past

2 years, will be reviewed in greater detail below.

Present Survey
BACKGROUND MATERIAL
Organization

The medical team consisted of 8 physicians, 5

scientists, and 6 technicians from various labo-

ratories in the United States. A Marshallese
practitioner and 2 medical technicians from
Majuro Atoll assisted the team, as did someofthe
Rongelap people (see Figure 2).
A group ofsix scientists from the University of
Washington, headed by Dr. E.E. Held, accom-

paniedthe team to collect soil, marine, and plant

3

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Figure 2. Medical team personnel.

Select target paragraph3