One death, presumably due to coronary thrombosis, occurred in July 1957, that ofa 78-yr-old diabetic male. No autopsy was obtained. One unexposed 65-yr-old male died in January 1958, presumably ofarteriosclerosis and senility. No autopsy wasobtained. Physical Examinations Examinations showedthe general physical condition of the people to be satisfactory. Grossly, nutritional status wasalso satisfactory, in spite of the dietary restrictions referred to above. How- ever, 6 children (all in the unexposed group) showed mild to moderate degrees of hemeralopia when put through an obstacle coursetest at night. - All were treated with vitamin A and recovered rapidly. This evidence of mild vitamin A deficiency is understandable after study of their diet. At that time of the year pandanuswasnot ripe and other sources of vitamin A werescarce. Table 1| lists the major diseases noted in the exposed and unexposed people. The diseases found were present with about the same frequency in the unexposed and exposed groups. No malignant conditions were noted. Physical examination of the children revealed few major medical disorders in either the exposed or unexposed groups. One exposed child had in- active rheumatic heart disease with evidence of polyvalvular involvement (reported previously). He showed nofurther evidence of decompensation such as had occurred 3 years previously and was able to keep up with other children in their play. Extensive molluscum contagiosum andsuperficial OTHER ABNORMALITIES FOUND Cheilosis Tinea versicolor Kyphoscoliosis Impetigo and ecthyma Healed yaws Bronchitis Hypertension Arteriosclerosis. peripheral Osteoarthritis Obesity Chronic cervicitis Cystocele and rectocele Emphysema Uterine fibroids Goiter Hemorrhoids Hepatosplenomegaly Abnormal knee-jerks Keloid Leprosy Functional heart disease Rheumatoid arthritis Ovarian cyst Analfistula Dupuytren’s contracture Senile vaginitis Hallux valgus Leontiasis osseum Urethral caruncle — KS OOK Hernia, umbilical Congenital nvstagmus Congenital facial asymmetry ST of unknown cause.) CONGENITAL ANOMALIES Short 5th finger Prominent ulnar styloid process Congenital dislocated hip Heberden’s nodes Adrenogenital syndrome Pilonidal sinus Unexposed SK miscarriage, and another had a full-term baby that died within a month, apparently of diarrhea of infancy. (Between the March survey and the return survey in May 1958, one exposed woman had a full-term baby that died shortly after birth Exposed ea accident. One of the unexposed women hada Marshallese (52 exposed adults and 55 unexposed adults examined) Coe KF Nee ee SP OO SEF CRE NN CN NN emu OWwro months. In all three cases this was the second miscarriage since exposure. However, two of the women have had one normal pregnancysince the Incidence of Various Disease States Among the o OonoroOuUNr women, two at 3 months and one at about 6 Table 1 =e TOT OT COM YP FP Or COC HN OCONNN Uo Re eK spe were also common complaints for which the health aide was consulted. During the past year healthy babies were born to 4 irradiated women and 6 unexposed women. The exposed and unexposed groups each contain 19 women of child-bearing age (15 to 44 years). Three miscarriages occurred in the exposed pustules on the legs were common. Anoccasional child had palpable cervical nodes, but tonsilar hypertrophy was uncommon. Xeroderma,cheilosis, and glossitis were not seen. In the exposed adults, one case of auricular fibrillation of several years standing in a 50-yr-old male continued asymptomatic. The case of leprosy showed no progression ofthe lesions of the hands