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usually associated with a consistent eosinophilia,
and indeed a large group ofindividuals with high
eosinophil counts hadstools negative for parasites.
However, the greater incidence of eosinophilia
among Marshallese with stools positive for T.
trichiura indicates that infection with this helminth
may be a contributing factor, but this does not entirely explain the generally high incidence noted.
Possibly chronic infections, particularly fungus
infections of the skin, may be partly responsible.
Anotherpossibility is trichinosis infestation, which
has to be consideredseriously in view ofthe large
numberofrats on the island and thepresenceof
swine (used to a small extent for meat) roaming
freely. On the next survey serological tests for
trichinosis antigen will be carried out.
An unexpected finding was that the level of
serum protein-boundiodine in these people was
significantly above the normal range. Butanolextractable iodines on 6 cases also showed values
at the upper limit of normal, but thyroxinebinding capacity determinations on 12 cases gave
data inadequate to define precisely whetherthe
slight elevations weresignificantly different from
normal. However,it could be calculated that the

level of thyroxine-binding protein was insufficient
to cause the elevation of serum thyroxine (presumably to maintain a normallevelof free thyroxine)
noted in these people.
The study of genetically determinedtraits has
proved most interesting in helping to establish the
anthropological background of the Marshallese
people and the homogeneity of the population
‘understudy. Interesting findingsin the studies of
blood groupings were the high frequency of the O
gene (78.9%), the extremely low frequencyofthe
M gene (14%), the highest incidence yet reported
of the R’ chromosome (98.5%), the presence of

10.8% of Duffy (Fy*) negatives, the absence of Kell

and Diego factors, and a single sample of the A.B

group. These groupings mostclosely resemble
those of the people of Southeast Asia and Indonesia. Haptoglobin studies showed a very high
incidence of the 1 —1 type and the Hp’ gene exceeded only by that of the Yorubas of Nigeria. No

unusual hemoglobin types were noted. These

findings suggest a rather homogenouspopulation.
RADIATION ECOLOGICAL STUDIES

It seems appropriate to discuss the Marshall
Island data as part of the world-wide fallout

problem. There has been much concern expressed
both in scientific journals and in populararticles
about the hazard from fallout, particularly Sr®.
The general situation as of mid-1957 has been
reviewed by Robertson and Cohn,"* with the conclusion that existing levels of radiation from fallout
add little to the environmental radiation hazard.
Eisenbud and Harley“ present data indicating
that in the United States Sr*’ continues(in 1958)
to be deposited at a rate of 11 to 54 mC/mi*. The
averagefor the rest of the Northern Hemisphere
is 16 mC/ mi‘, which is about twice the valuefor

the Southern Hemisphere. Kulp and Slakter*’
conclude thatthe diet of an average U.S. citizen
in 1957 contained about 6.5 puSr°’/g calcium,

which corresponds to an equilibrium base level of
1.6 puC/g if the discrimination factor between diet

and boneis +. Finkel,°* in an appraisal of the
potential Sr’? danger based on data from animal
experiments, concludes that the minimumeflective dose in man maybe a burdenoffrom 5 to 10
uC Sr°’°, in close agreement with an estimate of

6 to 15 wC based on the radium methodof extra-

polation. Hindmarshet al.*? have re-evaluated
the relative hazards of Sr’° and Ra**". Their conclusion is that the currently accepted maximal
permissible dose figures for Sr’ are substantially
correct. Brues’* reviews the arguments upon which
is based the fear that very low doses of Sr" might
producea “very low (but in absolute numbers appreciable) incidence of leukemia” and concludes
that the present datafail to indicatea linearrelationship for dose and effect at low doses. He further emphasizes the fact that there are other
theories of the etiology of cancer, and thattheir
existence weakens the arguments of those who
would assign unrealistically high probabilities to
the role of single mutations as being the cause of
cancer.
Gilliam and Walter® have studied the trends in

the mortality from leukemia. In most age groups

the death rate has been increasing exponentially
since 1921, with doubling times of about 15 to 20
years for most age groups. The younger age

groups, however, have recently shown a tendency
to level off, or, in the authors’ words, since 1940

there has been “‘a distinct tendency toward a decline in the rate of increase.” This tendencyis
more definite with decreasing age, and in the age

group 0 to | year there has been an actual decline
in the death rate from leukemia. If leukemia
follows from exposure to an environmentalfactor,

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