\% ) h —_~ - > t { 1970 Preliminary Remarks Concerning the 1970 Annual Medical Survey in the Marshall Islands The annual medical survey of the Rongelap people accidentally exposed to radioactive fallout in 1954 was carried out in March, 16 years after the accident. In spite of rough seas and difficult travel on a small cargo ship we visited the Atolls of Bikini, Rongelap, Utirik, Kwajalein (Ebeye) and Majuro for examination purposes. A brief stop was made at Bikini. There are 25 Bikini people comprising a labor force who are there for rehabilitation purposes (planting coconut trees, etc.) Im regard to our responsibilities of monitoring the Bikini people related to the low level of radiation in the environment, we obtained pooled urine samples on the group there and several specimens of coconut crabs for radiochemical analyses. These samples are being sent to the Health and Safety Laboratory of NYOO for analysis for 90sr, 37cg and Pu. Unfortunately a water sample from the well behind the camp which we collected was broken. However a similar sample had been obtained from this well and was taken to Las Vegas for analysis. Last year at Kili 12 urine sample were collected on Bikini people. All of these showed only low levels of 137¢s and 29sr as expected. Since for several years it appears that only small groups of Bikini people will be at Bikini on a rotating basis for several months _at a time we believe that occasional checks of urine, water, crabs, etc. are all that is necessary at this time. When sufficient numbers of people have returned for a more permanent stay on the island more comprehensive such as whole body gamma spectroscopy will be carried out. Plans are being formulated for such examinations. exam I was somewhat concerned about the collection of metal scrap, mostly brass and copper, I believe, which the Bikinians are collecting to sell, They were making piles of it in the open,since we did not ‘have instruments for measuring radioactivity with us I warned them against piling too much scrap in one place. If any of the scrap is radioactive perhaps the AEC could buy those pieces from the natives. I have already mentioned this problem verbally to some of you. It was encouraging that no new cases of thyroid nodularity were detected in the exposed Rongelap or Utirik people. One 20 year old exposed Rongelap female who had a partial thyroidectomy in 1964 and had not been seen for several years due to the fact that she lived on an outlying island was the cause of some concern. She showed an increase in the size of her thyroid remnant. In view of the development of 3 cases of cancer of the thyroid in the Rongelap people serious consideration is being given to having this girl returned to the United States for study and possible further surgery. Of the 82 exposed people of Rongelap, 66 are now living and of these 21 have developed thyroid abnormalities, 19 - DOE ARCHIVES ML