Effects of fall-out radiation on Marshallese 27/1 than did the earlier comparison group of people, which was randomly selected at Majuro Atoll. 2. FINDINGS The latest findings are based on the annual medical survey carried out at Rongelap in March 1959 at five years after exposure. About 100 exposed people including their children and 200 unexposed people were examined. Since the data are not completely analysed, the statements made concerning this survey must be considered as preliminary in nature. The survey was conducted by a 20-man medical team from various institutions in the United States under the direction of Brookhaven National Laboratoryf. The examinations included medical histories, complete physical examinations, and blood and other laboratory examinations. In addition body burdens are being determined from spectrographs of gamma-ray activity of 175 Rongelap individuals from numerous urine samples for radiochemical analyses. 2.1. Acute effects of gamma-irradiation During the first 24 to 48 hours after exposure about two-thirds of the Rongelap people experienced anorexia, nausea, and a few vomited and had diarrhoea. Many also experienced itching and burningof the skin, and a few complained of lachrymation and burning of the eyes. Following this they remained asymptomatic until about two weeks after the accident, when ° 2 10 T x T T T1 wn = a 8 = a ToT tt % ~, LW 7 4 _. pn { \ ” 1 a a > 4 LEUKOCYTES L 2 Oo T w * | oe nn ™“ _— ~ ‘y ?~ ‘ xr ~¥ NEUTROPHILS co a oO 2 = 3 Lo _ x 4 0 | 0 8 J 1 24 ] 40 1 I 56 l LA 72 6 A | DAYS MO TIME AFTER EXPOSURE | 2 3 1 l 4 5 YEARS Figure 2. Mean neutrophil and white blood counts of exposed Rongelap people from time of exposure through five years’ post-exposure. Stars represent mean values of comparison populations. cutaneous lesions and loss of hair developed, due largely to beta-radiation of the skin. It was apparent when the people were first examined, a few daysafter exposure, that the lymphocytes were considerably depressed and that significant doses of radiation had probably been received. The dose of radiation proved + The material presented in this report represents findings by a large numberof people who have participated in past surveys.