particularly with regard to the thyroid.

More information would be desirable

concerning certain aspects of thyroid exposure.

More data are needed on the

contribution of.short-lived iodine radioisotopes, including relative abundance
and distribution as a function of time, dose fractionation, etc.

Also,

the

dose-response relationship of these isotopes in the thyroid compared with 13ly
and gamma radiation needs further investigation; such studies should be done
in large animals, perhaps sheep or swine, having thyroid glands comparable in

size to human glands.
Since radioelements other than iodine may have been involved in the thyroid exposure of the Marshallese, further information is needed on such elements that might be present in fallout.
Certain elements are known to show

relatively greater affinity for deposition in the thyroid than in other or-

gans.
Radium and thorium (226,227), barium (226), americium (228,229), plutonium (228-230), and calcium (226,231,232) have been found in animal thyroid
glands.
Robison et al. (231) have shown that calcium is concentrated in the

lining of thyroid follicles with small localized areas of calcification in
human thyroid glands. Haeberli et al. (232) have reported rapid incorporation

of 45ca in the rat thyroid.
In vie. of the abundance of calcium in the atoll
environment, perhaps consideration should be given to the possibility of a neutron-induced calcium Lsotope that might have been involved in the thyroid exposure of the Marshallese.
Autoradiographic and other studies of animal thyroids removed at surgery or autopsy might be helpful in this regard.
It
should be noted that the elements referred to above are absorbed by the thyroid to a much smaller degree than iodine, and it seems unlikely that they
would contribute significantly to the thyroid dose.
Very little is known about the effects of low doses of radioiodine radiation on the thyroid.
Ome source of information comprises thyroid studies on
people given diagnostic doses of 13ly in che early days, when doses were
higher than now used.
It is hoped that further information from such studies
will be forthcoming so that a better evaluation can be made of low-dose effects and of the relative importance of 13lt exposure on the thyroid.
The development of thyroid nodules in two of three Rongelap children
exposed in utero emphasizes the probable importance of radiol1odine absorption
by the fetus from the mother.
More precise information regarding fetal iodine
uptake at various stages of gestation is needed.
1297, a long-lived isotope
with

low radioactivity and a high cross

section

for neutron activation,

might

be administered to pregnant women in cases where abortion is indicated. Neutron activation of 29 I in the thyroid gland removed from the fetus would pro~

vide precise information on uptake of iodine by the gland at the given stage
of gestation.
In view of the greater relative sensitivity of the child's thyroid, fur-

ther information on thyroid weights and thyroid function in children of vari-

ous ages would be helpful.

In conclusion,

in view of the possible further development of thyroid

abnormalities and other late effects of radiation in the exposed Marshallese
people, it is necessary that regular examinations and provision for adequate

health care be continued throughout their lifetime.

- 88 ~

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