Contents BACKGROUND oie ccc cece ee ete cectetesteetcae teste ciecntentes tess tiettiresaeseness 1 SUMMARY OF PAST FINDINGS ..0...0000000ccccccceceeeeeeceeeeseceaeaseeaeeceesseaessesiessatestenes 1 Penetrating irradiation... 00... eeceeeceeeeeteeeeeeceeneees cueeenanees 1 Beta irradiation of the skim. .......0.0 ccc ccc cee eens seteeeneeneseaceseesies 2 Internal irradiation 0.000.000. cece sects ceacee ceases ee ceessecatseeseitenteatanes 2 PRESENT SURVEY ooo. cece tees t este tea test eves cisceeteestestesetereaceeese 3 INTRODUCTORY MATERIAL..0000..00000ccccccccccccetcenscesescseeceeecuescceenensaecectessaeeeatesaeeaeenes 3 EXAMINATIONS .000.000.0cccccccccceecceseccseceseensecrsesseeseseeeeceeaeesieegeeetieeceteciseanerceesseeaes 3 RESULTS... 2.0. ceeccccccecace cee cessae ce sete cesesessueeeaeceeensaescreessseecseeessteeecaseceteenaceensieenees 6 Interval history... eee cece cece cence eet nete ee eent eb vetsntentesttatteess 6 Physical findings... 00 ce cence eerste see etee tees eeeeevenaceeneaeanseneat 7 Growth and development... ccc cence recec rere teeeteaeneeeestaenenty 7 Ophthaimological examinations....000..000.00.0 ccc eect cee eee eee teetneeeeteenee 9 Examination of the skin ......0....00.0ccccccccccesccceeeeeceeeenee sees cease sesneeceaseeeens 9 Laboratory examinations....0.00000..00 0c ec ceceeee cece cee ceee ae cenecenaneeneeeeeeaeenae 10 DISCUSSION 0... ccce cece nce seen cues ceecaeecsecnecaeeieesatentaessatessassenessieeeeceetteees 16 ACUTE AND SUBACUTE EFFECTS ..00...0.00.0c:ccccceceeceeeceecnnceceeetenceecestaaeaesestaceeeraeenaes 17 Penetrating radiation... ec cee cen cene te sre ee ee aarecesacnenaveeaces 17 Superficial beta radiation exposure... cece seerceeeeeeteenenereees 19 Internal radiation exposure... cece eee ce cee ren ensentnenenenaens 19 LATE EFFECTS .00.0...ccccccccececesecestcatesseccaetenteaccatensectectascaceseescevicesseesaviees veceeeeeeseees 19 Penetrating radiation... ccc cece cee eet ates seeeasseceeseneneeenes 19 Superficial irradiation of the skin... occ e cee eeeneeeseneneteeeeaees 20 Internal radiation... ccc ccc cence cree cceeceeeeed us aeeeenenesaeenetiaees 21 REPATRIATION OF THE RONGELAP PEOPLE... 0.00 eeccccccccececteses cote tetteatertestentes 21 CONCLUDING REMARKS ..00..0...ccccccccccccecteeeensecaesescesccasesapessserescesaueeeucersectessenesenas 22 SUMMARY ooo cece cect scenes ese sstatesenstsatatee teatcsctecatsstestnetecnetetsesetiess 22 ACKNOWLEDGMENTS. ...00..o ccc ccecccccccteccceeteceseeecceeeceeseaeceeeaeveesareeeneeeeas 24 REFERENCESooo cccceeecceecee ce testeeesecsencenesecacenseecseesenccaeeeseseeesstsesesttsaaaees 24 ii

Select target paragraph3