tent, and increased retention of BSP, etc. were

A.

Observed in most cases. One of the patients,
who was pancytopenic at about the +-7th week,
died from liver damage 206 days after the
exposure. In other patients, liver function gradually recovered, and clinically significant liver
disturbances have not been found. For example,
CCF test was positive in most of the patients
in 1955 survey

(1$ years), while CCF

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results of the study, however, were not sufficient

enough to be presented.
Ophthalmological examinations showed slight
lenticular opacities in several cases, but, these
have not been related to the former exposure yet.
Content of Na, K, P and Ca in serum was normal.

81964 Medical Survey

\s already mentioned, we have tried to perform medical survey on these irradiated persons
onan annual basis. However, sufficient examina-

tion wag impossible by several reasons.
This 1964 survey was carried out as follows:
1) Thirteen persons were examined at the
National Institute of Radiological Sciences,
and one person at the Tokushima University Hospital, under hospitalization.
2) Four persons were examined by Dr. Kumatori, ef al. at the Yaizu City Hospital as

outpatients.
The period of hospitalization was 3-6 days.
The 1964 survey was performed from the end
of January and finished at the beginning of
May. During this period, Dr. R. A. Conard from
Bruokhaven National Laboratory, the Head of
U.S.A.E.C. Medical Survey Team on Marshallese exposed to fallout on 1 March 1954,
visited Japan to be on hand for the examinations
of Japanese fishermen. Dr. T. Kumatori, National
Institute of Radiological Sciences, went to the
Marshall Islands with Dr. Conard, and cooperated with U.S. Medical Survey Team for about
3 weeks. This exchange visit was valuable for
understanding of radiation effects on both Japanese and Marshallese exposed people.

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1937 examinations was negative in all the cases.
6. Other Studies
The studyof leucocyte chromosomes was made
with peripheral blood culture method.
The

i.

Interval Histories
Their occupations in 1964 were as follows:
Fisheries, including pelagic fisheries----- 3

The interval medical histories were summarized

in page 2 and Table 2. Several diseases contracted
after the release from the hospitals did not seem
to be late effects. Since the 1963 survey no
significant disease has occurred. Their children
are healthy, but detailed medical examinations

of the children have not been carried out yet.
B.

Physical Examinations
The routine physical examinations revealed
the following:
In 10 cases among the 18 examined, livers were
palpable !~2 finger breadth belowr. costal margin
at mid-clavicular line, but they were soft and
not cirrhotic.
Case K-8 developed r. pulmonary phthisis in
1955 and received chemotherapy. At present,
only small fibrotic foci are observed in r. subclavicular area on chest X-ray film.
Systolic murmurs were heard at the apex of
heart in K-10, and r. bundle-branch block was

proved by ECG. No medical treatment was
required.
Case T~7 was proved glucosuria. Detailed
medical examinations are to be done at Yaizu
City Hospital.
Cases
elevated

T-2,

K-1, and

minimum

blood

K-~6

showed

pressure

slightly

(94, 98, 98,

respectively).
C.

Skin Lesions
Residual skin changes in areas previously exhibiting beta burns were still observed in some

cases,

Most remarkable residual changes were shown

in abdominal wall

(T-6, K-2, 4, 5, 7, il, 12, 13).

Pigmentation, depigmentation and teleangiectasia
were observed macroscopically (Plate 1), His-

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