possibly was related to their previous dramatic experience with epilation.
The Marshallese appeared to haveverylittle
neurosis or psychosis. One young manin the un-

irradiated group had been diagnosed as having
schizophrenia but only occasionally did he cause
trouble.
The living conditions of the people weresatisfactory. They were furnished sufficient food and
their quarters were comfortable.
The second phaseof the survey at Utirik Island
showedthatthe general health of the Utirik people appeared to have been good during the previous three years. There had been five deaths in the
group. The causes of the deaths could notbeascertained because of the inexperienceof the health
aides. As with manyotherreports of death in the
Marshallese records, the cause “old age” was
about all that could be obtained.
Physical Findings

The people both in the exposed and in the unexposed groups appeared to be generally in good
physical condition and in a satisfactory state of
nutrition. In Table | are listed the average values
with standard deviations of height and weightof
individuals from age 20 to 50 (including the Utirik
group). A somewhatgreater weight of the Utirik
female is significant ( Utirik versus unirradiated
Rongelap, P<0.05). The cause for this difference
is not apparent. The low standard deviation of
heights for both sexes suggests considerable homogeneity in these populations. Height and weight
in the children will be described below under
growth and developmentstudies.
In Table 2 are listed the major diagnosesfor all
these groups. In general, no diseases appearto be
associated with radiation exposure in the Rongelap
people. Major diseases are as prevalentin the unirradiated group as in the irradiated group. No
increase in degenerative diseases and no malignancyin the irradiated Rongelap people wasevi-

dent. Extensive dental caries was presentin all
the Marshallese, related largely to poor oral
hygiene.
The incidence of congenital abnormalities
(Table 2) seems unusually high. The exact nature
of the abnormalitiesis listed in Table 3. Only in
the case of congenital shortening of the fifth
metacarpal was a definite familial pattern apparent. With only these four cases, however, the

Table |

Mean Height and Weight in Adults (20 to 50 years old)
Height,in.

Weight,Ib

Males
Rongelap
Unexposed Rongelap
Utirik

63.442.8
64.141.8
63.9+2.1

137215.8
1404 22.9
137+19.5

Females
Rongelap
Unexposed Rongelap

99.9=1.5
60.0+2.2

114+18
1h1424

Utirik

59.61.7

132421

manner of inheritance was not clear except that
it is not a simple Mendelian dominant. Ofgeneral
interest was the absence of peptic ulcer. The
director of the hospital at Majurofelt that peptic
ulcer was almost unknown in the Marshallese.
Comparedto an incidence throughoutlife in the
American populace estimated at 6%,this is an unusual finding. Perhaps the tranquillife without
responsibilities and without the pressures of modern living exerts a favorable influence in thisregard. Landis the only real wealth in these islands,
and a complex system of matrilineal inheritance
engendersfeelings of security, since every Marshallese is assured rights to enoughland to provide
adequate food.* Electrocardiograms were taken
on individuals for whom it appeared indicated
and on all persons over the age of 40. Results
showed an unsuspected stereotype amongtracings
other than those called abnormal - more so than
one would expect to see in as random a sampling
in the U.S.; and a general age appearanceofthe
normal tracings younger than expected. From the
magnitude and direction of the T vector one
would expect most of these people to be 30 to 40
years of age, and none of them seemedelderly.*
The young appearance of the ECG’sis in contrast
to the physical impression that these people age
quickly.
Growth and Development

Longitudinal studies of anthropometric data
have not been completely analyzed and will not

be presented at this time. Cross-sectional data for

height, weight, and bone developmentare pre-

*Dr. Robert Grant of the National Institutes of Health generously interpreted the tracings.

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