infections or chemicals (14,

16,

17).

However,

such factors are probably

not involved since they did not produce a similar effect in the irradiated
group who were exposed to the same factors.
Correlation of chromosomal aberrations and severity of early radiation syndrome in the Marshallese was not apparent. For instance, the degree
of early hematological depression did not seem to correlate with the.
occurrence or number of chromosomal aberrations on an individual basis. And,
as was pointed out, the lower dose group had a higher incidence of chromosomal
aberrations than did the higher dose group,

more pronounced in the latter.

though the radiation effects were

These findings are in conformity with those

of the ABCC studies (12) which failed to show correlation of chromosomal
aberrations with severity of early radiation illness.

There was also no correlation of chromosomal findings in the Marshallese
with age or sex. Neither did the presence or absence of thyroid pathology
appear to be related. However, the development of thyroid abnormalities was
related to the dose to the thyroid gland from internally absorbed radio-

iodines (based largely on the size of the gland) rather than the whole-body
exposure.
Similar chromosome aberrations have been reported in the Japanese

fishermen exposed to radiation’ from the same fallout (11).

The incidence

of aberrations, excluding aneuploid cells, was 2.1 per cent and thus
identical with that seen in the Marshallese people. The majority were
two-hit aberrations. The incidence of acentric fragments in a control population of Japanese studied by the same authors was 0.11 per cent; this is
twenty times less than that seen among the eight unexposed Marshallese in
the present study.
In a carefully controlled cytogenetic study of a sample of survivors
of the atomic bombings in Hiroshima and Nagasaki, Bloom et al.have found an
incidence of chromosome aberrations of 0.6 per cent in 94 persons 20 years
after exposure (12). Thirty-eight per cent of the aberrations were of the
multiple-hit type and the rest acentric fragments. Only a single minute
fragment was seen in 8847 cells of the 94 controls, an unusually low
incidence indeed. The low number of aberrations and the fact that only 35
per cent of the survivors showed aberrations is not surprising since 20
years have elapsed since exposure.

Although the Marshallese and Japanese exposed population and the
conditions of their exposures are not strictly comparable, it is interesting
that in the Marshallese people who were examined 10 years after exposure,
the aberration rate as well as the number of aberration-positive individuals
(53 per cent) was somewhat higher, as might have been expected.
Acknowledgements

We are greatly indebted for expert technical assistance to V. Estey,

R. Hammerstrom, I. Irwin, W. Merrill and W. Waithe.

Dr. Shields Warren for his interest in this work.

140

We wish to thank

We are most grateful to

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