16 PHYSICAL EXAMINATIONS Adult Examinations The general health and nutritionalstatusof the people of Rongelap and Utirik Atolls weresatisfactory and about thesamein the exposed asin the unexposed populations, with the exception of thyroid abnormalities in the exposed Rongelap population, whichwill be treated separately below because of the importance of this development. As noted in previous surveys, the variety and distribution of physical abnormalities (with the exception of thyroid nodules) did not appearto besignificantly different in the exposed and unexposed populations. The varying incidence from yearto year of such findings as cervicitis, prostatic hypertrophy, andarteriosclerosis probably to some extent reflects differences in clinical criteria ofjudg- ment among the examiners. There was a marked tendency for extensive dental caries in young adults. Special ophthalmological andslit-lamp ebservations for lens opacities were not carried out during the past 2 years. Physical abnormalities in the adults are listed in Table 10. Figure 7. Part of a physical examination. Tabie 10 Physical Findings in Rongelap and Utirik Adults, 1965-1966 Rongelap exposed (48 examined) Rongelap unexposed (81 examined) Subject Nos. %o Subject Nos. Anemia, anemic tendency* 12, 22,55,64, 70 11.0 Arteriosclerosis, penpheral, mild 58,59,78,79, 82 11.0 1,11,16,41, 60, 68 13.0 826, 829, 841, 843, 860, 865, 947, 964 856, 884,910,941, 948, 957, 961, 964, 970, 991 853, 859, 860, 878, 899, 908, 929, 947 916- Arterioscierosis, peripheral, moderate to severe Asthma Auricularfibrillation with myocardial damage Bradycardia Cardiac enlargement** Cervical erosion Cervical lacerations Congenital defects Dislocation of hip Prominent head of ulna Bilateral shortening of 5th finger Polydactylism Dislocated wrist Flexion deformity, fingers Cyst, ovarian Cystocele 80 2.1 27 1, 60, 76, 80 2.1 8.3 63, 74 49 4.3 2.1 41 14, 28 1,41, 75, 78 2.1 4.3 8.3 39 1, 18, 71, 74 2.1 83 Utink exposed (71 examined) Fo 99 12.4 9.9 1.2 858, 859, 917, 942, 947 6.2 829 1.2 833, 858, 882, 915 832, 836, 910, 914 938 49 826, 894 2.5 832 835 1.2 Subject Nos. 2128, 2246 2.8 ‘ 2146, 2148, 2194, 2244 5.6 2105, 2110, 2175, 2191, 2198, 2214 8.5 2162 2166 1.4 1.4 2139, 2161 2.8 1.2 1.2 *RBC: F <3.9 million; M <4.3 million. Hemoglobin: F <11.0g; M <13.0 g. Hematocrit: F <(35%; M <38%. **Byx-ray and/or physical examinations. Ge