a 4 {"} Sr eye ee earl athe Meath head (The folloving data are taken from an informal report by Dr. Conard dated 4/20/71) e ‘severly ome $8. THE CURRENT STATUS OF THYROID DISEASE AMONG THE MARSHALLESE EXPOSED TO FALLOUT FROM THE BRAVO TEST, MARCH 1, 1954 The current status may be updated as follows: I. 1 W . ‘y - ‘ ek a toa oa Total - 19 2 .- 1. . ‘ : + het alanine apntel dem. et at ~ ae . Te “as . 4 Young Rongelepese exposed to fallout March 1, 1954, when they were 1 to 8 years of age, (Estimated dose: 175 rads external gamma plus 600 to 1400 rem internal irradiation.) 2, 3. 2 (11%) Currently hypothyroid with minimal nodularity, Responding satisfactorily to oral thyroid hormone therepy. " 3 (16%) shows some enlargement of the remnant of thyroid left from é partial thyroidectomy in 1964; as she has not followed her post-operative thyroid hormone regimen, there is question as to whether she shovld have further surgery. 11 (58%) Young people operated on for thyroid disease during August 1969 and recovered. Diegnoses: Primary benign adenonatous goiter in two and pepillery adencma of serious grade malignancy in one, 3 (167%) Have undergone surgery in the U. S. prior to 1969 because of nodular thyroid diseese; histologic tumor. Responding satisfactorily to oral thyroid hormone therepy with one exception: Oeete ot el ie all e4 . . + . * Vue abe Currently normal by clinical and biociiemical tests. (There may be a slight unevenness of the gland in one patient.) diagnosis of adencmatous goiter and Huerthle cell ‘ ’ . we ‘ 4 "eo nctemgstethiinbintais 9ene s tada * sey ‘iw cod . A‘ a “* ee owe ee anantsyow * | This patient (None of six Ailinginae children expesed to an estimated external dose of 69 rads have shown thyroid dysfunction, } Surviving adult Kongelapese exposed to fallout. (Estimated dose: 175 rads external plus 160 rem internal irradiation.) 1 ee eedlr ee fede. II. Total - 34 1. Papillary carcinoma removed surgically at ape 41, No recurrence. Taking oral thyroid hormone therapy. 1 DOE ARCHIVES sy - ’ _—— - —_ ~~:og . — <> 2Se oe = - . - re 7th se em 7 .. . a ’ . - ° - - a. = -- » . .‘— — ee ge = ne ge eae ee en ee — rer — + - . Jt ~~ - «= . ae . oe « - wea ‘ wee + ~—a_* ~* mle e:7poate ts= -. . . o~ * _~*™. re: a ea at se :Fe . > *. > * = . _— <= . om se . . le *, . - Fa : . o. - + 7 _”* —-7. at'* + ee tT eee eee *- ~. > oe te fu, . . : - - we . te _—— - at a - _¢ ~e_ oat - -