The risk coefficient, E, for different age groups, computed from total
dose resulting from internal plus external exposure for Marshall Islanders,
ranged from 1.5x10
to 7.4x10
per person-rad-years at risk, assuming a 1l0-

year latent period, and 1.1xl0°

to 5.8x10°, asssuming a 5-year latent

period. These data are indicated in Tables 5 and 6, respectively. The total
risk coefficient, E, was used in Eq. (1) to determine the internal risk coefficient, B.

For external risk coeffic ents and lO-year latent period, we

chose 3.3xl0°” for age <20 and 1.0xl0
for age 220 based on the Working Grou
study (8); for S-year latent period we chose 2.5xi0
for age <18 and 1.3x10
for age >18, based on NCRP Report 80 (2). The results for internal risk coefficients are in Table 7. Finally, as we explained in the Methods, we chose a
special value for the <lO-year age group, since it was baged on a large group
of children exposed to x rays (1). This value was 4.9x10
cancers per personrad-years at risk, and the estimate for the internal risk coefficient was
1.3xi0°°, virtually the same as the value given in Table 7 for the 10-year
latent period.
A tabulation of risk coefficient versus internal thyroid dose is given in
Table 8. These internal dose groupings resulted in little variation in external dose as a function of age.

These groupings were made to examine the

affect of dose on the value for internal risk coeffictent.
Table 8

Average Dose Versus Internal and
External Risk Coefficients, 10-Year Latent Pertod

Average

Average

Internal

Internal

External

External

Total

Group

Thyroid

Risk

Thyroid

Risk

Risk

Age 1954

Dose, rad

Coefficient?

Dose, rad

Coefficient?

Coeffictent?

1400

1.4x107°

63

3.3x107°

1.5x107®

<10

10-18
>18

560
400

8.0x1076
6.1x1076

78
66

3.3x107°
1.0x107°

7.4x107°
5.4x10~°

4This study.
DReference 8.

A sensitivity analysis, of the parameters in Eq.

(1),

shows that the

value for the total risk coefficient, E, impacts greatly on the estimate of
the internal risk coefficient, 3, in this specific Marshall Islands study.
This is because of the wide difference between internal thyroid dose, A, and
external thyroid dose, C.

Thus, our estimate of internal risk coefficient

depends largely on the observed tncidence of thyroid cancer because the total
risk coefficient, E, is very sensitive to the small number of spontaneous and
excess thyroid cancers observed.

27

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