In addition, fallout duration and fallout arrival estimates
after the accident.
derived from BRAVO fallout studies were in agreement with the observed fallout
duration and arrival times. Our estimates of surface activity were transformed
into estimates of surface exposure and exposure rate on an individual nuclide
basis. The measured exposure and exposure-rate results reported in the literature were used to develop surface activity at locations and times of interest.
Once the surface activity was derived, the intake pathway and estimate of intake
were evaluated using the average
lt excreted by Rongelap adults for
normalization.
Estimates of thyroid absorbed dose, age at exposure, and intake of spe-

cific nuclides were tabulated for each location.

For an adult male, the thyroid

absorbed dose from iodine and tellurium radionuclides was 7.7 times the absorbed
dose from !31y at Rongelap, 10 times that at Sifo Island, and 4.7 times that at
Utirik Island. James, in an earlier attempt to estimate thyroid absorbed dose

based on !3!tr in urine, assumed the total dose was 2.6 times the dose from 131y

(Ja64). The factor 2.6 would be appropriate for slightly older fallout than.
that experienced at Rongelap, Utirik, and Sifo Islands. Our estimate of thyroid absorbed dose was based on ingestion intake. Inhalation intake and absorption through skin could not be reconciled with measurements of 131r in urine or
with external exposure-rate measurements.
The average and maximum estimates of total absorbed dose to the thyroid
were derived. Observations of the range of 137¢5 body burdens during protracted
exposure (Mi79) and Eve's estimate of the range. associated with the contents of

the stomach in cases of sudden death (Ev66) were used to estimate maximum thyroid absorbed dose. The maximum was estimated to be four times the average. The

average internal thyroid dose at Rongelap Isiand was based on the average 131y
activity collected in urine. The contribution to thyroid dose from external
sources was estimated from the air exposure caused by the decay of 142 nuclides
making up the fallout composition. The external doses were similar to original
estimates by Sondhaus for persons exposed at Rongelap and Utirik Islands, 1.75

gray and 0.14 gray (175 rad and 14 rad), respectively, which were derived from

survey instrument readings taken at evacuation and film badge data from a nearby

military outpost (S055). The external dose estimated for people at Sifo Island,
1.1 gray (110 rad), was greater than the 0.69 gray (69 rad) estimated originally
from post-evacuation surveys of exposure rate. The difference was due to the
presence of very short-lived activation and transuranic nuclides which, according to the nuclide composition, must have been present during exposure at Sifo
Island.
Medical observations concerning thyroid abnormalities have been tabulated
along with the new thyroid dose estimated for each person. From these results,

the mean cancer risk rate in the exposed population of 251 people was 150 thy-

roid cancers per million person-gray~years at risk (1.5 + 2.3 thyroid cancers
per million person-rad-years at risk). The mean time at risk for thyroid cancer
was 19 years. The mean thyroid nodule risk rate was 830 nodules per million person-gray-years at risk (8.3 + 12 per million person-rad-years at risk). The
mean time at risk for a thyroid nodule was 18 years.

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