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September 6, 1979

Hugh S. Pratt, M.D.

Medical Department
Brookhaven National Laboratory

Upton, L.I., N.Y. 11973

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Dear Hugh:

many points
As you requested, this is an attempt to summarize some of the
recent
several
on
ed
discuss
have
regarding the Marshallese program that we
ns
eratio
consid
al
politic
that
occasions. Many of us have come to realize
future
of
course
the
ce
influen
as well as medical indications may heavily
Regarding past activities, I think that the program could well benefit from
@ greater dissemination of the enormous body of information that has already
been generated. The comprehensive 20-year report compiled by Bob Conard was
"a tremendous contribution, but extremely important observations regarding
probable or possible medical trends, populations in jeopardy, etc., have
emerged subsequently and should be promulgated more prominently. This might
be accomplished with annual summaryreports to update the data already
summarized in the Conard report, which could then serve. as the definitive
reference for background studies. +I think it might be even more important,

however, to publish more broadly in the general medical literature rather
than only in BNL reports that generally aren't distributed as widely.

Perhaps detailed annual BNL reports could be issued, and then cited as
references in publications in the more open literature. I suspect a number
of journals would welcome editorials or brief review articles on the subject,
and these would reach an audience largely unaware of the events and their
implications (which, in the aftermath of Three-Mile Island, take on added

and current significance). A number of diverse medical and radiological
meetings could also serve as useful forums for annual presentation and
discussion of brief updates.
-

As members of a relatively closed (1.e., medical) society, I think we also

have more than just a tendency to neglect the lay literature.
It might be
very useful to the program in general to have the public more aware of what

c

has occurred (and is occurring) with the Marshallese.

Several good science

writers who are widely syndicated could contribute considerably to this end,
and a public appreciation might hopefully have a positive influence not cther-

wise obtainable in Washington.

Even brief articles authored by any of us

BEST COPYAVAILABLE

ewes

tem,

both.
activities, so some of the following is written with deference to

Select target paragraph3