Conard, R.A. A twenty-year review of medical findings in a Marshallese population accidentally exposed to. radioactive Fallout. BNL 50424 (TID 4500), September 1975. aes epee © LLZI-LY~ OID Conard, R.A. Summary of thyroid findings in Marshallese 22 years after exposure to radicactive fallout. Radiation-Associatal Thyroid Carcinoma, L.J. DeGroot, Editor, pp- 241~47, Grune & Stratton, New York, 1977. 1. Continuation of medical survey (every four months) of exposed and comparison groups (see Methods)... 2. ’ Re-establishment of "cohort".control — first established in 1957- | os” 3. Establish biochemical profile of nearest suitable Marshallese population toy 4. Establish mechanism (ie resident stafF) for collection of more valid vital living in ambient Micronesian radiation background. =: 4. statistics an: ce cause of death, e. g., set up mechanism for autopsy, record review or limited cytologic studies (needle biopsy) ; morbidity - assist Trust Territory in new format for record review; birth/neonatal data — looking specifically For increased incidence : of congenital. abnormalities, abortions,.miscarriages, etc-5 d. . collect data on inmunizations. 5. Computerization - (after restructuring all clinical records} to improve availability and data reduction both in the field and at BNL. 6. Accelerated and expanded health education programs to attempt to place radiation risk in. relation to other carcinogenic risks, e-g., smoking. The adverse effects of their diet should be emphasized in relation to diabetes, obesity, and severe periodontal disease. The relative impact of poor nutrition on their health should be placed in perspective with the morbidity and/or mortaliry from radiation-~ 7. Continued investigation in the following areas: a. diabetes per Dr. Field (Conard, R-A. et al. BRL Report 50426,"Brookhaven b. genetics per Dr. Neel(Am.J.Human Genetics 23: National Lab.,Upton, N. Y. December, 1975;letter from Dr. Field, 10/10/78). 262, 1976). aging per Dr. Popp (Interdiscipl. Topics Geront. 9: 209, 1976) . d. intestinal parasites per Dr. Krotoski (Personal Correspondence, W-A. Krotoski). 3. Begin liaison with the newly-established "free association” government of the Marshall Islands. 24 Wwe Stee, Specific Aims: etre ree B.