7 . 125-14-6535 physical findings on Wotje (possibly 4-5 additional nodules). pyre July-December, 1979 jaye: Prepare 25-year progress report. July-August, 1979 - . Dr. Brown Dobyns to Kwajalein to review all suspicious physical findings — group of 11-15 patients will return to U. S. forsurgery. 2 Septenber-October, 1979 - : - ~ ~~ oon . . co . oo ee “- e,* .Field survey -, concentration on ophthalmologic” and dental probleas.. Refollow thyroid cases; perform ECG's, ancillary study on the role’ of ‘chromium in “. carbohydrate intolerance in the Marshallese. , _ 7 Novenber-December, 1979 . . - a vos Restructure» history-physical forms in Problem Oriented Medical Record format. Devise data reduction sheets for old data. Begin to. transfer data to microfiche. Set up computer-compatible format for all data sheets-~ao January-February, 1980 Major survey, including history, physical, laboratory examinations on all available members of study group. . D. Significance: The studies of the exposed Marshallese are closely related to the Radiation .. Effects Research Foundation studies in Japan and to the studies of the 23 Japanese fisherman exposed at the same time as the Marshallese to fallout. Radiation still ranks as one of the more important hazards that must be considered in the DOE. pro— gram. The effects of fallout exposure in the Marshallese provide valuable infor- mation, particularly with regard to thyroid effects from radioiodine exposure, that may relate to a reactor incident in the remote event that such should occur. The Marshallese data are used in analysis of radiation accidents, such’ as for the Resmu: report. The data are also quoted in other reports such as the NCRP, ICRP, BLER, anc those of the United Nations. As previously discussed (under Rationale) the accident in the Marshall Islands has enabled scientists to study the unique effects of fallout from a large thernmo-— nuclear weapon detonated at ground/sea level. Many of the results of this on-going prospective study were unexpected during the early years. As the study evolves, we continue to observe the emergence of new pathologic findings after long latent periods. The experimental design (data base) has been constructed to monitor those systems most sensitive to radiation effects. E. Facilities Available: The Medical Research Center consists of approximately 170,000 square feet including the fully-equipped research hospital. The hospital has a maximum capacity of G5 beds loeatad in private reams with toflet. The hospitel is nor staffed fer 2 an | i ee 79