¢ . DOB ARCHIVES Mr. Edward J, Bauser ILI. -~ 3 - Surviving adult Ailinginae people exposed to fallout.” (Estimated dose: 70 rads external “gamma irradiation.) Total - ' IV. 1, 8 Adenomatous goiter removed at age 45,., Recovered and was on .thyroid therapy; died of influenza in 1968. Surviving adult Utirik people exposed to fallout. (Estimated dose: 14 rads external gamma plus 15 rem internal irradiation.) Total ~ 120 1. This patient was included when she was found to have developed a nodular enlargement of the thyroid gland; she was 22 at the time of exposure, In frozen section the tissue resembled a follicular adenoma and therefore a total thyroidectomy was performed, Subsequent histologic sections have confirmed the diagnosis and upgraded the estimated degree of malignancy. To summarize, all but 2 of the 19 children exposed on Rongelap have now exhibited thyroid dysfunction, some of a serious degree, A small but probably significant number of people exposed as adults on Rongelap and other islands are experiencing serious thyroid problems, This first case of neoplastic thyroid disease in a person on Utirik suggests closer medical surveillance of the Marshallese living on Utirik, Dr. Conard proposes visiting Utirik during his mid~winter medical survey of the Marshallese, Consideration is being given to issuance of a public announcement dealing with the above findings, Sincerely, bee: Chairman Seaborg (2) Commissioner Ramey Commissioner Johnson ‘Commissioner Thompson Commissioner Larson Cong. Rel’. (2) GM (2) oe Secy (2)> AGMRD » PL BMA AD (Bruner) “> Fe ROCCE Act, “ty General Manager