TITLE Human Health Effects from Energy Generation: Medical Studies of the People of the Marshall Islands Accidentally Exposed to Fallout CONTRACTOR NAME DATE PREPARED HA~02-01-01 CODE Associated Universities, Inc. 20f. BUDGET AND REPORTING CODE BNL WP NUMBER 03/31/80 TASK NO, REY. NO. 0 Technical Progress cont. Expected Progress in BY-l (FY 1981) cont. the process of reducing old charts to the problem-oriented medical records system and the transfer of records to computer storage. Expected Progress in BY (FY 1982). Continuation of the medical surveys and limited primary care of the Marshallese is anticipated on an indefinite basis. Emphasis will be placed on examinations for thyroid abnormalities, the previously mentioned cancers, hematologic disorders and other possible effects of radiation exposure. Coordination with the patient and echosystem monitoring teams from the Safety and Environmental Protection Division will continue. Chart reduction will be completed and computer storage and medical records will be continued. 20g. Future Accomplishments. Data obtained from this study will continue to provide baseline statistics for all studies of human health effects of acute high level and long term low level internal and external radiation. 20h. Relationshipsto Other Projects. 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 fishermen exposed at the same time as the Marshallese to fallout. Acute and long term low level radiation ranks as one of the most important hazards that must be considered in the DOE medical programs. The effects of fallout exposure in the Marshallese provides valuable information, particularly with regard to thyroid effects from radioiodine exposure, that may relate to future reactor accidents. The longitudinal Marshallese data have been used in the analysis of such accidents. The data are also quoted in other reports such as those of the NCRP, ICRP, BIER, and the United Nations. The Safety and Environmental Protection Division of this Laboratory conducts radiological personnel and environmental surveys of contaminated Marshall Islands and their inhabitants. Medical Surveys. 201. These studies are closely coordinated with the Environmental Assessment. Work done under this task proposal has either no environmental impact or has impacts similar to those described in and covered by BNL's Environmental [Impact Statement (ERDA 1540). [049224