Mr, Edward J, Bauser III. -3- Surviving adult Ailinginae people exposed to fallout, ~ (Estimated dose: 70 rads external gamma irradiation.) . ' IV. 1. Total - Adenomatous goiter removed at age 45....Recovered and was on thyroid therapy; died of influenza in 1968, , . 8 1 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) 1” GM (2) pee Secy (2)*% AGMRD PI BMA . u000900- AD (Bruner) Act; _ BLOCH FF [= ‘General Manager