social changes and pressures,

and it is not my belief

that the oniy force or the only stress on these people is

the effects of the atomic bombing.
cause however.

These are my initial reactions.
which I make are as follows:
1.

I think it is a major

The recommendations

All slides on the tissue removed from the thyroids
of the Marshallese and retained at Tripler, or
Guam, or Cleveland General Hospital or Brookhaven
should be examined by a single pathologist of
your choice and one skillful in the recognition
of thyroid cancer.
I do not mean this eas a

reflection on the integrity or skill of the

pathologists who examined the tissue intially,

but I do recommend verification of the benign
nature of the tumors as reported.
It would be highly desirable to collect firm
health statistics independent of any prior
statistics taken by the Trust Treaty or AEC
scientists.
I am not certain what criteria

were used in the collection of former statistics,

and I am not certain as to whether doctors were
sent,

and I

certainly am not at all satisfied

that a vigorous search has been mace in respect
to cataracts or other complaints that these

people have.
I would think that such medical
investigation would should be Gene on a number
of different islands.
I recommend a consultation with a geneticist,

to examine the chromoscmal pattern of a number

of Marshallese Islanders.
I

recommend a horticultural expert who should

study the effects of the radiation on the vegetable
foodstuffs and a marine biologist to consider

the question of concentration of radioisotopes

in the bodies of the larger fish.
That some of
these studies have been done before should not
@iscourage similar studies by experts of your
Gesignation.

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