A DISCUSSION OF INJURY, TREATMENT, AND OTHER CONSIDERATIONS Injury and Treatment Today, nearly 19 years after the event, there are few outward signs of injury among the people involved, especially those who were on Rongelap at the time. During a visit of the Committee to Rongelap, only some barely visible scars on the ear of an older man who was examined by Dr. Cole, were evidence of the fallout. This is in stark contrast to the acute and immediate injuries suffered by the people of Hiroshima and Nagasaki, for, even today in the A-bomb hospitals, elderly patients may be seen exhibiting the keloids or gross scars) caused hy thermal radiation. (skin lesions, Also today, in the Marshalls, it is clear that the effects of the radioactive fallout were not minimal. A score of people have had thyroid operations J Leu Le which have removed either all, or part, of the gland, removed thyroid nodules included malignant, or cancerous lesions and while those operated on have had no later operations for other nodules or cancer, it still remains to be seen whether such developments may occur. As to growth and development, it would appear that while late, administration of Thyroxine has caused those affected persons to Lenard LH return to normal, Ld Some of these Miscarriages and stillbirth rates, to the extent they can be judged, seem to be normal now, but it is possible that radiation induced effects were missed due to the often mentioned lack of vital statistics and also to the lack of adequate examination of the products. While the Committee has expressed its con- —.A sternation and reservations concerning certain aspects of immediate 154