CONTENTS
PREFACE... ..eccceccccccccecceessceseeecaneeseesececaeeceessnaaseseeaeaaessaesstssaeanaeneeeesensecnencansnateneescneegns tose seeaeeeateaees
iii
FRONTISPIECE0.00.0... cece cesessceccee sees coececee see cerececescenceceseeraeeeedeasaseasieseevapescaseeene aessesecasseressneeeseeseeets
x
TL. BACKGROUND... ccccceccssseececeteseeeenscceseseceeecenececesteacseenesaneesesentamesdeseseaesesesaeensarsuaeeenesesasnesee
1
AL The Accident... cece cceccsescceeceneeeescescees secdcentonssenes ceases sdueateetacecneseensnse socaeereeecess
1
B. Annual Examimations. 0.0.0.0... cesses csssecessessscnnecesseccsetanscccneseceesees sesecasseesesseeesaevenses
1
C. 1970-1974 Surveys...
5
A. Dose Assessrment....0..0.0...cccecccessseseescsesescoesascucesecnesscsesasecesssenscansqsenssesceassets cesecaeacacaeeteaees
5
B. Acute Effects... ccc ececccseesncaneeneeteceee coceeneseceeceaecaesrsaceneeneaseseneteeeseaetaeeetaneressecats
10
III. Frvpines on Fottow-up EXAMINATIONS (LATE EFFECTS)...0..000.0.000ccccceseeeceesetttetctsesereenees
14
. General Medical Findings...0..0.0.0.0. ccc es esncceeseeeeseeneescsettereesinsescecneesieecatscaeecee
\4
a
17
Hematological Findings... cee cccesecrcseesseessneeeeesseecsnecssesssecea snes ceeateneseneseneaseet
18
manmpon pw >
TY. [nrrtacFinns... ccc ceeecccececoenseceseneseeeceensesseeessvaseeacaesseeesesnecaesens sanessesaeateenceeecsents
Viral Statistics: Fertiliry and Mortality.......
. Subsequent Course of Skin Lesions... cece
2h
Ophthalmological Findimgs..............--ccsccccsscssssccesesesecessseeecceeesaneiecceueeesnsuteeseseueuseeneees
23
Growth and Development Studies of Exposed Children... cee
26
. Degenerative Diseases... ec ccecccessenesescvencsencscanenetssssesessssevscanesiesseceraeteeseneneatas
29
. Chromosome and Genetic Studies....
TV. THYROID FINDINGS... cee cee eeceee sca nea nacessesseeacsaesotecsneseesceeeseasssueceneenieseneaseeasenss
39
A. Early Findings... cesses cece ccsecsseseetccssesesnsecssssesesecacesaeedcocsecacatesepacaceases cnstceceeet’
39
42
» Surgical Exploration... seers sssetsesneseesieesnserssstssssciiseitesessectisesiece
42
» Hormone Treatment... cece cccscceseeneeessceeceeescesceaeneecsesneneacaeecaescaeseeecatererteceecseetat
49
apo n
B. Development of Thyroid Nodules.............. ccc cceccee eee eees ees eeseteces teen tees teen taneeeeaeeneny
Studies of Thyroid Function.......
lodoprotein Scudies...
satceeesasstereeenseceseees
36
G. Correlation of Thyroid A
Abnormalities With Radiation Exposure veeeetaecneasseecenteatecuee
57
_N. NEOPLASIA...0...0.cccceccecscscesecses sees setecnsseessceeseeesentacanseneeeseseneceaessseenseteisisenisirssestttetcttesmenenens
62
A. A Case of Acute Myelogenous Leukermia.... cece cece cee teres eneescneeeeseaeseeestenes
63
vill
98060495
sesseeeteeeceesetetststeesreeteeeettetteeeteeneete