C.W. Mays - Page ll Low-dose children should be those whose infant years occurred after these times (or long before), plus those who drank powdered milk or uncontaminated fresh milk during these incidents. If non-radiation factors predispose the children of this region to a high incidence of thyroid abnormalities, these abnormalities should occur throughout the dose categories. However, if the incidence is significantly greater in the higher-dose groups, radiation would be implicated as a causative factor. In a study of this nature it is extremely important tc have low-dose subjects from the same region and culture to serve as controls. In the thirteen years which have elapsed since the incident of 1953, perhaps half of the total cumulative radiation-induced cancers should have appeared among the St. George children; or one - four cases under assumption (A), 0.1-0.4 cases under assumption (B), and no cases under assumption (C). The fact that no thyroid cancers have yet been observed* in these chilaren?* suggests that assumption (A) overestimates the true effect and therefore constitutes an upper limit. Establishment of an upper limit is of real value, but establishment of the true dose-response relationship would be of even greater importance. true dose-response relationship, expanded. To establish the the study needs to be Note that under assumption (B), less than one radiation-induced cancer is predicted to have occurred before now (1966) among the St.George children. 2) For the entire state of Utah, the estimated number of radiation-induced cancers is five ~ ten times larger than for the limited st. George area, assuming a linear dose~response relationship (compare Tables 3 and 4). * The children who moved from this area before the recent survey have not been examined, DOE ARCHIVES 43

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