(= 3. 4 The hematological surveys continue to show considerable fluctuation in the year-to-year mean levels of leukocytes in both the exposed and unexposed groups. ‘The mean leukocyte level of the exposed group showed a decrease at the 1960 survey compared to 1959 (no unexposed people were examined). The reasons for these fluctuations are not apparent. At five years post-exposure (1959), the exposed peoplestill had mean platelet levels 10 to 15% below those of the unexposed group, but in 1960 the lymphocyte levels for the first time equaled those of the unexposed group. The mean erythrocyte levels were slightly lower in the exposed people but a general anemic tendency exists in all Marshallese, both exposed and unexposed. The fact that some of the blood elexents in the exposed group have not yet returned to the levels of the unexposed group raises the possibility that a residual radiation effect on the bone marrow persists, but other, not immediately apparent, factors may be involved. Radionuclide body burdens of C5137, 75 and Sr99 were evaluated by measurement in e whole-body counter or by estimation from radiochemical analyses of the urine. The mean body burdens for 1959 were: Cs137 = 0.57 4c; 265 = O.bhec; and S190 = 6.04c. The body burdens of 705 and Sr?0 continue to rise but at decreasing rates, whereas the level for Csi37 appears to have reached equilibrium and now to be diminishing. —' Little or none of the body burdens of the exposed group appear to be due to the initial exposure, since at present there is little difference between the levels of the exposed and unexposed populations living on Rongelap Island. This may be explained by the fact that additional weapon tests held in the area have deposited additional fission products into the enviroment, and the fact that certain staples of diet are imported and, hence, the people are not living in a "closed environment." Consequently, it may never be possible to equate body burdens with enviromental contaminations. In any case, the body burdens are now and will be of small significance interms of rediation hazards. Judging from the Japanese populations being studied by the Atomic Bomb Casualty Commission at Hiroshima and Nagasaki, the next five years will be the critical period for the development of leukemia in the Mershallese. Since animal experiments indicate that still other late effects may occur in man such as premature ageing, shortening of life span, increase in degenerative diseases, genetic changes, etc., continued careful examination of these populations is in order; all effects should be documented and therapeutic procedures instituted wherever possible, should such effects develop. In addition, the relation of the environmental contamination on Rongelap to the body burdens of radionuclides of the people living there, imperfect though it is, warrants close study. The United Nations Scientific Committes on the Effects of Atomic Radiations now reviews these yearly surveys.

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