TIE
Human Health Effects from Energy
BUDGET AND REPORTING CODE
Generation:
Medical Studies of the
People of the Marshail Islands
Accidentally Exposed to Fallout
CONTRACTOR NAME
CODE
Associated Universities, inc.
20f.
DATE PREPARED
HA-02-01]-01
03/31/80
WP NUMBER
TASK NO.
REV. NO.
BNL
0
Technical Progress cont.
Expected Progress in BY-2 (FY 1980) cont.
During FY 1980 all research records are being reviewed and condensed for
transfer to microfiche and finally for computerization.
This process requires
restructuring the charts in a problem-oriented format to provide the structure
necessary for flexible clinical and research utilization in a computerized format.
During the last two surveys of FY 1979 there was an obligation to examine
and care for the people of Bikini. This endeavor greatly expanded the patient
load without supplemental funding, and 1t 1s anticipated that continuation of
these examinations will be required.
Funding, responsibility, and authority for
this activity has been under discussion at the Department of Interior and the
Department of Energy for a number of months but the problem remains unresolved.
In addition, if the Likiep survey reveals an increased incidence of thyroid
pathology, as is suspected, a medical survey of that island and possibly of Wotje,
Alluk, and Mejit may be required.
If these incremental increases occur, the study
population would be more than tripled.
Emphasis on health and radiation education will be continued and increased
to place radiation in its proper perspective in a matrix of health risk for the
Marshallese. Continued monitoring of all populations determined to be at
increased risk from radiation-induced diseases will continue,
focusing primarily
on
and colon using
the
thyroid,
hematopoietic
system,
breast,
lung,
stomach,
Sultable screening tests.
Expected Progress in BY-l (FY 1981).
In view of
the serious late effects of fallout exposure,
continued medical
surveillance of the exposed populations is mandatory as the studies are still in
the latent period of a number of significant carcinomas.
Special examinations for
the thyroid abnormalities, as well as for neoplasia of other organs and tissues
and other late effects must be continued.
In light of the recent renewal of
interest of long term effects of “Low level" radiation, the data from this study,
even though the population is small, should serve as one of the longest prospective studies of the effects of both acute high level and long term low level
external and internal radiation.
Other studies to be pursued include:
a) thyroid
comparison studies--it is hoped that the Department of Energy funds will continue
to be approved for carrying out thyroid surgery in the United States on unexposed
Rongelap and Utirik people in thé‘extended comparison study where such surgery is
indicated; b) reevaluation of dosimetry of the Utirik people, including thyroid
doses;
c)
include
study of
the nature and
trace element
analysis
of
the
treatment of diabetes
the people and
the
in Marshallese
echosystem;
d)
ta
studies with
Dr. Raymond A. Popp of Oak Ridge (for frequency of isolucine substitution in
hemoglobin of Marshallese blood as.an index of somatic mutations associated with
radiation exposure and aging; e) studies of polymorphism and rare protein variance
in the blood cells of children of exposed and unexposed parents~--Dr. James V.
Neel at the University of Michigan has expanded his battery of tests
variants
and has
agreed
to continue
these
studies
for these
on Marshallese children;
and
f)
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