46 RADIOACTIVE CONTAMINATION OF AREAS IN THE PACIFIC OCEAN FROM NUCLEAR TESTS Table 45—GrossBeta Activity in Urine of Group I on 46th Day Post Detonation ToTaL VoLUME Casz No, 2abre Gal) Age <i yrs nae Beta Activity éjmy24 brs 120 150 185 40 280 80 455 Age > 16 yrs aetay “The drop in lymphocytes is early and pro- found. Bera ASHE, 285 550 650 265 190 280 650 450 116 440 980 6a 1700 21 549 1683 1677 2460 1670 7 438 570 782 1450 405 0 8 1080 3220 1095 2170 580 1985 2260 1745 210 2450 0 52 ‘2038 1353 2340 439 58t 1208 Values corrected for decay. “Analysis of the internal contamination indi- cates that the dose to the tissue of the body was near, but, with exception of the dose to the thyroid, did not exceed the maximum permis- sible dose levels. The activity fixed in the body decreased rapidly as s function of time. The contribution of the effects of internal contamination to the total radiation response observed appears to be small on the basis of the estimated body burden of the radio-elements. In view of the short half-life of the most abundantfission products in the situation, the possi- bility that chronic irradiation effects will occur is quite small... . ’’* These data suggest a low relative hazard from internally deposited radioisotopes since the values for maximum permissible concen- Little or no evidence of recovery may be apparent several months after exposure, and return to normal levels may not occur for months or years. 455 810 355 930. 450 340 780 455 a 980 750 480 550 330 425 730 320 700 650 750 S10 980 685 855 300 200 230 965 465 340 670 165 Age 6-16 yra Case No. Toran RETURN OF RONGELAPESE trations are based on the concept that these levels will be maintained indefinitely. The report stated, “—The total white count increases during thefirst 2 or more days and then decreases below normal levels. —The count becomes stabilized during the 7th or 8th week at low levels, and minimum counts probably occur at this time. A definite trend upward is apparent in the 9th or 10th week; however complete recovery may require several months or more. “The neutrophile count parallels the total white blood cell count. Complete return to normal values does not occur for several months or more. Theinitial rise in total white count is due to a neutrophilic leukocytosis. “The platelet count, unlike the fluctuating total leukocyte count, falls in a regular fashion and reaches a low on the 30th day. Some recovery is evident early; however, as with the other elements, recovery may not be complete several months after exposure. . . .”’* 47 At one year later the Marshallese were reexamined with the following conclusions: *‘_Tn general, the Marshallese have recovered satisfactorily from the radiation injury received during March 1954. Visible residual effects are limited to a few areas of depigmentation and two small, distinct scars from radi- ation burns, one of which will possibly require plastic repair. “Neutrophil values have returned to the normal range of the control population. All Table 46—Mean Body Burden of the Rongelap Group RADIOISOTOPE Sr... Bait... Rare Earth ‘Group. Activity at| Activity at AcTIvITy at Darsyue 1 Dart ue (BaNeDis (USNRDL)} 0.19 0.021 0.03 o 0 0 1 Day* ye (LASL) 1.6] 22 2.7| 0.34 1.2 fone eee 64] 1.2 0,018 0 ao @ 0.016 (ugm) *Extrapolated from 82d day. other members of the leukocyte population and the platelets remain below the levels for the control population; however, levels are higher than at 6 months and, presumably, will soon be in the normal range.” * At two years the examination showed that, “In general, the people of both exposed and control groups appear to be in good health and nutritional status.” A 77-year old man showed a history of paresis of the lower extremities. The symptoms suggested that, “These findings can best be explained on the basis of a cerebrovascular accident.” ** An 1li-year old boy was hos- pitalized with acute rheumatic fever and cardiac decompensation. “The diagnosis of theumatic heart disease with mitral stenosis and insufficiency was substantiated and at the time of the examination, the boy was fully active without evidence of decompensation.’’ * A 46-year old man died on May 13, 1956, of heart failure. It was concluded that, “With the exception of the residual of skin lesions, none of the clinical findings in the exposed group could be attributed to the effects of irradiation.” In regard to skin lesions it was reported, “Some residual lesions are present in the Rongelap people... . The majority of all show improvement. Almost all of the early superficial lesions are completely healed at this time without any apparent residual changes. There appears to be no evidence of any change which would suggest malignancy.” * Urinalysis wes made about two years after the March 1954 detonation, for people living on Utirik and Likiep Islands, for the Rongelapeseliving on Majuro Island and for personnel at HASL (Table 47).°% It is recognized that these are limited data, but the values for the HASLgroup show the general world-wide dis- tribution of the fallout debris, and indicates that the Sr” activities found in the Pacific group are probably more the result of living in

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