INTERNAL DEPOSITION OF RADIONUCLIDES

detonation were more active than the alveolar
tissue.
The importance of ingestion as a continuing
source of contamination is evidenced by the
level of internal contaminationof the pigs from
Rongelap. These animals had about ten times
the body burden of the human population in
the same locality. .As the air-borne activity
hadalready dropped to a low value at the time
of evacuation of the humans, the contamination

of the pigs duringtheir prolonged stay on the
island necessarily derived from ingestion of
radioactive food and water.
Radioanalysis of water and soil samples from
Rongelap indicated high levels of contamination from the fallout at early times following
detonation.
;
It appears that during the first month a
limited amountof fission products was available to plants growing on the contaminated
soil. Significant amounts of beta activity as
well as small amounts of alpha activity were
present on the external surface of plants at 42
days post detonation. Only very small amounts
of beta activity and no alphaactivity were detected in the edible portions of fruits such as
pandanus, papayas and coconuts. However,
highlevels of activity were foundin the coconut
tree sap, and the isotopic concentration was
very similarto that of water.
High levels of activity were found in fish
taken from Rongelap lagoon. It appears that
the ingestion of contaminated water and fish

were the principal sources of internal contamination of human beings. Of the individual
radionuclides, Sr®, because of its high solubility and relatively long radioactive half-life
was probably the isotope of greatest potential
hazard in the environment.
Internal Radioactive Decontamination Therapy. Since there is no method of counteracting the effects of radiation from internally deposited emitters, treatmentconsists of removing the nuclides from the body as rapidly as
possible. The ability of ethylene-diaminetetra-acetic acid (EDTA) to mobilize certain
of the fission products from the skeleton and

75

to increase the rate of their excretion has pre-

viously been demonstrated (11-13). It is most
effective with the rare earth group, but has

no effect on strontium (13). These studies have
shown that most of the biologically hazardous
material remaining in the bodyis firmly fixed
in bone within a short time, so that effective
systemic decontamination by chemical agents
can occur only in a short period following exposure.

Nevertheless, an attempt to effect in-

ternal decontamination was made 7 weeks post
detonation, since it would mobilize and make
detection of isotopes easier, even thoughit was
realized that the procedure would have limited
value at this time.

A representative group of seven individuals

from Rongelap were selected for this study.
During a control period of 5 days, 24-hour urine

samples were collected daily for radioanalysis

in order to establish a basal excretion rate.
During the next 3 days, caleltum EDTA wasadministered orally, 1 gm per 25 lbs of body
weight daily instead of the preferable intravenous drip because parenteral therapy was not
practical under the circumstances.
Twenty-four hour urine samples were collected daily during the treatment period and
for 5 days following treatment to determine the
effectiveness of EDTA in accelerating the excretion rate of the radioelements.
Noside effects from the use of EDTA were
observed. Blood counts and blood pressure remained unchanged throughout the treatment.
The meanactivity of the urine during the
EDTAtreatment period was 2.5 times the pretreatment activity. The probability that the
differences observed are due to chanceis less
than 0.01. Thus the oral administration of
EDTAfor a period of 8 days beginning 52 days
post detonation increased the excretion rate of
internally deposited fission products, but the

over-all effect on decreasing the body burden

wasslight, as the excretion rates were very low
at this time.
Summary. Thefirst instance of internal deposition of mixed fission products in humans
occurred as a result of fallout following a ther-

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