On numa eee a ec eta ital late 16 PHYSICAL EXAMINATIONS Adult Examinations The general health and nutritional status of the people of Rongelap and Utirik Atolls were satisfactory and about the samein the exposed as in the unexposed populations, with the exception of thyroid abnormalities in the exposed Rongelap population, which will be treated separately below because of the importanceof this development. As noted in previous surveys, the variety and distribution of physical abnormalities (with the excep- tion of thyroid nodules) did not appear to besig- nificantly different in the exposed and unexposed populations. The varying incidence from yearto year of such findings as cervicitis, prostatic hypertrophy, and arteriosclerosis probably to some extent reflects differences in clinical criteria ofjudgment amongthe examiners. There was a marked tendency for extensive dental caries in young adults. Special ophthalmological and slit-lamp observations for lens opacities were not carried out during the past 2 years. Physical abnormalities in the adults are listed in Table 10. Figure 7. Part of a physical exaprfnation. I-LO2%0 GS Table 10 Physical Findings in Rongelap and Utirik Adults, 1963-1966 Rongelap exposed (48 examined) Subject Nos. % Subject Nos. Anemia, anemic tendency* 12, 22,55,64, 70 11.0 Arteriosclerosis, peripheral, mild 58, 59, 78, 79, 82 11.0 1,11, 16, 41, 60, 68 13.0 826, 829, 841, 843, 860, 865, 947, 964 856, 884,910,941, 948, 957, 961, 964, 970, 991 853, 859, 860, 878, 899, 908, 929, 947 916 f Arteriosclerosis, peripheral, moderate to severe Asthma (fi Auricular fibrillation with myocardial <> damage exp Bradycardia co Cardiac enlargement** £ Rongelap unexposed (81 examined) , Cervical erosion Cervical lacerations Congenital defects . Dislocation of hip Prominent head of ulna Bilateral shortening of 5th finger Polydactvlism Disiocated wrist Flexion deformity, fingers Cyst, ovarian Cystocele 80 27 1, 60, 76, 80 63, 74 +9 41. 14, 28 1,41, 75:78 39 1. 18,71. 74 2.1 To 99 12.4 99 1.2 Utink exposed (71 examined) Subject Nos. 2128, 2246 2.8 \ 2146, 2148, 2194, 2244 5.6 2105, 2180, 2175, 2191, 2198, 2214 8.5 2162 2166 14 1.4 2139, 2161 2.3 2.f 8.3 4.3 2.1 858, 859, 917, 942, 6.2 947 829 12 4.3 833, 858, 882, 915 4.9 8.3 832, 836, 910, 914 938 1.2 2.4 82b, 894 832 2.5 1.2 2 8.3 835 1.2 *RBC: F <3.9 million; M <(4.3 million. Hemoglobin: F < 11.0 g: M <13.0 g. Hematocrit: F 33%: M <38. **By x-ray and/or physical examinations. %