on Human Beine,. 3) Cronkite/Bond/Conard TT Mee e ] eieiieiir s! JTable 1. Exposure data “Rongelap Ailinginae i | i Ltt Rongerik U.S. Personnel Total Exposed Arrival Time Fallout Hours Evacuation Hours 67 4-6 50-5] 375 mr/hr at 7 days 1.90 18 4-6 58 100 mr/hr at 9 days 1,10 28 6.8 285-34 Utirik 167 22 55-78 Marshallese Control 117 American Control 105 rves in phantom a radiationand ‘fission products al nuclear detoitof 3 cm dbse. 2 to their metal -d and put on npr 0.78 0.11 one would need comparison groups to determine the magnitude and significance of short- and long1erm changesin blood counts, There were no historical or pre-exposure blood counts on any of the Marshallese or on the American military personnel. Accordingly, age-matched nonexposed Marshallese and American military personnel were set up as shownin Table I. Figure 4 shows the changes in averagetotal leukocytes and neutrophil counts as a function of time after exposure. The comparison population is shown by stars at the times when they were counted. The open circles show the total leukocyte count and the solid circles the neutrophil count. During the first two to three weeks, there was no significant diminution in the granulocyte count. Commencing about 30 days after exposure there was a slow diminution to a nadir at about 42 days after exposure. There was then a slow. steady increase in the granulocyte countto roughly that of the comparison population by two years remainedatthis level for six months. About two to three years after exposure. the lymphocyte count had returned to that of the comparison population. Figure 6 shows the seria] changes in platelet counts. From day 8 to approximately day 30 there was a steady diminution in the average platelet counts to about 100.000 per mm. Thereafter there was an increase to near that of the comparison group by 40-50 days. Although the platelet counts returned to roughly 200,000 in males and females the counts remained consistently belowthat of the comparison population for seven years. Another way of looking at the hematologic effects is to plot the cumulative percent of the blood counts as a function of time and blood counts. This is shown in Figures 7 and 8 for neutrophils and platelets. Group I Rongelap and Group IT Ailinginae data showthat the cumuJative neutrophi] counts at time of maximum depression are significantly shifted to the left 4 4 g oa S <a = wi 2 4 4 4 4 : TT ETT TTT TOT BE 6 TIME AFTER EXPOSURE Fig. 4. Total leukocyte and neutrophil counts in Marshallese exposed on Rongelap. The comparison population is represented by stars. SObZH IS lymphocyte count was roughly 2000 per mm? and TTT . Q 4 g 5 oll oat tp Rh ~ O08 Mm a0 scot 6 i 234 5 6 7 8 9 16 DAYS mo YEARS n beginning of ton tO evacua‘Ngelap. 280 mr/hr at 9 days 40 mr/hrat 8 days after the exposure. Figure 5 showsthat the average — AT 51 HOURS 4 : Total Gamma Dose in Air (Gy) clothes, the beta dose to the skin was substantially less. Upon arrival on March 8, it was clear that 30 Dose Rate 4b vv w — w wt 2 l L i °C ea {tt be — lL i a . L 40.56 2ET 2 34 5 6 7 DAYS MO YEARS TIME AFTER EXPOSURE i L 2 BS IO Fig. §. Absolute lymphocyte count in Marshallese exposed on Rongelap compared to the comparison nonexposed population of Marshallese.