left calf circumference, biacromial diameter, and bicristal diameter. Standardized techniques (47-49) were used. The status of secondary sex characteristics was evaluated by inspection with the methodology described by Greulich
et al. (50,51), Reynolds and Wines (52,53), and Shuttleworth (54). History of
menarche in girls, hair distribution, breast development, and penile and
testicular development in boys were recorded during these examinations.
In 1958 apparent discrepancies regarding birth dates were noted in the
charts of many children. The absence of recorded birth information in the
Marshall Islands seriously complicated the verification of ages. Detailed genealogical and biological histories were compiled for the Rongelap population
in 1958-1960. The reconstruction of birth chronologies was based on intensive
evaluation of frequently contradictory information derived from the following
sources:
* Dates of birth reported by parents.
* Dates of birth recorded occasionally in ledgers kept by the village
magistrate.
* Limited number of birth certificates (not always accurate) on file at
the courthouse in Majuro.
* Birth order of children within each family unit.
* Ranking of childhood population in terms of age by parents.
* Ranking of childhood population in terms of age by the children
(particularly age peers), by relatives, and by friends living in the village.
A table of most probable birth dates was derived for the Rongelap childhood population.
Biologic compatibility of the birth dates within each family
was carefully checked, and the compatibility of physiologic status with age
was also determined for each child. The presumptive dates of birth, shown for
each individual in Appendices 11, 12, and 13 of ref. 11, have been used in the
calculations of chronological ages for analyses of growth and development.
Roentgenographic documentation of osseous maturation (x raying of the
left hand and wrist) was initiated in the exposed children in 1957. A major
effort was made in 1958 to examine the skeletal maturation cf both exposed and
unexposed children. Unfortunately these valuable baseline films were lost at
sea during transport.

This created a gap of almost 3 years when no radio-

graphs were available on a number of children in the spurt phase of growth.
Thereafter roentgenographic studies of the left hand and wrist were included
at irregular intervals. These were particularly difficult under field conditions and presented many technical problems, but the minimal number of
roentgenograms eventually obtained permitted a reasonable assessment of the
longitudinal skeletal development of each child through the chronological age
of 16 or 17 years in the girls and 18 in the boys.
Skeletal age determinations were made by inspection with the techniques
and standards published by Greulich and Pyle (51). Early analyses of the skeletal age data were included in the reports of previous surveys (11-13). Comparisons between the exposed and unexposed children were made primarily in the
group who were <10 years old on March 1,

1954.

This group was further sub-

Lo

Ce

Cu:

cm

cD

divided into two categories:
those <5 years old on March 1, 1954, and those
aged 5 to 10.
The data on children >10 years old on March 1, 1954, could not be analyzed in detail. The number of children (particularly in the exposed group)
in each age category was extremely small. Also, by the time satisfactory

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