; ot, . ~ . ¥ ra aera f ¥ a ce bai é, 1’ vs ae . win gh, a ayant xs git %, i . 4 ada oh ’ cal ea ei. a dts RC Tos ae Ce ae ee eS , Serer mee w hh me : - teeee Beane 8 I a i; i ‘ examiners. However, even at the nadir of depres sion (platelets, 28 to 30 days; granulocytes, 42 to 46 days) no associated bleeding tendencyor ine crease in infections was seen. Eleven individuals “hau platelet counts between 35,000 and 65,000 but without evidence of bleeding. Between days 23 and 42 post exposure, 10% of the Rongelap group developed granulocytopenia of q LO0U cells and 42"¢ had leukocyte counts ¢ 4000 of absolute granulucyte counts (2500. During Chis period an epidemic of upper respiratory infections occurred invelving more than half the esposcd population, The illness in the higher expesgie Rongelap group was me more severe than an the tesa exposed groups, and individuals it all groups were able to show an upward trend in leukocytes during the illness. Prophylactic treatment with antibiotics Wa nol dastituted because iowa Comddercd wier some complained abo of burning and Lachrymation of the eyes. This may have been due partly the caustic nature of the Cilloat. “Uhese syanptotis were los evident in Che American servicemen on Rongertk and were absentia the Cririk people, "Table 6 shows the amount of fallout and the res sulting skin burns for different groupe. Pemonunel decoutaminatan commenced on bowed the Navy ships used for evacuation, where the people were given silawater showers and clotis iy dowd by the crew. On arrival ar Kavajedein the shin was stil coutumiiated, ana decontasnaie Dation procedures were contiaued for weveralcbeys. Clothing was Lagudered cepestediv, snd) wis aise carded if its radiation deveb was not sullcieatly re clued. The first skin burns appearcd about l2to 14 days post exposure in die Rougelap people: burns to withhold them until areal need might arise, appeared somewdrat Liter in the Ailinyiae and therapy is ordinarily indicated. ave. Sbout G0of the Rongelap and Adingnae 2. Effects of Skin Exposure lesions, but none of the Gurik people. The lesions Antibiotics were given in certain cases where such Rangerik groups and were less severe and exten: groupes and 4%: of the Rongerih groups devel ped Keta burns of the shin are des ribedin detail in the original report of the medical findiays.* Phe fallout was ubiquitous on Rongelap, Vilingnac, and Rongerik. Vhe gritty white tlikes chang ta the mMaist skin, gotinte the hair, were inhaled, and were ingested with comtamuiated food and water. Arcus af the skin covered by clothing were largely protected, and some who bathed in the lagoon and children who waded at the water's edge un knowingly were protecting themselves since they were later found to have fewer skin burns, Plow. were inuliiple and spots (Eigure 3) and were characterized by superficial by perpigiented tucules, patches, an cased plaques, which des quanmatcd withina few dave doaving thin, pink epithelium (Piruee Oy, Noory there was observed before or during developaent af the lesigus; it tuav have been hacking because of insutficint chose tedermis, orion hive been obscured by che darkiess of the shin, Decper burns with ule era thon were noted in about 19°T of the Rongelap people. Epilatan (Finuee 7) asually accompanied ever, the majority of the people on Kaungelap and scalp lesiaas and was presalent ip D> this of the Adingnae had widespread Corin tation ab ex. posed surfaces of che bodys the sito dose wie prob oxposcd Ronselap children (Pable Ta. it oecutred to the beta component. wrtllae, antecubital fossae. aad feed, bureven the ably in the thousands of rads and was due masady to tess dheuroes to adulis and eligi groupe, Lesions were most conten on the anadesior neck, Most of the people complarned of iehing and and region in same sour children was iivelved. burning of the skin forthe tiast Sho dh he and Lesions of the dorsum of the feet (igure &} were Peaboler Shin Lacstenase Group Reaygelap Coetiperition Ciithnat clacrvied Share lesseas aad cpetlateeas tot NMiarshiatliw: Pde Cxtaeine Like Adlingnae Lt Nuarshitbese Niacterate Camstlibey Laws entetar Reaayerik DANN Tate Nine rac cures > Neyees Noneuie oes Nice lente (oaasthike) Slighse Noe Note Cink Do? Nharstiallne Evteusne