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pean populations thus far tested and consistent
with that of populationsliving near the equator.
Thedistribution of haptoglobin types showed the
population to be relatively homogeneous.'* Trans-

ferrins in all sera were type CC, the common Euro-

pean type.'* 8-Amuino-iso-butyric acid urinary levels

showed the Marshallese to be the highest excreters

of this acid of any population thus far reported.1*"*

Levels in the exposed group were about the same

as in the unexposed group, and nocorrelation was
found with body burden level of radionuclides;

this indicates that there is probably no correlation
with radiation exposure. Hemoglobin types were con-

sidered normal (all had tvpe AA,). Sickling tests

showednosickling tendency in any of the people.
Glucose-6-phosphate dehydrogenase of the red cells ap-

peared to be normal in the Marshallese. Studies of

Gm phenotypes showed the Marshallese to have
100% Gm‘*"’ and nearly 100% Gm'"’’. There was
a complete absence of Gm* and a high frequency
of Gm-like (Gm‘)."* Serum studies for the Ag sys-

_tem reveal that the Rongelapese compared with

other world populations have a high frequency of
C.deB. antiserum reactors and a low frequency of
New York antiserum reactors.'* Considerable caution must be exercised in evaluating the results of

these studies on genetically inherited characteristics because of the small number of samples
tested. The data do seem to indicate relative
homogeneity of the population and closet kinship
with people of Southeast Asia. These data also
may be useful as a base line, should genetic
changes appearin later generations, possibly related to radiation exposure. Numerousblood cultures for chromosome analysis have been taken on

past surveys. The results of these studies will be
presented in this report.
Other Laboratory Studies: Serum protein levels were
generally on the high side of normal; electrophoretic patterns showed theincrease in proteins was

largely dueto an increase in the gammaglobulin
fraction. The reason for this is not apparent. Numerous chronic infections may be an explanation.
Sodium levels in the urine and food indicated
about the same consumption of NaCl as in Americans. The generally lower incidence of hypertension in the Marshallese mightbe related to the fact
that the former native diet was probably lower in
salt content than the present more Westernized

diet.'’ It will be interesting to see whetherthe incidence of hypertension will later increase.

Serum cholesterol levels (1957, 1959) were some-

whatlowerin the exposed population than in the
c “aparison or Utirik populations but werein the
low normal range. No abnormally high or low
readings were noted.
Serum creatinine levels (1957) were in the normal

range with no abnormallevels noted.
Serum vitamin B,,. concentrations (1958, 1959)
were generally significantly higher than American

levels. The possibility of contamination of the sam-

ples with bacteria producing vitamin B,., must be

considered, since myeloproliferative and liver diseases were notseen.

Folic acid levels were found to be somewhat low

in the Rongelap population and probably reflected low dietary folic acid.

Serum protein-bound todine levels have repeatedly
been shownto be generally slightly elevated. Evidence for thyroid dysfunction has only recently

been noted in the people along with the recent developmentof thyroid nodules. Thyroid studies will
be reviewed in detail in later section.
Glucosuria and elevated blood sugar were foundina

numberof Rongelap people. A relatively high in-

cidence of diabetes is prevalent in the Marshallese
people.
A survey for intestinal parasites (1958) showed

73% of the people to be infected with various
types.'* For the three major pathogens found. the

over-all infection rates were, for Entamoeba hustolytica, 18.2%; for hookworm, 5.5%, and for Trichuris
trichiura, 34.3%.
Eosinophilia (>>5%) has consistently been noted

in about half the people. The fact that half the

cases with eosinophilia showed no helminthic in-

fections at all suggests that other factors besides
parasitic infections must be responsible. The eosin-

ophilia may be related to chronic fungus and other
infections, particularly of the skin.
Complementfixation studies for parainfluenza 1, 2,

and 3, respiratory syncitial, psittacosis, and Q

fever showed antibodiesto all groups of viruses except that for Asian influenza, which probably had
not yet seriously involved the people of the Marshall Islands. The antibody titers appeared to be
somewhatlowerin the exposed people.
Immunoelectrophoretic analysis showed neither a

paraproteinemia nora typical picture of antibodydeficiency-syndrome, but a high frequency of
increases of some of the immunoglobulins was
noted.

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