0.40 for the Utirik and Comparison group, indicating nostatistically significant differences. Causes of Recent Mortality: The number of deaths occurring in 1988 through 1991is as follows: Rongelap - 1: Utirik 3: expanded Comparison group - 10 (see p. 1 for the description of this group). Theclinical events surrounding the deaths are described below. normal. An alpha-fetoprotein level was no was known to be hepatitis B surface positive), and a chest x-ray showed onlyj pectus and a flexible sigmoidoscopy was normalfin 1987. excavatum. | 8 | 5 cob @ 50} 40> —~ AONGELAP AND AILINGNAE EXPOSED (86) 30 ------ UTIRIK EXPOSED (167} 2b RONGELAP COMPARISON GROLP (86) 107 1955 Fig. 1: 1960 1965 1970 1975 YEAR 1980 1985 1990 1995 Percent survivors of the different exposure groups since 1954. The numberofpersonsinitially in each group is shown in parentheses. Rongelap: Subject No. 1. Advanced complications of diabetes mellitus were the cause of death in December 1991 of this 58-year-old man. He had been referred to the Straub Clinic in Honolulu a month earlier for a scheduled colonoscopy because of a history of colonic adenomatous polyps. At that time no evidence of malignant disease was uncovered, and chronic renalfailure was felt to explain the anemia, abnormal mental status, and neuropathy that had been developing in recent years. Utirik: Subject No. 2. The death certificate of this 54 year-old woman lists "sepsis" and “diabetic gangrene /cellulitis (left) foot" as her cause of death in April 1991. She had diabetes mellitus with retinopathy and probably nephropathy, and she was last seen by the medical team in March 1990. At that time she had a guaiac-positive stool arthritis of the shoulder. cardiologist diagnosed mitral regurgitation (secondary to ruptured chordae tendineae and mild aortic stenosis/insufficiency. She was of digoxin and hydralazine for this. The joint probl@m, which was due to a shoulder injury at an early age and subsequent degenerative changes, was harfiled with acetaminophen. Her blood count whe seen in March 1988 was normal except for a mild anemia (hemoglobin: 10.1 g/dl), present sigice 1984 (hemoglobin: 10.6 g/dl). Serum creatfnine was normal in 1987, as was a Papanicolaqu smear. Because of restricted mobility her. medial exams were done in her home. She was Wnchanged clinically when last seen in September 1988. The cause of death is unknown. Comparison population: Subject No. 5. This 67-year-old mai died on Ebeye in 1988. When last examina] by the Brookhaven team (1985) his medical problems included marked obesity and chronic renal failure of