CONTENTS Tmtroduction .........:::ccccsssstecccsenseceeceseeteeecsacseeeeesaacsecesnsaeeesseneeaeesenuceeeessaneeesarseacees 1 Summary of Past Findings 2.0.0.0... ccceccsccssccseeesssecseesssssesersesssasreessseesneesessaas Penetrating Radiation oo... cc cece cesessssceeessescceneeesesaeeesseeaneeseneea Beta Irradiation of the Skim .0.0..........c cece eeessseeeeeeeeeesseeaneausoneeetesenaeeess Intermal Irradiation ...0.........cccccccecceeeeeeeeeeeeceenssncnnneeeaaseaeeeneeseessessensresenves Other Studies .........0..cccccsssscccesessssseneseeceserenngteeseceesnessnseetsseseeeaneaeesense Difficulties Associated With the Examinations ................c:cssesssscesseneeees Comparison Populations .0.............cccssceseeescsesessassessreressseseneeersseersaenenas 2 2 4 5 5 6 7 1962 Survey—Organization and Procedures ...........cccccsccesesseteessseeesetsseensenreenees History and Physical Examinations .................cecscccsesesssseceseeseesesenoneees Cancer Detection Survey .......0....cecccsseesecseseneceessaersceesaesseuesesesecneeaes Growth and Development Studies in Children ..0.00...........eesseccecesseeeeeee 7 8 8 9 Laboratory Procedures 2.0.0.0... ccccccccccceeccececcseeseeeessessesnecssneaaueceaaeeeeneeaeees 9 Results and Discussion .............:.ccccccscecssccesceeesssssteceececessenssnenseecesuaessneseaceseenseues Interval Medical History ............ccccccecccesseessecsceeeeesenssenaeneseessseseueeeeeseeees Adult Examinations .0.....0...0..ccccccccceeeeceeeseeeeeseepeceensceeaaansuaeeneaseeeeseeeees Ophthalmological Examinations ............00. cesses seeeseceeseneeeeneereaees Pediatric Examinations.............0.:0.ccccccccccssesessccereeeseeees sessseeesenesenstenseeeees Growth and Development Studies 0.00... ececeeesecesecersseeeensnees 10 il 12 12 15 15 Cancer Detection, Leukemia Survey...........-.:cc:c:ccccseecssseenseeeeceessenensseeess 21 Residual Beta Burns ...0...0.........ccccccccecececsesceeeeeteeeeceseececseaaeesseesaneesseseas 21 Studies of Aging Criteria, Dental Survey ........0..0.00.c cc cecceecceeeeeeetenenneees 21 Laboratory Examinations .......0......cccccccecesssceceeesseceeessesceeeeseneseeseesessieeessssetneeeeses Hematological o........ cic eeccecceseesseeeeeecneeeeetecaeeesseneeeceeesetseneeesssueeseeesagces 23 23 Other Laboratory Studies 0.0.0.0... ccc ccceceeceseceececeecceececceseeevceeeesnenses 30 Estimation of Body Burden of Sr°° _o...... cece seeeeeessseenecsecsasesseeneesaseseenas 33 SUMIMATY 0.0... eect eecseetcceecceecseeessneeecesessasessaueesneessneseausessaessessceeseseeseeesasensees 33 Acknowledgments .0..........cccccccccssccesecsscceessersceeeescssseccesssnsesceceeeecuesenseetecensenennecs 37 References 00.0.2... ec ceeseceecsseecessteneevanesscaeeeesessaeeeveeesseueeeesesseesseusesssaneesesenensees 37 Appendix 1. Rongelap Group and Control Mean Blood Counts at Various Times After Exposure...............: cece 39 Appendix 2. Ailingnae Group and Control Mean . Blood Counts at Various Times After Exposure.....................008 40 Appendix 3. Individual Hematological Findings, 1962 0.0.0.0... ccs csssesseseseeeee 41 Appendix 4. Individual WBC, Basophil, and Alkaline Phosphatase Determinations, 1962..............0....... 49 Appendix 5. Individual Physical Examination Findings, 1962 .................c00 52 Appendix 6. Pathologic-Anatomical Diagnoses on 78-yr-old Woman in Exposed Group 0.0.0.0... .cccecsssseeessereeeenseres 74

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