changes and pressures, and it is not my belief that the only force or the only stress O? the~em?eo~le,is I th~nk It 1s a major the effects of the atomic bombing. cause however. social .. These are my initial reactions. which 1.make are as follows: “.... . .. . . . 1. 2. . 3. 4. .- ,- . ... .’ . _,.; The recommendations All slides on the tissue removed frcm the thyroids of the Narshallese and retained at Tripler, or Guam, or Cleveland General Hcspital or Broo’kF.aven by a single pathologist of should be examined your choice and one skillful in the recognition I do not mean this as a of thyroid cancer. reflection on the integrity or skill of the pathologists who examined the tissue intially, but I do recommend verification of the benign nature of the tumors as reported. It would be highly desirable to collect firm . health statistics independent of any prior statistics taken by the Trust Treaty or AEC . scientists . I am not certain what criteria were used in the collection of former statistics~ and I am no} certain as to whether doctors were sent, and I certainly am not at all satisfied that a vigorous search pas been made in respect to cataracts or other complaints that these I would think that such medical people have. investigation would should be done on a number of different islands. I recommend a consultation with a geneticist, to examine the chromosomal pattern of a number of Narshallese Islanders. I recoirmend a horticultural expert who should study the effects of the radiation on the vegetabl foodstuffs and a marine biologist to consider the question of concentration of radioisotopes in the bodies of the larger fish. That some of these studies have been done before should not discourage similar studies by experts of your designation. .. ● -9-