= 3-

The hematological surveys continue to show considerable fluctuation in
the year-to-year mean levels of leukocytes in both the exposed and
unexposed groups. The mean leukocyte level of the exposed group showed

a decrease at the 1960 survey compared to 1959 (no unexposed people were
examined).

The reasons for these fluctuations are not apparent.

At

five years post-exposure (1959), the exposed people still had mean

platelet levels 10 to 15% below those of the unexposed group, but in

1960 the lymphocyte levels for the first time equaled those of the
unexposed group. The mean erythrocyte levels were slightly lower in
the exposed people but a general anemic tendency exists in all
Marshallese, both exposed and unexposed. The fact that some of the
blood elements in the exposed group have not yet returned to the
levels of the unexposed group raises the possibility that a residual
radiation effect on the bone marrow persists, but other, not immediately
apparent, factors may be involved.

Radiomuclide body burdens of Cs/37, zn©5 ana sr9° were evaluated by

measurement in a whole-body

counter or by estimation from radiochemical

analyses of the urine. The mean body burdens for 1959 were: Cs137 =
0.57 «1c; mmO5 = O.44c; and Sr90 = 6.0%c. The body burdens of 2n©5

and Sr90 continue to rise but at decreasing rates, whereas the level for
Csl3T appears to have reached equilibrium and now to be diminishing.

little or none of the body burdens of the exposed group appear to be
due to the initial exposure, since at present there is little difference
between the levels of the exposed and unexposed populations living on
Rongélap Island. This may be explained by the fact that additional
weapon testes held in the area have deposited additional fission
products into the environment, and the fact that certain staples of
diet are imported and, hence, the people are not living in a "closed
enviroment." Consequently, it may never be possible to equate body
burdens with enviroumental contaminations. In any case, the body
burdens are now and will be of small significance in terms of radiation
hazards.
Judging from the Japanese populations being studied by the Atomic Bomb
Casualty Commission at Hiroshima and Nagasaki, the next five years will
be the critical period for the development of leukemia in the
Marshallese. Since animal experiments indicate that still other late
effects may occur in man such as premature ageing, shortening of life
span, increase in degenerative diseases, genetic changes, etc.,
contimued careful examination of these populations is in order; all
effects should be documented and therapeutic procedures instituted
wherever possible, should such effects develop. In addition, the
relation of the enviromental contamination on Rongelap to the body
burdens of radionuclides of the people living there, imperfect though
it is, warrants close study.
The United Nations Scientific Committee on the Effects of Atomic
Radiations now reviews these yearly surveys.

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