BROOKHAVEN NATIOP AL LABORATORY ASSOCIATED EINIVERSITIES, INC. ton. New York 17973 Safety & Enwironmentai Protection [vision 570) 346 4207 AOR GSO December 17, 1980 Jacob Thiessen, MD, CHP Director, Human Health & Assessments Division Office of Health & Environmental Research U. S. Department of Energy Washington, D.C. BEST COPY AVAILABLE 20545 Dear Dr. Thiessen: Congratulations on your new role as Director of the Huma. Health and Assessments Division. I would like to take this opportunity to oresent a synopsis of Brookhaven's Marshall Islands Radiological Safety Pro:;ram activities which are related to dose reassessment since our research proj:cts in this area are in part supported by your Division. The purpose of tis research tis to refine the previous estimates of dose equivalent which were received by members of the Rongelap and Utirik Atoll populations in the Ma shall Islands of Micronesia who were exposed to ionizing radiation as a resu t of the U. S. weapons testing provram. As you are probably aware, their cur ‘ent medical histories indicate a statistically significant elevation above the spontaneous thyroid nodule incidence in the acutely exposed population, re‘ative to a comparison Marshallese and the United States population. This information 1s shown in Tables 1 and 2, along with dose equivalent estimates sources. The acute dose estimates are based on reports rom two by Conird upon calculations which utilize our I-129 in soil samples studv. (Co 75) and The chronic dose estimates are obtained from Conard (Co 75) and Lessard (Li: 80). The thyroid nodule prevalence in the Marshallese exposed populatio: and the comparison population is taken from a draft of Conard's 25 yea review (Co 80). Since the Marshallese comparison population was also exp sed to chronic low level radiation from the weapons testing propram, another «stimate of the spontaneous number of benign and cancer nodules {fs base? on Un-ted States incidence and is indicated in parenthesis. Although there are uncertainties in the mean values repo ted in Tables 1 and 2, these data may be used to derive a cancer incidence per unit dose equivalent which would have practical impact on human health a sessment with regard to the uses of radiation and radivactivity. In order ts estimate a range and a true mean value for the incidence of nodules per wit dose equivalent and to establish the associated confidence following projects have been undertaken: level of the e: timate, the