192

Health Physics

our best estimates of internal dose varied less than
two-fold withm the southern atolls and within the midlatitude atolls, suggestmg that the doses within each of
those groupsofatolls were relatively consistent
Uncertamty m estimated doses has been assessed
based on some simplifications, and while uncertamties

are relatively large, as expected, our estrmates of intakes

of fallout radionuchdes by the Marshallese, and their
related doses, contam no known biases that require

correction or that might unduly fluence the estimates of
cancer risk provided by Land et al (2010)
Our estimates of radiation dose to the Marshallese
livmg onall mhabited atolls should add considerably to
our understanding of the cancer risks to the Marshallese
from nuclear testmg at Bikini and Enewetak durmg the
years 1946-1958 In addition, these estimates of intakes

and related doses add to our understandmg m more
general ways about the consequences of exposure to
radioactive fallout from nuclear detonations

Acknowledgments—This work was supported by the Intra-Agency Agree
mentbetween the NabonalInsbtute of Allergy and Infectious Diseases and
the National Cancer Institute, NTATD agreement #¥2 Al $077 and NCT
agreement #¥3-CO S117
‘Theauthors are mdebted to several mdividuals whose analyses and
research have made substantial contnbubons to this work They mclude
Payne Hams, who collected and analyzed the origmal urme samples of the
exposed Marshallese, Wilham Robison for vanous data and publications
‘on radionuclide measurements made m the Marshall Islands, Shawki
Ibrahim for analysis of f, data on fallout radionuchdes, Brian Moroz for
meteorological analysis and graphic support, Jack Robbins (deceased) for
discussions about thyroid exposures and bssue damage seen amongthe
Marshallese, as well as other scientists who have added to our understand
ing ofthe contarmmation and consequences 1m the Marshall Islands through
ther scienbfic publications, many of which are cited here
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