‘ae
18

over a 6-year period in the exposed population
represent 48 per 1000, and the 20 births over a
4-year period for the unexposed population represent a rate of 62 per 1000. The fourin utero irradi-

been observed in 1957 in the children, when about

10 had night blindness associated with vitamin A
deficiency.® The improvement may be duein part
to the argicultural program ontheisland resulting
in the availability of papaya and squash. The
usual numberofskin infections and fungusdis-

ated children did not show any abnormalities nor

have they shown any impairmentof growth and
development.

eases was noted, as was the usual incidence of

impetigo in the children.

PHYSICAL EXAMINATIONS

PEDIATRIC EXAMINATIONS

At the times of the 1959 and 1960 surveys of the
Marshallese, the people appeared to be generally
in a state of good health and nutrition. There was
no indication of vitamin deficiencies such as had

The numbersof children seen during the 1958,
1959, and 1960 surveys are summarized in Table
5. In the limited 1960 survey, only the body meas-

Table 5
Numbers of Children Examined in 1958, 1959, and 1960

Exposed
Nonexposed with exposed parents
Nonexposed, Rongelap
Nonexposed, Majuro
Utirik

In 1960

In 1959

In 1958

35
10
51
0

34
20
82
15

39
13
88
20

0

60

0

In 1958 but
not in 1959
3 (3)*
0
16 (3)
6 (2)
0

In 1959 but
not in 1958

In 1959 but
not in 1960

0
7
10
l

0
10
°
34 (2)
15

60

60

*Numbers in parentheses are numbers of children not examined who had becomeadults or near-adults since the preceding survey.
Table 6

Summary of Physical Findings on Children. 1959

Chronic impetigo (active)

Molluscum contagiosum
Tinea versicolor

Chronic otitis media
Palpableliver
Under 3 cm

Over 3 cm

Cervical nodes
Axillary nodes
Rheumatic heart disease, inactive

Vitiligo

Cheilosis

Asthma
Loss of hearing, unilateral
Elevated blood pressure**
Obesity in girls > 10 years of age**
*Number examined.

Exposed
Rongelap (34)”

Nonexposed with
exposed parents (20)

10

7

0
2

0
4

5

1
0

)
1

2

Nonexposed
Rongelap (82)

~

25

6
0

4

15

1

0

0

0

0
0

2

0

36
13
0

0
0
0/20
1/4

0
2

6
2
0

0

0

0
2

1

14
8
1

t

Nonexposed
Majuro (15)

1
1
0/36
0/7

8
3
0
1

0
0
0/8

**Utirik group showed noelevated blood pressure in 58 children examined, and an incidenceofobesity in girls > 10
years of age of 7/16.

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