140 THE SHORTER-TERM BIOLOGICAL HAZARDS OF A FALLOUT FIELD EFFECTS OF FALLOUT RADIATION ON THE SKIN Figures 2, 3, 4, and5 illustrate typical lesions TH ne in the Marshallese people. f / { 14] REFERENCES Tn conclusion I wouldlike fo summarizea few 1. Cronxite, K. P., Bown, V. P., Conarp, R.A, Suuuman, N. R., Conn, 8. H., Duna, C. L., fallout on the skin, largely as a result of our Marshallese expericnce: 1. The best prophylactic measure, of course, is avoiding getting the fallout on the Hecxrer, H. H., Woon, D. A., ApEn, E. A., Brownins, L, E., Ratnenarr, R. W., Gone, J. K, Roszrteon, J. S., Mine, W. L.: The effects of ionizing radiation on humanbeings: a report on the Marshallese and Americans acci- things we have learned about the effects of Farr, R. 8. Sanpnaus, ©. A. Swarr, R., dentally exposed to radiation from fallout and a discussion of radiation injury in the human being. U. 8. Government Washington, 25, D. C., 1956. Printing Office, 2. Conran, R. A, Cannon, Braprorp, Huearns, C, EB, Ricuanns, J. B., Lowery, Austin: Medieal survey of Marshallese two years after exposure to fallout radiation, BLN 412 (T- 80), Brookhaven National Laboratory, March 1956, 3. Knownron N. P., Lerrer, E., Hocnzss, J. R., Hemrepmann, TL. H., Buanzy, L. F., Grou, D. C., Oaxas, W. R., and Suarer, C. L.; Reta ray burns of human skin. J, A. M. A. 141: 239-246, 1949. il 4, Ronpins, L. L., Aus, J. C., Cops, 0., Cogan, D. G., Lanaour, J. L., Croup, R. W., and Mrrrine, Q. E.: Superficial “burns” of skin and eyes from scattered cathode rays, Radiology 46: 1~23, 1946. 5. Crawrorp, §., Leonard or cathode ‘ray’ dermatitis, Areh, of Dermat. and Syph. 27: 579-583, Fieure 4.—Epilation in 7-year old girl at 28 days. Case No. 72. Fieurn 2.—Beta radiation lesions of the feet at 4 weeks after exposure. skin by taking shelter or covering as much of the bodyas possible with clothing. Prompt decontamination of the skin by thorough scrubbing with soap or detergent and water is of extremeimportance. Ifthe hair is seriously contaminated and difficulty is encountered in decontamination, shaving of the head is indicated. Tn the Marshallese certain factors afforded protection against the developmentoflesions: (1) Shelter, (2) Bathing, swimming, wading, (3) Clothing. Certain factors also favored. the development of lesions: (1) As pointed out areas where perspiration is more profuse, (2) Delay in decontamination, and (3) u ( A\ exposure, 3. However, in situations where 1933, 6 Low-Brex, B. V. A.: External therapeutic use of radio phosphorous, 3. Erythema studies, Radiology 47: 213, 1946. . Wien, J. E., and Rarer, J. R.: Biological effects of external beta radiation, Chap. 12, MeGraw- skin lesions are associated with larger whole body doses of radiation i. e. in the lethal range or above, with greater homatopoetic depression, the lesions would become more easily infected, possibly affording portals of entry, leading to bacteremia or septicemia. 4. Severe skin irradiation with minimal Hill Book Co., Inc, First. Edition, New York, 1951. 8. Koyama, Y,, eé at, Iryo (published by Iryvo Dokokai, Medical Affairs Bureau, Ministry of Health and Welfare, Tokyo, Japan). 9: No. 1, 5-45, Jan, 1956. whole bodyirradiation might result in situa- 9. Paysincer, J, Pucumizo, M. P., Srxes, D., West, tions where promp evacuation from the contaminated area occurred, but skin decontamination was delayed. . ' 5. Early skin and eve symptoms might be J. L., Cowan, C. L., Hansarp, 8. L., Topas, C.8., and Hoon, 8. L.: Fission product retention and pathology of Alamogordo cattle, AEC Report. UT-AEC-1, 1953. Difficulties in decontamination. 2. Moderately severe beta lesions of the skin and epilation may result from fallout mildly disabling during the first day or two 1 ting dose of radiation is sublethal. associated with full blown lesions might be quite disabling. Late effects on the skin in the form of chronic radiation dermatitis and situations in which the whole body penetra~ Fiaune 3.—~Samecase in Figure 2 at 6 months after Fieurr §.—Same case as in Figure 4 stz months after exposure showing complete regrowth ef normal hair. = : ai x ' |\ With such doses the skin lesions do not appear to complicate the radiation syndrome. after exposure to fallout and later symptoms malignancyare possible complications. Major Activities in Atomic Energy Programs, JulyDecember 1953. United States Atomic Energy Commiasion, 15th Semiannual Report, Jan. 1954, p. 50. . Hensuaw, P. S., Sniper, RK, S., and River, E. F.: Aberrant tissue developments in rats exposed to beta rays, Radiology 52: 401-415, 1949. 2 Hl t