Agams,

MU.

1A ordertu uecermine tne total

number UT peopie dria

effects since the time of exposure, March 1954.

Table One.

ule

tutal

Cuyruiu

These data are given also in

The data include the most recent thyroid nodules detected in the

exposed population.

Dr. Adams and I estimated the excess cases of nodules and thyroid cancer
based on Robert Conard's twenty-six year report (Co80). However, thyroid cancer

and nodule data from the Marshallese comparison populations are being thoroughly
re-examined by us due to possible low-level exposure of some of these people from

the testing program. The average time at risk per irradiated subject was assumed
to be the time from radiation exposure on March 1-3, 1954 to time of surgery. One
person in the Utirik exposed population was assumed not to be an excess thyroid

cancer, Debate continues and a clear distinction of either carcinoma or adenoma
for this individual may never be resolved.
One implication of the dose reassessment was that the thyroid dose to each

population (see Table One) was from different relative amounts of external and
internal radiation. Also, the internal radiation dose rete was different for

each atoll population due to differences in nuclide conposition as a function of
fallout age. The greatest portion of thyroid ahsorbed dose was reassessed to be
from the shorter lived iodine isotopes 1-133 and I-135 and not from I-131.

Select target paragraph3