Ld 16 posed groups, compared with that for the Marshall Islands as a whole in 1948-50 and for the United States in 1940. The table also shows the median ages. The lower median age of the Marshallese would seem to support the impression that their life span is shorter than that in the continen- tal United States. alias 07: oatcilte mleniioe: During the interval between the surveys of 1958 and 1959 the people of Rongelap suffered no major epidemics. There were the usual bouts of upper respiratoryinfections. A fewcases of chicken pox developed in April 1958, two of great severity, one of which resulted in the death of a 36-year-old man (#31) from the exposed group. During the year Navy evacuation planes removed these two cases to Kwajalein Hospital (150 miles away) for treatment, andalso the following cases: perforated appendix, threatened abortion, retained placenta, complicated delivery, pyelonephritis, and acute diarrhea. Three of these patients were in the exposed group.Fourcases offish poisoning occurred during the year with the usual symptomsof nau- sea, vomiting, diarrhea, fever, double vision, and HAs, ae clones, ateA —peertaer - tingling sensations in the limbs. Cancer of the ovary was found in a 61-year-old woman in the exposed group, and the diagnosis was confirmed by biopsy. During the interval between the 1959 and 1960 surveys the medical history of the people on Ron- gelap Island was gencrally uneventful. However, an epidemic of influenza occurred in the Marshall Islands in the spring of 1960, and, though Ronge- lap Atoll was spared, the epidemic reachedserious proportions on Kwajalein Atoll. About 20 ofthe unexposed Rongelap contro! population had previously moved to Kwajalein Atoll for employment by the Navy, and among this group 10 cases of influenza developed, two of which became com- plicated by pneumonia resulting in death ~ one in a 55-year-old man (#933) and the otherin a 64year-old man (+927). Both these men had complicating diseases prior to influenza; one had suffered a cerebral hemorrhage with hemiplegia severa] monthsearlier, and the other a urinary tract infection. The 61-year-old woman with cancer of the ovary, discovered in 1958, died in May 1959. Unfortunately, no autopsies were obtained on these people. This brings the deaths to four for the exposed population. One other death occurred in the unexposed control population on Rongelap, that of a 54-year-old woman (#854) who died of infection complicating diabetes. The deathsin the unexposed population now numberfour. Only one case of fish poisoning occurred in 1959 on Table 3 Yearly Incidence of Births and Fetal Deaths* Children + Year Women aged 14-45 Total pregnancies DOE ARCHIVES Live births M F &c Pregnancies Miscarriages* terminating in miscarriage 1 100 6 43 Exposed 1954** 1955 1956 1957 1958 1959 19 1 20 20 21 22 Total 0 0 8 4 4 5 4 2 5 5 14 22 0 6 6 3 37 4 0 2 2 24 12 1 4 0 1 2 3 3 0 17 33 60 0 12 13 1 2 25 4 1 17 a Unexposed 1956 18 1959 17 1957 1958 18 18 Total 8 —6~B 5 6 5 1 8 4 26 6 3 20 2 2 4 1 10 10 2 ] 25 25 6 *Includes children dying during first few hours after birth. **Includes only children conceived after March 1, 1954. | L ce ee cae ee eee eee