4
counts and:types, alkaline phosphatase staining,

and basophil counts of 4000 white cells showed no
evidence of leukemia or leukemic tendency. One
child in the irradiated group had 3% basophils but
no other positive findings. The cardiovascular and
arthritts surveys, as well as the generalresults of the
physical examinations, have not shown any apparent increased incidence of degenerative diseases
in the exposed people. No radiation-induced
cataracts have been observed in any of the exposed
people.
Genetic effeets have not been specifically studied
because of the small numberof people involved.
No apparent radiation-induced genetic changes
have been detected on routine physical examination in the first-generation children of exposed
parents.

Hematological surveys again showed considerable
fluctuation in the year-to-year meanlevel of leukocytes in both the exposed and unexposed groups.
The mean leukocyte level of the exposed group
showed a marked decrease at the time of the 1960
survey (no unexposed people were examined). The

reasonsfor these fluctuations are not apparent. At
5 years post exposure, exposed people still had
mean platelet levels 10 to 15% below those of the
unexposed group. However, lymphocyte levels ap-

pearedfor the first time to equal those of the un-

exposed group. Mean erythrocyte levels were also

slightly lower in the exposed people. These blood

elements in the Ailingnae group also showed some

slight depression below the unexposed levels but
not quite so marked as seen in the Rongelap ex-

posed group. A general anemic tendency was
noted in all the Marshallese, both exposed and

unexposed. Price-Jones curves, on the average,
showeda slight microcytic tendency. Serum tron
levels were generally normal. The fact that some
of the blood elements in the exposed group have
not vet returned to the levels in the unex posed
group raises the possibility that a residual radia-

tion effect on the bone marrowpersists, but other,
not immediately apparent, factors may be involved.
Studies ofgenetically inherited characteristics. Blood

57

quency of the Hp’ gene th be higher than ix

European populations thus far tested and consistent with populations living near the equator.
The distribution of haptoglobin types showed the
population to be relatively homogencous. TransJerrins in all sera were type CC, the common European type. 8-Amino-iso-butyric acid urinarylevels
showed the Marshallese to be the highest excretors of this acid of any population thusfarreported. Levels in the exposed group were about
the same as in the unexposed group, and no cor-

relation was found with body burden level of
radionuclides; this indicates that there is probably
no correlation with radiation exposure. Glucose-6phosphate dehydrogenase of the red cells appeared to
be deficient in the Marshallese. Considerable caution must be exercised in evaluating theresults of
these studies on genetically inherited characteristics because of the small number of samples

tested. The data do seem to indicate relative
homogeity of the population and closest kinship
with people of Southeast Asia. These data also
maybe useful as a base line should genetic changes
appearin later generations, possibly related to
radiation exposure.

DOE ARCHIVES

Results of other laboratory studies carried out
during the 5-year surveyincluded the following:

Serum protein levels, as has been noted before, were

generally on the high side of normal; the reason
for this is not apparent. Complementfixation studves
for parainfluenza 1, 2, and 3, respiratorysyncitial,
psittacosis, and Q fever showed antibodies to all
groupsof viruses except that for Asian influenza,
which probablyhad not yet seriously involved the

people of the Marshal] Islands. The anubodyuters
appeared to be somewhat lower in the exposed
people. Sodium levels in the urine and food indicated
about the same consumption of NaCl as in Americans. The generally lower incidenceof hypertension in the Marshallese might be related to the

fact that the formernative diet was probablylower
in salt content than the present, more westernized

diet. It will be interesting to see whetherthe incidence of hypertension will later increase. Repeat

grouping studies in the Marshallese showed rela-

studies ofprotein-bound todine, total iodine, and butanolextractable iodine of the sera showed levels lower

total absence of Kell and Diego factors. These
characteristics differ from those of Polynesians and
suggest relationship with Southeast Asians and
Indonesians. Haptoglobin studies showed the fre-

still somewhathigh. Four cases of glucosuria associated with elevated blood sugar were found in the
unexposed population, which indicated a rather

tively high B gene frequency, a high N genefrequency, an extremely high R’ gene frequency, and

than previously reported, and the previous higher
readings are thought to be in error because of con-

taminated glassware, although some readings were

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