9, Whyreld Disease in hongelap Islanders Since the Bravo siot over Bikini in March 1954, the ALC has regularly surveyed the residents of the Narahall Islands for possibie 111 effecta resulting . from fallout frem the detonation. The first suspacted abnormalities were discevered among Rengclasese Islanders in the February 1964 survey: three teenagers were found to have nodulag in the thyroid, all of which . Were giown on further examination to be nonmalignant. In June 1965 three mora Rongelapese were discovered with thyroid nodules. Of these, two were teenagers _with benign nedulas and one was a 4di-year 61d weman »whose thyroid was cancarous. Ali these six have euccessfully undergone ‘surgery for removalof the abnermal tissue. . necently an interin visit was made ‘to the Marshall Islands. On this survey, thyroid nodulas were found in . five Marshallese and suspicious thyroid contours in — five more. To sunmarize, eleven of eighty-two Marshallese have been founc to have definite alnormalities of thelr thyroid tissuas and five more are considered guestionably 3c. vo The nen-exposed control population continues»to be free of nodular thyroid disease.Surgery is being arranged for the five new casea of nodular thyroid Gisease. Meanwhile, therapy with synthetic thyrceid - Rormone has been instituted in an (effort to control farther nodule formation. “Respectfully subitte, _ Bigned Glenn isear oS “DOEARCHIVES siena’sgoeloty The President a ey ats “fhe White House ce: ae ere eree + NcGeorge Bundy A gs eo oe bo | -