why . . wae teat BASE RNS he TAR . Or +t . FH . a = aoa . t ~ . 2, : . ow ‘ - " a s . - . * ap. , . + Tyo, - 4+ coe . a * a . . se TP. -7! Boao 4 ae . e, a rae %Be yeegat, et yt ere ’ PF Pa toa wae a wy aractets! * Py * Qe 2a * wg wee at Loe ~ aBe Aes mow ee :- ae es ~ PRsSa ea sie rat W. H. ADAMS: LATE MEDICAL CONSEQUENCES OF EXPOSURE TO RADIOACTIVE LATE MEDICAL FINDINGS n, since the radiation internal exposures, a y not cover the. range en Medical Program Thirty-six years of observation continue to show no detectable increase in mortality in the exposed population (Figure 1). The survival curves of the Rongelap population, which received a whole body radiation dose of 190 rad, the Utirik population which received I! rad, and an clude an increase in trend to lower blood TT Tf ' TT TT ys ToT TT TT fT TTT TTT T T Tt T I'eT Tf T T Ff TT I | ided annual thyroid all exposed persons, ation (the intent being ts, and evaluation for sammaglobulinemia, ated alpha-fetoprotein There is also ongoing ec exposed population essel chartered by the inteers selected from lical institutions. The 2 fOr ene, s 60F ie = S 50- | se 40> ___ RONGELAP AND AILINGNAE EXPOSED ( 86) --— UTIRIK EXPOSED 30; 20K 0 RONGELAP COMPARISON GROUP 1a majorfactor in the ves, for the enrallment 100% for Utirik, and ( 86) | 7 poke 1955 [960 (posed and unexposed of those available for rik, and 72% for the 4 (167) lOr 0 Figure |. 7] 1965 1970 1975 YEAR [980 1985 [990 Percent survivors of the different exposure groups since 1954. The number of persons in each groupis given in parentheses. among eligible women elect to undergo this unexposed group of Rongelap people selected in 1957 and matched approximately by age and sex to the exposed Rongelap group continue to be similar. This is not surprising because Japanese A- im is distinct from the of health care which bomb survivors, which included a far greater number of radiation-ex posed individuals, many of atolls. This network 000, whereas the U.S.- shortening of life-span, even when correlated with radiation dose (9). In addition, a separate study Ith care for all persons s, regardless of their health screening for that population might have led to an underestimation of the effect of radiation who were exposed to whom received a much higher radiation dose than the people of Rongelap, have also had no overall of Nagasaki A-bomb survivors revealed their 1970-1984 age-specific death rates from ail causes to be lower than controls, although it has been suggested that the effectiveness of programs providing on mortality (10). Clearly, therefore, concern over the consequences of the 1954 exposure iranscends mortality statistics. 273 S012ob5