Mr, Edvord J, JII. Dauser -3- Surviving adult Ailinginae people exposed to fallout. (Estimated dose: 70 rads external gamma irradiation.) . t IV. 1, . . Total - Adenomatous goiter removed at ege 45, Recovered end was on -thyroid therepy; died of influenza in 1968. 8 . 1 Surviving adult Utirik people exposed to fallout, (Estimated dose: 14 rads external gamma plus 15 rem internal irradietion.) Total ~ 120 1. This patient was included when she was found to have devcloped a nodular enlargement of the thyroid gland; she was 22 at the time of exposure. . ° In frozen section the tissue resembled : a follicular adénoma and therefore a total thyroidectomy vas performed, Subsequent histologic sections have confirmed the diegnosis and upgraded the estimated degree of malignancy. To sumearize, all but 2 of the 19 children exposed on Rongelap have now exhibited thyroid dysfunction, some of a serious degree. A small but probably significant number of people exposed es adults on Rongelap and other islands are experiencing serious thyroid problems, This first case of neoplastic thyroid Gisease in a person on Utirik sugsesis cleser medical surveillence of the Marshallese living on Utirik., Dr& Conard proposes visiting Utirik during his miec-winter medical survey of the Marshallese, Consideration is being given to issuance of a public ennouncement dealing with the ebove findings. Sincerely, Chairman Seaborg (2) Commissioner Ramey Coxmissioner Jdéhnson Commissioner Thompson Commissioner Larson . BMA AD (Bruner) . at GM (2) . a Secy (2}* aon PI . “tn General Manager - . o oe HIVES DOE ARC . . | “uy t (2) Arg. ae Cong. Rel. _ CE BLO F 8 S--=" ‘ bee: