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intéynal sources of radiationtare
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Sr, which concentrate in
muscular and bony tissue respectively, and 239 pu, deposited inthe lung.
5.3.2 Criteria for Evaluating Hazard Control

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Guidelines for safe exposures to radioactivity on the atoll are given
in terms of the maximum annual dose received by an individual and are
also evaluated in rerms of long-term health effects. The main objective
of radiological cleanup is to reduce the radioactivity of the Atoll to levels
at which the population can be expected to have annual exposures below

the value of these guidelines.
5.3.2.1

Long Term Health Effects.

Quantitative evaluation of low levels

of absorbed radiation on human health continues to be a subject of medical
research. Present knowledge is based on the response to high levels of
radiation of research animals, of persons undergoing medical treatment
with radioactivity, and of a few victims of radioactivity accidents. Direct
determination of the human health response to low levels of radiation,
such as are discussed in this report, is complicated by the requirement to study radiation effects on large populations for statistically
meaningful results, by the long time delay between radiation exposure,
and appearance of such effects as neoplasms, by difficulty in distinguishing

between effects attributable to radiation and effects not related to radiation,

and because such effects as cancer susceptibility are widely varying

functions of age, sex, genetic constitution, diet, personal habits, socioeconomic factors, and other variables (BEIR, 1972). Because of this,

present risk estimates are based predominantly on conservative extrapolations from data obtained at high doses.

The data upon which health risk estimates are based exhibit
statistical variations so that, usually, the uncertainty in estimating a
particular risk value is expressed by a range of values for the risk. In
view of the many uncertainties related to this study, the risk models
adopted result from very conservative assumptions.
Forlong term exposures to low levels of radiation, such as may
apply to some aspects of residence on Enewetak Atoll, the model assumes
a linear relationship between dose and effect, with no threshold. The
assumption of "no threshold" implies that zero dose is the only dose that
yields no adverse health effects. The less conservative assumption that
a threshold dose exists, below which no health effects will be observed,
has not been used.

The health effects of radiation on a population can be divided into

‘ two categories: somatic and genetic effects. Somatic effects relate to
the body or its organs while genetic effects are evidenced only in the
5-4

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