55 HEMATOLOGEC OBSERVATIONS a 20) ° ™ T { amet | ape = orvese or a8 Pt ffm wars | : a+ IG ‘ | | L i __f ence in an effort to gain a better understanding 4 if {Same| : fae fe | a a | - | | | ; re MEUTROMELES 2 10" Fieve 4.4.—Cemaletire acatrophile counts for Group I (Rongelap) et the time of masimam depressions aed ath months after crposurc. Tt is seen that in terms of absolute counts, the children showed a greater depression of the lymphocyte count. Expressed as percent of control, all elements were affected more markedly in the younger age yroup. These results would indicate that children are more sensitive te radiation, or that other biological or physical factors resulted in a relatively greater effect. One physical consideration that may have accounted in part for the apparently greater dose received by the children involves a consideration of dose distribution in the body. Because of their relatively small diameter, the dose received at the center of the body of a child would be yreater than for an adult exposed to the same dose xs measured free in air. 4.4 ot ete —_ 4.41 dividuals have been possible, and thus they comprise the most complete deta available on homan beings exposed in the high sublethal range. It is also of importance, therefore, to examine the present results in conjunction with past expert- Discussion General An estimation of the severity of radiation damage incurred can be attempted by comparing the present results with previous hematological data on total body exposure. The present date represent the only large series in which svsteniatic serial count. on the same in- of the hematological response of human beings exposed to penetrating radiation in the subleth: | range. in the following discussion it will be gener- ally assumed that the hematological effects noted were due primarily to the penetrating gamma radiation received. The beta radiation injury of the skin may have contributed to fluctuations in the white count during the pe- riod of active lesions during the third, fourth and fifth week, be is considered not to have contributed significantly to depression of any peripheralelements (Chapter 3). The degree of interned contamination with fission products (Chapter 5) was probably too small to contribute significantly to the early hematological effects obverved. Although it is not powsible te say with certainty that these added factors did not materially affect the hematological pattern seen, it will become evident in the discussion that the changes observed are not inconsistent with thona to be expected from exposure to penetrating fadiation alone. Thus, the hematological changes noted are considered to he the result of a sinyle exposure to penetrating gamma radiation, délivered at a rapidly decreasing tase rate ovpr a period of approximately 2 days. Unless\otherwise stated all ciscussion will be limited o the older-age subdiViston of Group E The principal sources of previous data available for comparison, and tt characteristics and limitations of each are summarized in Table 4.40. Pernsal of the table HWomake apparent the difficulties invelved in tfempting strict Comparisons: however, some Qatements can be made despite the obvious Tuitations. For eaxy reference, “normal” valine for peripheral blow counts, frou the present the literature are presented tn” atu and fresas the Ql.

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