MEDICAL SURVEY OF RONGELAP PEOPLE FIVE AND SIX YEARS AFTER EXPOSURE TO FALLOUT Introduction may The results of medical surveys of the people of Rongelap in the Marshall Islands, carried out in March 1959 and in March 1960 at 5 and 6 years after the accident, are presented in this report. These people had been accidentally exposed to fallout radiation following a detonation of a high yield thermonuclear device during experiments at Bikini in the Pacific Proving Grounds in March 1954. An unpredicted shift in winds caused a deposition of significant amounts offallout on four inhabited Marshall Islands to the east of Bikini (see Figure 1) and also on 23 Japanese fishermen aboard their fishing vessel, the Lucky Dragon. Of the inhabitants of the island of Rongelap, 105 nautical miles away from the detonation, 64 received the largest fallout exposure: an estimated dose of 175 r of whole-body gamma radiation, contamination of the skin sufficient to result in beta burns, andslight internal absorption of radioactive materials through inhalation and ingestion. Another 18 Rongelap people awayon a nearby island (Ailingnae), whereless fallout occurred,received only an external gammadose of about 69 r. There were 28 American servicemenontheisland of Rongerik further to the east who received about the same amountofradiation as did the Rongelap tion. Because Rongelap Atoll was considered to be too highly contaminated, a temporary village was constructed for the Rongelap people on Majuro Atoll several hundred miles to the south, where they lived for the following 3% years and were examined at yearly intervals by a special medical team. In July 1957, after careful evaluation of the radioactive contamination situation, Rongelap Island wasconsideredsafe for habitation. A new village was constructed, and the Rongelap people were moved there by Navy ship. The annual medical surveys have since been carried out on Rongelap Island. A group of more than 100 Rongelap people, whowererelatives of the exposed people but had been awayfrom theisland at the time ofthe accident, moved back with the Rongelap people to their home island and have served as an ideal comparison population for the studies. Following the initial survey of the Utirik people on Kwa- jalein in 1954, a repeat survey wascarried out in March 1957. In addition, during the past survey, as in the previous surveys, a visit was madeto Majuro Atoll to examine a group of children who represent part of the control group used for the growth and development studies of the exposed children. - 5006 2007 people on Ailingnae. Lastly, 157 Marshallese on Utirik Island, about 200 miles furthereast, received - BUTIRIK . about an estimated 14 r of whole-body radiation. The fallout was not visible on this island and no skin effects developed. The exposed people were evacuated from these islands by plane and ship about two daysafter the accident and taken to Kwajalein Naval Base about 150 miles to the south, where they received extensive examinations for the following three months. In view of the generally negative findings on the American servicemen, they werelater re- turned to their duty stations. The Utirik people were also allowedto return to their homeisland, whereradioactive contamination was considered to be of a slight enough extentto allow safe habita- : Q. S\ywnaters 2 Ss 2 9 oO Q ° MAJURONDS Figure 1. Map of fallout area (March 1, 1954), Marshall Islands.

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