33 tion and various comparison populationssince exposure in March 1954. In Appendices 3 and 4 are listed the individual blood counts for 1959 and 1960. The data are also summarized graphically in the exposed population will be compared with those in the unexposed for differences that might indicate possible premature aging effects. As pointed out, such differences have not been ap- in Figures 33, 35, and 38. The blood data have parent thusfar. been classified as in the past according to age and RESIDUAL BETA BURNS sex. The results of blood counts in the 1959 and 1960 surveys may be summarizedasfollows. White Blood Counts. The mean WBCin 1959 showed a further trend upward in both the exposed and unexposed populations, being slightly Ter people continued to show residual skin dam... from beta burns sustained 6 yearspre- viously. Most of the residua consisted of very mild changes, such as varying degrees of pigmentalteration giving a mottled appearance, sometimes ac- lowerin the former (see Table 21 and Figure 33). The 1960 WBC level of the exposed people companied by a rougheningofthe skin (increased showed a considerable drop from a meanlevel of rugosity). Some showed more pronounced changes, such as atrophy and scarring. None of the more severe residual lesions showed any gross evidence of breakdown with the development of chronic radiation dermatitis or any premalignant or malignant change. No biopsies were taken. Several womenwho had sustained moresevere necklesions seemed to be showing an increase in pigmented 9500 in 1959 to 6500 in 1960 as compared with the trend during the previous two years (no counts were made on unexposed people in 1960). The explanation for this is not clear. The percentage distribution of the various white cell levels was not very different, however, from that of the previous values. The neutrophils in 1959 (Table 21 and Figure 33) showed an increase corresponding to the increase in WBC in both exposed and unexposed populations, the mean level also being slightly lower in the exposed. A scattergram (Figure 34) of the age distribution of the counts in 1959 showsa greater tendency for the younger groups to have lower mean counts in the exposed than in the unexposed populations. This was noted also in 1958. In 1960 the average of neutrophil counts was 3500 for the exposed group com- served carefully in the future for any suspicious changes. In Table 20 are listed descriptions of the residual beta burns seen in 1960. Figure 32 shows healed beta burnsofthe feet 5 years after exposure. LABORATORY EXAMINATIONS Hematological In Appendices 1 and 2 are presented summaries pared with 4800 in 1959. This decrease correspond- ray Neutrophils. moles in and aroundthe affected areas. However, this is not certain, and these moles will be ob- ed with the decrease in the total white count. of the mean blood counts of the exposed popula- Table 21 Mean Leukocyte and Platelet Counts, 1959 and 1960, by Age and Sex 1959 WBC (x10), Neut. (X10), age >5 age >5 Lymph. (x 107°), age >5 *Standard deviation. 1960 Unexposed 1959 1960 1959 9.54 2.3" (60)** 6541.8 (54) 9.7424(15) 7.34.3 (14) 10.14 3.1 (123) 4.0% 1.3 (60) 3.741.£(15) 3,041.2 (13) 4.1+ 1.4 (123) 48+ 1.9 (60) Mono. (X107%),. age >5 20+ 1.8 EFosin. (x10-"}, age >5 5.0+ 3.3 Baso. (X10), age >5 04+ 0.6 Plate. (x10), Malesage5-10 32.310.0 Females Ailingnae exposed (60) (60) (60) ( 7) >lO 244+ 9.9 (20) >5 27.6+£10.5 (29) 3.5415 (54) 2.7408 (54) 0640.2 (54) 2.7408 (54) 0.440.11(54) - - 5.142.1(15) 3.6+1.6(13) 5.2+ 2.1 (123) 3.2425(15) 0.6+0.6(13) 604£4.2(15) 4.0+0.2(13) 0540.8(15) 04+0.4 (13) 40.9 (2) - 24+ 2.3(123) 6.0+ 9.9 (123) 0.5+ 0.8 (123) 34.6+10.8( 11) 26.8223.7 ( 9) 31.14 7.2¢ 52) 26.356.0( 4) ** The numbers in parentheses are the numbers of people in the groups. - - 28.0+ 8.4( 54) my Rongelap exposed

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