B3 tion and various comparison populationssince exposure in March 1954. In Appendices 3 and 4 ’ 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- ‘are listed the individual blood counts for 1959 and 1960. The data are also summarized graphically in Figures 33, 35, and 38. The blood data have been classified as in the past according to age and sex. The results of blood counts in the 1959 and parent thusfar. RESIDUAL BETA BURNS 1960 surveys may be summarizedasfollows. Ten people continued to show residual skin damage from beta burns sustained 6 years pre- White Blood Counts. The mean WBC in 1959 showed a further trend upward in both the exposed and unexposed populations, beingslightly lower in the former (see Table 21 and Figure 33}. viously. Most of the residua consisted of very mild changes, such as varying degrees of pigmentalteration giving a mottled appearance, sometimesac- The 1960 WBC level of the exposed people companied by a roughening ofthe skin (increased showed a considerable drop from a meanlevel of 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 ex- rugosity). Some showed more pronounced changes, such as atrophy and scarring. None of the more severe residual lesions showed anygross evidence of breakdown with the development of chronic planationfor this is not clear. The percentagedistribution of the various white cell levels was not radiation dermatitis or any premalignant or malignant change. No biopsies were taken. Several women whohad sustained moresevere necklesions very different, however, from that of the previous values. Neutrophils. The neutrophils in 1959 (Table seemed to be showing an increase in pigmented moles in and aroundtheaffected areas. However, this is not certain, and these moles will be observed carefully in the future for any suspicious 21 and Figure 33) showed an increase correspond- ing to the increase in WBC in both exposed and unexposed populations, the mean level also being slightly lower in the exposed. A scattergram changes. In Table 20 are listed descriptions of the residual beta burns seen in 1960. Figure 32 shows (Figure 34) of the age distribution of the counts in healed beta burnsof the feet 5 years after exposure. 1959 showsa greater tendency for the younger groupsto have lower mean countsin 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- LABORATORY EXAMINATIONS Hematological In Appendices | and 2 are presented summaries pared with 4800 in 1959. This decrease correspond- of the mean blood counts of the exposed popula- ed with the decrease in the total white count. Table 21 Mean Leukocyte and Platelet Counts, 1959 and 1960, by Age and Sex Rongelap exposed 1959 WBC (x10-}, Neut. (X107*), age >5 Ailingnae exposed 1960 10.14 3.1 (123) 4.04 1.3 (60) 3.741.1(15) 3.0+1.2 (13) 4.1 1.4 (123) 3541.5 (54) Mono. (x 10°*),. age >>5 Eosin. (X10°’), age >5 2.0+ 1.8 (60) 50+ 3.3 (60) 0640.2 (54) 2.7+0.8 (54) Baso. {X10-?), age >5 0.4+ 0.6 (60) Plate. (<10-'), Malesage5-10 32.3410.0 ( 7) *Standard deviation. 1959 9.7+2.4(15) 7.344.3(14) 48+ 1.9 (60) Females 1960 9.54 2.3* (60)**65418 (54) age >>5 Lymph. (107°), age >5 1959 Unexposed >10 244+ 9.9 (20) ~>5 27.6210.5 (29) 2740.8 (54) 0.4+0.11(54) . - 5.142.1(15) 3.64£1.6 (13) 3.2#2.5(15) 6.044.2(15) 0.60.6 (13) 4.00.2 (13) 26.3+6.0 ( 4) - 5.2 2.1 (123) 24+ 2.3 (123) 6.0 9.9 (123) 0.5+0.8(15) 0:4+0.4 (13) 40,9 ( 2) - 05+ 0.8 (123) 34.6+10.8( 11) 26.84+3.7 ( 9) 31.14 7.2¢ 52) **The numbers in parentheses are the numbers of people in the groups. - 28.0+ 8.4( 54)