14
low excretors either heterozygous or homozygous

for the dominantallele. Striking differences in the
incidence of high excretors in various populations
have been demonstrated, and it appears that this
genetic polymorphism may be of considerable
value in anthropo-genetic investigations.”*-”*

As a part of the study of the genetic relationships and origins of various Pacific peoples, this report extends observations on BAIB excretion to
the Micronesians inhabiting the Marshall Islands.
The fact that some of the Micronesians were ex-

posed to considerable radiation in 1954 is of

special interest here, since it is known that radiatlon exposure can, temporarily at least, increase

BAIB excretion,”* and studies on the Marshallese
population mayelucidate possible long-term ef-

fects.
Urine samples from 65 exposed and 119 unexposed people (75.7% of the population ofthe village) were collected in plastic bottles containing
thymol preservative. The sexes were equally represented, and the ages varied from 3 to >70 years.
In some cases several membersof the same family
were included, and some kinships suitable for
genetic analysis were available. Eighteen samples

collected on Utirik were also studied. Urines were
kept at 4°C and shippedin refrigerated containers

to Seattle for analysis. These studies were carried

out by one of us (B.S. Blumberg) and Dr. S.A.
Gartler of the Department of Medicine, School of
Medicine, University of Washington. Studies were
completed 2 to 3 weeks after collection ofthe specimens. Determinations of BAIB werecarried out
by high voltage electrophoresis on paper,’? and

creatinine was determinedbythe alkaline picrate
method.
Radionuclide Body Burden Evaluation

The methods used in the radionuclide body

burden evaluation are described later in a sepa-

rate section.

1960 Survey
BACKGROUND MATERIAL
The 1960 survey was reducedin size and scope

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andlimited to a very brief examination ofthe exposed people only. Several factors brought about
this change. The people had recovered to the extent that certain special examinations previously

carried out every year need be done only once
every two to three years. In addition, as pointed
out before, the Trust TerritorQyofficials were con-

cerned about the slowness of api recovery of
the Rongelapese andfelt that the numerousvisiting scientific teams, particularly those with large
ships and crews, were partly responsible for the
unrest of the people and therefore requested that
the size of the surveys be kept to a minimum.It
was decided to defer the gammaspectrographic
analysis until 1961. The Trust Territory officials
agreed to greater participation of their medical
personnel in future surveys and to the use of one
of their cargo ships (Figure 9), which routinely
madethe roundsofthe islands for gathering copra, for carrying out the survey at Rongelap. Ac-

cordingly, for the 1960 survey the team consisted
of only one physician and one technician from
Brookhaven National Laboratory, and theremainderof the medical group, arranged bythe
Trust Territory, included its Director of Public

Health, two Marshallese medical officers, and two

Micronesian laboratory technicians. The Director
of Dental Services and oneof his dental officers
also accompanied the team to carry out treatment
of the people. The District Administrator of the
Marshall Islands accompanied the team in order
to consult with the people on their agricultural
program.*
Asin the previous year, several of the exposed
people now living at Kwajalein and Majuro Atolls
were examinedat these atolls prior to the Rongelap visit.

PROCEDURES

As in previous surveys, examinations were
carried out in the dispensary and the schoolhouse
in Rongelapvillage. Interval medical histories and
complete physical examinations were carried out
*Again in 1960, when the team arrived at Rongelap, the magistrate requested a meeting with the people. The line of questions
and discussion was about the sameas that reported for the previous year. Resistance toward the examinations was expressed by
only one or two of the people. Objections were again raised
against the ban on eating coconut crabs, which selectively con-

centrate Srto such an extent that their consumption hadto be
prohibited (Figure 4). The people were assured that these crabs

were being repeatedly examined and that, whenit wassafe to
eat them, immediate notification would be given, Fish poisoning
apparently had been less of a problem during the past year since
only one case had been noted, and the subject was not brought

up again. Following this meeting, cooperation by the people in
the examinations was almost complete.

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