18
over a 6-year period in the exposed population
represent 48 per 1000, and the 20 births over a
4-year period for the unexposed population represent a rate of 62 per 1000. The fourzn utero irradiated children did not show any abnormalities nor
have they shown any impairmentof growth and
development.
been observed in 1957 in the children, when about
10 had night blindness associated with vitamin A
deficiency.® The improvement may be duein part
to the argicultural program ontheisland resulting
in the availability of papaya and squash. The
usual numberof skin infections and fungusdis-
eases was noted, as was the usual incidence of
impetigo in the children.
PHYSICAL EXAMINATIONS
PEDIATRIC EXAMINATIONS
At the times of the 1959 and 1960 surveysof the
Marshallese, the people appearedto be generally
in a state of good health and nutrition. There was
The numbers of children seen during the 1958,
1959, and 1960 surveys are summarized in Vable
5. In the limited 1960 survey, only the body meas-
no indication of vitamin deficiencies such as had
Table 5
Numbers of Children Examined in 1958, 1959, and 1960
In 1960
Exposed
35
Nonexposed with exposed parents
Nonexposed, Rongelap
Nonexposed, Majuro
10
51
0
Uuirik
0
In 1959
In 1958
34
39
20
82
15
In 1958 but
not in.1959
5 (5)*
13
88
20
60
0
16 (3)
6 (2)
0
0
In 1959 but
not in 1958
0
7
10
1
60
In 1959 but
not in 1960
0
10
34 (2) 15
60
*Numbers in parentheses are numbers of children not examined who had becomeadults or near-adults since the preceding survey.
Table 6
Summary of Physical Findings on Children, 1959
Chronic impetigo (active)
Molluscum contagiosum
we
Tinea versicolor
Chronic otitis media
.
Paipable liver
Under 3 cm
Over 3 cm
Cervical nodes
Axillary nodes
Rheumatic heart disease, inactive
Vitiligo
Cheilosis
Asthma
Loss of hearing, unilateral
Elevated blood pressure**
Obesity in girls >10 years of age**
*Number examined.
Exposed
Rongelap (34)*
Nonexposed with
exposed parents (20)
Nonexposed
Rongelap (82)
Nonexposed
Mayjuro (15)
10
0
2
0
7
1
0
0
25
6
0
4
0
0
2
0
4
5
14
8
1
1
0
0
0
1
2
6
2
0
0
0
0
0
15
11
36
13
0
0
0
1
1
2
2
8
3
0
1
1
0
0
0/20
1/4
0/36
0/7
0/8
**Utirik group showednoelevated blood pressure in 58 children examined, and an incidenceof obesityin girls > 10
years of age of 7/16.