US-21-1994 12:18 5162825311 previous exposure to irradiation. -,"BNL-MED. DEPT. P.016 uring the 4th and Sth exposure ve upper respiratory infection,occurred. 6 an epidemic of The respiratory infection cons sted of moderate malaise, pharyngitis with prominent lymphoid follicles, fever during e first day and a surulent nasal and tracheal discharge for sbout 10 days. of interest It wa to determine whether this respiratory infection could be correlated with the dose of radiation received or changes in the leukocyte count, There was n correlation - The respiratory infection in the medical personnel involved in the ca re and study of the irradiated individuals was similar in incidence and severity, ClinicalObservations and Platelet Counts Fleven individuals had platelet counts that fell as low as 34,000 to 65,000/m>, All individuals with platelet counts less than 100,000 per mm? vere « manined daily for avidence of hemorrhage into the skin, mucuous membranes and retiy a, examinei daily for rej cells ard altxmin. ive menstruation. Urine was “omen were quertioned cond erning excass~ The only ovidence for any umiue bleeding wero tvo vonen who men= struated profusely at the time of their maximum platelet depression, It was not sufficient to cause them concern and subsided vithout any specific t eatment. The Effects on Pregnancy Four women in the Rongelapgroup were pregnant when brought to Kwajalein. Two were in the first trimester, one in the second trimester and on in the third trimester. As far as There were no abnormal symptoms referable to pregnancy. could be determined the pregnancy continued in the normal fashion. group, one woman wag in the second trimester. individual in the third trimester, Fetal movements were The pregnant women had a marked platelet counts but at no time was there any vaginsl bleeding. Teexamination of the above women all had delivered. were normal, At [I n the Ailinginae naffected in the epreasion of e twelve month One baby vas bdrn dead the others In the case of the one stillborn, irradiation cocurr either before conception or early in the first trimester. to the mother It is pofs {ble that the irradiation may have contributed but there is no way to prove this.

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