Island Exposed Majuro Ebeye Utirik Rongelap Bikini 22 40 64 24 1 Unexposed Adults — Children 31 72 72 64 64 137 109 72 In addition, a number of thyroid examinations were done on people not in the regular study group. Medical findings will be reported separately. From preliminary examination of the findings, however, a few general statements may be made. Among the exposed people,no new nodules of the thyroid were discovered in the Rongelap group, though one new Utirik individual had a tumor of the gland. Several thyroid nodules requiring surgery were found in unexposed people also. No cancer was evident by clinical examination. Further tests for hypothyroidism, which had been detected previously in some of the exposed Rongelap people, were carried out and the results are being analyzed. Nutrition and health status of the people in the outer islands, including Bikini, was generally satisfactory and about the same as seen in previous years. As pointed out, a number of ailments required further treatment or hospitalization and these Cases were referred to the Trust Territory Health Services. At Bikini, in addition to the medical examinations, whole body gamma spectrographic analyses were carried out by the special BNL group accompanying the medical team under Mr. R. Miltenberger. The majority of the 144 people living on Bikini were counted. In addition, urine samples were collected for later radiochemical analyses. Before departure of the medical team, preliminary analysis of the gamma spectrographic data indicated a twofold or more increase in 13/7cs levels in the people compared with findings of a year ago. The spokesman for the Bikini people was Harold (the school teacher), who also was Acting Magistrate. I spoke to him about arranging a village meeting, but in view of the examination schedule he did not think it was necessary. (In the past we had held meetings with the people and informed them of the findings regarding their radiological status and answered questions.) Before departure of the medical group I informed Harold that preliminary data indicated increased body burdens of 137Cs in the people and told him it seemed apparent the-people had been eating fruits grown on the island (particularly pandanus, breadfruit and coconuts). He admitted that this was true and pointed out that due to leaking water cisterns there had been a water shortage and people had been eating more coconuts. I asked if they had been eating any of the coconuts from Enue island. He said they got them from that island about once a month. I suggested they eat more coconuts from Enue in view of the lower levels of radio— activity on that island, rather than eating the coconuts grown on Bikini. When the medical team left the island after two days, Mr. N. Greenhouse arrived to join the group in the radiological studies. They remained several daye more on the island. , When I arrived at Kwajalein, I learned that Mr. Winkel, High Commissioner, and Mr. Ray from DOE were in Majuro to meet with the Kili Council. I taiked to a) a, PractLog Mr.Ray by telephone and informed him of the preliminary findings on Bikini. I told him I believed the increase in body burdens of 13/Cs in the Bikinians was 5