102 PFEFECTS GF GON 71NG This ie 0 6 thet co other mummers - where deaths frome th + mon after the “lr 6.53 ote ounse ape aieon had-beht fatiene. 1. ourpara. epilation, oral esions, as Related tc Symptoms first several weeks foilowime exposures can fe divided accordiig ‘oO -vimptems and stens. cite groups having od fferen'’ prognosis “Thus they may be divided ute thiee groups oo ated survival is, respectively oa probably vos lyi be apparent that there : no sharp fine of derin cron among the goons (sroup | Nip boat ag seats ttle [f vonutingg eee promptly oor sithin few hours ond coutiue.s and is followed 1 fapld suceession ON brostration, «lrrhen anorexia, ever. the prognost= fe crise death will atmos definitely Geen ar oe percent of the i cis duals withan the 4 week, There so Lnown therapy for these people: ac ordaireb.: aocatastrophe. at tention sheule oe ievoted preneroally + others for wnon thee some hope Group 20 - Nv reat oxsatis Vomiting aie ar eurky put w Wee a relatively short period of set adataton tollowed erie this perien th 4 5 well being cnarketel a ges ire take ie pure In the hen oporerie tf sues. Lymphocs te. are profou dhs oepeessed within haar cid remain so for cont. Phe nevitropaid: eOnnt is depress y toca levels. he cpegres and time «fo nmacsn in Hepress ion cepen: INE pan tT we eos “aenseotarfeet ar tin. be eeOeTL Worelp hasrencheds platelet cea foe ita HeUCTOpD Bo ebey otoaly aerory Gedav~d op av veceh very dow Phe fee after vy weeks Abe bev rebericn crf betes ING TY oe, to 2rOnp bepoesest the dassy higher 8 BNGs tot or bv eek te the latent pies ttt Ct Py. oat fponmy sere tags Pots rect tet of wounds or burns, ‘ive can be expected to be prolonged and f sufficient time is provided for bone marhow regeneration the survival rate will be nerensed.. LE wroups Land 2 the bleed picture is not as ello umented as in group 3. There are good rensans to believe that m che lethal the eranulocyte depressions will be varsed the below 1.000 per mim during the sa Vee, food observations in Japan (21, confirm, this contention. Tlowever, in the nplethal ringe it takes mneh longer for the Honieny ane erariuleeyte count and platelet count of man oO reach tahimal wdues, as compared to other uamimids (see Chapter PY and reference 10), Despite the chaotie conditions that existed im Haresh ina. the data of Kikuchi and Wakisaka ve shows that there was a more rapid and lerkec decrense i Groups Land 2 than in : ro Ve y , rroup 3, - Nureina! probable; This group consusts of individuals who may ovomas not have had fleettng nausea and vomiting on the day of exposure. In this vroup there i ono further evidence of ef- fects of the exposure except the hematologie changes that ean be detected by serial studies of the blood with particular refereree to Tymphocytes and platelets, Fle jsanphoevtes reach low levels early, within bs beurs, and may show little evideace of recovery for many months after exposure Phe grannloeytes may show some depression third week, Seno curing the second and Hlowever. considerable varia- encountered \ late fall in the srontdeevtes dining the teh oor Tth week oethal dose ue oy pt bo net infections and cutaneous Harrhen, and melena. The mortality will he wninennt. With therapy the survival Hence, individual) exposed on the wth range (where some, cut not all wii) die on ote Ttowi At the termination of he latent period, the patient may develop Probability ot Sursiva and probable, vita dirtleclintend evidence of injuries other oR ev eee and should be watched for. Phiteler comnts reneh the lowest on approx notel tse Seth chiv oat the time when = week. TALTATION