3.1 Introduction Fanpocr oF Raptoactive material cormmenced 3.2 approximately 4-6 fours after detonation of the thermonuclear device On the most heave ly OrRiNG Park First 24-48 hours after exposure, ind adhered to the skin tootirhing sensation of the skin. A few also mouplamed of burning of the eves with lachry- contaminated island. Rongelap, the fallout was described as a powuery iaterial, “snowlike.” which fell over a perod of several hours and whitened the hair ibout 2 percent of the Marshallese in the two ugher exposure ¢roups experienced itching and nition. Less striking fallout desertbed us “mist-like™ was observed on Ailingsnae and Fallout was not vis ble o- Utirik, which was “The se- verity of the skin manifestations was reughily he subsequent development of skin lesions 1n The people on Utirik, the farthhres EFPOUP. proportional to the amount of fallout observed The population of tae four island groups and incidence of the skir lesions were as follows Rongelap - Ailinginae_ COM POUT EON 54 Marshallese 18 Marshallese Rongerik. 23 White Ainerecane: Utirik. 3 Negro Americans 157 Marshallese Heavy TRAE POS ED stewie! Moderate tnistlike Moderate cnstlike was accomplished one to two days after the Decontamination of the skin was cam menced aboard ship and completed after ur rival at Kwajalein. Skin exammations were carried out alneost daily during the first 1] weeks and then again a’ 6 months, Land 2 years ifter che werdent, bx aminations of unexposed Amerieatis ind mit ve personnel were also curred out fer compiaratl ve purposes. Color photoeriptis and biopsies of lesions im various st ives Po development wore EXTEensIVENESS OF SIN LESIONS AND EPILATION Extensive. Less extensive Slight No skin lesions or epilation, Noe Evacuation of exposed nersonnel to Kowaia taken, ast from tae detonation, had no early skin symp- Ade a lein, where medical facilities were avatlalile. event. These symptoms were present fo a escer extent in the Americans on Rongerik Viol] wha were aware of the danger, took shelerin aluminum buildings, bathed and changed These precautions greatly reduced beet des Rongertk. contaminated to only a mild degree. {ROL P Signs and Symptoms era Ad skin aymprtoms <itbsided within 1 o J clays On arrival of the medical team on he inth post-exposure day, the exposed perorne! appeared to be in good health. The kit ippeared normal. TLowever, evidence of utineous radiation injury appeared about 2 vecks after expesure when epilation and skin Erythema of the skin was wocobserved erther during the early exXamuinaeds Viena prumary erythema might be exweted. oc later when a secondary ervthema es Cty | oimmmencec., torot be expected. ifter cuibsidenee of the tuitial skin svmiponi. for hes svinptoms referrable to the skin Qi - \’