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

- \’

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