TABLE 5 RANK ORDER SELECTED CAUSES OF DEATH (0-4) years) 1974-1976 Prematurity 23 or 22.3% Congenital defect & birth related injuries 20 or 19.4% Gastroenteritis & amebiasis 18 or 17.5% Pneumonia Qor 8.7% Malnutrition 5 or 4.8% TOTAL 75 or 72.8% (Source: TTPI Five Year Comprehensive Health Plan, April 1, 1980) B. Radiation Having reviewed the 20-year report on the exposed] Marshallese published by Brookhaven National Laboratory in 1975 and the ublished and unpublished data acquired since 1975 (soon to be published s a 26-year report), the following conclusions are summarized: 1. The people of Enewetak (measured in the spring of 1980) less radiation exposure than that allowed for large] Have received populations according to the standard published in International ission on Radiation Protection, 77 publication 26. The people of Bikini who returned to their home islahd (1969-78) received an annual mean radiation dose equivalent of IBss than 500 millirems per year (the maximum permissible exposure alldqwed for nonoccupational persons). The people of Rongelap and Utirik have significantly incr@ased thyroid pathology, undoubtedly radiation related, and magifested by hypothyroidism and an increase in both benign and maliqnant thyroid tumors. There is the possibility of other radiation related disBbases in the Rongelap population (e.g. leukemia). Although significant acute skin pathology occurred on t islands of Rongelap and Utirik, no serious delayed skin pathology has been noted to date. There are increased eye problems and diabetes which do notfappear to be radiation related. qt