Jt was determined that the radiation consisted prirnarily of gamma and beta rays of various energies. The beta radiation was of low energy and failed to penetrate deeply into the skin layer and was the cause of the superficial burns seen on the Rongelap people. Doses of this radiation ranged from 2000 rads at the feet to 300 rads at the head. Gamma radiation on the other hand is a high energy form that could penetrate the entire body. estimates for the gamma dose are 175 rads at Rongelap. Dosage 69 rads at Ailingnae and 14 rads at Utirik. A third source of exposure was that of the internal absorption of various radioisotopes from inhalation of the fallout and ingestion of contaminated food and water. determine. These figures have been more difficult to Various parts of the body were exposed to varying degrees of all these radiation sources. The thyroid gland, for example, received both camma and internal radioisotope exposure. Estimates on the dose received by me thyroid gland of people at Rongelap range from 220 to 450 rads for adults, t 700 to 1400 rads for children. For ithe people at Ailingnae and Utirix, thyroid dosages for adults were estimated to be 135 rads and 27 rads A detailed explanation of the dose assessment can be found in the 20 year report. ("A Twenty Year Review of Medical Findings in a Marshallese Accidentally Exposed to Radioactive Fallout", Brookhaven National Laboratory, 1975). : Robert A. Conard, M.D., etal, Following their evacuation from Rongelap and Ailingnae in 1954, residual radiation contamination prevented the people from returning to their home island until 1957. As part of the resettlement, the village was reconstructed and damestic animals replaced by tne U. 3. Moumic Bushes Commission. The people of Utirik were permitted to return to their islan within six months after the explosion when it was determined that tne radiation was at safe levels for habitation. The Bikini people were removed from their atoll in 1946 in order to provide the United States with a nuclear testing site, It was not until the early 1970's, after a 12 year absence of testing, a massive clean up operation, and environmental studies of the residual radiation, were the people allowed to begin to return to their island. Since 1357, a yearly medical surveillance program for the Rongelap people and a tri-yearly medical evaluation of the people of Utirik have been carried out by scientists and physicians of Brookhaven National Laboratory under the direction of Robert Conard, M.D. In 1973, a Brookhaven physician, Knud Knudson, M.D., was stationed in the Marshall Islands as a result of the peoples’ insistence on better medical evaluations. As a result of this insistence, medical surveys were increased to quarterly trips with yearly complete examinations at Rongelap, still tri-yearly examinations at Utirik and bi-yearly hematsiogic surveys. The increased frequency of visits was also prompted by the dsai of a young Rongelapese man, exposed in 1954, from acute myelogenous leukemia attributed to the radiation effects. My association with the program began in June 1975 when I became the resident physician in the Marshall Islands. During my 14 months ef work, many hours of discussions were had with groups of people from each atoll regarding the survey's work. What was found was a major difference in expectations between what the people perceived as their needs and how the 2 rorognR