‘methocology that we have crmloped is not directly

_ applicable to larger populatic
> currently have
under investigation over 2000 chilu:en in Washington
County, Utah, (St. George area) and about 1400 from
an area in Arizona essentially free from Nevada test site
fallout. This fall we are expanding the potentially ex-

posed group to include about 400 Nevada children and
planning to add about another 1000 to the Arizona
comparison group.

We have elected another approach to define the
problem of statewide risks in Utah and Nevada. For the
past several years we have been collecting records of
every surgical procedure involving the thyroid glands of
persons under 30 years of age in these states. Records
covering the year 1948-1962 already have been assembled and are in the process of review and analysis for
any significant changes in the pattern of thyroid pathology with respect to age, sex, diagnoses, geographic
and temporal distribution. Concomitantly, we are col-

lecting reports and data from other parts of the country

presumably not exposed to significant amounts of iodine
for comparative purposes. So far we have found no
striking anomalies with respect to statewide occurrence
of thyroid diseases or clustering of this condition in one
region or another.

You may beinterested to know that the Division of
Radiological Health has other studies under way which

mayhelp clarify the dose-tumorigenic response to iodine
131.Qneis a followup study of 37,000 patients who were
treated for thyrotoxicosis. In this study we are compar-

ing the frequency of neoplasia in patients treated with

iodine 131 to those treated surgically. Another study
just initiated concerns the followup of juvenile patients
who received doses of 5-100 mc of iodine 131 for

diagnostic purposes.
I appreciate the opportunity to review this paper
and hope you find our commentshelpful.

Tamplin and H._L. Fisher was issued by the University
of California.
ice Radiation Laboratory, Liver-

more. This study, a part of the fallout research program
supported by this Division, represents an attempt to dopart of what Dr. Mays is recommending, namely to

reconstruct the dosimetry. The results are not inconsistent with those of Dr. Mays.

I shall not comment on the medical aspects of the
paper since others are much better qualified to do so.

John Garner
John Garner is director of the Radiological Health
Animal Research Laboratory, Fort Collins, Colorado,
and has done pioneer research in iodine fallout in the
food chain.
I am obliged to you for your invitation to comment
on the final version of Dr. Mays’ paper. I feel that
Scientist and Citizen has expressed my own views so
admirably in the editorial! comments which accompanied
the draft that all I can add is an expression of my pro-

found respect for Dr. Mays’ objectivity in his treatment

of this highly emotional subject.

Arthur R. Tamplin
Arthur R. Tamplin is a member of the Biomedical Research Division of the Lawrence Radiation Laboratory,
Livermore, California. He has recently published (with
H. Leonard Fisher) a report on iodine 131 dose estimates from the 1952-1955 nucleartests.
Mycolleague, H. Leonard Fisher, and I have

recently

made a detailed study of the thyroid dosimetry folkgw-

ing the Nevada tests conducted from 1952 through,

Joshua Z. Holland
Josuha Z. Holland is chief of the Fallout Studies
Branch, Biology and Medicine Division of the Atomic
Enérgy Commission.
Dr. Mays’ suggestions for obtaining the maximum possible information on thyroid iodine 131 burdens, radiation doses, and possible effects in the areas immediately
downwind of the Nevada Test Site are laudable. They
should be analyzed carefully by the experimental scien-

tists who might have the capability of carrying them out.
While Dr. Mays’ paper was being prepared, a report
entitled “Estimation of Dosage to Thyroids of Children
in the U.S. from Nuclear Tests Conducted in Nevada
During 1952 Through 1955” (UCRL-14707) by A. R.
September, 1966

1955.' Our best estimate of the thyroid dosage to children in the Salt Lake City area, who were drinking one
liter of milk per day from cows on pastures, is approximately 50 rad for the period 1952 through 1955. Thus,

our analysis would support Dr. Mays’ contention that

the Utah children received sufficient dosage to justify
consideration of an expanded study in the Utah area

in an effort to shed some light on the question of the

effects of low dosage radiation. If adequate samples are

available Dr. Mays’ suggestion of using iodine 129 to
improve the dosimetry would represent another line of

evidence that has the potential of reducing the overall
error of the dosage estimates.

Since it might be of general! interest, I went through
our analytical procedure with iodine 129, These calcula-

tions suggest that following a single deposition the concentration of iodine 129 in human thyroids (assuming

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