44 A review of the medicalstatus of the people dur- ing the previous year revealed that few majorill- nesses had occurred and no epidemicsofinfectious diseases. No illnesses were reported in the exposed group which might be related to radiation exposure. No deaths had occurred except in twoin- fants, One babvborn of unexposed parents died of a congenital malformation | anencephalv). Onlv a few miscarriages had occurred and the incidence was no greater in the exposed womenthan in the unexposed. Thus, the suggestive trend of in- creased number of miscarriages and stillbirths in the exposed women reported for previous vears was not apparent during the past two vears. Physical examinations showed no acuteillnesses present nor any diseases which could bedirectly associated with radiation effects. The incidence of various diseases was generally the same in the ex- posed and unexposed groups. It was noted that several of the older people, particularly in the exposed group. were becoming quite feeble and helpless. Residual skin changes in areas previously show- ing lesions from fallout were present with certainty in about 10 people. The changes noted were principally atrophy, scarring, and pigment aber- rations. None of these cases showed anyevidence of chronic radiation dermatitis or malignant change. The appearance of pigmented maculae and moles in previously irradiated areas of the skin was more common this vear than noted in the past, it is believed. However, these pigmented lesions appeared quite benign. They will be scru- tinized closely on future surveys. The incidence of diabetes in both exposed and unexposed people appearedto be higher than found in the United States. prominent in the boys exposed before 6 vears of age, and most marked in those exposed at 12 to 18 months. A similar butless distinct trend was noted for body weight among the exposed bovs. These trends were not noted among the exposed girls. However, skeletal maturation studies (roentgeno- grams ofleft hand and wrist) showed trendssug- gesuve ofinferior skeletal maturation in both male and female exposed children compared with unex- posed children. although the differences did not reach the level ofstatistical significance. A high degree of correlation was found between retarda- tion in skeletal age and inferiority in statural growth. Ofspecific interest was the group of children now8 years old who had been exposed to fallout at ages 12 to 18 months; this group showed the most marked retardation in physical and skeletal growth. Similar studies comparing growth and development in children of exposed parents and in children of unexposed parents showed that the male offspring of exposed parents were smaller in stat-_ ure at all ages then those of unexposed parents. The most marked differences occurred at 1, 3, and + years of age, and in those born <2 yearsafter the fallout. In order to investigate the possible effect of radi- ation in inducing premature aging, various criteria were measuredor estimated during physical examinations (visual acuity, accommodation. arcus senilis, graying of hair, balding, skin looseness, skin elasticity, senile skin changes, blood pressure, peripheral arteriosclerosis, and neuromuscular function). No apparent effect of radiation was noted, since measurements were not greatlydiffer- ent in the exposed and unexposed age groups and Dental examinations revealed a high incidence of caries in the younger people and periodonto- were similar to the measurements previously reported.” However, the study is of interest with regard to the measurement of biological aging, between the exposed and unexposed groupin re- pendenttrends, and, by combiningthe scores on a clasia in the older people. No difference was noted since the various criteria showed definite age de- gard to dental findings. Careful examinations for the detection of such late effects of radiation as cancer and leukemia revealed no evidence of these malignancies in any of was determined. Slit-lamp observations for cataracts were not carried out on this survey, but previous surveys percentage basis, an over-all biological age score the people, exposed or unexposed. had shownnoevidenceofinduced opacities of the data revealed a distinct tendencyfor the exposed Genetic studies have not been specifically conducted. Examinations of children of exposed parents have revealed little in the wayof con- Growth and development data from 1958 through 1960 were reviewedfor the children. These boys of ages <12 to be shorter than the unexposed males of comparable chronological ages. This was lens. genital anomalies. One baby born of an exposed

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