13 Table 1 Location of Rongelap Peopie Exposed Adult Majuro Children 2 Kwajalein 2 2 Rongelap Eniwetok Otheratolls 23 49 63 4 84 1 241 6 51 30 103 117 334 1 Age, yr Rongelap unexposed (220 people, 1961) <15 45.4% 30.0% 619.5 8 20 Total 25 0 Rongelap exposed (116 people, 1961; includes children of exposed adults) Median age.vr Children 41 1 8 13.8 17.2 10.3 8.6 14.5 4 15 varied, but generally increased, since these people Percent Distribution of Population by Age Groups 12.3 23.6. {4.1 4.5 Adult 19 Table 2 15-24 25-44 +5-64 > 65 Unexposed 9 2 2 Total Children of exposed parents werefirst examined in 1957, but the death rate in this group appears to be about the sameas in the exposed Rongelap group. . Marshall Islands =«US.. (1948-50) (1960) 33.8% 18.9 23.9 13.5 3.9 23.6 28.7% 13.8 27.1 20.8 9.6 29.5 Of the 334 Rongelap people, 267 were exam- wied during the survey on Kwajalein, Majuro, and Rongelap. In the exposed group 47 adults, 25 children (age < 20), 4 children exposed zn utero, and 28 children of exposed parents were examined, and in the unexposed comparison population 77 adults and 86 children. Births Since the numberof child-bearing females was not the samein the exposed and unexposed populations, the birth rate for {960 was calculated on the basis of numberof births per woman ofchildbearing age, considered to be from [6 through 45 vears. There were 20 such womenin the exposed group and 29 in the unexposed group (notinclud- ed in either group were 4 unexposed women whose spouses were exposed males). In the exposed group 7 babies were born, giving an average of 0.35 births per women, and in the unexposed group 11 babies, giving about the same average (0.38). The deliveries were reported to be full term and normal, except that one unexposed women(No. 867) developed severe post-partum hemorrhage and shock and wassent to the Memorial Hospital at Majuro, where her Fallopian tubes weretied. Congenital Anomalies INTERVAL MEDICAL HISTORY Mortality No deaths occurred during 1960 in the exposed or comparison population except for two infant deaths. The four deaths that had occurredin the exposed group over the 7-year post-exposureperiod represent a rate of 7.1 per 1000 population, whichis about the sameas that reportedfor the Marshall Islands as a whole (6.8 per 1000). The unexposed population on Rongelap Island has One baby, born of unexposed parents, was anencephalic and died several daysafter birth. Thefirst instance of congenital anomaly in a child of exposed parents was reported during thepast year. This was a congenital heart defect in a baby born of an exposed mother (No. 75) but unex- posed father. The baby died at four months ofage. Unfortunately the diagnosis was not confirmed by autopsy. A low incidence of patent ductusarteriosus, congenital deformity of the hip, and congeni-— tal hypoplasia of the middle phalanx ofthefifth

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