lo
Nonewas positive for malignantcells. It was noted
Table 4
that the secretions were scanty in most of the
women,and the smears were consequently somewhatdry. Inflammatory reaction with the presence of blood in the smears was common. Endocervical atypia was noted in a numberofcases.
The results of thesé examinations are reported in
Appendix 6.
Rectal examinations were carried out on all
adults, and proctoscopic examinations whenindicated. Several cases of prostatic enlargementwere
noted, but no evidence of malignancy was apparent. An ulcerating lesion was noted in a 66-yearold female in the exposed group (No. 30) in the
upper rectum. Scrapings from this area indicated
that it was an inflammatory lesion and not
malignant.
Children Examined
at
at
at
Rongelap Majuro Kwajalein Total
Exposed
Exposed in utero
Nonexposed
(exposed parents)
Control
Rongelapseries
Mayjuroseries
Total
22
2
2
0
2
2
26
4+
19
2
3
24
67
0
8
13
13
0
88
13
110
20
20
155
however, its incidence was higher in the exposed
children (although the group wasolder) than in
PEDIATRIC EXAMINATIONS
During the 1961 survey, 135 children were examined (Table 4). All exposed subjects in the
pediatric age group (<(20 years) were seen except
for two (No. 67 and No. 76) who had movedto
nonexposed Rongelap children of comparable
ages. Its incidence was also higher amongthe nonexposed Majuro children, who wereall in the older group. As in 1959, the pattern of physical find-
ings seemed unrelated to exposure to radiation.
other atolls. The increase in number of nonexposed children of exposed parents represents new
babies born since the previous survey. Newbabies
also increased the total of nonexposed Rongelap
controls, even though a numberof children either
became old enough to be transferred to the adult
Growth and Development
tion. The exposed and nonexposed group at
Majuro were all 6 vears of age or older. All non-
fallout. For the other children, however, the task
studyor were lost to the study because of migra-
exposed children of exposed parents were <6
years old. Of the 88 nonexposed Rongelap children, 38 were <6 years of age.
The incidence of various physical findingsis
summarized in Table 5. Adenopathy was defined
for the purposes of this tabulation as the presence
of (a) nodes 0.5 cm orlargerin all areas (cervical,
axillary, and inguinal), or (b) nodes 1.0 cm or
larger in the axillary regions, or (c) nodes 2.0 cm
or larger in either the cervical or inguinal areas.
The term “active chronic impetigo” includes several types of superficial skin infections. Many of
these lesions probably represented secondary in-
fections of lacerations and abrasions. The incidences ofotitis media and adenopathy wererelated to age, both being more commonin younger
children. Clinically active chronic impetigo was
also found moreoften in the younger children,
During the past several surveys considerable ef-
fort has been expended to establish as firmlyas
possible the accuracyof the date of birth for each
child. The mec!.cal survey records provided reliabie written daia for children born after March
1954 and for some born immediately before the
of determining birth date’ proved to be difficult.
frustrating, and unsatisfactory. The reconstruction
of the birth chronology was based on an intensive
studv and evaluation of very frequently contradictory information derived from the following
sources:
1. Dates of birth as reported by parents.
2. Dates of birth as recorded occasionally in the
village ledgers used for various purposes.
3. Limited numberof birth certificates on file
at the court house on Majuro.
4. Birth order of children within each family
unit.
5. Ranking of childhood population in terms of
age by parents.
6. Ranking of childhood population in terms of
age by children.
7. Correlation with memorable environmental
events.