18 over a 6-yearperiod in the exposed population been observed in 1957 tn the children, when about ated children did not show any abnormalities nor deficiency.” The improvement maybe due in part to the argicultural program on theisland resuiting in the availability of papaya and squash. The usual number of skin infections and fungus diseases was noted, as was the usual incidence of represent 48 perJO00. and the 20 births overa +-vear period for the unexposed population represent a rate of 62 per 1000. The four zn utero irradi- LQ had might blindness associated with vitamin A have they shown anvimpairment of growth and development. ‘ impetigo in the children. PHYSICAL EXAMINATIONS PEDIATRIC EXAMINATIONS At the times of the 1959 and 1960 surveys of the Marshallese, the people appeared to be generally in a state of good health and nutrition. There was no indication of vitamin deficiencies such as had The numbersof children seen during the 1938, 1959, and 1960 surveys are summarized in Table 3. In the limited 1960 survey, only the body meas- Table 3 Numbers of Children Examined in 1958, 1959, and 1960 Exposed Nonexposed with exposed parents Nonexposed, Rongelap Nonexposed, Majuro Uurik In 1960 In 1959 In 1958 35 10 al 0 34 20 82 15 39 13 88 20 0 60 In 1958 but notin 1959 5 (3)* 0 16 (3) 6 (2) 0) i) In 1959 but not in 1958 0 7 10 ! 60 In $959 but not in L960 0 10, 3+ (2) oe 60 € “ 2 ? “ { ; . *Numbers in parentheses are numbers of children not examined who had become adults or near-adults since the preceding survey. Table 6 Summary of Physical Findings on Children, 1959 Chronic impetigo (active) Molluscum contagiosum Tinea versicolor Chronic otitis media Palpable liver Under 3 cm Over 3cm Cervical nodes Axillary nodes Rheumatic heart disease, inactive Vitiligo Cheilosis Asthma Loss of hearing, unilateral Elevated blood pressure** Obesity in girls >10 years of age** , Exposed Rongelap (34)* Nonexposed with exposed parents (20) Nonexposed Rongelap (82) Nonexposed Majuro (15) 10 7 25 0 2 0 0 0 0 4 2 0 4 i) 14 8 1 1 2 6 2 0 15 {i 36 13 0 2 2 8 3 0 0 oi “SO * 0% 0° 0/20 1/4 I 0 0 0 0 6 0 0 I 1 0/36 0/7 0 | 0 0 0/8 *Number examined. ** Utirik group showed no elevated blood pressure in 58 children examined, and an incidence of obesity in girls > 10 years of age of 7/16. [185568 é

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