It also further emphasizes to the people that the United States really does not know what the effects of radiation are. The idea that one control group based at Rongelap can serve for the Utirik people might also be wrong. The people at Utirik differ from those at Rongelap inasmuch as they received less radiation and returned to their island sooner such that the two groups maybe cannot be compared equally. The people at Utirik sense that the Brookhaven doctors are always in a msh to leave their island. The doctors always spend less time at Utirik than at Rongelap and the people know this fact. They feel that the doctors have no interest in seeing the unexposed people. Doctors have come with a list of people to be seen and others are seen only if time permits. According to the magistrate and chief at Utirik, until my visits to the island, there has been no AEC doctor who has wanted to examine the exposed and unexposed people on an equal basis. The unexposed people were made to feel unwanted at the "sick call clinics" in the past. , The recent discoveries of thyroid cancer at Utirik and the peoples fear that all effects of radiation are still unknown points to another area of concern of the people. It is a concern by the people of Utirik and also expressed at Rongelap, as to their desire to have a program that will be © able to detect even the most subtle effects. At Rongelap, the people expressed the view that the dectors could never miss a thyroid nodule but worry that other problems might go undetected. ‘The health alde cites two cases in the past cases in which the survey reportedly found normal examinations yet within & few months the people became seriously ill and on examination on Majuro were found to have terminal cancer problems. The people express their concerns as a need for a more general comprehensive examination Program along with the specialists who accompany the team. At Utirik the additional request is made for yearly detailed examinations rather than tri-yearly as is presently donc. At the same time, the people sce the general physician as being someoneto treat all their problems. , Another problem shared by both the people of Rongelap and Utirik is a concern for the program's lack of desire to examine their children ona yearly basis. It is the people's concept of a doctor treating everyone that leads to differing views about examining children of the exposed population. As parents everywhere, Marshallese worry about the health of their children. For the parents at Rongelap and Utirik, there is the added fear of the radiation and if it will affect their children. This fear was intensified when new thyroid effects were found at Utirik. ‘they fail to understand why the program does not want to conduct active examinations on the children. The program contends that after one screening examination, a chromosome study, and Japanese studies, that experts say there is no need to worry as nothing will occur. Yet the people have heard this response before, have seen the experts to have been wrong (as the thyroid cancer at Utirik pointed out), and they werry that something might show up In the children. Curiously, the Marshall Islands are different than Japan. In Japan, there is a large normal gene pool to dilute out changes while in the Marshalls the custom of intermarriage of families on the islands might select out effects, The Marshallese received 50054919 : 6h... wos ac GOW DIB/TTO-d 6d4d-L 889-4 > AN nA’ ‘AT OO33a S 7 42,005!6cced.