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uals were evacuated to the nearby naval base at Kwajalein. By this time, initial symptoms had completely
subsided.
An emergency medical team, composed largely of
naval personnel from the Naval Medical Research Institute and the U. S. Naval Radiological Defense Laboratory, was organized and sent to the area, arriving on
the ninth day after exposure. Complete initial histories
and physical examinations and frequent follow-up examinations and treatment for medical conditions were carried out on all personnel. In addition, hematological

studies to assay the degree of radiation damage and urinary excretion studies for radioactive materials were
performed. It was apparent from initial blood studies
that significant radiation had been received, and by 12 to

14 days further evidence of radiation injury was apparent in the form of skin lesions and epilation. With the
exception of the development of skin lesions and epilation, physical examinations at no time revealed findings
in any group that could be attributed with certainty to
radiation.

CLINICAL OBSERVATIONS, THERAPY, AND HEMATOLOGICAL FINDINGS
Since the degree of depression of peripheral blood |
elements is believed to be the best index of severity of
radiation injury, systematic serial determinations were
carried out. These determinations consisted of total
leukocyte, neutrophil, lymphocyte, and platelet counts
and hematocrit determinations. Control groups, as comparable as possible to the exposure groups in respect to
age, race, sex, and background, were selected. Findings
are expressed in terms of percentage of control values.
Significant age and sex difference in blood cell counts
were noted in the control groups, and the data are presented in accordance with the differences noted.
The absolute neutrophil count (fig. 1) of both younger
and older age groupsfell to a value of approximately 70
to 80% ofthat of the controls during the second week,
followed by a period of fluctuation until the fifth week.
At this time the beginning of a second depression was
noted for both age groups, and a low value of approxi-

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