17 Rongelap. During that year the health aide was visited frequently for upper respiratory infections (nearly everyone hadat least one cold during the year). Gastrveniteritis was also a frequent complatne. REVIEW OF DATA ON MORTALITY AND PREGNANCY TERMINATION OVER THE PAST SIX YEARS group are compared with those in the unexposed group in Tables 3 and +. Since any radiation-induced genetic imperfections that might result in nonviable offspring might be present in the germ plasm ofthe father as well as the mother, two unexposed women mated to exposed men are included in the exposed group. Four children born in £954 were excluded from the list because they had been concetved before the accident. Table 3 and Figure 10 show the yearly inci- dence of live births and miscarriages and the sex Mortality The four deaths that have occurred in the exposed Rongelap people during the past 6 years give an annual rate of 8.1 per 1000 pepulation. The Marshall Islands annual rate is reported as 6.8 per 1000. The unexposed Rongelap population has had four deaths also, which gives a rate of 4.3 per 1000. These hyures do not include fetal and infant mortality. The people of Utirik Island, who received about [4 r of radiation in the 1954 accident, have shown a death rate of about 10to 11 per 1000 population. Their population has varied between 160 and 213 people since the event. Pregnancy Terminations - of babies born of women ofchild-bearing age in the exposed and unexposed groups. Under the category of miscarriages are included sullbirths and babies dying a few hoursafter birth. [t was unfortunate that in most cases it was not possible for physicians to inspect the products of miscarriage. Figure 10, a plot of the percentage incidence of miscarriage in the two groups, indicates that it is somewhat greater in the exposed group. The data on pregnancy terminations, summarized in Table 4, also show an increased incidence of miscarriage in the exposed group. The birth rate in the Marshall Islands in 1957 was 37.3 per 1000 population. Vhe 24 live births During [958 six miscarriages and stillbirths were recorded in the exposed group, but none was reported in this group for 1959. Only one was reported for each of these years in the unexposed women. Pregnancy terminations in the exposed r 1G0 % Exposed nen giving birth to living pregnancies Women with | or more miscarriages Women with 2 or more miscarriages Pregnancies terminating in iscarriages ot PERCENT % Unexposed 66 18 11 18 22 41 28 i+ i 43 23 *Tnctudes children dying hrst few hours after birth. ---- EXPOSED UNEXPOSED MISC / TOTAL PREGNANCIES 1 1 \ \ \ 70 and Rungelap Unexposed (1956-1959) midren Women with miscarriages* but no hve births Women with no recorded \ BO + Summary of Pregnancy Termination Data, Rongelap Exposed (1954-1959) \ 60F \ \ 5 \ \ 50 A \ \ ago} 2/6 \ ’ \ 1 20 + v 7 af / A \ y 2/8 7 \ 6/14 f 2/8 \ qt \ | va \ \ 76 fF a 54 / \ 30 + 10 - rs: t 90 Table 4 7 i L 55 56 | \ \ L EXPOSURE 75 i i i 5? 5a 59 7 Vv \ors 60 EAR Figure 10. Eneidence of nuscarnages and stillbirths in expused Rongciap women. Sailbirths inctude babies living only a few hours alter birth. Data on unexposed women are incomplete prior tu 1956.

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