One death, presumably due to coronary thrombosis, occurred in July 1957, that ofa 78-yr-old diabetic male. No autopsy was obtained. One unexposed 65-yr-old male died in January 1958, presumably ofarteriosclerosis and senility. No autopsy
wasobtained.
Physical Examinations
Examinations showedthe general physical condition of the people to be satisfactory. Grossly,
nutritional status wasalso satisfactory, in spite of
the dietary restrictions referred to above. How-
ever, 6 children (all in the unexposed group)
showed mild to moderate degrees of hemeralopia
when put through an obstacle coursetest at night.
- All were treated with vitamin A and recovered
rapidly. This evidence of mild vitamin A deficiency
is understandable after study of their diet. At that
time of the year pandanuswasnot ripe and other
sources of vitamin A werescarce.
Table 1| lists the major diseases noted in the exposed and unexposed people. The diseases found
were present with about the same frequency in the
unexposed and exposed groups. No malignant
conditions were noted.
Physical examination of the children revealed
few major medical disorders in either the exposed
or unexposed groups. One exposed child had in-
active rheumatic heart disease with evidence of
polyvalvular involvement (reported previously).
He showed nofurther evidence of decompensation
such as had occurred 3 years previously and was
able to keep up with other children in their play.
Extensive molluscum contagiosum andsuperficial
OTHER ABNORMALITIES FOUND
Cheilosis
Tinea versicolor
Kyphoscoliosis
Impetigo and ecthyma
Healed yaws
Bronchitis
Hypertension
Arteriosclerosis. peripheral
Osteoarthritis
Obesity
Chronic cervicitis
Cystocele and rectocele
Emphysema
Uterine fibroids
Goiter
Hemorrhoids
Hepatosplenomegaly
Abnormal knee-jerks
Keloid
Leprosy
Functional heart disease
Rheumatoid arthritis
Ovarian cyst
Analfistula
Dupuytren’s contracture
Senile vaginitis
Hallux valgus
Leontiasis osseum
Urethral caruncle
—
KS
OOK
Hernia, umbilical
Congenital nvstagmus
Congenital facial asymmetry
ST
of unknown cause.)
CONGENITAL ANOMALIES
Short 5th finger
Prominent ulnar styloid process
Congenital dislocated hip
Heberden’s nodes
Adrenogenital syndrome
Pilonidal sinus
Unexposed
SK
miscarriage, and another had a full-term baby
that died within a month, apparently of diarrhea
of infancy. (Between the March survey and the
return survey in May 1958, one exposed woman
had a full-term baby that died shortly after birth
Exposed
ea
accident. One of the unexposed women hada
Marshallese (52 exposed adults and 55
unexposed adults examined)
Coe KF Nee ee SP OO SEF CRE NN CN NN emu OWwro
months. In all three cases this was the second miscarriage since exposure. However, two of the
women have had one normal pregnancysince the
Incidence of Various Disease States Among the
o OonoroOuUNr
women, two at 3 months and one at about 6
Table 1
=e TOT OT COM YP FP Or COC HN OCONNN Uo Re eK spe
were also common complaints for which the
health aide was consulted.
During the past year healthy babies were born
to 4 irradiated women and 6 unexposed women.
The exposed and unexposed groups each contain
19 women of child-bearing age (15 to 44 years).
Three miscarriages occurred in the exposed
pustules on the legs were common. Anoccasional
child had palpable cervical nodes, but tonsilar
hypertrophy was uncommon. Xeroderma,cheilosis, and glossitis were not seen.
In the exposed adults, one case of auricular
fibrillation of several years standing in a 50-yr-old
male continued asymptomatic. The case of leprosy
showed no progression ofthe lesions of the hands