16 ch x puso | AMERICAN H ! 1 | 40.6% La! i \i Hol i 1 —~— === MARSHALLESE _ ! i { | ! ! \ gan ' i if #™ ‘ “ ’ ! t at’ ‘ bh ne” p® | | f MIGRATION ————» Figure 16. Blood proteins. days; therefore, the data for the radiochemical analyses are presented in disintegrations per minute per milliliter (dpm/ml). Approximate calculations may be made based on anestimated daily urinary output of about 600 ml. Urine samples from exposed and unexposed Rongelap people collected over a 2-week period showed the former to have a mean activity of 0.054 dpm/ml, or roughly 7 dpm/24 hr in cesium-137 activity in the latter. In contrast the Utirik samples showed a meanvalue of2.39 dpm/ml (roughly 1434 dpm/24 hr). Samples from several exposed Rongelapindividuals who showed higheractivity shortly after exposure also had high values (see Marshallese No. 26, 40, 9, and 79). Individual Utirik samples were considerably higher in cesium activity. Note that No. 2123 had 827 dpm/ml, which, though markedly higher than any other samplestested, is still calculated to be well below the tolerance level. Radiochemical analysis for Sr°° showed only barely detectable levels, far below the tolerance Serum cholesterol examinations* on exposed populations showed a meanvalue of 169.58 mg per- cent, and a mean value of 196.647 mg percentin the unexposed population. There were no abnormally high readings in either group. Someofthe values wereslightly low. Serum creatinines* averaged 0.99+0.05 mgpercent in the exposed and 1.03+0.03 mg percent in the unexposed group. There were no abnormal readings. Body burden of radtoactive isotopes: Radtochemical analysts of urine. The results available at present for regular chemical analyses ofurine** and wholebody gamma-ray spectroscopyt are presented in Table 8. Figure 17 shows the gamma spectroscopy tracings.ff It was difficult to ascertain the 24-hr output in individual or pooled urine samples, since the samples were collected over a period of *Weare grateful to Dr. Donald D. Van Slyke and Dr. L. Hankes of Brookhaven National Laboratory and Comdr. Demette (MC) USNof the Naval Medical School for their assistance in carrying out the cholesterol and creatinine determinations. **We are grateful to Col. James Hartgering (MC) USA, Maj. Kent Woodward (MC) USA, and Le. Ariel Schrodt of the Walter Reed Army Medical Research Institute for their assistance in carrying out the radiochemical analyses of the urine. tWe are indebted to M.J. Rose and Dr. C.E. Miller of Argonne National Laboratory for doing the spectrographic analyses. +tThis figure is taken from Argonne .Yational Laboratory Sem:annual Report, ANL 5755, January through June 1957. level. Whole-body gamma spectroscopy. The results of the whole-body gammaspectroscopy are shownin Table 8 and Figure 17.'° It can be seen that the exposed Rongelap people have higher cesium levels than Americans, and the Utirik people have levels still higher. However, the estimated body burden of the Uurik people was 0.22 and 0.41 uC, values well below the accepted tolerance level (90 uC). Well-defined peaks for Zn*> were found on spectrographic analysis in all the Marshallese. Note (Table 8 and Figure 17) that these levels are much higher in the Utirik people. Discussion Three years have elapsed since the accidental exposure of the Marshallese people to radioactive fallout; therefore, the possible late effects of ir- radiation are receiving more consideration. However, persisting evidence of acute or subacuteeffects merits careful consideration. Eartier findings will be briefly reviewed in chronological sequence in order to give a clearer picture of the present status of the people. In this discussion theeffects of radiation with respect to whole-body penetrating effects. superficial irradiation of the skin, and internal radiation from body burden of radioisotopes will be divided somewhatarbitrarily into

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