. mt Rr lle le ae nel 5 Pos yesn shonhd be chuerved snd binnd, watersslublo lutions may be applied. Infections should be treated with antibiotics 2s may be indicated. A similar sitvation pertains with regard to ing agents and chemical compounds such os . EDTA® and zirconiem citrate have shown coa- siderable promiee in animals both in preventing deposition of certain of the fission products in the bones and in accelerating their removal following deposition. The earher these compounds are given following exposure, the more effective they are.: However, as indicated above, it is doubtful that the need for such agents in the acute period following an attack would be great. The following additional suggestions regard- ing the care of bomb casualties are submitted for consideration. Although civil defense organizations in general have made great strides, it is apparent that even with a well-integrated plan some degree of chaor will be present and early aid to many victims will not be forthcoming. Hence, the importance of self-sid and mutual-aid in effecting survival must be strewed. Doctors and medical facilities of any kind will be in critical short supply ; thus, train- ing of lav individuals in more definitive treat- ment, rather than only first aid, deserves care- ful consideration. Since accurate prediction of where a bomb will fail is impossible, central civil defense organization in critical target arens should he augmented by a “cellular” plan, a plan of geographical units within the area that are ementially self-sufficient in terms of supplies and communications, and which can render aid to other cells damaged by the bomb. Thinking in terms of damage within a target uren adequately handled by the facilities of the region must be replaced with consideration of posible complete immobilization of facilities, with resultant dependence on adjacent not. affected regions for aid. “ui 3.2 walt of ethviene diamine tetraacetic acid. 68 Posential Loag Term RSecs Tre Lowe Tuam effects of radiation on man have been the enbject of an exhaustive survey by panels convened vy the National Academy of Sciences (26, 27). Accordingly there is ne need to review the subject in detail. The effects are dose dependent. The quaatitative relstionship of dows to effect in man is not well known. The following qualitative long term effects have been observed in anémais: 1) Shortening of life span 2) Increased incidence of mutations 4) Increased incidence of leukemia and other benign and malignant tumors 4) Cataracts 5) Cardiovascular renal diseases 6) Sterility or lowered fertility 7) Impeired growth rate In some of the survivors from the atomic bombs at Hiroshima and Nagasaki the followir g have been definitely observed : 1) Cataracts 2) Leukemia 3) Impaired growth patterns in some children Intensive study of the exposed population at Hiroshima and Nagasaki is a continuing activity of the Atomic Bomb Casualty Commission as is the study uf the Marshallese who were ex- posed to fallout. In the absence of quantitative dove response data for man, it is impossible to prognosticate, with certainty, what, if anything, will develop in the exposed Marshallese. All of the phenomena enumerated above that have been observed in anime!s are being searched for by the medical team, that has undertaken the continuing care and study of the Marshallese on behalf of the Atomic Energy Commission. Annual studies are being performed and will be reported upon at regular intervals. 6.9 Summary and Conclusions AntuovcH THe Finpoincsa in human beings exposed to fallout radiations in the spring, 1954 Pacific field tests crnnot be carried over exactly

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