PRIVACY ACT MATERIAL REMOVED PRELIMINARY REPORT ON THE TWO-YEAR MEDICAL RESURVEY OF THE RONGELAP PEOPLE There has been little illness among the people during the past | year and they appeared to be in good health and in a good state of nutrition. An epidemic of chickenpox had occurred during the past year without complications. Many of the older Rongelap people are beginning to become more infirm, such as *, the 100-year old woman. » the 78-year old preacher, is getting quite feeble and _hasgivenuppreaching. Of the Rita controls, 57 of the original 82 were re-examined. Most of the clinical findings were found to be similar to those that had been seen in previous examinations and occurred with about jaa PYRY AWOLISOd Sk developed serious diseases during the past year. No. 46, a TT7- year old man, developed an apparent cerebral accident about 9 months ago and was partially paralyzed in the right arm and left leg. He cannot get around without help, though there is some improvement in function at present. The other case was » & 13-year old boy, who was hospitalized with acute rheumatic heart disease with congestive failure in December. He improved on digitalis and salicylates. Though he is apparently fully active at present, there is evidence of pronounced mitral disease and some degree of cardiomegaly, but with no evidence of decompensation. No. 77, the leper, continues to show active, indolent ulcers on the soles of his feet. He presents a real problem in psychological adjustment since he is ostracized by his people and leads a lonely existence. 14 NOHWO3NOS ON X08 1 -~K*CZz wIACTOs the same degree of frequency in the controls as in the Rongelap people. A few additional findings, not believed to be ntw diseases, were noted which probably had been overlooked before. Two Rongelap people had None of the clinical entities noted in the Rongelap people appear to be related in any way to radiation effectsItis afifficult or SG impossible to say whether any of the increased aging might be due to t radiation effect. Fertility certainly was not affected in view of \ the number of new babies and increase in pregnancies. In both control and Rongelap children, impetigenous lesions remain quite common. Fifteen Rongelap people continue to show recognizable residual radiation skin lesions, but all lesions showed i fy some degree of improvement on this examination. Areas of hyperpigmentation, particularly on the back of the necks, showed less hyperpigmentation and in some cases pigment had returned to normal. The dusky color noted earlier was not apparent at this time. All deeper lesions which had shown depigmentation now showed some degree of repigmentation. The foot lesions showing most residual changes were in \ (No. 25), (No. 26) and_ (No. 76). These lesions showed depigmentation, atrophy of the skin and some degree of adherence to subcutaneous tissues. The ear lesion in (No. 79) continues to show scarring, atrophy and in one place adherence of the skin to the underlying cartilage. In none of these cases, was there ENCLOSURE 1 1182303 PRIVACY ACT MATERIAL REMOVEN |

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