19 urements were determined in children. Compari- Hv poplasia of the middie phalanx has beenre- sons have been made-between the numbers exam- ported as occurring in the normal population in incidences ranging from 0.3%to 3.2%. The anom- ined each vear. Excluding those who were shifted mto the adult study, the total over-all attrition: alv was found to have considerably greater frequency(25%) in Japanese children.“ The over-all incidence in the Marshallese children was 0.77%. Pediatric dispensary work was carried out preceding and following the regular examinations. In rate between 1938 and 1959 was 10%. Of the 12 children not seen in 1958 but examined in 1959, 14 were babies born in the interval between the two examinations. The age distribution of children examined in 1959 was as follows: Age. vr 4+to9 210 Tora 19 13 34 Table 7 26 9 ? 20 82 13 60 Incidence of Chronic Impetigo (Active) 26 6 ? Age, vr <4 The occurrence of various medical conditions1s Exposed summarized in Table 6. There seemed to be no concentration of clinical abnormalities in the exposed groups. Since the incidence of manyof these Nonexposed with exposed parents Nonexposed, Rongelap Nonexposed, Majuro conditions could have been related to the ages of the children at the time of examination, two of the most frequent findings, active chronic impetigo 7/20 13/30 (Lables 7 and 8). The ages were based on the best these findings to occur more frequently in the voungerchildren was noted. The incidences, however, did not appear to berelated to exposure to radiation. During the physical examinations, the following congenital anomalies were recorded: [185909 Exposed Nonexposed with exposed parents Nonexposed, Rongelap 3/15 10/34 7/26 0/6 5/26 0/9 7/20 «25/82 0,45 4-9 2310 Total 3/19) O/15 3/34 5/26 0/26 2/20 11/82 1/6 1/9 Table 9 | (Subject #2265) Pediatric Dispensary Visits During 1959 Survey * 3 4 ‘ Presenting complaint Numberof patients Cough Back or limb pain Skin sores l Onitis Diarrhea Anorexia Headache Worms Loss of hearing Laceration Abdominal pain Ww on oo | (Subject 2269) 2/33 O/+ 3/53 O/14 5/31 2/20 6/30 Nonexposed, Majuro I (Subject +896) Incidence Exposed, Rongelap Nonexposed with exposed parents Nonexposed, Rongelap Nonexposed, Majuro Utirtk (low exposure) <4 1 (Subject $805) lous Exposure categories was as follows: 7/19 Age, yr available birth date estimations. A tendency for In addition, the incidence of congenital hypoplasia of the middle phalanx ofthe fifth finger was determined from inspection of the roentgenograms of the left hand. The incidence in relation to var- Total Incidence of Palpable Liver (Over 3 cm) lated separately for several different age groups Bifid uvula 310 Table 8 and palpable liver over 3 cm in size, were tabu- Parent ductus arteriosus (repaired) Deformity of the hip Pectus excavatum +-9 DOO Wo ? oad ee 20 30 moet <4 Exposed Nonexposed with exposed parents Nonexposed, Rongelap Nonexposed, Majuro Uurik all, 36 children were treated. The presenting complaints are shown in Table 9. 2/13

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