36 Table 22 Mfean RBC, Hemoglobin, MICH, and Reticulocyte Levels bv Age and Sex, 1959 Rongelap exposed RBC (x10), e . Hgb., ge Males age 3-15 Females 4.452200 3*- TO; 471-04 ax 4.45 3.15 i.) (+) 4+.31=0.36.9: 619s 4.21204 531; 12.3 =05 (10) Rongelap control 4.6 70.5129) 4.8 +0.3 (44) 4.4 20.4°53; 12.2 (2) (3.1 Li (22) 12.5 =0.95:31) 13.4 it) 14.8 21.8 (44) 13.2 0.87 195 12.9 2.1 (52) Nlales age 5-15 28.0 23.3 +10) >15 >35 30.8 22.5 29.8 223.3 (19) (31) 27.7 (2) Females Retic., %, >5 Males age 5-15 Femaies MCH, pug, 15 Ailingnae exposed > 13 >3 Males age 5-15 Females >15 “>5 14.4 21.3 f19; 30.0 (41 30.5 =1.9 (9) 28.5 21.9 (22) 30.7 3.4 (44) 29.4 2.7 (52) 0.13 (9) 0.05 (2) 0.29 f17) 9.21 (233 0.17 (7) 0.41 (+8) 0.31 (13) 0.3 (4) 0.43 (42) *Standard deviation. **The numbers in parenthese are the numbersof people in the groups. ulocyte counts, were sufficient indices for evaluation of erythropoetic function. Erythrocytes and Hemoglobins. The mean levels of erythrocytes and hemoglobins (Table 22) were generally somewhat below those accepted as average for Americans and were only slightly lower in the exposed Rongelap population than in the unexposed group. Scattergrams(Figures 42 and 43) of the individual red cell counts plotted by age for exposed people of both sexes show more of the counts below the average level of the unex- the left, which indicates a slight tendency toward microcytosis. Serum Iron. Serum iron levels were < 100 pe/ 100 ml serum in only 3 persons, all unexposed. _ Serum Protein. Serum protein levels in 1959 were again higher than normal in many cases. The range in the exposed group was 6.6 t0 8.4¢ with a mean of 7.45, and in the unexposed group from 6.6 to 9.0 g with a mean of7.55. Comments. The peripheral levels of blood elements have shown considerable fluctuation from year to year. The explanation is not known. One age cumulative distribution of counts (Figure 44) shows the curve for the exposed group distinctly might speculate that, since upper respiratory and gastrointestinal infections are common, the temporal relationship of the hematological examinations to periods of bacterial infection mightstrongly influence the general level of certain elements, par- Ailingnae Blood Counts. Counts in the Ailingnae people (a group of 15 who had received an enced. As pointed out, the influenza epidemic in posed group than aboveit, and a plot of percent- displaced to theleft. estimated 69 r from fallout) are summarized in Tables 24 and 22 and in Appendix 2, and theindividual counts are shown in Appendices 3 and 4. These counts generally averaged slightly higher than in the exposed Rongelap people but lower than in the unexposed people. Price-Jones Curves. Price-Jones curvesfor de- termination of red cell size distribution on 17 -Rongelap people (exposed and unexposed) were averaged and compared with an averaged curve for 53 Americans of the same age group (Figure 45). The Marshallese curveis displaced slightly to LtB8598b +, that the erythrocyte counts done on the Coulter electronic counter, and the hemoglobin andretic- se The explanation is not clear. However, it wasfelt ticularly the leukocytes. It is not known whether the drop in 1960 leukocyte levels was so influ- early 1960 apparently spared Rongelap Atoll. Since hematological examinations were not done on the unexposed group in 1960, it was not pos- sible to evaluate exposed levels with relation to radiation effects. The only blood elements at 3 years post expo- sure that showed slightly lower levels in the exposed group were the platelets and erythrocytes. Erythrocyte counts had not been done before 1959. Re-examination of earlier hematocrit levels by construction of scattergrams and cumulative distribution curves showed a slight tendency for q

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