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Dr. Con6irdconducted his mmual medical survey of the exposed and mm-exposed Marsh=llese betvcen Februmy 20 and March 20, 1971. He Ea reports that no new thyroid lesions were found in the exposed Rongelep people. One 35-yeaK-old wman in the low exposure (14 rads) group m Ucirik developed a slight enlax~eamtt of one lobe of ch thyroid that will be watchcxi. A 32-year-old unexposeticontrol Rongelap woman living on Ebeye developed a nodular thyroid during year for which surgery was recommended at the MQuro Hosptcal. current stares may be updated as follows: Young Rongelap@se exposed to fallout March 1, 1954, when they were 1 to 8 yearn of age. (E:itimateddotJe: 175 rads extarnal WMZW plus 600 to 1400 rem tiwmal irradict~cn.) Currently nomal by clinical and biochemical tests. @’here may be a alight unevenness of the gland in Currently hypothyroid with minimal modularity. Responding satls.factorilyto oral thyroid hormone
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3. ~veundtmgone surgery in the U. S. prior to 1969 because of nodular thyroid disease; histologic diagnosis of acienomatousgoiter and Huerthle cell Wmor, Responding satisfactorily co oral thyroid hormone therapy with one exceptioa: This patient shows some enlargement of the xemnant of thyroid left from a pazciai th~ioidticttiyin 1964; as she has noc followed her post-operativo thyroid hormone regimens there is question as to whether ahe should have further surgery. 11 (58%) 4. Young people operated on for ~hyroid dieeaae during August 1969 and racovexcd. Diagnoses: Rimary benign adenomatous goiter in two and papillary sdenoma of serious grade malignancy in one. 3 (16%) (None of Gix Ailingime children exposed to en eetlmated external dose of 70 rads have shown thyroid dysfunction.) n. Surviving adult Rorigelapeseexposed to fallout. (Estimated dose: rads external plus 160 rq internal irradiation.) Papillary carcinoma removed surgically at age 41. B?orecurrence. Taking oral thyroid hormone therapy. 1 Small nodule at age 40 which disappeared under oral thyroid hormone therapy. “ 1 This patient oparuted on in 1969 for removal of an Invasive adenoma: has recovered satisfactorily. 1 (All the above in X and H who undement surgery appear to be in good health without evidence of recurrence.) 111. Survivfng adult Ailin@nae people exposed to fallout. (E~timated dose: 70 rado external gamma irradiation.). 1. Adenomatous goiter removed at age 45; recovered and was on thyroid therapy. Died of influenza in 1968.
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IV. Survfving adult Ucirik pco?le expoeed to fallout. @st@sted pits 15 me internal IimWmion.) Oaa case of nodular thyroid has been found im a non-exposed Itongelap woaaa livi~ on Ebcye. Thyroid surgery has been rocozmnded for this patient 8C Majuro Ho5pitaL No other iastaaces of thyroid abnormalities have been found in the concrol populations liviq on Utirlk, Majuro or Zbeye. It xppears that the exposed populations have stabilized so far as tha thyroid reaccioas aze concerned. Sincu cke delayed reaccions by the thyroid are a possibility, Dr. Conard proposes that this population continue to be kept under observation. . Dr. Canard notes that thellikinl people nw living on IKiliareIputting incrczisin$pressure on the TrG3c territory for return to their Atoil before the restoration is cmpiccts and the laud can support a population. This smvement my cause the Trust TerrlLory to ask that all radiohgic and safety activities bc accelerated so that decisiom can be made as to construction of homas, cisterns, etc., ahead of 6chedule. A low key public &Mouncemenc of the ebove observations f~ being Tba Sam information is being forwarded colfr. Baufser for the information of the Joint Cofmi.tcee on Atomic “*ergy. n WA John R. Totter