Memo to Unknown, Subject: Expansion Plan Marshall Islands Program

Page 1

BROOKHAVEN NATIONAL LABORATORY SUBJECT: Expansion Plan - Plarshall Islands Dr- Cronkite has asked m e to prepare an outline of our current maupower requirements and then to expand that model for the possible addition of one or more of the following atolls.

Page 2

( EXPANSION PLAN - ILUSHALL ISLANDS PROG Wi Lab Procedures: 2 - 3 people totally dedicated to collecting and preparing samples. If all are Americans, 1 full-time translator is Four M.D.'s: Each must be able to function as a GMO's and be able to see 15 patients/day (30 minutes per exam), needed a s translator/assistant to assure follow-up and continuity position to develop qualified Marshallese assistants. translators as required to assure good patient flow. Each will requite a For female exams, a nurse-practitioner is An Iw o r Medex (PA or MX) should be used in this If an American is used, a good translator will be (This.position could be used as an on-the-job teaching Two - with as many Marshallese Site Prof. Staff *Some translators in key positions should travel with Those asqisting withshould be picked up on each island. the team; others exams should receive training from the BNL medical team on procedures, etc. In a l l cases, the health aide should be included as part of the team.

Page 3

11. Rongelap - 148 miles from Kwajalein. down f o r the exams. Requires approximately 2 1 hours It requires2full days to set up and break There are about 250 people on the island whichwould set up and break down miles n. from Rongelap, this trip requires 26 hours steaming are about 345 patients to b e examined, which requires 23 man-days. Two days are required for set up and break down. Recap : Uti rik 2 days - set up and break down IV. Wotje: 120 n. miles from Uti rik ; 155 n. miles from Kwaj. It requires 17 hours steaming time from Uti rik and 22 hours € rom Kwaj. Atoll,4islands are inhabited with from 400 t o 600 people. could b e done on Wotje, provided adequate ferry transportation were available. However, i t would be better to see the people from Wotje, Ene j el tak and Kimejo (the latter are about 15 minutes from Wotje) on Wotje. This would account for about 2/3's of the population. The other third live on Wormej. the T.T. field trip ships, and the population is reported to be mainly older adults (up t o 200 people). all the people of Wotje. up and break down. There is adequate anchorage there, now used by It will require 28-40 man-days t o see In addition,4 days will be required for set

Page 4

Recap : Wo t j e/Wormej - Wotj e Atoll 4 days - set up and break do\& *I n regard to all islands which have not been visited before, i t should b e remembered that operations will. b e slower because the people are not used t o having us come.. li shed. It will take a few visits before a routine can b e estab- - V. Li ki ep - 115 n. miles from Kwaj. Seventeen hours steaming time are required. Again, there are 400 t o 600 people involved. a necessity,since we are advised it would be best to perform all exams on Li ki ep and move people from the other inhabited island. They live on two islands in Adequate ferry support would beManhours required are 28 - 40. Recap : Li ki ep 2 days - set up and break down VI. Bikini people - they now live on ICili, J alu it, and Edjit. should be visited. All three sites It is 208 n. miles from Kwaj.to J alu it aid another 25 t o Kili Island. Since there is no pier at Kili,it would be better to bring the people of Kili to J alu it for ship-based examination. It takes about 30 hours t o steam to J alu it, There are 400 --k on Kili and available at the Majuro Hospital to see these people. Edjit is inthe Plajuro Atoll and exam facilities are currently require setting up on each visft, although they are land based. There are approximately 200 people atE dj it.

Page 5

There axe no good figures ' currently available on the nuwber of these people that are not Marshallese. They should b e included i n any plan designed t o provide care for the Bikinians, themselves. Recap: Bikini people at Kili,J alu it and Edjit 4 days - set up and break down and 350 iililes from K w a j to.Enewetak (50 hours). It is 1 2 5 n. miles from Ujelang t o Enewetak (18 hours steaming time), During repatriation,these people will be on both atolls. 200 on each atoll, 13 man days would be required on each site. There are about 400 people; if there are l Recap: 4 days - set up and break dorm' .