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BROOKHAVEN NATIONAL LABORATORY SUBJECT: Expansion Plan - Marshall Islands Dr.Cronkite has asked meto prepare an outline of our current manpower requirements and then to expand that model for the possible addition of one o r more of the following atolls. B. Li ki ep
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EXPANSION PLAN - MARSHALL ISLAtTDS PROG WI A . Lab Procedures: 2 - 3 people totally dedicated to collecting and preparing samples. If all are Americans, 1 full-time translator is B. Four M.D.*s: Each must be able to function as a GMO's and be able Each will require ato see 15 patients/day ( 3 0 minutes per exam). translator/assistant. For female exams, a nurse-practitioner is needed as translator/assistant t o assure follow-up and continuity necessary. (This position could be used as an on-the-job teaching position to develop qualified Harshallese assistants. If an American is used, a good translator will be D. Patient Flow Co-ordinator/Administrator: Two - with as many Marshallese translators as required to assure good patient flow. Site Prof. Staff Translators * Some translators in key positions should travel with the team; others should be picked up on each island. training from the BNL medical team on procedures, etc. In all cases, the health aide should be included a s part of the team. Those assisting with exams should receive
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11. Rongelap - 148 miles from Kwajalein. down for the exams. There are about 250 people on the island which would Requires approximately 21 hours It requires2full days t o set up and break 2 days - set up and break down 4 days - exams with 4 MD's 111. Uti rik - 180 miles n. from Rongelap, this trip requires 26 hours steaming time. There are about 345 patients to be 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 17hours steaming time from Uti rik and 22hours from Kwa j. Atoll,4islands are inhabited with from 400 t o 600 people. could be done on Wotje, provided adequate ferry transportation were available. However, it would be better to see the people from Wotje, Enejeltalc and Kimejo (the l a t t e r are about 1 5 minutes from Wotje) on This would account for about 213 ' 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). It will require 28-40 man-days t o see all the people of Wotje. up and break down. There i s adequate anchorage there, now used by In addition,4 days will be required for set
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4 days - set up and break down *I n regard to all islands which have not been visited before,it should b e remembered that operations will be slower because the people are not used to having us come. It will take a few visits before a routine can b e estabV. 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 Manhours required are 28 - 40. Adequate ferry support would be Recap : Li ki ep 2 days - set up and break down VI.Bikini people - they now live on Kili,J alu it, and Edjit. All three sites should be visited. It is 208 n.miles from Kwaj.to J alu it anh another 25 to Kili Island.Since there is no pier at Kili,it would b e 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 -+ on Kili and available at the Majuro Hospital to see these people. require setting up on each visit,although they are land based. are approximately 200 people atE dj it. Ed j it is in the Majuro Atoll and exam facilities are currently
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There axe no good figures currently available on the number of these people that are no tIlar shall ese. designed to provide care for the Bikini an s, themselves. T%ey should be included in any plan Recap: Bikini people at Rili, J alu it and Edjit 4 days - set up and break down VI1 * Ujelang (Enewetak) - 360 n. m i l e s from Kwaj. t o Ujelang (51 hours) and 350 miles from Kwaj to Enewetak (50hours). It is 125 n. miles from Ujelang t o Enewetak (18 hours steaming time). 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 Recap: 4 days - set up and b r e a k down