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SUBJECT: Eqansion Plan - Marshall Islands Dr. Cror.lcitehas asked me to prepare an outline of our current manpower requirements and then to expand that model for the possible addition of one or more of the following atolls. BEST COPY AVAILABLE
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pzring samples. If all are Americans, 1 full–time translator is be able to function as a GMO’S and be able to see 15 patients/day (30 minutes per exam). Each will require a translator/assistant. For female exams, a nurse–practitioner is needed as translator/assistant to assure follow-–up and continuity new position. If an American is used, a good Lrznslator w’ill be necessary. (Thisposition could be used as an on-the-job teaching translators as required to assure good patient flow, Sire Prof. staff Translators Physical Exams 4 MO 3–4 should be picked up on each island. Those assistin~ with exams should receive trainins from t}lc I\NJ,medical team on proceclures, etc. In all cases, the health .aidf:shoulcl be inclucieclas part of the team.
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11. Rongelap - 148 miles from Kwajalein. Requires approximately 21 hours steaming time, at 7 down for the exacm. knots. It requires 2 full days to set up and break There are about 250 people on the island which would 2 days - set up and break down 4 days - exams with 4 MDrs 111. Utj.rik – 180 miles n. from Rongelap, this trip requires 26 hours steaming Zir%e. There are about 345 patients to be examined, which requires .23 2 days – set up and brealc down IV. I!otje: “120 n. miles from Utirik; 155 n. miles from Kwaj. It requires 17 hours steaming time from Utirik and 22 hours from Kwaj . On Wotje Atoll, 4 isl.antisarc inhabited with from 400 to 600 people. All exams could be clone on Wotje, provjded adequate ferry transportation were available. However, it would be better to see the people from Wotje, Enejeltalc and Kimejo (the latter are about 15 minutes from Wotje) on wotje. This woI.Jld account for about 2/3’s of the population. The other thi.rcllive on Worcnej . There is adequate anchoraze there, now used by ~he T.T. field trip ships, ancl the. population is reported to be cnai.nl.y Up and LL-caic down.
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4 days - set up and break down be remembered that to having us come. all islands which have not been visited before, it shoLild operations will be slower because the people are not used It will take a few visits before a routine can be estab- . tmil.esfrom Kwaj. Seventeen hours steaming time are required. Again, there are 400 to 600 people involved. They live on two islands in the atoll. Manhours fequired are 28 – 40. Adequate ferry stipport would be a necessiLy, since we are advised it WOLIICI be best to perform all exams on Likiep and move people from the other inhabited i.slancl. 2 days – set up ancl break down VI. Bikini people – they now live on Kili, .Taluit, ancl Edjit. All tl]ree sites should be visited. It is 208 n. miles from Kwaj- to .lal.uitand another 25 to Kili. Island. Since there is no pier at Kili, it would be better to bring the people of Kili to Jaluit for ship-based examination. JalLit. Ectji.tis ~.n the pfajuro Atoll. and exam facilities are currently available at the F1.ajurolIospLtal to see these peo~plc. The facilities require settinz up on each visit, al~hOLJgh they are land based, There
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There are no good figures currently availzble on the number of these people that are not Marshallese. They should be included in any plan designe? tO provide care for the Bikinians, themselves. 4 days – set Up and break down 4 clays – exams with 4 MD’s at Edjit Ujeiang to Enewetak (18 hours steaming time). Durin2 repatria~ion, these people will be on both atolls. There are about 400 people; if there are 200 on each atoll, 13 man clays wo~]ld be required on each site. Recap : h d~ys – set up and break down
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