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formerly AZC,,hzs for xore t;i~~20 years conducted a program cf medical surveillance of the people of Rongelap and Utirik who were exposed to fallout from a weapons test in 1954. knowledge and cofiseztof the the ERDA medical teams heve at Rongelap and Utirik. in the course of this ~ctivity, antiwith the Trust Territory of the Pacific Islands (TTPI), expressed a desire for changes in the type of meciicalcare under the El?,A program. Specifically, they have addrsssed requeststo ERDA for more comprehensive medical care for all the people living on these {slands. It is recognized that general medical care of the people of the Marshall Islands is a responsibility of the Administration of’the TTF’I. It is in the interest of both the TTPI and the US (ERDA) to explore ways . in which medical needs can best be met hy cooperzti-v?ef?orts o? both In response to “a Trust Territory request, the ERDA representative reported that the US (ERDA) is prep?reclto contime its assistance to the TTPI in the discharge o? its health care responsibilities to the people living on Rongelap and Utirik.
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The following arrangements were agreed to: health aides, technicians) to participate in the ERDA medical visits in order to facilitate expanded programs such as well baby clinics, family planning, etc., and will assist with logistic support of these activ~.ties. For the next four quarterly visits, the TT will provide one medical off~.cer, one health assistant, and up to two additional medical personnel, as needed. Travel, per diem and subsistence will by paid by EF3)A;salaries will be paid ipate in the medical team visits, providing general medical care to For the next spring survey (March, for additional US medical doctors to particas may be required to assist the TTPI in the people living on Rongelap and Utirik. 1977), ERDA will make every effort to provide, and will fund if necessary, two additional physicians. It is anticipated that the two physicians will be provided by the Public Health c. ERDA will, to the extent operationally feasible, extend the duration of its medical team visits to Rongelap and Utirik to accommodate the needs of the Trust Territory medical program. Therefore, for the next spring visit, it is expected that duration of stay of the medical team will be extended by two to three days. d. The medical teams, while at the islands, will extend medical care and treatment equally to all those livingon the two islands.
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It is recognized that the arrangements set forth above do not consti~v,te a modification of the agreement of Dec. 2, 197b between the TTPI and ERDA nor do they alter statutory responsibilities of either agency. Division of Biomeclical and l%vironment~.1
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Dr. William N. Burr, Deputy Director, DBER, ERDA Mr. Roger Ray, Asst. Planager for Environment & Safety, ERDA Dr. Ezra Riklon, Marshalls District Director of Health Services Dr. Masao Kurnangai, Director of Health Services Dr. Robert Conard, Head of BNL Medical Surveys in the Marshalls Mr. AtIan Anien, Speaker of the Nitijela Ms. Kristine Morris, Program Specialist, ERDA