recording of mortality in the two communities

(without

introducing new methods of data collection at this stage).
Here the point is to be emphasized to our collaborator,

that

ascertainment of mortality must be identical in the exposed
and control communities.

That is,

ties in the affected community,
deaths not otherwise recorded,
community,

or discounted.

extra health care

activi-

that might lead to finding
must be balanced in the control

It is expected that such prelimi-

nary or planning investigations as an examination of mortality will have a beneficial educational effect in the circumstances.
No more need be

said at this time about a

study of health effects,

except

to mention

later,

actual

that the sampling

frame discussed above would provide the basis for the health
Study also

(of course,

a similar

frame would

require to be

developed for any control population) .
Summary of Recommendations
Controversy can be avoided by rewriting the proposal
to

separate:

‘planning

(i}

determination of retention

levels;

(1i)

for health studies not presently accessible or

advisable;

(ii)

a possible

future

study of health.

The greater part of available funds and energy should
be channeled to determination of accurate levels of internal
contamination.

Educational and preliminary planning activi-~

ties to develop sufficient epidemiologic methodology for
continuing,

scientifically valid study of heaith,

are fully justified.

a

3009432

however,

Select target paragraph3