. United States Department of the Interior 401744 OFFICE OF THE SECRETARY WASHINGTON, D.C. 20240 Honorable Ruth C. Clusen Assistant Secretary for MAY 17 1979 Environment Department of Energy Washington, D.C. 20545 Dear Ms. Clusen: Enclosed is a set of the medical forms that Mr. de Brum left with me at the end of our meeting yesterday afternoon. Dr. Victor Bond took a set with him, but I thought you, too, should have a set available to you. : Mr. de Brum said that those forms under Tab "A" are from Utirik people who have been seen by Dr. Conard. They apparently, however, are not listed among the "exposed" people. Tab "'B'" represents people from several atolls who have some Likiep or Utirik connection (some, apparently, had attended the Catholic school on Likiep). Tab "C' represents Likiep people. Mr. de Brum stressed that the survey is not complete, the information is still coming in, and he will forward it to us (unclear as to whether you or me, or both). At least on the surface it would appear that there may be a problem on Likiep, in particular, that goes beyond the normal expected incidence of such medical problems. I believe that a follow-up, systematic medical survey should be made as soon as possible, enlisting the aid of the Marshallese Government informants so as to overcome the possibility of concealing problems or symptoms from the medical survey team, as allegedly happened in the past. The survey should cover Wotje, Mejit, Ailuk, and Utirik, as well, since these islands were also cited as having a high incidence of medical problems and they are within or close to the intermediate fallout contour from the Bravo test. Lib was also mentioned as an island that may be.suspect. A second medical problem was surfaced that needs to be covered. This is the medical monitoring of the people formerly living on Bikini who are not living on Majuro. You will recall the question raised by Mr. Henchi Balos to the effect that the Brookhaven medical team is checking the former Bikini people on Majurc, but not those on Kili. At the time of the move from Bikini, Department of Energy witnesses before the House Appropriations Subcommittee and again at the recent March 22, 1979, hearings, made a firm commitment to provide regular medical monitoring of the former Bikini people. Originally, it was thought all of them would be relocated to Kili. The check scheduled for mid-winter 1978 for the Bikini returnees resident on Kili was not Beat” was ss