iI. Peoples of Affected Atolls 1. Peoples of Rongelap and Utirik Atolls The medical monitoring and follow up care program of the exposed people of Rongelap and Utirik atolls commenced after the Bravo Shot Fallout accident of March 1, 1954. This program has been the responsibility of AEC, ERDA, and now the Department of Energy. The medical monitoring and follow up medical care program cf the exposed residents of these two atolls and for members of selected "comparison" groups from the onset of the program has been contracted to the Brookhaven National Laboratory, Associated Universities, Upton, New York. BNL now has 26 years of medical research findings and experierce in the field with the people of Rongelav and Utirik. regarded, therefore, It is as essential that any health care organization that develops a plan for future health care of the people of the "affected atolls" work closely with the Medical Department of the Srookhaven National Laboratory on past and current medical activities as well as recommendations for the future. It is estimated that costs to the Medical Department of Brookhaven National Laboratory to participate in this phase of the planning work will be in the range of $40,000 to $50,000. The basic contract must include reimbursement funds for the Brookhaven National Laboratory for participation in the overall health plan contract. The BNL medical program for the people of Rongelap and Utirik basically has been a medical research program but this mandate has, of necessity, over the years been expanded to include care of non-radiation related diseases. by three basic factors; This has been occasioned the lack in the past of adequate primary