CHAPTER III, SECTION 4 Department also handled reports to the insurance carrier, made disability evaluations, and determined when Zone of Interior care was necessary for individuals and whether or not employees were physically qualified to carry out Jobsite duties. Close liaison was maintained with Army medical personnel, and a free exchange of services was maintained at all times. All medical service was available to supported groups as well as to Holmes & Narver employees. Medical services were furnished through the operation of the permanent infirmary at site Elmer, the temporary infirmary on site Nan, and first-aid stations located at each shot-island camp. The permanent infirmary at site Elmer was considerably improved for the REDWING Operation. Improvements consisted of the addition of a wing to the ward space to allow for ten additional beds, relocation of medical supply storage facilities, modification of the emergency receiving room for litter cases, lead shielding of the X-ray room, installation of a new X-ray machine, installation of a hydrotherapy unit (a whirlpool bath), and remodeling of the dental office, including dehumidification and installation of a new dental unit. A doctor and dentist were stationed at the infirmaries on sites Elmer and Nan. They were assisted by a staff consisting of an X-ray and laboratory technician, a medical clerk, and a number of first-aid men. First-aid men were located at each shot-island camp and accompanied all construction missions to off-atolls. Figure 3-4. Dental Office - Elmer The doctors made periodic inspections of all first-aid stations and were available for call to all sites in cases of emergency. Permanent records were maintained of all medical services furnished. Clinical medical services were facilitated through arrangements for easy referral of X-rays and laboratory specimens to specialists in Honolulu for interpretation and examination. All major surgery cases which had to be accomplished before a patient could be evacuat- MEDICAL - DENTAL. Medical and dental care was predicated on two considerations: 1), adequate care for emergencies, including accidents and disaster; and 2), preventive measures through sanitation and medical treatment to keep personnel in good health and on a productive basis. Dental service accomplished these ends by handling dental emergencies and by providing care compatible with maintaining Jobsite employees in working condition. The Medical Department accomplished its mission through maintaining regularly scheduled sick calls, caring for immediate emergencies, maintaining frequent sanitary inspections of all camp messing and housing facilities, consulting with Departments concern- ed in disaster planning, and furnishing reports and advice on over-all problems. The Medical Page 3-18 ed to a hospital in Honolulu were performed by: Armysurgeonsat site Fred. From 1 July 1954 through 30 June 1954 there were seven deaths: five Holmes & Narve employees and two Task Group 7.1 employee Only one of the deaths was due to an industrial cause. This death resulted from cranio-cerebral trauma when a worker was hit in the head | an object accidently dropped from a wat tower. The causes of the other deaths were as follows: two due to coronary heart disease; one from accidental electrocution duri , recreational activity when the victim grasp . a live wire in salt water; one while the patient was enroute to Honolulu (having been evacuated after several surgical operations for a rupt ed appendix, dehisence, and sub-heptic abces_ ; and two deaths from drowning during recreational activity.