QUTLINE FOR DISCUSSIONS BETWEEN THE UNTTED STATES ENERGY RESEARCH AND DEVELOPMENT ADMINISTRATION AND , THE TRUST TERRITORY OF THE PACIFIC ISLANDS REGARDING MEDICAL CARE OF THE RONGELAP AND UTIRIK PEOPLE The United States Energy Research and Development Administration (ERDA), formerly AEC, has for more than 20 years conducted a program of medical surveillance of the people of Rongelap and Utirik that were exposed to fallout from a weapons test in 1954. In the course of this activity, and with the knowledge and consent of the Trust Territory of the Pacific (TTPI), the ERDA medical taams have provided limited medical care for all of the people of Rongelap aud Utirik. ‘The ERDA intends to continue thia program provided this can be achteved with the consent of tha TTPI and the people of Utirik and Rongelap. The people of Utirik and Rongelap, independently have recently indicated a desire for changes in the type of medical care under the ERDA program. Specifically, they have requested that ERDA expands and improves medical care of all the people on their islands. It is recognized by the U.S. (ERDA) that general medical care of the people of the Marshall Islands is a responsibility of the Administration of the TTPI. At the same time, it appears that the request for extended medical care under the ERDA program satems from a change in the perception on the part of the people of Utirik and Rongelap of the manner and extent to which past ERDA activities have affected their lives psychologiaally, socially, and economically. It appears, therefore, to be in the interest of both the TTPI and the U.S. (ERDA) to explore waya in which these perceived needs can best be met by both parties within framework of their respective responsibilities. For the purpose of the diacussion between the TTPI and the U.S. (ERDA) it is proposed that the U.S. (ERDA) is prepared to assist the TIPI in the discharge of its health care responsibilities to the people 1 OFFICE » | SURNAME De h i ‘ : : DATE > Form ALC.318 (Rev. 9.53) AECM 0240 i. Hl 1 eo | | set aten nates =a + a | af eeceteresee FC U.S. GOVERNMENT PRINTING OFFICE: 1974.520.166