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HEALTH SURVEYIN PACIFIC

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nant neoplasms were distributed among the islands or atolls as follows: Saipan, 3; Babelthuap, 2; and 1 each on Tinian, Ulithi, Woleai,
Yap, Kwajalein, and Wotje. Among the 312 benign neoplasmsthere
were 114 melanomas of skin, 63 lipomas, and 29 hemangiomas and
lymphangiomas. The bulk of these were on Majuro, Ebon, Saipan,
Yap, Babelthuap, Maloelap, and Mili.
The prevalence rate for vitamin deficiency was 8.8 per 1,000 inhabitants. Of the 195 cases reported, 98 were on Saipan Island where
the prevalence rate was 24.2. Other islands where the rate was high
were Ine, 72.8; Arno, 57.6; and Mili, 28.2.
Anemia, with a prevalence rate of 84 per 1,000 persons, was reported in substantial numbers from Saipan, Majuro, Ebon, and Mili.
According to reports of this survey anemia was practically nonexistent in the Palaudistrict.
It was reported that a Jarge number of cases of leukoplakia buccalis
were geen on Saipan and Babelthuap Islands. These occurred principally among betel-nut chewers. A comparatively small number of
cases were reported on the health record cards used in this study for
tabulation purposes. In. the summary reports accompanying the
cards, however, it was estimated that on Saipan alone over 200 cases
of leukoplakia buccalis were observed. Many of these were verified
by biopsy. It was further pointed out in the reports that, although
betel-nut chewing was also a commonpractice on the Yap Islands,
leukoplakia buccalis was not prevalent there. It was suggested that
this might have resulted from the oral mud packs used on Yap to
hide the staining effect of the betel nut. The mud packs were not used
on Babelthuap. The reports from Saipan did not state whether mud
packs were used there.
SUMMARY

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In the summer of 1948 a survey staff aboard the U.S.S. Whidbey
began a health survey of the Trust Territory of the Pacific Islands.
its objective being a physical examination of every inhabitant of
the area. This report covers the civil administrative districts of the
Saipan, Palau, and Marshall Islands. Fifty-two percent’ of all
stools examined were positive for intestinal parasites. The most
prevalent intestinal parasites were hookworm, Trichuris, and Ascaris.
“Approximately 50 percent of the Kahn tests were positive. This
was judved to be evidence of the yaws infection on the islands. Of
those receiving chest x-ray examinations, 4.5 percent were found
to have chest defects and1.3 percent_were suspected of having active
pulmonary tuberculosis. The nuniber of chest tumors, cardiovascular
ae

OCTOBER 3959

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