radiation exposure, since a cause-effect relationship is impossible cto establish eontreetonhs Ne definitely for any given case. sted C. The people are intellectually and emotionally unable to deal with the concept of "probability" without an intensive, highly~sophisticated educational program designed not only to transfer the information intellectually regarding the role of radiation in their lives, but to concomittantly incorporate that new understanding into their behavior, i.e., the ability to place radiation in its proper perspective for the present and the future. Such a program has al- _ready been initiated by Jan Naidu, Ph.D., BNL, with promising results. * (Please see "Health Education” Addendum ITI) * (2. The Marshall Islands medical "system" under the Trust Territories is underfinanced. The professional staff is undertrained and over loaded. Critical supplies are usually not available. A. In the absence of a satisfactory primary care referral base, the BNL Medical Program has expanded its mandate to include such things as a “diabetic study" (which has revealed a high incidence of “maturity onset diabetes") but has set up no mechanism for treatment and follow-up of this disease. | B. In addition, at the request of the people, a large number of Marshallese who were not in the exposed or comparison groups have gone through the screening examination with the detection of a variety of pathologic conditions. An attempt has been made in each case to provide immediate treatment if possible, and to refer the patients to the Trust Territories health care system. Unfortunately, little has been done to treat and to follow-up these patients. ~ S rx ae ed, na ee sa Ree te tahpokeOtSalehek a aR grb ery Beene See tage ass 7 Fee . :P : oP pees oo 23, af febrr e wee hermw ge Ee . Ey ERESaat Rea! aL, ners Mig hay Mar at Ft Byte CDA te ae -* “ae . ak pa wT dete ~ 1