9.. Due to the wide dispersion of the islands (atolls) and people,
transportation for the medical team, as well as for the economy, becomes of

primary importance.
10.

Little is being done to solve this problem.

Communications among the widely-scattered islands is non-

existent or poor at best.

This results in a fractionation of the people, poor

flow of information, reliance on rumor, and little or no health care in
emergency situations.

The solutions to these problems are technologically very

simple and relatively inexpensive.
11.

Yet somehow they have not been implemented.

High volume screening of patients for specific data has become —

a highly-specialized area.

Improvements can be made in screening facilities and

methodologies, and these are outlined.
12.

The recent repatriation of the people of Bikini, who were

noted to be accumulating an increased body burden of 137 cesium, has compromised,

in the eyes of the Marshallese, the safety of living on "contaminated" islands.
They ignore or reject the concept of “relative risk" based upon carefullycalculated background and ecologic measurements of radiation.

The same

reasoning will probably apply to the people on Eniwetok and Ujelang.
13.

Personnel ceilings, currently in effect at BNL, prohibit any

significant expansion of the program, e.g., the addition of the people of Bikini
and Eniwetok (please see Option C - IV Analysis-How - p.13).
These constraints are put into context and dissected, in detail,
in the following five flow sheets where the significance of their impact on the

objectives can be related to the various approaches open to us.

The flow sheets

are detachable so that they can be placed in vertical sequence for comparison of
each facet under each option.

Select target paragraph3