These studies shall include routine physical examinations of school
children, spot checks of stools for intestinal parasitism and examination
of general population during field trips to determine the incidence of
yaws, venereal disease, leprosy, and other infectious diseases.

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examinations of the chest shall be performed to the extent of facilities
available.
3. The current practice of treatment of yaws with initial massive
doses ot penicillin in oil, followed by a course of twelve (12) injections
each of Mapharson and bismuth shall be continued unless circumstances
prevent this procedure or results obtained indicate that this treatment
is not efficacious. In the later case the Staff Medical Officer of the
Deputy High Commissioner of the Trust Territory of the Pacific Islands
shall be notified.
4. The routine administration of anthelmintics to the population may

be practiced if indicated by spot surveys.

5. Until such time as a central leprosarium is established, persons
suffering from leprosy, known contacts thereto, and suspected cases
shall be isolated until diagnosis has been confirmed or disproven. Such
logistic support as may be necessary for these colonies shal be provided
by the local Civil Administration Unit.
6. An educational program to teach voluntary isolation and essentials of control of spread of tuberculosis shall be established. Where
medical facilities with adequate heds and Medical Department personnel

are available, the Medical Officer shall hospitalize such cases of tubercu-

losis or suspected tuberculosis as would be most benefited by hospitalization. The Medical Department personnel of the various Civil Government Units shall cooperate with the Health Survey Ship which it is
contemplated will be operating throughout the area in the near future.
7.
The Medical Department shall keep the Civil Administrator adé
vised as to the potability of all water supplies and shall assist in every
way possible toward maintaining potable water systems.
8. The Medical Department through its sanitation officer shall conduct regular sanitary inspections and shall report any deficiencies in
general sanitation, preparation and serving of food and beverages in
restaurants and in garbage and sewage disposal procedures.
g. An active immunization campaign against small pox and typhoid
shall be conducted in accordance with current public health practices.
to. Active baiting and trapping campaigns shall be conducted against
rodents.
rr. An educational campaign to teach the value of balanced diets and
to encouragethe practice of varyingdiets shall be conducted.
12. A venereal disease program shall be maintained.
13. The Medical Department shall cooperate with other Civil
Government Personnel in enforcement of quarantine regulations.
HI. Interim Program for Training Natives:
An interim training program shall be conducted to meet the needs

for trained Health Aides and Nurses Aides until graduates of the

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