the same letter are hereby approved. Details of the program and of the rules and regulations for its execution may be modified as necessary to suit changing conditions. Methods of implementing the public health policy were studied during the next two months by the DepHiComTerPacls Staff Medical Officer and his proposal forwarded to the Chief of Naval Operations on January 23, 1948." The study noted the following problems and possible methods of solution: 1. Health and sanitation survey: use of a health survey ship or, as a less effective alternative, a portable medical unit placed on field trip vessels. 2. Reporting of preventable diseases and collection of vital statistics: system for this already established. 3. Eradication of intestinal parasitism and yaws: treatment of intestinal parasitism by mass deworming and prevention of further infestation by education relative to health habits and sanitation; continuation of current treatment of yaws by massive dosage of penicillin supplemented by Mapharson. 4. Treatment of tuberculosis and leprosy: establishment and staffing of a smal] central tuberculosis sanitarium at Saipan; establishment of a leprosarium in accordance with previously suggested plans. 5. General sanitation: improvement of water containers and sanitary facilities and education of the people in sanitation procedures. 6. Immunization: continuous campaign for immunization against small pox, typhoid and tetanus. 7. Rodents and other pests: control by instruction of people and plant and animal quarantine. 8. Quarantine regulation: alreadyissued. g. Food sanitation: education program for care of food. 10, Nutrition: eradication of disease. improvement in economic status and education in proper diets. 11, Venereal disease: to be controlled but not a major problem. 12. Dispensaries and subdispensaries: establishment of adequate facilities. 13. Licensure of indigenous health personnel: procedure already established. 14. Research: continuation of program, especially relative to encephalitis epidemic on Ponape. 15. Training of indigenous health personnel: continuation of program as established. 16. Administration of program: assignment of one Medical Corps Officer of grade of Captain or Commander: one Medical Service Corps Officer, and one Pharmacist’s Mate to staff of DepHiComTerPacls. 17. Personnel: small temporary increase in naval medical personnel until relieved by trained indigenes. * DepHiComTerPacls ltr ser 122 dtd 23 Jan 48. 862 s0GbE02