Trip Report -26- of the 300 persons on Utirik showed up and that surely there were some that did not fully understand the whole messy per diem subject. I suggested that it would be a natural thing for an individual to assume these per diem benefits are available to them just by virtue of the fact that it is a BNL referral. It is better to be a bit repetitive than to create bad will down the line. He walked away allowing as to how Dr. Iaman or no one else would explain anything to the patient until she was better, JI told Dr. Iaman of Pratt's reaction and he told the patient and escort on his own that they were not going to get per diem, A nice party was held on shore that evening at 6PM in the school, It was supposed to be a joint party since we were leaving a day earlier than planned but there was a misunderstanding in Dr. Pratt's discussion with the Magistrate. There were many "I'm sorrys" from the Utirik people but there was great dancing and singing while BNL passed out Diet Pepsis, oranges and apples. The spokesman had many nice things to say about the medical team and presented them and the Captain with handicraft. The people were also really appreciative of the work done by U.S. Oceanography to repair the community boat and they presented Otterman with a beautiful canoe, although not at the party. On Thursday Dr. Pratt wanted only 8 people on board for examinations. This was accomplished including the last of the exposed people. He had told people at the party that four doctors would be ashore to hold Sick call. The people took him at his word but only he went ashore that morning with J, Iaman who took histories, This resulted in 20 people left at the dispensary who were not seen, According to Dr. Iaman this was not well received by the people. Taman also wants TT personnel to receive what BNL people get in the way of per diem and expenses on Kwajalein and on board ship. BNL people get $18 per day plus their hotel on Kwajalein and $18 per day on board ship minus the $6.00 S&Q charge. We left Utirik at 2:30p and at 10:30 that evening the highlight of the trip came to pass, The pregnant lady, gave birth toa 6 1b, boy. She and her mother were in a center room of the medical van on deck and I was sleeping on a mattress just a few feet away. Grandma woke me, I got Dr. Iaman and 10 minutes later the child was born, Three doctors and grandma all got seasick during the episode and the midwife (yours truly) didn't feel too hot either. Mother and child were well and remained so until the time I left for Honolulu. 24 459 5059 3 MOVED PRIVACY ACT MATERIAL RE