va
3.
It is recommended that in order to adequately deliver Majuro water
(in quantity and quality) the distribution system will have to be repaired or
replaced.
4.
It is recommended that the free residual chlorine level be tested
daily in both public water systems and the total coliform bacteriological test be
done 2 or 3 times weekly.
5.
It is recommended that there be a plan and trained personnel for
routine cleaning and preventive maintenance of public water system cisterns,
storage tanks or reservoirs and pumps.
6.
~
It is recommended that a complete potable water sanitary survey with
bacteriological testing and evaluation of toilet facilities should be done on all
the outer islands.
7.
It is recommended that a staff sanitarian be hired to be solely
responsible for the outer island environmental programs and inspections and that
funding be budgeted to cover travel expenses needed to provide this service.
8.
It
potential
new
is
recommended
recruits
be
that
current
identified
Environmental
to
obtain
Health
professional
staff
and
certificate
training.
9.
It is recommended that short training courses in rural environmental
health programs be provided for the outer island primary health workers.
10.
It
is
recommended
that
on-site
documentation
of
the
sanitary
deficiencies of all the schools be obtained and corrections recommended.
ll.
Since flies, mosquitoes,
rodents
and
other
animals
feed and/or
breed in the open dumping areas and can carry disease, it is recommended that a
concerted effort should be directed at controlling this problem on a case by case
basis.
12.
It is recommended that a building code be developed based on a
permit system administered by the Environmental Health Division.
13.
It is recommended that soil samples in the PCB spill suspect areas
of Majuro and some samples of reef fish in the lagoon nearby be analyzed for PCB's
to determine the degree and extent of contamination and a clean-up program
instituted as necessary.
6.
Nutrition Services
Education in nutrition is a relatively new component of health care in
the Marshalls.
On October 1, 1980 the Government of the Marshall Islands
hired a person to train nutrition aides.
group,
will
work
with
the
people
2A
in
the
These aides,
community to
16 in the first
promote
better