-13- 5. Definition of Comorenensive Haalch Care The contractsr should use the following definition of comprehensive health care: Primary Care Primary care is the care received when che satiant first seeks assistance from the medical care system. The care at that soins would include che Care and treasment of tne simpler and/or more commen ilinesses, or determine the read for consultation with or referral to medical specialists. In addition ts ismedciate care, orimary sare nav also include ongoing responsibilisy for she satien= in seth nsaich maintenance and therasy. Secondary Care Secondary care is the care orovided by medical specialises who generally do not have first contac< with the patient, for examele, rneusslogists, internists, and darmatologists. This care generaliy camnet be provided at the primary care level and is cbhtained upon consultation or referral through the primary healtn care system. Tertiary Care Tertiary care consists of services provided by highly specialized sedical personnel, for exaspla, neurclogists and neurcsusgeons. Such services generally require highly sopnisticatad tachnological and support facilities, such as intensive care units and specialised surgical facilicies. ‘These specialized services and facilities generally are not available at the secondary care level. Article I[lI—-Ssecific Task 6. Responsitilisies of the Contractor Tne Department of the interior requires the’ contractor ts offer advics, by mid-November, on at least the following: G)) A comsrehansivefor the peoples of Sikini, fnewetak, Rongelap, and Utirix, and for the peoples of additional atolis if shey have been affecced by radiation from she nuclear weapons casting program. in decidine whether the peoples cf additional asslls have bean so affected, <he Secretarsy would consider information obtained from on-site health evaluations of che people of those atolis, and cther reievant information prasentad to hin. It would be anticisaced that the health evaluations would foeusinisially onatolis-of-the Nerchern_varshall isiancs,sevondthefour_specssiec. The sequenceinwhsshstsliswouls Se investigatedwouldbedevelosed following consultaticn with the recresentatives of the reopis of each of fae_artecsed atolls and she Sovermment of she Marshall isiands.