m-ritoring at Ebeye may require additional manpower beyond the 2 that are needed now. Some lab equipment and supplies would be needed to perform the total coliform test. Also there needs to be a plan and trained personnel for routine cleaning and preventive maintenance of public water system cisterns, - tanks or reservoirs and pumps (possible U.S. storage Environmental Protection Agency funding for this program). Even though the water supply and wastewater systems in the urban centers of Majuro and Ebeye have inadequacies and many problems, many reports considerable funding have been or are being directed to these systems. and However, in many of the outer islands the problems are just as great (see Table 6) but little attention has been directed to them in terms of comprehensive studies and funding. A complete potable sanitary survey with bacteriological testing should be done on all the outer islands. Along with this survey and testing, an evaluation and report of the needs for upgrading toilet facilities to a minimum of one water seal pit privy per houshold (or dwelling unit) should be done except where low densities may make the traditional beach use adequate. Currently the Environmetal Health Division has a program for upgrading the toilet facilities in the outer islands but due to higher priorities, and pressures from the central urban areas, little progress is being made. _ It is recommended that current Environmental Health staff and potential new recruits be identified to obtain professional training certification issued by the Fiji Health Inspector Program. equivalent to Funding for this training could be made available through World Health Organization Fellowships, legislative appropriations, regular educational scholarships and through funds designated for this purpose by this health plan. There is also a need for improved coordination with the primary care workers (medex and health assistants) in the outer islands to aid in sanitation programs and education. To at least partly effect this it is recommended that short training courses in rural environmental health be provided for the outer island health workers. It has been noted that many of the schools do not have basic environmental hygiene facilities, toilets. such as water for handwashing and minimally acceptable Since the incidence of parasitic and infectious diseases can only be prevented by methods which interrupt the fecal-oral route of transmission, and since students cannot be taught or practice these important methods when the school lacks the basic facilities, it is recommended that on-site documentation 12