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

Select target paragraph3