geh S- Pratt, M.D. dcptenber Page 6, 1979 6 been the major cause of many of government funds, which in my opinion has a ship whose As a former naval officer aboard these disasterous effects. Japanese from grounds nission once was to protect Micronesian fishing incident on Majuro last {ntrusion, I had to be profoundly impressed by’an unavailable because ch sandwi May when w e found our favorite grilled tuna ent of canned tuna the Trust Territory ship had not yet delivered the shipm le seas surrounding from Japan - tuna undoubtedly harvested from the ferti that very island. back in the Similar contrasts were evident to many of us on field trips receive not did tion popula mid-sixties. Visitors to Utirik, where the pride, civic the with sed indemnities for radiation exposure, were Wipres care and participation of the natives, their industry in farming and Simultaneously, a short fishing, the craftsmanship of their canoes, etc. distance away, Rongelap had the early stigmata of a ghetto. The $11,000 indemnity granted to each exposed individual had caused palpable effects. Fiber glass boats with twin Evinrudes had replaced outrigger canoes, and these were not often used for fishing. Purchases from Trust Territory shipShad replaced farming and fishing, and a society was converted from self-sufficient bartering to a currency~based economy - in an environment Of 17,000 paid positions in Jere currency generating jobs are minimal. Micronesia, less than 5,000 are outside of government supported institutions. The Marshallese may never be able to recover effectively from this cultural intrusion and economic conversion, but the problem deserves serious . investigation by competent, interested professionals. Perhaps we should consider inclusion of sociologists and psychologists as well as epideyiniologists in future teams. Certainly the problems should be emphasized in appropriate In many ways, the I realize that these points have been set down in asomewhat rambling fashion. Certainly they should not be considered in order of importance. If you would like amplication on any, please let me know. I hope that some will be useful. With warmest personal regards, Donald E. Paglia, M.D. Professor Division of Surgical Pathology DEP/mf ewwtel + forums, and care should be taken not to’ compound them. Micronesians have been harmed by misguided, albeit altruistically motivated, outside influences. The problems now are not easily soluble, if at all, but at the very least, they deserve recognition and attempts at correction.