Page 2 1. To determine the extent of personal injury to the people of Rongelap and Utirik Atolls as a result of the radiation exposure. 2. To determine the extent of the damage to the land and trees. 3. To obtain additional medical examinations and treatment. 4. To obtain reasonable and just compensation for personal injury and damage to the land and trees of Rongelap and Utirik Atolls. Observations A. Medical Problems: The examinations conducted by the medical team from the Brookhaven National Laboratory are now resented by the involved people, both exposed and control groups. I am deeply concerned that the Marshallese have apparently lost confidence in the medical examinations and the aborted effort in March 1972 did little to restore it. I am of the opinion that a major source of trouble has been a lack of understanding by the people of the purpose of the examinations. At all four sessions, it was repeatedly asserted by the people that they were not informed of the findings and that treatment and medications were not available. The people attribute any and all sickness to the effects of the radiation and believe that the medical team should treat them. The control groups appear to most resent the examination because of the lack of understanding as to its purpose. For example, the people from Utirik asserted they were told they were not injured and therefore not entitled to compensation, yet were forced to submit to the examinations. As a result, many refused to be examined. They resent the taking of large samples of blood and feel that they should receive compensation for this procedure. I repeatedly heard that the involved people will submit to additional examinations in September or October only if independent physicians from Japan, WHO, and the U.S. Public Health Service accompany the tean. The Health Aides of Rongelap and Utirik have difficulty in administering the prescribed thyroid medication due to the lack of written records on the patients. The Aide on Rongelap stated he thought the records were in the trailers but were not available to him. There are apparently no records in Marshallese for the use of the Health Aides or Medical Practitioners that periodically visit the Atolls. 239