and notedthat without these reports and analyses a medical program for the Northern Marshalls cannot be planned. He does not fault the contractor since DOE, as yet, has not produced this material on the Northern Marshalls. Dr. Blejer (with MIATLP) felt that there was a lack of integra- tion in the three documents. He also asked if the representa- tive of HHS had any comments on possible role of USPHS or would there be later amplification from the U.S. Public Health Service on this aspect. Mr. Mitchell (Enewetak) did not find any consumer involvement in the health planning documents. He held that there should be input from the people involved. A local advisory board or council would be useful and could provide feedback. Dr. Hart, Loma Linda, pointed out that the contract teams had visited Enewetak Atoll, Rongelap, Utirik, etc., and had met with local representatives. Weather and transportation difficulties had prevented a visit to Kili Island but Bikinians elsewhere had been consulted. Mr. Mitchell (Enewetak) was critical of the chapter in the appendix relating to the socio-cultural perspective and did not feel it was accurate or adequate. He also questioned whether there was as much "Scattering" of "affected peoples" as the contractor and others believed. He conceded that there had been some scattering but did not believe the enormous budget of the four atoll proposal was justified. He again stressed, that in his opinion, all that is required is to provide primary health care on the four named atolls and secondary and tertiary care at Kwajalein or in Honolulu. Mr. Weisgall offered a suggestion that perhaps an additional outline of a plan was needed, i.e., a plan that would provide special primary care on the “affected atolls" and secondary and tertiary care for these residents at the most feasible locations but not to provide "special primary care" for representatives of the affected peoples all over the Marshalls. In brief, there would be designated areas where this special care would be available to the "affected people". He also urged the Federal agencies concerned to address the pending problem of "other affected atolls" in any preliminary report to Congress. This aspect must be addressed since any special health care program designed for the peoples of the four atolls might later have to be expanded to “other affected atolls". Ms. Falender (Rep., Government of Marshall Islands) would like to see in advance any report that would be sent to Congress. Is this feasible? Mrs. Van Cleve (TIA) pointed out that in view of the time constraints, anything that would be submitted to Congress obviously would be preliminary in nature. She noted also that - ]1-