atm
has compromised, in the eyes of the Marshallese, the safety
of living on "contaminated" islands.
They ignore or reject
the concept of "relative risk" based upon carefully-calculated
background and ecologic measurements of radiation.
The same
reasoning will probably apply to the people on Eniwetok
Et 7
SAMseh)
Ne.
ens?
and Ujelang.
13.
Personnel ceilings, currently in effect at BNL, prohibit any
significant expansion cf the program, e.g-, the addition of the
people of Bikini and Eniwetok (please see Option C - IV Analysis-—
How ~ p. 13).
These constraints are put into context and dissected, in detail, in
the follcwing four flow sheets where the significance of their impact on the
objectives can be related to the various approaches open to us.
The flow sheets
are detachable so that they can be placed in vertical sequence for comparison of
each facet under each option.
VI.
Trade-off or Synthesis
We realize that options Aand B would in fact, represent a reduction
in the level of health care delivery currently available.
A review of the most
recent "189" for FY'79 and '80 reveals that in February 1977, DOE agreed “to
assist the TT in an expanded health care program for the people Living at
Rongelap and Utirik.
ge c
This included complete medical and laboratory cxaninations| we
a
of ...all1 Marshallese living on these atolls."
The problems inherent in that
agreement were the inability of the TT to follow-up on the diseases discovered
in this expanded screening.
The BNL field team has limited resources to
adequately diagnose and treat primary medical problems.
As a result of
intensified screening, a large number of "abnormal" findings have been identified.
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