AlL cadiztion related diseases in rhe exposed and «-cacrol groups on tongelap and Utirik ius ai: low level radiation exposed pat.ents who have already gone through full = -reening - irrespective of findings of disease Establish the broad objectives ceLMS through the BNL screening procedures. - This represents the current level of ‘operaticn. In the future, the g Screening will be modified as detailed for the "directed data base ~ risk “hazard appraisal” approach of " "Robbins and Hall. Restatement of refined objectives As in Options A and B. . : in c.nsideration of restraints, Existing Policy As in Options A and B. _ This option reflects existing ‘de facto field policy. : Existing needs and demands” RE : probably not fulfill the Marshallése 4 , demands or needs. RRS fe toh og ee eertenet Ry awee Fe ‘The Eniwetok people willProbably ' also demand equal treatment... tg wes ote8 og r. sco _e@te.) are interested in and in- S _ vestigating the well-being,oF” “ the Marshallese. _ Sep oe = pxisting facilities ’ Ke *: EE , , “s *" . eee - wd facility —- would in the Vong) run|oe ie+} 1° ¢nerease efficiency and reduce “ee “cost ‘patient. : is “in‘option A& and B. "The“atgntti~” ” - gant variable will be “the (7) addition of the People of : Bikini and Eniwetok. | - : Manpower aay WTSm SS i* ike! Lye Baiwetok would more than double tte outpatient lo:at. “oe ser, € the staff covld_ However, Foy a i og tt eswig of - Timing gts.“by a tk oeaT 6 . . AsinyOptict“A?‘and Characteristics- a vaphie:‘Sspulation Ch: ption A;& Bt, Pays all patie mi ¢3 ge sapie‘Afiding Rspeni 9052221 See columr ~ How: zor discussion of costs. pl.:s all patients, exposed to iow level radiation whe have already gone through BNL screening procedure - again status of Bikini and Eniwetok will change requirements. Flexibility As in options A and B - Increasing Lirger resvonsibility for care and t aiid Manpowet) - permits better schec plus Kili, Jaluit, ? Avoidaura«i untoward consequences As in Op! ions A and B - plus added cimprehensive care. When: Risk As inQotions As in Options A and & - As in Options 4 and B. A and B - With incre pzitient caie the possibility of subc pe:rformince may increase - ? Ov’ - If the patient load is cein be offset by adequate plannit. ing budget with = 66% increase in personnel and a ship assigned specifically to the medical program. - it would be prudent to separate the identify of the BikiniEniwetok group from BNL ~ We could retain administrative control and function as advisors, but a subcontra_tor might alleviate some of the anxiety >of the new study group tht would arise from stipport - Expanded operations wit?: i sFiould nt ve attempted. Ceoost/effect iveness As intptions A and B. Ti ming of to As in Options A and B. enlarye che program and to make a ch ange the ‘mage of the study. the "radiation" oriented terested party. Funding for This is ti the poli-ical and socioclogic situ BNL group. We would suggest Che University of Hawaii as the most. suitable and in- through founding from DOT. ted n.of a Physiciansgsistant, brobably handle the increased load’ with chevadd * Be: wor tioner. ‘practi nd a nurse ‘an wee As in opcions A and B. As in Options A and B. — this increase in primary care might be obtained by pass: - _As in Option’ ‘A “and B. ‘Again the addition of”‘Sikint and of Selection Criteria Total =. 60 mately a doublinz of the operat- | Financial e As in Options A and B. doubled and increased, prirary care is expected. There will need to be approxi- As in Option A and B. Mee en. “design and construction offai flexible, . “mobile screening and treatment support, oo , ‘ges Who: How: ne (bye ee As in Option A and B.‘Poverful “a U.S. congressional groups tes . z Committee — on appropriations, fyg 7° f ae ‘ planning at other icvelsie“aea. Ps O 4 ; V. Eniwetok ? Ujelang. a Bikini from the remainder. on Kili, — What: Where: At yy eo ‘yn ee. the Bikini people who returned to . . / pe runds - no significant translation of objectives is needed. - ' : :Projected needs and demands “ vd As in Option A and B. Itseems probable that we will be. unable to. separate, for medical purposes, “+ - As in Options A and B - 5 nce this is our present level of operation with existing ’ As in Option Aand B, ‘Adding ae. . portion of the Bikini population will | Analysis ce Develop possible approaches to the criteria for the selec Set for: attaining the objectives, with ! aeee pn each approach being stated in results re or_ Perfor. 12_0 terms of: A and B. ns As iv Options eeeeee me ne ees nee oe 2 ene em — all patients, exposed to low level — ; radiation, who have already gone I¥. IIT. Translations Constraints ‘Presentlevelscfcare As in Options A and B but adding * - II. Ee. I. - | { i 5052221