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. 9052224 wait