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