2.

Relative - these constraints impose avarying degree of modification

on the obtective, proportional to the power of the constraint (e.g,

20% of the funds necessary to reach the objective).
Using this format, we will examine four options relating to the detection
and treatment of:
A.

|

Thyroia and other radiation-related diseases in the exposed and
control populations,

B.

All of A plus other patients already taken into the study with
non-rédiation related diseases (e.g., diabetes).

This would

inclucd= exposed and control group patients only.
Cc.

All of A and B plus all low level radiation exposed patients who
have gone through full screening, irrespective of findings of

disease,(e.g., the Bikini group).

nt. |

D. All of A, B, and C plus full screening of all inhabitants Living!
51ene?
on, or scheduled to be repatriated to, the Marshall Islands

we RAE
pe

contazinated by atomic fallout; i.e., background radiation

‘cronesian

higher than median for all Micronesian islands.

ry nee

pln N
uel

naeae7

With these four options in mind, we must first consider the common constraints impinging on the subheadings listed under Column IT of the flow sheet

(see Figure I).
appropriate.
1.

The unique constraints for each option will be Listed as

The common constraints are:
Under current operating policies, DOE responsibilities do not

44
eget

include health care for non-irradiation related pathologic
conditions.

2.

The definition of “radiation-related"” pathologic conditions is
not clear.

9052220

There is uncertainty among radiation experts as to

J!
yeie™

Select target paragraph3