the delineation of the cumulative dose to the exposed and comparison pyran 3
becomes Important.

We know that Lhe only remaining nuclide of iodine on both

129,
.
7
.
islands was I
with a half-life of 1.6 x 10° years (i.e., biologically in.
active).

:
:
.
ae
137
90,
The active nuclides have been primarily Ce
and Sr°*,
Their

impact on the thyroid deserves further study.
A third problem concerns the administration of the program.

During the

last year, the logistic support for the medical ~rogram has been marginal to

unsatisfactory.

(Please see enclosures 1

throngi 16 for details.)

The problems may be divided into:
(1)

Logistic (see enclosures) -

(2)

Administrative,

i.e.,

responsibility vs authority

substantive changes in the medical program.
(3)

for making,

(See enclosures 17-19).

Fiscal - the budget is now divided between BNL and the PASO.
fiscal officers.

Very Jittle exchange of information is provided.

We would strongly recomnend that central funding control and

authority be centralized at BNL.
(4)

(See enclosure, 20).

Interagency (DOL) commitments of DOK resources and policy.
(Please sce enclosure 21).

These problems, developing over the last year, have greatly hampered the
growth of the program.

In light of the rapidly-evolving political situation

in the Marshall Islands and its impact on the U.S. Congress, the enclosed
documents are presented for consideration of future plans.
‘

Select target paragraph3