9. Due to the wide dispersion of the islands (atolls) and people, transportation for the medical team, as well as for the economy, becomes of primary importance. 10. Little is being done to solve this problem. Communications among the widely-scattered islands is non- existent or poor at best. This results in a fractionation of the people, poor flow of information, reliance on rumor, and little or no health care in emergency situations. The solutions to these problems are technologically very simple and relatively inexpensive. ll. Yet somehow they have not been implemented. High volume screening of patients for specific data has become a highly-specialized area. Improvements can be made in screening facilities and methodologies, and these are outlined. 12. The recent repatriation of the people of Bikini, who were noted to be accumulating an increased body burden of 13? cesium, 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 carefullycalculated background and ecologic measurements of radiation. The same reasoning will probably apply to the people on Eniwetok and Ujelang. 13. Personnel ceilings, currently in effect at BNL, prohibit any significant expansion of 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 following five 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.