berthing area included provisions for showering and shaving for the medical party apart from the patient examination area. These plans again were altered (please see ship plans) and the final arrangement was for our entire medical party of 14 to use one head, one shower and one shaving mirror. This presented serious problems when everyone arose at the same time and attempted to get ready for the days examinations. The ship's brochure (enclosure 1) stated a two ton freezer capacity. Apparently this capacity was sacrificed in the conversion of holds 1 and 2, leaving us with inadequate cold storage space and much of the fresh fruit that we were carrying to the outer islands as gifts for the study group rotted in transit. 2. Maritime Problems/Ships Safety: ‘Throughout the entire cruise, no organized safety drill or instructions were given by the ship to the medical party. We were not informed as to where the life vests were stored nor how to use the life rafts (many of the medical team were weak- or non-Swimmers). There were no fire extinguishers in the medical berthing area. Egress from the berthing area (hold #2) was through one heavy water-tight hatch leading forward through a high hazard area, i.e., x-ray and laboratory areas (containing flammable chemicals and high voltage), then up a ladder and aft onto the well deck. A second hatch leading aft went through a cluttered machine shop, into a battery room with no egress. There was no outside ventilation into the berthing area that I could find. The water-tight hatch controlling access to the medical berthing area had no latch. When trying to pass through the hatch in high seas, the heavy hatch would swing violently. A piece of cord was finally tied to the hatch to keep it open. The outboard passageways, both port and starboard on the main deck level required climbing over a totally exposed fore and aft ladder with no safety lines. Since our passage was in heavy weather with severe rolling and pitching, we could easily have lost one of our party over the side and never have missed him (see pictures). From the health standpoint, the berthing area was inadequate. One bunk was under an airconditioning unit and throughout the first night at sea that bunk was drenched about every 30 minutes by 2-4 ounces of ice cold water. In addition, Dr. Nicoloff complained repeatedly about the "stag- nant air in the berthing compartment." The large air conditioning unit which was integral and recirculating for the compartment rendered the area either too hot or too cold. "In our preliminary correspondence and in phone conversations with Mr. Brown in Honolulu I stressed the importance of having an outer island pilot for the survey and recommended Mr. Paul LaPoint who has had extensive experience with previous medical surveys. While in Honolulu, I was informed that a Mr. deBrum was to serve as outer island pilot. While we were in Kwajalein we were informed that Mr. deBrum would not be available and Mr. Brown attempted to obtain the services of Mr. LaPoint, unsuccessfully. Therefore, the ship sailed for the outer islands without an outer islands pilot. The Marshallese members of the medical team were Page 5 of 13 ENCLOSURE I