12/22/E% School cf Public Health Lor.2 Linda University Acsendur to Health Care Plan for the Marshal] Islands Tris adjendur is submitted at the request of the Department of the Irterior followinc the meeting held at the Department on December 10, 1950. The purpose is to submit a plan for limited primary health care to be provided for those inhabitants actually living on the atolls of Rongelap, Utirik, Enewetak, and Kili. The requirements for health care for the above conditions will include the following: i. One Medical Assistant to be employed full time and stationed on each of the four mentioned atolls. For the immediate present, if the plan were to begin before medical assistants could complete a three-year course of training, Medex could be recruited from those working at Majuro or Ebeye if the Marshall Islands government were willing to assign them to work on the atolls. The present clinic facilities on each of the four named atolls should be upgraded to the status of a health center as specified in our previous report submitted to the Department of Interior on December 3, 1980. Housing facilities would need to be built for each of the medical assistants. Radio communication equipment would be necessary at each health center and at Ebeye or Kwajalein. A special logistic supply system would need to be established at the hospital at Ebeye or Kwajalein and with a full time medical supply officer capable of handling pharmaceutical and other supplies. The medical ship outlined in section XII of our report submitted on December 3 would be necessary. This ship should be outfitted with laboratory, x-ray and dental facilities on board. 7. One medical doctor (general practioner) for supervision of medical assistants and to be assigned to the dedicated "medical ship” for the four atolls. His headquarters would be Ebeye or Kwajalein since it would be anticipated that the "medical vessel" would be headquartered at Kwajalein. Other special. dzed professional staff member are listed under _"Manpower Needs" below. <— a te os wen me wee eo - ss, rere lt — ~ a on. ~~ mr eee oom eee = -~ se “ — SL.