PRIVACY ACT MATERIAL REMOVED
cel Etove. Yerosene. fe
sterilizing instruments .... 7 tech
EE. Carbzson® CaPSUleS 2... eee cee ee ee ee cece ewe u
66. Flagy] tablets ...... 2. cece wee ecw e newness 0
67. Ampicillin capsules ~.....-.. esse eee e ee eee eens -. O
68. I.N.H. tablets ............ oe ccc e cece en esee ane O
69, Chioromycetin 250 mg cap -.. cece cnvccnecccntcccee O
70. Solu-cortef 100mg or 250 mg amp ........2c-cecoee O
71. Antepar tablets ........... occ cecceseccccce ane-ee 0
72, Tylinol tablets .....-.......-.e008- seecececesoee O
Next day I met again with the DistAd Rep., Japtan and the Health
Assistant to reemphasize the referral proceedures to be followed.
I also asked them to try to contact us at Majuro or the Distad Rep.
Kwajalein before sending any patients to Kwajalein. I also asked
Dr. Thorpe to give me a list of al] Micronesian patfents that were
seen and treated at the USAF Clinic on Enewetak for the pertod of
October 2, 1977 to November 3, 1977. The only significant thing
about this list is the fact that 20 visits were made by the Marshallese
working and live on Enewetak, tyvo stool examinations but patients were
treated by the Health Assistant on Japtan, three patients ware referred
to USAF Clinic by the Health Assistant for further evaluation and
treatment, one patfent visited USAF Clinic twice without the Health
Assistant ‘s knowledse, and six emergency medical referrals who were
evacuated to Kwajalein except one died before medical evacuation.
refused to be treated by the Health Assistant and she ©
requested treatment at efther Kwajalein or Majuro.
which could have been treated on Japtan.
She had pneumonia
Recommendations:
1. Hass deworm of the populace cf Japtan soon as possible.
2. A team of two sanitarians from Hajuro to Japtan to construct three
water-sealed toilets for the community of Japtan and to reduce or
elininate the rat population on Japtan for a period of one week.
3. Upgrade the {nunization program on al] pre-school and school
children on Japtan. Initial vaccination be done by Public Health
team from Hajuro so that records can be documented.
Arrangenent
for storage of vaccines for the second and third series ismunization
be requested through Colonel Mixan and his medical staff, including
thet advice ‘andséssistance where it is appropriated.
4. ‘hen medical emergency occurs and evacuating the patient becozes
necessary, the health assistant on Janptan after thorough consultation with the docter USAF Clinic on Enevetak may refer the patient
to Kwajalein or Majuro for further treatment.
5. Hedical referral patients who have not attained 18 years of age may
be permitted to have one adult parent or quardian accompany them.
6. Ko member of the family will be permitted to accompany an adult
patient at Government expense unless permission is reeuested and
aranted by the District Director of Health Services, Marshalls.
7. All unauthorize medical escorts will be responsible for their ov
hotel accotmodation on Ebeye, including meal.
8. Al] medical emergency referrals must have a referral form with
PRIVACY ACT MATERIAL REMOVE
D