xi 1. Health Status: a) The Marshalls has an extremely high birth rate in comparison to the Trust Territory. € The population will increase 50% every four years. b) It would appear the major causes of morbidity (illness) in the Marshall District are skin, respiratory and gastrointestinal related conditions. This holds true for Majuro, Ebeye, and the Outer Islands alike. c) ! It would appear the major chronic illness in the Marshal] District are asthma, diabetes, and hypertension. d) Causes of death closely ‘parallel those of the United States with the long term, non-communicable diseases of the heart and cerebra- vascular systems and cancer being responsible for 40% of the deaths from 1974 to 1976. At the same time however, prematurity and conditions associated with delivery are significant causes of death. e) Neonatal deaths would appear to be a far more significant problem in the urban centers of the District than in the Outer Islands while infant and child death rates are approximately equal across al] geographic areas. f) Prematurity (the second leading cause of death 1974-1976) is much higher in Ebeye than in either Majuro or the Outer Islands although the rate in Majuro (at 53.9 incidence per 1,000 live births) is far greater than in the Outer Islands (at 10.2 incidence per 1,900 live births). ” = 5004165 e pwrer eetr “ Sls eee SRREINS TT — bee et ii eae MEET q