-115- i Seven sets of data are used to analyze health status: Crude birth rates (number of births per year for the total population) - Mortality rates (number of deaths per year for the total population) - Morbidity rates (number of persons exhibiting disease - Communi cable/Repor table Disease Incidences - Utilization Figures for the Hospital OPD's and - Hospital Discharge Data - Immunization Statistics — conditions per year) for the Dispensaries It must be kept in mind, however, the data which will be presented is not fully reliable. A modern data management system requires a far larger population base and a far more advanced technology than is present in the Trust Territory. In addition, logistics and limited personnel training make the collection of accurate Statistics difficult. Further, it should not be assured, reporting errors are randomly distributed. Data from the district centers would appear to be the most complete and the most reliable, with data from the outer istands being the least. Quality of outer island reporting depends, among other things, upon the skill levels & motivation of the health service personnel stationed on the various islands; and consequently varies from jsland to island. The data presented provide the best estimate available of the incidence of the various illnesses but the © reader must keep in mind, the figures are only estimatesThe TTPL Bureau of Health Services is in the process of converting to a more comprehensive computerized data system. 9009132 and the init’ Programming for 1 printout will become available in carly 1979. the system