..- and noted that without these reports and analyses a medical program for the Northern Marshalls cannot be planned. He does not fault the contractor since DOE, as yet, has not produced this material on the Northern Marshalls. Dr. Blejer (with MIATLP) felt that there was a lack of integration in the three documents. He also asked if the representative of HHS had any comments on possible role of USPHS or would there be later amplification from the U.S. Public Health Service on this aspect. Mr. Mitchell (Enewetak) did not find any consumer involvement in the health planning documents. He held that there should be input from the people involved. A local advisory board or council would be useful and could provide feedback. Dr. Hart, Loma Linda, pointed out that the contract teams had visited Enewetak Atoll, Rongelap, Utirik, etc.1 and had met with local representatives. Weather and transportation difficulties had prevented a visit to Kili Island but Bikinians elsewhere had been consulted. Mr. Mitchell (Enewetak) was critical of the chapter in the appendix relating to the socio-cultural perspective and did not feel it was accurate or adequate. He also questioned whether there was as much “scattering” of “affected peoples” as the contractor and others believed. He conceded that there had been some scattering but did not believe the enormous budget of the four atoll proposal was justified. He again stressed, that in his opinion, all that is required is to provide primary health care on the four named atolls and secondary and tertiary care at Kwajalein or in Honolulu. Mr. Weisgall offered a suggestion that perhaps an additional outline of a plan was needed, i.e. ~ a plan that would provide special primary care on