TRIP REPORT March 14, 1979 _ Mr. William Stanley Director, PASO/DOE P.O. Box 29939 Honolulu, Hawaii 96820 wae CH inv a wet Dear Mr. Stanley: Trip Report for the first 1979 medical survey of the Marshall Islands Purpose: The medical surveillance and primary care of pattents ex- posed to the 1954 nuclear accident and to a comparable cantrol group on Rongelap. In addition, sick call was held whenever possible on Majuro, Ebeye, Rongelap and Utirik.. ScheduleandParticipants: .. Please see Table 1 : LogisticSupport: A number of serious Problens were encountered in the services pro- vided both by U.S. Oceanography and” the DOE Coordinator. involved errors of omission and comission. as follows: 1) The problems will be categorized charter/contract deficiencies; safety/ship handling; 3) These problems 2) maritime problems - ship DOE/PASO liaison - adwinisLlrative; 4) medical team problems. As an introduction to this very complex set of interacting problems, I think a few initial comments would be of assistance. On my way to the Marshall Islands on January 11, 1979, I stopped by the DOE/PASO office in Honalulu for a conference with Mr. Stanley and Mr. Harry Brown concerning the forthcoming survey. At that time the ship was in harbor in Honolulu and at no time during that long meeting was I informed of any changes in the basic operation plans as previously outlincd in San Dicgo, Even though at that time a number Oo cn Let cs cc cm TM Strasse aoe,