TRIP REPORT Brookhaven National Laboratory - Narshall Islands Survey May - June 1979 The second Brookhaven National Laboratory survey of the Marshall Islands in calendar 1979 covered the period From carly May through mid-June. see Enclosure I for ane itinerary of ws participants). ‘This survey was unique in that we had bee (Please. ut ott t auilews, bor lan , a sked to include physical examinations for the people of Bikini’ - living on Majuro - in addition to the regular study group. The addition of the group greatly expanded the Logistic requirements of the survey. We had originally planned for a pediatric survey, sick call, and selected thyroid re-examination of Lhe exposed and the coiuparison populations. The Bikini group received the complete workup dusigned for the study group. This workup required the assistance of two additional. physicians, two technicians, and one administrative assistaut. A new precedent had been eskablished by the whole-body counting group shortly before this survey of grant ing, reimbursement to the Bikinians conus, from Edgit Island for the studies. Each of these patients was to receive $10 for transportation and meals, however, apparently people other than Edgit people received compensation and it finally became a standard procedure to pay all patients $10 going through the whole-body counter. An attempt was made to integrate the whole-body counting visit with the medical examinations but severe scheduling problems arose, reyuiting several visits, and payments to many Bikinians. A total of 102 Hikinians were seon by_themedicalexaminationteam, Some of these patients required several re-appointments to complete their cxaainations. Phe mechanisms and guidelines for the reimbursement of this proup peeds a careful reevaluation and a formal. cst an = statement of Limitationsl as soon as poust. aT nee OnE 4