votes TT ue a tanec meal ch lene RR bed ag Aas OTN ak NS rsa ete ee leeete eek Ga a” ~3- entitled “Marine Safety", please see Enclosure IV} and his pleasant person-ality and able seamanship greatly assisted the BNL team. Mr. Munk was of great assistance in the survey as liaison between BNL ans U.S. Oceanography. Because of the unique logistic requirements of this survey, c.g., we needed to pick up, at each island, all patLents who might. requive surgery, the ship on the final leg from Utirik to Wotje and finally to Kwajalein was overloaded. (It had been my opinion gince the origiual contract negotiation that this ship was marginal for support of the medical proparam.) Even with the partial correction of the prior deficiencies, the habitabili of the Spaces assigned to the medical survey party was/unsatisfactory, fe had 2a “number of small epidemics of upper respiratory infections and viral gastraintestinal illnesses during the trip due primarily to crowding du the berthing areas (please see Enelosure V). With the inevitable expansion of each succeeding medical survey this problem will quickly become the limiting Fact I apreed to an fintexim)xenewal of the ship's contract for this year some more switahble means of support was ebtained with the understanding hat the present ship will compromise the medical mission during the remainder a ee ae of calendar 1979 and eacly 1980. “The reasons for, and characteristics of, the replacement support system should be discussed at the Department of Energy as soon as possible. ; — Upon returning to Kwajalein we vere met by Dr. Brown Dobyns, Professor of Surgery, Case Western Reserve University who is one of the nation's leading thyroid surgeons to review all of the possible surgical cases along with Drs. Conard and Robbins. YFourtcen patients were selected to return to the United States for workup at Brookhaven National. Laboratory aid thyrold fos had ce an ms cr Se surpery at Cleveland during, June and July of 1979. In addition to the