-2< The primary responsibility of the DOE medical program in the Marshal] Islands concerns the diagnosis and treatment of radiation effects in the exposed Rongelap and Utirik people. In order to carry out this mission satisfactorily a number of unexposed Rongelap people are included in the exawinations. Comprehansive annual medical examinations are carried out on these people by the DOE+BNL medical team with the assistance of Trust Territory nedical personnel. In addition, a Resident Physician and Physician's - Assistant have been placed in the islands and make quarterly trips ta Rongelap, Utirik and Bikini for health care purposes. primary mission, for humanitarian reasons, Over and above the the DOE-BNL wedical personnel assists the Trust Territory in general health care of other Marshallese whenever possible. The present agreenent concerns 1) the annual medical surveys, 2) followup medical care, and 3) health care assistance by DOE-sponsored personnel at: Ebeye and Majuro. 1) ERDA will invite TTPI medical personnel (e.g., Medical. Officer, nurses, health aides, technicians) to participate in the DOE-BNL medical visits in order to facilitate expanded programs such as Well Baby Clinics, Family Planning, etc., and will assist as feasible, with the logistic support of these activities. The Trust Territory will furnish such personnel veferred to above when possible. The DOE-BNL medical team, during the annual surveys, will assist the TIPl in providing medical care to the people living on Rongelap and Utirik. Every effort will be made to extend the duration of the medical teams stay at these islands long enough to examine all people on the islands who wish to be examined in a way similar to that used for the exposed and control proups.