thyroid patients, outer islands, four emergency medical evacuations were brought in from the The addition of 18 Marshal! se patients presented serious problems to the ship in regards to sleeping arcas and food. I was informed by Mr. Munk that the ship was "almost out of food" when we returned to Kwa j aletin. A few minor problems in chip support developed during the voyage. were: They 1) The cook was very susceptible to seasickness and very Jittle faod was provided while the ship was underway. was superb. 2) His cooking at anchor or at dockside The mara hatch dog for the watertight hatch batwoen the medical berthing area and th» head wis fabvicated fron Light strap aluninen It bent as soon as the ship bemin to roll heavily and the woishe of the door, smashing against the insulate !l belkiiead dented it Vy. Again, thes tate presented a hazard to the medical party in the berthing arca. 3) A second watertight hatch leading from the Forecastle to the wel] deck was also scevred inadcquately with a light hook. This heavy hatch again broke loose during heavy rolling and was Einally secured by a line (Please see Fnclosure V, photographs of latches and bulkheads). 4) ‘he cargo containers (vans), that had been converted into the medical examination rooms developed a number of severe leaks during the heavy rains. occasions. This restricted our operations on scveral In addition, the canvas éover betveen the vaus also leaked during heavy rains. A rerigging of the canvas and repairs of the leaking roof wilt be necessary before the next medical survey. Summary: In summary, the addition of the Bikinianus at the last moment necessitated the rapid modificattou of the stalfing and Jogistic plans. These plans need to be fixed 8~12 wecks before the survey to allow for professional staff planniug, i.e. the guest consultants teaching schedules and professional schedule as well as iatcrial Tead time. We did the best we could with the