AGENDA BNL MARSHALL ISLANDS STUDY/DOE CONFERENCE O800-MARCH 19, 1979 TOPIC: 1. Position Paper: A. The people of Utirik who are now living on Majuro, but who had previously received a full physical examination while living on Utirik in accordance with the 1977 agreement between the Department of Energy and DOL/TT for extended primary care in the outer islands, were very ‘disturbed that they were unable to have a full examination on Majuro. B. The Medical Survey Group are repeatedly encountered with questions of "why can't we be reimbursed as the comparison group for our ‘experi- mental participation''? C. According to Dr. Masao Korean and Ezra Riklon, the Marshall Island medical care system has no more referral monies for this fiscal year. We found a number of very pressing medical problems during the January-February 1979 survey that need referral as soon as possible (Rosa--endometrial carcinoma, etc.) Can DOE funds be used for these purposes or how are these patients to be adequately treated? D. Since the precept of paying for surgery for some of the "comparison group has already been established, how should we proceed with the 10 cases we have just identified? E. PASO Honolulu informed me that we were "at least 30 k" over our current budget due to overexpenditures allocated to the ship and to the establishment of the clinical laboratory on Ebeye. We will attempt to reduce our costs; however, supplemental funding will probably be necessary to sustain the program through the remainder of the fiscal, year. 2. How shall we handle the people of Bikini? (Please see copies of answers given by Health Physics Group during whole body counting.) 3. U.S. Oceanography - What will be the future plans for the ship? (Please see 1979 trip report.) The September survey was tentatively scheduled for dental extractions, electrocardiograms, and ancillary studies such as a trace element study for the clarification of hyperglycemia, previously diagnosed as diabetes mellitus. 4. The role of the Resident Physician in relation to the options mentioned in the Position Paper. a J008 111