es wees ne re ee rey cree wee - ~ - es a---- + ee ~ - programs in environmental sanitation, maternal and ‘child health, allied health personnel, citizen education, and facility construction. Cooperacson and collaboration will be needed from Trust Territory officials and citizens, Department of the Interior, D/HEW, and EPA. ‘ B. An alternative solution, which I did not explore while in the Trust Territory, would be to approach the health problems of Micronesia as the United States approached the health problems of the American Indian and Alaskan native__ over the past several decades. This could be accomplished by development of a more comprehensive plan. example.) (Tab C is an The disadvantage here is that it would require additional Federal personnel and would involve D/BEW in delivery of additional direct health services. A siynificant advantage is that it would approach the health and s.initation problems of Micronesia in a comprehensive way and it wouia cement the bond hetween Micronesia and the United States further by tying the Trust Territory to D/HEW as well as to the Department. of the Interior. Additionally, the Trust Territory Gitizens would have the benefit of the considerable “ phy at profcesional health expertise already available in D/HSW aMmia, parvcd culerly, the multiple cpecialists within the a - das as tna am ~Jj. 4 Health Service. These specialists could provice .