TeTENE OY eee ee Kira badataSOONDML TAR as SatePARPhIR IDCA ned Oe esha a LTT saa eT a Fromeraa. a eo ket te a ER, aati osSash, caeSt RU SIRE§ rt 4 AOET AS OUTLINE FOR DISCUSSIONS BETWEEN THE UNITED STATES ENERGY RESEARCH AND DEVELOPMENT ADMINISTR. - LON AND THE TRUST TERRITORY OF THE PACIFIC ISLANDS REGARDING MEDICAL CARE OF THE RONGELAP AND UTIRIK PEOPLE The United States Energy Research and Development Administration (ERDA), formerly AEC, has for more than 20 years conducted a program of medical surveillance of the people of Rongelap and Utirik that were exposed to fallout from a weapons test in 1954. In the course of this activity, and with the knowledge and consent of the Trust Territory of the Pacific (TTPI), the ERDA medical teams have provided limited medical care for'‘ail of the people of Rongelap and Utirik. The ERDA intends to continue this program provided this can be achieved with the consent of the TTPI and the people of Utirik and Rongelap. The people of Utirik and Rongelap, independently» have recently indicated a desire for changes in the type of medical care under the ERDA program. Specifically, they have requested that ERDA expands and improves medical care of all the people on their islands. It is recognized by the U.S. (ERDA) that general medical care of the people of the Marshall Islands is a responsibility of the Administration of the TTPI. At the same time, it appears that the request for extended medical care under the ERDA program stems from a change in the perception on the part of the people of Utirik and Rongelap of the manner and extent to which past ERDA activities have affected their lives psychologically, socially, and economically. It appears, therefore, to be in the interest of both the TTPIL and the U.S. (ERDA) to explere ways in which these perceived needs can best be met by both parties within framework of their respective responsibilities. For the purpose of the discussion between the TTPI and the U.S. CERDA) it is proposed that the U.S. (ERDA) is prepared to assist the TTPI in the discharge of its health care responsibilities to the people mErositony DOE-FeRRESTAY couecton MITRKET BOX Ne. G44 80 3 FILES Li aa ee ISLANDS Fovoer #2 NOW 197 -OCT 27, 1977