m-nitoring at Ebeye may require additional manpower beyond the 2 thkt are needed
now.
Some lab equipment and supplies would be needed to perform the total
coliform test.
Also there needs to be a plan and trained personne]
for routine
Cleaning and preventive maintenance of public water system cistarns, storage
- tanks or reservoirs and pumps (possible U.S.
Environmental Protdction Agency
funding for this program).
Even though the water supply and wastewater systems in the urbBn centers of
Majuro
and
Ebeye
have
and
inadequacies
many
problems,
many
[reports
considerable funding have been or are being directed to these systems.
and
However,
in many of the outer islands the problems are just as great (see
ffable 6) but
little attention has been directed to them in terms of comprehensiv®
studies and
funding.
A complete potable sanitary survey with bacteriological t@sting should
be done on all
Along with this survey and] testing, an
the outer istands.
evaluation and report of the needs for upgrading toilet facilitiesIto a minimum
of one water seal pit privy per houshold (or dwelling unit) should
done except
where tow densities may make the traditional beach use adequate.
urrently the
Environmetal Health Division has a program for upgrading the toilet
Facilities in
the outer islands but due to higher priorities, and pressures from
the central
urban areas, little progress is being made.
_
It is recommended that current Environmental Health staff and
recruits
be
identified
to
obtain
professional
training
certification issued by the Fiji Health Inspector Program.
potential new
equivalent
to
Funding for this
training could be made available through World Health Organization[Fellowships,
legislative appropriations, regular educational scholarships and
fhrough funds
designated for this purpose by this health plan.
There is also a need for improved coordination with the primaryjcare workers
(medex and health assistants) in the outer islands to aid in sanitafion programs
and education.
To at least partly effect this it is recommendefi
that short
training courses in rural environmental health be provided for thefouter island
health workers.
It has been noted that many of the schools do not have basic
hygiene facilities,
toilets.
such as water for
handwashing
@nvironmental
and minimall¥
acceptable
Since the incidence of parasitic and infectious diseaseg
can only be
prevented by methods which interrupt the fecal-oral route of tranqmission, and
Since students cannot be taught or practice these important methbds when the
school lacks the basic facilities, it is recommended that on-site
12
gocumentation