periodic visits to Marshall Islands for specialized surgary or medical
consultations.
ophthalmology,
dermatology,
With
this
plan
otolaryngology,
etc.
special
problems
urology,
can also be
in
fEhe
orthopedics,|
adequately treated
in
areas
of
cardiology,
fhe Marshalls
thereby reducing the number ofreferrals for tertiary carp.
Ebeye:
The hospital at Ebeye (50 beds) will bé@
staffed and
equipped to provide secondary care but at a lesser level than at Majuro.
Whenever
possible complicated
cases
will
be referred
[to Majuro or
provided by the Majuro staff commuting to Ebeye.
2.
Tertiary Care
With the upgrading of medical services at Majuro, it
that the referral costs for tertiary care to hospitalgq
Marshall
Islands
can
be
substantially
presently go to Tripler in Hawaii.
reduced.
It
anticipated
outside the
Mast
is recommendei
referrals
that other
facilities, such as Queens, Castle Memorial, and Straub Clinic in Hawaii
be considered as alternatives.
These facilities were evaluated and can
provide complete tertiary care, including cardiac care
ahd open heart
surgery.
Specialty and Rehabilitation Services
1.
Dental
Currently the three dental
Majuro
are
providing
prophylaxis,
x-rays
dental
and
officers and their supporting staff in
examinations,
treatment
extractions, and health education.
of
jaw
basic
restorBtive
fractures,
minpbr
In addition, the dental
care,
surgery,
plblic health
section has attempted three additional services - dental materral and child
health services, schoo! dental programs, and field treatment programs.
maternal
The
and child health services are primarily educational, providing
young mothers with information that hopefully will be incorporated into
their child rearing practices.
examinations,
education.
extractions,
The school
flouride
mouth
and field proggams include
washer
for
children,
Though a stated objective, these latter services
and
Mave not been
made available on the outer islands because of manpower, buflgetary, and
equipment limitations.
The short and unpredictable duration
field ship
stops (1-2 days) has made them an unreliable transport mechaniBpm for these
services.
23