&— oo 5. Definition of Comorehensive Healch Care The contractor should use the following definition of comerehengive health care: Primary Care Primary care is the care received when che satient first seeks from the medical care system. The care at that soint would ine Care and creacment of “ne simpler and/or more commen ilinesses, determine tre nead for consultation with or referral to medical in addition ts immediate care, orimary care ray“alsoinclude on responsibilisy fer sne satient in Seth healcn maintenance and wJerapy. Seconcary Care Secondary care is the cara provided by medical ssecialistes who do not have first contact with the patient, fsr example, neursideists, internists, and darmatologists. This care generally cannot de at the primary care level and is obtained upen consultation or through the srimary health care system. deferral Tertiary Care Tertiary care consists of services provided by highly specializdé medical . personnel, for exarple, neurslogists and neuresurgecns. Such s@rvices generally reqaire highly sophisticated tachnological and supe facilities, such as intensive care units and specialised surgical facilicied. These specialized services and facilities generally are not available fat she seconcary care level. ( Article [limSsecific Task 6. Responsibilicies of the Contractor Tne Cerparmment of the interior raquires the’ contractor to offer by mid-November, on at least the following: fa) A glan to srevis easar25 ; Bcvics, ,th care pecples of Jikini, Snewetak, ery and Ctirik, nea for the additional atolis iJ shay have Seen affeccad by radiation from nuclear weapons esting sroqram. in deciding whether the reoplas <7 additicnal atslis Rave been so affected, <he Secretasy would conbider information obtained from on-site health evaluations of the peogle of these atolis, and cthez relevant information presanted to hin. It would be anticiscazsd shat che nealte evaluations woul’ ¢ onatolis-of-th the Nerthern Marsnail is: anes. sevondthe fourspe nitially Thesequence_i5_whisnstoliswouls 5e investigatedwouldbe¢s following consultation with thie recresentatives of tne peopia of tamatsecsedatollsandsovermment she of she Marshall ts3iands. Off