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