D. Transportation Patients must be moved from out islands to regionk? clinics and hospitals at Ebeye or Majuro for both routine referral and fin emergencies. Occasionally they must be transported to tertiary care centbrs outside the country. Clinics must be resupplied. Senior medical stafff need to make supervisory visits to the clinics and special task public health teams must visit schools and communities. and continuing education. Personnel need to be rotate# for vacations Preventive maintenance visits tq each facility must be made on a regular schedule. Present System Government field ships visit the out islands on a semiregu ar schedule to collect the copra crop. On a space available basis, they provid for health personnel and patients. Visits to some islands are transportation nade no oftener than every four months or even longer when equipment is not available or weather adverse. With very few exceptions transport between islands of by private boat or canoe. Marshall Airstrips served by STOL aircraft of the Islands are operational dn atoll] must be Airline of the on Majuro, Ailinglapalap, Enéwetak, Likiep, Mejit, Meloelap, Kwajalein, Ebon and Wotje. is available by AMI from these islands. In an emergency, priprity transport Ships within MarshallesP waters may be diverted at a cost of $1200/day to transport critical patients] either to the nearest airfield or hospital. Transportation to tertiary c@re centers available through Air Micronesia. The present intralagoon spstem is is being expanded by the addition of government lagoon boats under the [control of the magistrates and available for all ‘those of the health care system. government transportation eds including Airstrips are scheduled for completion within the next 24 months on all atolls with enough space. These expagded facilities will provide transportation most of the time for most of those n@eding it. Recommendations 1. As far as possible, the Health care system transportation Sp jal task teams The Marshallese Gover ent should be filled by existing government field ships and airline. may require chartered transport. needs should be encouraged to complete the planned airstrips and lagoon boat Systems as soon as possible.