-2The primary responsibility of the DOE medical program in the Marshall Islands concerns the diagnosis and treatment of radiation effects in the exposed Rongelap and Utirik people. In order to carry out this mission satisfactorily a number of unexposed Rongelap people are included dn the examinations. Comprehansive annual medical examinations are carried out on these people by the DOE-BNL medical team with the assistance of Trust Territory medical personnel. In addition, a Resident Physician and Physician's Assistant have been placed in the islands and make quarterly trips to Rongelap, Utirik and Bikini for health care purposes. Over and above the primary mission, for humanitarian reasons, the DOE-BNL medical personnel assists the Trust Territory in general health care of other Marshallese whenever possible. The present agreement concerns 1) the annual medical surveys, 2) follow-uf medical care, and 3) health care assistance by DOE-sponsored personnel at Ebeye and Majuro. 1) ERDA will invite TTPI medical personnel (e.g., Medical Officer, nurses, health aides, technicians) to participate in the DOE-BNL medical visits in order to facilitate expanded programs such as Well Baby Clinics, Family Planning, etc., and will assist as feasible, with the logistic support of these activities. The Trust Territory will furnish such personnel referred to above when possible. The DOE-BNL medical team, during the annual surveys, will assist the TTPI in providing medical care to the people living on Rongelap and Utirik. Every effort will be made to extend the duration of the medical teams stay at these islands long enough to examine all people on the islands who wish to be examined in a way similar to that used for the exposed and control groups. Loris